Backgrounds: The titanium-aluminum-vanadium alloy (Ti-6Al-4V) is frequently used in implantology due to its biocompatibility. The use of 3D printing enables the mechanical modification of implant structures and the adaptation of their shape to the specific needs of individual patients.
Methods: The titanium alloy plates were designed using the 3D CAD method and printed using a 3D SLM printer. Qualitative tests were performed on the material surface using a microcomputed tomography scanner. The cytotoxicity of the modular titanium plates was investigated using the MTT assay on the L929 cell line and in direct contact with Balb/3T3 cells. Cell adhesion to the material surface was evaluated with hFOB1.19 human osteoblasts. Microbial biofilm formation was investigated on strains of , , and using the TTC test and scanning electron microscopy (SEM).
Results: The surface analysis showed the hydrophobic nature of the implant. The study showed that the titanium plates had no cytotoxic properties. In addition, the material surface showed favorable properties for osteoblast adhesion. Among the microorganisms tested, the strains of and showed the highest adhesion capacity to the plate surface, while the fungus C. albicans showed the lowest adhesion capacity.
Conclusions: The manufactured modular plates have properties that are advantageous for the implantation and reduction in selected forms of microbial biofilm. Three-dimensional-printed modular titanium plates were investigated in this study and revealed the potential clinical application of this type of materials, regarding lack of cytotoxicity, high adhesion properties for osteoblasts and reduction in biofilm formation. The 3D CAD method allows us to personalise the shape of implants for individual patients.
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http://dx.doi.org/10.3390/biomedicines12071466 | DOI Listing |
Adv Mater
January 2025
National Engineering Research Center for Tissue Restoration and Reconstruction, South China University of Technology, Guangzhou, 510006, China.
3D printed titanium scaffold has promising applications in orthopedics. However, the bioinert titanium presents challenges for promoting vascularization and tissue growth within the porous scaffold for stable osteointegration. In this study, a modular porous titanium scaffold is created using 3D printing and a gradient-surface strategy to immobilize QK peptide on the surface with a bi-directional gradient distribution.
View Article and Find Full Text PDFJ Clin Orthop Trauma
December 2024
Orthopaedic and Trauma Surgeon, AO Hospital, Karachi, Pakistan.
Background: The tapered fluted titanium stem is a viable option for complex hip reconstruction. We therefore, evaluate the results of complex hip arthroplasty for femoral bone loss (Paprosky type IIIA to type IV femoral defect), using a modular fluted titanium stem.
Methods: Data for this retrospective study was collected from the medical records of the 2 participating orthopaedic units from December 2018 to December 2021.
Arthroplast Today
December 2024
Department of Orthopaedic Surgery, University of Washington, Seattle, WA.
Dual-mobility bearings are being increasingly utilized in total hip arthroplasty. Contemporary modular designs often feature inner cobalt-chromium liners that are seated in outer titanium acetabular shells. However, mating of these 2 dissimilar metals may lead to complications.
View Article and Find Full Text PDFActa Biomater
November 2024
Department of Physics, TU Dortmund University, Otto-Hahn-Str. 4a, Dortmund, 44227, Germany. Electronic address:
Modular hip implants are a clinically successful and widely used treatment for patients with arthritis. Despite ongoing retrieval studies the understanding of the fundamental physico-chemical mechanisms of friction and wear within the head-taper interface is still limited. Here, we Raman-spectroscopically analyze structural features of the biotribological material which is formed within the taper joint between Ti6Al4V and low-carbon cobalt alloy or high-nitrogen steel surfaces in in vitro gross-slip fretting corrosion tests with bovine calf serum.
View Article and Find Full Text PDFSpine J
February 2025
Department of Orthopaedic Surgery, UCSF, San Francisco, CA, USA. Electronic address:
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