UHMWPE for biomedical applications: Performance and functionalization

Investigation of the effects of irradiation and aging on the tribological behavior of ultra-high molecular weight polyethylene/graphene oxide composites under water lubrication

Ultra-high molecular weight polyethylene/graphene oxide (PE-UHMW/GO) composites have demonstrated potential in artificial joint applications. The tribological behavior of irradiated PE-UHMW/GO composites under water lubrication remained unclear, which limited their application range. In this study, the PE-UHMW/GO composites were gamma irradiated at 100 KGy in a vacuum and subsequently aged at 80 °C for 21 days in air. We assessed their water absorption, and mechanical and tribological properties post-treatment. Notably, gamma irradiation markedly enhanced the mechanical and tribological performance of PE-UHMW/GO composites. Irradiated composites had a 6.11% increase in compressive strength and a 25.72% increase in yield strength compared to unirradiated composites. Additionally, under water lubrication, the irradiated composites showed improved wear resistance and a reduced friction coefficient. The irradiation enhancement can be attributed to the irradiation-induced strengthening of the interface bonding between GO and PE-UHMW. Conversely, accelerated aging led to oxidative degradation, negatively impacting these properties. Aged composites exhibited lower compressive and yield strengths, higher friction coefficients, and diminished anti-wear properties compared to the irradiated composites. The wear mechanism evolved from predominantly fatigue wear in irradiated PE-UHMW/GO to a mix of abrasive and fatigue wear post-aging. While GO and aging influenced water absorption, irradiation had a minimal effect. These insights significantly contribute to the application potential of irradiated PE-UHMW/GO composites in artificial joints.

In vitro hemodynamics of fabric composite membrane for cardiac valve prosthesis replacement

This study aimed to investigate the hemodynamics of a novel fabric composite that can be used as a substitute for bovine pericardium. The structure is composed of ultrahigh molecular weight polyethylene (UHMWPE) fabric coated with thermoplastic polyurethane (TPU) membranes on both sides. In vitro experiments were carried out on two composite valve samples with different specifications and a bovine pericardial one with the same dimension and structure. Hemodynamic properties including the effective orifice area (EOA) and regurgitant fraction (RF) were obtained and compared through pulsatile-flow testing in a pulse duplicator. Using the particle image velocimetry (PIV) technique, frames of the downstream velocity field in the aortic valve chamber were captured during cardiac cycles. Then, the field of Reynolds shear stress (RSS), viscous shear stress (VSS), and turbulent kinetic energy (TKE) at peak systole were calculated. A fluid-structure interaction (FSI) model has also been used to verify the pulsatile-flow testing. Compared with the bovine pericardial valve, composite valves have nosuperiority regarding EOA and RF due to their slightly higher rigidity. However, shear stresses of composite valves were lower than those of the bovine pericardial valve indicating more stable blood flows, which means that composite leaflets have the potential to reduce the risks of thrombosis and hemolysis induced by the mechanical contact between the blood flow and leaflets of valve prostheses.

Comprehensive Review on Biomaterials and Their Inherent Behaviors for Hip Repair Applications

Developing biomaterials for hip prostheses is challenging and requires dedicated attention from researchers. Hip replacement is an inevitable and remarkable orthopedic therapy for enhancing the quality of patient life for those who have arthritis as well as trauma. Generally, five types of hip replacement procedures are successfully performed in the current medical market: total hip replacements, hip resurfacing, hemiarthroplasty, bipolar, and dual mobility systems. The average life span of artificial hip joints is about 15 years, and several studies have been conducted over the last 60 years to improve the performance and thereby increase the lifespan of artificial hip joints. Present-day prosthetic hip joints are linked to the wide availability of biomaterials. Metals, ceramics, and polymers are some of the most promising types of biomaterials; nevertheless, each biomaterial has advantages and disadvantages. Metals and ceramics fail in most applications owing to stress shielding and the emission of wear debris; ongoing research is being carried out to find a remedy to these unfavorable responses. Recent research found that polymers and composites based on polymers are significant alternative materials for artificial joints. With growing research and several biomaterials, recent reviews lag in effectively addressing hip implant materials' individual mechanical, tribological, and physiological behaviors. This Review comprehensively investigates the historical evolution of artificial hip replacement procedures and related biomaterials' mechanical, tribological, and biological characteristics. In addition, the most recent advances are also discussed to stimulate and guide future researchers as they seek more effective methods and synthesis of innovative biomaterials for hip arthroplasty application.

