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| 1 | Three-dimensional-printed individualized porous implants:A new“implant-bone”interface fusion concept for large bone defect treatment显示文摘Bone defect repairs are based on bone graft fusion or replacement.Current large bone defect treatments are inadequate and lack of reliable technology.Therefore,we aimed to investigate a simple technique using three-dimensional(3D)-printed individualized porous implants without any bone grafts,osteoinductive agents,or surface biofunctionalization to treat large bone defects,and systematically study its long-term therapeutic effects and osseointegration characteristics.Twenty-six patients with large bone defects caused by tumor,infection,or trauma received treatment with individualized porous implants;among them,three typical cases underwent a detailed study.Additionally,a large segmental femur defect sheep model was used to study the osseointegration characteristics.Immediate and long-term biomechanical stability was achieved,and the animal study revealed that the bone grew into the pores with gradual remodeling,resulting in a long-term mechanically stable implant-bone complex.Advantages of 3D-printed microporous implants for the repair of bone defects included 1)that the stabilization devices were immediately designed and constructed to achieve early postoperative mobility,and 2)that osseointegration between the host bone and implants was achieved without bone grafting.Our osseointegration method,in which the“implant-bone”interface fusion concept was used instead of“bone-bone”fusion,subverts the traditional idea of osseointegration. | Teng Zhang Qingguang Wei Hua Zhou Zehao Jing Xiaoguang Liu Yufeng Zheng Hong Cai Feng Wei Liang Jiang Miao Yu Yan Cheng Daoyang Fan Wenhao Zhou Xinhong Lin Huijie Leng Jian Li Xinyu Li Caimei Wang Yun Tian Zhongjun Liu | 2021 | Bioactive Materials2021，6，11： | 9 |
| 2 | Practical strategy to construct anti-osteosarcoma bone substitutes by loading cisplatin into 3D-printed titanium alloy implants using a thermosensitive hydrogel显示文摘Surgical resection and perioperative adjuvant chemotherapy-based therapies have improved the prognosis of patients with osteosarcoma;however,intraoperative bone defects,local tumour recurrence,and chemotherapy-induced adverse effects still affect the quality of life of patients.Emerging 3D-printed titanium alloy(Ti6Al4V)implants have advantages over traditional implants in bone repair,including lower elastic modulus,lower stiffness,better bone conduction,more bone in-growth,stronger mechanical interlocking,and lager drug-loading capacity by their inherent porous structure.Here,cisplatin,a clinical first-line anti-osteosarcoma drug,was loaded into Ti6Al4V implants,within a PLGA-PEG-PLGA thermo-sensitive hydrogel,to construct bone substitutes with both anti-osteosarcoma and bone-repair functions.The optimal concentrations of cisplatin(0.8 and 1.6 mg/mL)were first determined in vitro.Thereafter,the anti-tumour effect and biosafety of the cisplatin/hydrogel-loaded implants,as well as their bone-repair potential were evaluated in vivo in tumour-bearing mouse,and bone defect rabbit models,respectively.The loading of cisplatin reduced tumour volume by more than two-thirds(from 641.1 to 201.4 mm3)with negligible organ damage,achieving better anti-tumour effects while avoiding the adverse effects of systemic cisplatin delivery.Although bone repair was hindered by cisplatin loading at 4 weeks,no difference was observed at 8 weeks in the context of implants with versus without cisplatin,indicating acceptable long-term stability of all implants(with 8.48%-10.04%bone in-growth and 16.94%-20.53%osseointegration).Overall,cisplatin/hydrogel-loaded 3D-printed Ti6Al4V implants are safe and effective for treating osteosarcoma-caused bone defects,and should be considered for clinical use. | Zehao Jing Renhua Ni Jiedong Wang Xinhong Lin Daoyang Fan Qingguang Wei Teng Zhang Yufeng Zheng Hong Cai Zhongjun Liu | 2021 | Bioactive Materials2021，6，12： | 3 |
