Understanding the basis of medical use of poly-lactide-based resorbable polymers and composites – a review of the clinical and metabolic impact

2019 ◽  
Vol 51 (4) ◽  
pp. 570-588 ◽  
Author(s):  
Sergiu Vacaras ◽  
Mihaela Baciut ◽  
Ondine Lucaciu ◽  
Cristian Dinu ◽  
Grigore Baciut ◽  
...  
Keyword(s):  
2014 ◽  
Vol 36 (4) ◽  
pp. E20 ◽  
Author(s):  
Dominic A. Harris ◽  
Abigail J. Fong ◽  
Edward P. Buchanan ◽  
Laura Monson ◽  
David Khechoyan ◽  
...  

When faced with calvarial defects, surgeons have long searched for repair materials. General criteria include ease of use, low cost, availability, cosmetic shape, and osteointegrative potential. While autologous bone is widely used and favored in contemporary reconstructive procedures, synthetic alternatives have been used throughout history and are necessary in current practice for select cases when autograft reconstruction is not an option (such as cases with severe bony comminution, bone graft resorption, infection, and limited donor site options). For centuries, surgeons have experimented with metals, ceramics, plastics, and later, resorbable polymers. This paper provides a tour of the materials that have been used and experimented with throughout the history of alloplastic cranioplasty.


Author(s):  
Muhammad Wajid Ullah ◽  
Lina Fu ◽  
Lallepak Lamboni ◽  
Zhijun Shi ◽  
Guang Yang

2019 ◽  
Vol 20 (8) ◽  
pp. 823-838 ◽  
Author(s):  
Antonio J. Guerra ◽  
Hernan Lara-Padilla ◽  
Matthew L. Becker ◽  
Ciro A. Rodriguez ◽  
David Dean

With the advent of inexpensive and highly accurate 3D printing devices, a tremendous flurry of research activity has been unleashed into new resorbable, polymeric materials that can be printed using three approaches: hydrogels for bioprinting and bioplotting, sintered polymer powders, and solid cured (photocrosslinked) resins. Additionally, there is a race to understand the role of extracellular matrix components and cell signalling molecules and to fashion ways to incorporate these materials into resorbable implants. These chimeric materials along with microfluidic devices to study organs or create labs on chips, are all receiving intense attention despite the limited number of polymer systems that can accommodate the biofabrication processes necessary to render these constructs. Perhaps most telling is the limited number of photo-crosslinkable, resorbable polymers and fabrication additives (e.g., photoinitiators, solvents, dyes, dispersants, emulsifiers, or bioactive molecules such as micro-RNAs, peptides, proteins, exosomes, micelles, or ceramic crystals) available to create resins that have been validated as biocompatible. Advances are needed to manipulate 4D properties of 3D printed scaffolds such as pre-implantation cell culture, mechanical properties, resorption kinetics, drug delivery, scaffold surface functionalization, cell attachment, cell proliferation, cell maturation, or tissue remodelling; all of which are necessary for regenerative medicine applications along with expanding the small set of materials in clinical use. This manuscript presents a review of the foundation of the most common photopolymerizable resins for solidcured scaffolds and medical devices, namely, polyethylene glycol (PEG), poly(D, L-lactide) (PDLLA), poly-ε-caprolactone (PCL), and poly(propylene fumarate) (PPF), along with methodological advances for 3D Printing tissue engineered implants (e.g., via stereolithography [SLA], continuous Digital Light Processing [cDLP], and Liquid Crystal Display [LCD]).


2020 ◽  
pp. 167-190
Author(s):  
Laura Macdougall ◽  
Heidi Culver ◽  
Chien-Chi Lin ◽  
Christopher Bowman ◽  
Kristi Anseth
Keyword(s):  

2019 ◽  
Vol 8 (12) ◽  
pp. 2159 ◽  
Author(s):  
Giuseppe Perale ◽  
Marta Monjo ◽  
Joana M. Ramis ◽  
Øystein Øvrebø ◽  
Felice Betge ◽  
...  