Unveiling the Potential of Rice Straw Nanofiber-Reinforced HDPE for Biomedical Applications: Investigating Mechanical and Tribological Characteristics

The efficient utilization of rice waste has the potential to significantly contribute to environmental sustainability by minimizing the waste impact on the environment. Through repurposing such waste, novel materials can be developed for various biomedical applications. This approach not only mitigates waste, but it also promotes the adoption of sustainable materials within the industry. In this research, rice-straw-derived nanofibers (RSNFs) were utilized as a reinforcement material for high-density polyethylene (HDPE). The rice-straw-derived nanofibers were incorporated at different concentrations (1, 2, 3, and 4 wt.%) into the HDPE. The composites were fabricated using twin-screw extrusion (to ensure homogenous distribution) and the injection-molding process (to crease the test samples). Then, the mechanical strengths and frictional performances of the bio-composites were assessed. Different characterization techniques were utilized to investigate the morphology of the RSNFs. Thermal analyses (TGA/DTG/DSC), the contact angle, and XRD were utilized to study the performances of the HDPE/RSNF composites. The study findings demonstrated that the addition of RSNFs as a reinforcement to the HDPE improved the hydrophilicity, strength, hardness, and wear resistance of the proposed bio-composites.

Superior Enhancement of the UHMWPE Fiber/Epoxy Interface through the Combination of Plasma Treatment and Polypyrrole In-Situ Grown Fibers

Obtaining a robust fiber/matrix interface is crucial for enhancing the mechanical performance of fiber-reinforced composites. This study addresses the issue by presenting a novel physical-chemical modification method to improve the interfacial property of an ultra-high molecular weight polyethylene (UHMWPE) fiber and epoxy resin. The UHMWPE fiber was successfully grafted with polypyrrole (PPy) for the first time after a plasma treatment in an atmosphere of mixed oxygen and nitrogen. The results demonstrated that the maximum value of the interfacial shear strength (IFSS) of the UHMWPE fiber/epoxy reached 15.75 MPa, which was significantly enhanced by 357% compared to the pristine UHMWPE fiber. Meanwhile, the tensile strength of the UHMWPE fiber was only slightly reduced by 7.3%, which was furtherly verified by the Weibull distribution analysis. The surface morphology and structure of the PPy in-situ grown UHMWPE fibers were studied using SEM, FTIR, and contact angle measurement. The results showed that the enhancement of the interfacial performance was attributed to the increased fiber surface roughness and in-situ grown groups, which improved the surface wettability between the UHMWPE fibers and epoxy resins.

Algal mediated intervention for the retrieval of emerging pollutants from aqueous media

Water is a crucial elemental contributor for all sectors; however, the agricultural sector alone accounts for 70% of the world's total water withdrawal. The anthropogenic activity from various industries including agriculture, textiles, plastics, leather, and defence has resulted in the release of contaminants into water systems, resulting harm to the ecosystem and biotic community. Algae-based organic pollutant removal uses several methods, such as biosorption, bioaccumulation, biotransformation, and biodegradation. The adsorption of methylene blue by algal species Chlamydomonas sp. showed a maximum adsorption capacity of 2744.5 mg/g with 96.13% removal efficiency; on the other hand, Isochrysis galbana demonstrated a maximum of 707 µg/g nonylphenol accumulation in the cell with 77% removal efficiency indicating the potential of algal systems as efficient retrieval system for organic contaminants. This paper is a compilation of detailed information about biosorption, bioaccumulation, biotransformation, biodegradation, and their mechanism, along with the genetic alteration of algal biomass. Where the genetic engineering and mutations on algae can be advantageously utilized for the enhancement of removal efficiency without any secondary toxicity.

Mechanical behaviors of high-strength fabric composite membrane designed for cardiac valve prosthesis replacement

Bovine pericardium has been commonly used as leaflets in cardiac valve prosthesis replacement for decades because of its good short-term hemocompatibility and hemodynamic performance. However, fatigue, abrasion, permanent deformation, calcification, and many other failure modes have been reported as well. The degradation of the performance will have a serious impact on the function of valve prostheses, posing a risk to the patient's health. This study aimed to introduce a flexible fabric composite with better mechanical performance such that it can be employed as a substitute material for bioprosthetic valve leaflets. This composite has a multilayered thin film structure made of ultrahigh molecular weight polyethylene (UHMWPE) fabric and thermoplastic polyurethane (TPU) membranes. The mechanical properties of three specifications with different design parameters were tested. The tensile strength, shear behavior, tear resistance, and bending stiffness of the composites were characterized and compared to those of bovine pericardium. A constitutive model was also established to describe the composites' mechanical behaviors and predict their strength. According to the results of the tests, the composite could maintain a flexible bending stiffness with high in-plane tensile strength and tear strength. Therefore, bioprosthetic valve made of this substitute material can withstand harsher loads in the blood flow environment than those made of bovine pericardium. Moreover, all these test results and constitutive models can be used in future research to evaluate hemodynamic performance and clinical applications of fabric composite valve prostheses.