| 3 | Laser powder bed fusion of high-strength Sc/Zr-modified Al–Mg alloy:phase selection,microstructural/mechanical heterogeneity,and tensile deformation behavior显示文摘Laser powder bed fusion(L-PBF)of Sc/Zr-modified Al-based alloys has recently become a promising method for developing a new generation of high-performance Al alloys.To clarify the modification roles of Sc/Zr elements,an Al–4.66Mg–0.48Mn–0.72Sc–0.33Zr(wt.%)alloy was processed using L-PBF.The effect of the local solidification condition of the molten pool on the precipitation behavior of primary Al_(3)(Sc,Zr)was analyzed based on time-dependent nucleation theory.It was found that primary Al_(3)(Sc,Zr)inevitably precipitated at the fusion boundary,while its precipitation could be effectively suppressed in the inner region of the molten pool.This subsequently induced the formation of a heterogeneousα-Al matrix.After direct aging,the heredity of solidification microstructure introduced heterogeneous secondary Al_(3)(Sc,Zr)precipitates withinα-Al matrix.Owing to the inverse relationship between grain boundary strengthening and precipitation strengthening,the direct-aged sample with dual heterogeneous structures exhibited reduced mechanical heterogeneity,resulting in lowered hetero-deformation-induced hardening.The low strain-hardening capability in the direct-aged sample promoted necking instability while inducing a large Lüders elongation,which effectively improved the tensile ductility. | Zihong Wang Xin Lin Nan Kang Jing Chen Hua Tan Zhe Feng Zehao Qin Haiou Yang Weidong Huang | 2021 | Journal of Materials Science & Technology2021，，36： | 2 |
| 4 | Preoperative carbohydrate loading for elective surgery: a systematic review and meta-analysis显示文摘 | Lun Li Zehao Wang Xiangji Ying Jinhui Tian Tiantian Sun Kang Yi Peng Zhang Zhang Jing Kehu Yang | 2012 | Surgery Today2012，，7： | 1 |
| 5 | High efficacy of tetra-PEG hydrogel sealants for sutureless dural closure显示文摘Advances in meticulous dural closure technique remain a great challenge for watertight dural closure in the aged society,because the cerebrospinal fluid(CSF)leakage after spinal surgery is often accompanied with the disgusting wound infection,meningitis and pseudomeningocele.Here,a tetra-poly(ethylene glycol)(PEG)-based hydrogel sealant is developed with collective advantages of facile operation,high safety,quick set time,easy injectability,favorable mechanical strength and powerful tissue adhesion for effective sutureless dural closure during the surgery procedure.Impressively,this tetra-PEG sealant can instantaneously adhere to the irregular tissue surfaces even in a liquid environment,and effectively prevent or block off the intraoperative CSF leakage for sutureless dural closure and dura regeneration.Together,this sutureless tetra-PEG adhesive can be utilized as a very promising alternative for high-efficient watertight dural closure of the clinical patients who incidentally or deliberately undergo the durotomy during the spinal surgery. | Tengjiao Zhu Hufei Wang Zehao Jing Daoyang Fan Zhongjun Liu Xing Wang Yun Tian | 2022 | Bioactive Materials2022，7，2： | 1 |
| 6 | Significantly enhancing fracture toughness of epoxy composite with promisingγ-FeOOH@Fe_(2)O_(3)hybrid nanoparticles by magnetic field assistance显示文摘The toughening of epoxy resin(EP)and the interlaminar toughening of carbon fiber reinforced composite(CF/EP)laminates have been widely concerned.In this work,the needle-likeγ-FeOOH nanoparticles were prepared by liquid phase deposition-air oxidation method,and then were calcined under different conditions to obtainγ-FeOOH andγ-Fe_(2)O_(3) hybrid nanoparticles(γ-FeOOH@Fe_(2)O_(3)).Effect of calcination condition ofγ-FeOOH@-Fe_(2)O_(3) and magnetic field assistance on fracture toughness(KIC)of EP was systematically investigated.Then the selectedγ-FeOOH@Fe_(2)O_(3) with the best toughening effect were used to improve the mode I interlaminar fracture toughness(GIC)of CF/EP laminate.The resultingγ-FeOOH@Fe_(2)O_(3) have a length of around 1μm,a diameter of around 100 nm and the Ms of 8.99–45.96 emu/g.After calcinated at 250℃ for 1 h,theγ-FeOOH@Fe_(2)O_(3) containing 24 wt%FeOOH and 76 wt%Fe_(2)O_(3) achieved the best toughening effect.Under a magnetic field of 0.09 T,the KIC of theγ-FeOOH@Fe_(2)O_(3)/EP composite(2.45 MPa m^(1/2)) is 81.7%and 66.7%higher than that of neat epoxy and the composite without magnetic field induction,respectively.Furthermore,the GIC of theγ-FeOOH@Fe_(2)O_(3)/CF/EP composite(0.914 kJ/m^(2)) is also significantly increased by 88.8%and 51.8%compared to that of CF/EP and the corresponding composite without magnetic field induction,respectively. | Guan Chen Chuanguo Ma Zehao Fu Jing Wang Peibang Dai | 2022 | Nano Materials Science2022，4，2： | 1 |
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