Bone defects resulting from trauma, disease, surgery or congenital malformations are a significant health problem worldwide. Consequently, bone is the second most transplanted tissue just after blood. Although bone grafts (BGs) have been used for decades to improve bone repairs, none of the currently available BGs possesses all the desirable characteristics. One way to overcome such limitations is to introduce the feature of controlled release of active bone-promoting biomolecules: however, the administration of, e.g., recombinant Bone morphogenetic proteins (BMPs) have been used in concentrations overshooting physiologically occurring concentrations and has thus raised concerns as documented side effects were recorded. Secondly, most such biomolecules are very sensitive to organic solvents and this hinders their use. Here, we present a novel xeno-hybrid bone graft, SmartBonePep®, with a new type of biomolecule (i.e., intrinsically disordered proteins, IDPs) that is both resistant to processing with organic solvent and both triggers bone cells proliferation and differentiation. SmartBonePep® is an advanced and improved modification of SmartBone®, which is a bone substitute produced by combining naturally-derived mineral bone structures with resorbable polymers and collagen fragments. Not only have we demonstrated that Intrinsically Disordered Proteins (IDPs) can be successfully and safely loaded onto a SmartBonePep®, withstanding the hefty manufacturing processes, but also made them bioavailable in a tuneable manner and proved that these biomolecules are a robust and resilient biomolecule family, being a better candidate with respect to other biomolecules for effectively producing the next generation bone grafts. Most other biomolecules which enhances bone formation, e.g., BMP, would not have tolerated the organic solvent used to produce SmartBonePep®.


2016 ◽  
Vol 47 (3) ◽  
pp. 408-425 ◽  
Author(s):  
Thomas Gereke ◽  
Oliver Döbrich ◽  
Dilbar Aibibu ◽  
Jorg Nowotny ◽  
Chokri Cherif

To prevent the renewed rupture of ligaments and tendons prior to the completed healing process, which frequently occurs in treated ruptured tendons, a temporary support structure is envisaged. The limitations of current grafts have motivated the investigation of tissue-engineered ligament replacements based on the braiding technology. This technology offers a wide range of flexibility and adjustable geometrical and structural parameters. The presented work demonstrates the possible range for tailoring the mechanical properties of polyester braids and a variation of the braiding process parameters. A finite element simulation model of the braiding process was developed, which allows the optimization of production parameters without the performance of further experimental trials. In a second modelling and simulation step, mechanical properties of the braided structures were virtually determined and compared with actual tests. The digital element approach was used for the yarns in the numerical model. The results show very good agreement for the process model in terms of braiding angles and good agreement for the structural model in terms of force-strain behaviour. With a few adaptions, the models can, thus, be applied to actual ligament replacements made of resorbable polymers.


1992 ◽  
Vol 10 (1-2) ◽  
pp. 13-20 ◽  
Author(s):  
S. Gogolewvki

e-Polymers ◽  
2016 ◽  
Vol 16 (5) ◽  
pp. 351-358 ◽  
Author(s):  
Patrycja Domalik-Pyzik ◽  
Anna Morawska-Chochół ◽  
Jan Chłopek ◽  
Izabella Rajzer ◽  
Agata Wrona ◽  
...  

AbstractThe aim of this work was to develop bioresorbable, asymmetric membranes for guided bone regeneration (GBR). Two resorbable polymers – polylactide (PLA) and polycaprolactone (PCL) were used in fabrication process. Two different manufacturing methods were applied: electrospinning in the case of PLA and freeze-drying of PCL. Mechanical properties, stability in a water environment and biocompatibility of fabricated membranes were evaluated. Microstructure [scanning electron microscopy (SEM)] of the membranes was assessed in terms of level of porosity, as well as size and shape of the pores. Study showed that combination of electrospinning and freeze-drying methods allows biocompatible PLA/PCL bi-phasic materials of appropriate mechanical properties and diverse microstructure to be produced, that should on the one hand prevent soft tissue growth, and on the other hand be a suitable scaffold for the growth of bone cells.


2007 ◽  
Vol 8 (3) ◽  
pp. 937-940 ◽  
Author(s):  
Anna Stjerndahl ◽  
Anna Finne Wistrand ◽  
Ann-Christine Albertsson

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