Ultra-High Molecular Weight Polyethylene Modifications Produced by Carbon Nanotubes and Fe2O3 Nanoparticles

Thin sheets of ultra-high molecular weight polyethylene (UHMWPE), both in pristine form and containing carbon nanotubes (CNTs) or Fe₂O₃ nanoparticles (NPs) at different concentrations, were prepared. The CNT and Fe₂O₃ NP weight percentages used ranged from 0.01% to 1%. The presence of CNTs and Fe₂O₃ NPs in UHMWPE was confirmed by transmission and scanning electron microscopy and by energy dispersive X-ray spectroscopy analysis (EDS). The effects of the embedded nanostructures on the UHMWPE samples were studied using attenuated total reflectance Fourier transform infrared (ATR-FTIR) spectroscopy and UV-Vis absorption spectroscopy. The ATR-FTIR spectra show the characteristic features of the UHMWPE, CNTs, and Fe₂O₃. Concerning the optical properties, regardless of the type of embedded nanostructures, an increase in the optical absorption was observed. The allowed direct optical energy gap value was determined from the optical absorption spectra: in both cases, it decreases with increasing CNT or Fe₂O₃ NP concentrations. The obtained results will be presented and discussed.

Replication Study of Molded Micro-Textured Samples Made of Ultra-High Molecular Weight Polyethylene for Medical Applications

In articular joint implants, polymeric inserts are usually exploited for on-contact sliding surfaces to guarantee low friction and wear, a high load-bearing capacity, impact strength and stiffness, and biocompatibility. Surface micro-structuring can drastically reduce friction and wear by promoting hydrostatic friction due to synovial fluid. Ultra-High Molecular Weight Polyethylene (UHMWPE) is a suitable material for these applications due to its strong chemical resistance, excellent resistance to stress, cracking, abrasion, and wear, and self-lubricating property. However, surface micro-texturing of UHMWPE is hardly achievable with the currently available processes. The present study investigates UHMWPE's micro-textured surface replication capability via injection molding, comparing the results with the more easily processable High-Density Polyethylene (HDPE). Four different micro-texture cavities were designed and fabricated on a steel mold by micro-EDM milling, and used for the experimental campaign. Complete samples were fabricated with both materials. Then, the mold and samples were geometrically characterized, considering the dimensions of the features and the texture layout. The replication analysis showed that HDPE samples present geometrical errors that span from 1% to 9% resulting in an average error of 4.3%. In comparison, the UHMWPE samples display a higher variability, although still acceptable, with percentage errors ranging from 2% to 31% and an average error of 11.4%.

Structural Insights into LDPE/UHMWPE Blends Processed by γ-Irradiation

Ultra-high-molecular-weight polyethylene (UHMWPE) matrices containing low-density polyethylene (LDPE), hydroxyapatite (HAp) as filler, and rosemary extract (RM) as stabilizer were investigated for their qualification for long-term applications. The significant contributions of the blend components were analyzed, and variations in mechanical properties, oxidation strength, thermal behavior, crystallinity, and wettability were discussed. SEM images of microstructural peculiarities completed the introspective survey. The stability improvement due to the presence of both additives was an increase in the total degradation period of 67% in comparison with an unmodified HDPE/UHMWPE blend when the materials were subjected to a 50 kGy γ-dose. There was growth in activation energies from 121 kJ mol^-1 to 139 kJ mol^-1 when HAp and rosemary extract delayed oxidation. The exposure of samples to the action of γ-rays was found to be a proper procedure for accomplishing accelerated oxidative degradation. The presence of rosemary extract and HAp powder significantly increased the thermal and oxidation resistances. The calculation of material lifetimes at various temperatures provided meaningful information on the wearability and integrity of the inspected composites.

Composite Coatings for Osteoblast Growth Attachment Fabricated by Matrix-Assisted Pulsed Laser Evaporation

The bioactive and biocompatible properties of hydroxyapatite (HAp) promote the osseointegration process. HAp is widely used in biomedical applications, especially in orthopedics, as well as a coating material for metallic implants. We obtained composite coatings based on HAp, chitosan (CS), and FGF2 by a matrix-assisted pulsed laser evaporation (MAPLE) technique. The coatings were physico-chemically investigated by means of X-ray Diffraction (XRD), Transmission Electron Microscopy (TEM), Infrared Microscopy (IRM), and Scanning Electron Microscopy (SEM). Further, biological investigations were performed. The MAPLE-composite coatings were tested in vitro on the MC3T3-E1 cell line in order to endorse cell attachment and growth without toxic effects and to promote pre-osteoblast differentiation towards the osteogenic lineage. These coatings can be considered suitable for bone tissue engineering applications that lack toxicity and promotes cell adhesion and proliferation while also sustaining the differentiation of pre-osteoblasts towards mature bone cells.

Discussion of Orientation and Performance of Crosslinked Ultrahigh-Molecular-Weight Polyethylene Used for Artificial Joints

Previously, the orientation structure of ultrahigh-molecular-weight polyethylene (UHMWPE) for artificial joints was considered to be unchanged after irradiation crosslinking. Therefore, much of the research related to the long-term failure of artificial joints has focused on material improvements. In this study, ultrasmall-angle X-ray scattering (USAXS) and the small/wide-angle X-ray scattering (SAXS-WAXS) combined technique reveal that the orientation structures of UHMWPE materials at all scales (nanoscale to microscale) are responsible for the long-term failure of artificial joints. To further illustrate the formation of these hierarchical oriented structures, a simple model is presented. In this model, first, the migration of free radicals plays a vital role, and the different steric hindrances in different directions directly lead to uneven migration behavior of free radicals. Second, the uneven migration of free radicals contributes to an inhomogeneous concentration of free radicals, thus resulting in observable crosslinking nonuniformities. Finally, all the hierarchical structural nonuniformities promote long-term failure of artificial joints after long-term wear.

Functional Ultra-High Molecular Weight Polyethylene Composites for Ligament Reconstructions and Their Targeted Applications in the Restoration of the Anterior Cruciate Ligament

The selection of biomaterials as biomedical implants is a significant challenge. Ultra-high molecular weight polyethylene (UHMWPE) and composites of such kind have been extensively used in medical implants, notably in the bearings of the hip, knee, and other joint prostheses, owing to its biocompatibility and high wear resistance. For the Anterior Cruciate Ligament (ACL) graft, synthetic UHMWPE is an ideal candidate due to its biocompatibility and extremely high tensile strength. However, significant problems are observed in UHMWPE based implants, such as wear debris and oxidative degradation. To resolve the issue of wear and to enhance the life of UHMWPE as an implant, in recent years, this field has witnessed numerous innovative methodologies such as biofunctionalization or high temperature melting of UHMWPE to enhance its toughness and strength. The surface functionalization/modification/treatment of UHMWPE is very challenging as it requires optimizing many variables, such as surface tension and wettability, active functional groups on the surface, irradiation, and protein immobilization to successfully improve the mechanical properties of UHMWPE and reduce or eliminate the wear or osteolysis of the UHMWPE implant. Despite these difficulties, several surface roughening, functionalization, and irradiation processing technologies have been developed and applied in the recent past. The basic research and direct industrial applications of such material improvement technology are very significant, as evidenced by the significant number of published papers and patents. However, the available literature on research methodology and techniques related to material property enhancement and protection from wear of UHMWPE is disseminated, and there is a lack of a comprehensive source for the research community to access information on the subject matter. Here we provide an overview of recent developments and core challenges in the surface modification/functionalization/irradiation of UHMWPE and apply these findings to the case study of UHMWPE for ACL repair.

Finite Element Analysis Contact Stresses on Tibiofemoral Joint and Post Polyethylene Components Used to Evaluated Predesign Knee Implant

At the time of prayer, most Muslims kneel with fully extended limbs (between 150° and 165°). Meanwhile, incidents such as hyperflexion in total knee arthroplasty (TKA) implant outside their designated configuration can lead wear or fracture of the polyethylene component. In this study, polyethylene component of posterior-stabilized right knee joint implant have been developed to facilitate higher range of motion (ROM). Finite element analysis (FEA) was used to analyze contact stresses on the polyethylene component. FEA was used to simulate weight-bearing condition at 0°, 30°, 60°, 90°, 120°, and 150° of knee flexion. Modified polyethylene component results in better performance in terms of contact stresses, especially at 120° of knee flexion. Current result shows contact stresses above 120 MPa were measured at the posterior post polyethylene, when 4000 N force was applied. Minimum contact stress on the medial condyles was 630 KPa at 120° of knee flexion, while on the lateral condyles, the minimum contact stress was 250 KPa at 150° of knee flexion. With this finding, the current polyethylene component design is expected to accommodate deep knee flexion movement in daily activities and can reduce potential of wear or fracture of the polyethylene component during deep knee flexion.

3D Neuronal Cell Culture Modeling Based on Highly Porous Ultra-High Molecular Weight Polyethylene

Cell culturing methods in its classical 2D approach have limitations associated with altered cell morphology, gene expression patterns, migration, cell cycle and proliferation. Moreover, high throughput drug screening is mainly performed on 2D cell cultures which are physiologically far from proper cell functions resulting in inadequate hit-compounds which subsequently fail. A shift to 3D culturing protocols could solve issues with altered cell biochemistry and signaling which would lead to a proper recapitulation of physiological conditions in test systems. Here, we examined porous ultra-high molecular weight polyethylene (UHMWPE) as an inexpensive and robust material with varying pore sizes for cell culturing. We tested and developed culturing protocols for immortalized human neuroblastoma and primary mice hippocampal cells which resulted in high rate of cell penetration within one week of cultivation. UHMWPE was additionally functionalized with gelatin, poly-L-lysine, BSA and chitosan, resulting in increased cell penetrations of the material. We have also successfully traced GFP-tagged cells which were grown on a UHMWPE sample after one week from implantation into mice brain. Our findings highlight the importance of UHMWPE use as a 3D matrix and show new possibilities arising from the use of cheap and chemically homogeneous material for studying various types of cell-surface interactions further improving cell adhesion, viability and biocompatibility.

Polyolefins and Polyethylene Terephthalate Package Wastes: Recycling and Use in Composites

Plastics are versatile materials used in a variety of sectors that have seen a rapid increase in their global production. Millions of tonnes of plastic wastes are generated each year, which puts pressure on plastic waste management methods to prevent their accumulation within the environment. Recycling is an attractive disposal method and aids the initiative of a circular plastic economy, but recycling still has challenges to overcome. This review starts with an overview of the current European recycling strategies for solid plastic waste and the challenges faced. Emphasis lies on the recycling of polyolefins (POs) and polyethylene terephthalate (PET) which are found in plastic packaging, as packaging contributes a signification proportion to solid plastic wastes. Both sections, the recycling of POs and PET, discuss the sources of wastes, chemical and mechanical recycling, effects of recycling on the material properties, strategies to improve the performance of recycled POs and PET, and finally the applications of recycled POs and PET. The review concludes with a discussion of the future potential and opportunities of recycled POs and PET.

Effect of Nanofillers on Tribological Properties of Polymer Nanocomposites: A Review on Recent Development

Polymer nanocomposites with enhanced performances are becoming a trend in the current research field, overcoming the limitations of bulk polymer and meeting the demands of market and society in tribological applications. Polytetrafluoroethylene, poly(ether ether ketone) and ultrahigh molecular weight polyethylene are the most popular polymers in recent research on tribology. Current work comprehensively reviews recent advancements of polymer nanocomposites in tribology. The influence of different types of nanofiller, such as carbon-based nanofiller, silicon-based nanofiller, metal oxide nanofiller and hybrid nanofiller, on the tribological performance of thermoplastic and thermoset nanocomposites is discussed. Since the tribological properties of polymer nanocomposites are not intrinsic but are dependent on sliding conditions, direct comparison between different types of nanofiller or the same nanofiller of different morphologies and structures is not feasible. Friction and wear rate are normalized to indicate relative improvement by different fillers. Emphasis is given to the effect of nanofiller content and surface modification of nanofillers on friction, wear resistance, wear mechanism and transfer film formation of its nanocomposites. Limitations from the previous works are addressed and future research on tribology of polymer nanocomposites is proposed.

Experimental design of Al2O3/MWCNT/HDPE hybrid nanocomposites for hip joint replacement

Fracture in the hip joint is a major and quite common health issue, particularly for the elderly. The loads exploited by the lower limbs are very acute and severe; in the femur, they can be several folds higher than the whole weight of the body. Nanotechnology and nanocomposites offer great potential in biomedical applications. The organic materials are more biocompatible. Mechanical properties like strength and hardness are challenging parameters which control the selection of a joint. HDPE in its pure form has been successfully used as a prosthetic foot (external) but failed as an implant material due to limited mechanical properties. High-density polyethylene thermoplastic polymer (HDPE) and multi-walled carbon nanotubes (MWCNT)/Nano-Alumina is selected as a potential material for a biomedical implant and its mechanical properties and biocompatibility have been discussed. HDPE/MWCNT/Alumina (Al₂O₃) nanocomposites have not been explored yet for prosthetic implants. These nanocomposites were prepared in this investigation in different compositions. Prepared material has been physiochemically characterized to check the morphology and the structure. MWCNTs enhanced hardness and elastic modulus of the HDPE. Optimization of the material composition revealed that hybrid composite with structure (2.4% Al₂O₃ and 0.6% MWCNT) exhibits better mechanical properties compared to other ratios with 3% MWCNTs and 5% MWCNTs. Thermal gravimetric analysis (TGA) dedicates that the percentage of crystallization has been increased to 6% after adding MWCNT to HDPE. The moisture absorption decreased to 90% with 5% MWCNT. Experimental results of Colorimetric assay (MTT) of a normal human epithelial cell line (1- BJ1) over Al₂O₃/MWCNT@HDPE showed <20% cytotoxic activity, proving its acceptance for medical use. HDPE/MWCNT/Al₂O₃ nanocomposites emerged as a candidate material for artificial joints.

UHMWPE-Based Glass-Fiber Composites Fabricated by FDM. Multiscaling Aspects of Design, Manufacturing and Performance

The aim of the paper was to improve the functional properties of composites based on ultra-high molecular weight polyethylene (UHMWPE) by loading with reinforcing fibers. It was achieved by designing the optimal composition for its subsequent use as a feedstock for 3D-printing of guides for roller and plate chains, conveyors, etc. As a result, it was experimentally determined that loading UHMWPE with 17% high density polyethylene grafted with VinylTriMethoxySilane (HDPE-g-VTMS) was able to bind 5% glass fillers of different aspect ratios, thereby determining the optimal mechanical and tribological properties of the composites. Further increasing the content of the glass fillers caused a deterioration in their tribological properties due to insufficient adhesion of the extrudable matrix due to the excessive filler loading. A multi-level approach was implemented to design the high-strength anti-friction ‘UHMWPE+17%HDPE-g-VTMS+12%PP’-based composites using computer-aided algorithms. This resulted in the determination of the main parameters that provided their predefined mechanical and tribological properties and enabled the assessment of the possible load-speed conditions for their operation in friction units. The uniform distribution of the fillers in the matrix, the pattern of the formed supermolecular structure and, as a consequence, the mechanical and tribological properties of the composites were achieved by optimizing the values of the main control parameters (the number of processing passes in the extruder and the aspect ratio of the glass fillers).

CeO2 Nanoparticle-Containing Polymers for Biomedical Applications: A Review

The development of advanced composite biomaterials combining the versatility and biodegradability of polymers and the unique characteristics of metal oxide nanoparticles unveils new horizons in emerging biomedical applications, including tissue regeneration, drug delivery and gene therapy, theranostics and medical imaging. Nanocrystalline cerium(IV) oxide, or nanoceria, stands out from a crowd of other metal oxides as being a truly unique material, showing great potential in biomedicine due to its low systemic toxicity and numerous beneficial effects on living systems. The combination of nanoceria with new generations of biomedical polymers, such as PolyHEMA (poly(2-hydroxyethyl methacrylate)-based hydrogels, electrospun nanofibrous polycaprolactone or natural-based chitosan or cellulose, helps to expand the prospective area of applications by facilitating their bioavailability and averting potential negative effects. This review describes recent advances in biomedical polymeric material practices, highlights up-to-the-minute cerium oxide nanoparticle applications, as well as polymer-nanoceria composites, and aims to address the question: how can nanoceria enhance the biomedical potential of modern polymeric materials?

Preparation, characterization, and feasibility study of Sr/Zn-doped CPP/GNS/UHMWPE composites as an artificial joint component with enhanced hardness, impact strength, tribological and biological performance

In order to solve the problem of aseptic loosening of artificial joints resulting from the wear particles of artificial joint components in total joint replacement (TJR), we synthesized a new kind of metalo-organic particle (Sr/Zn-doped CPP/GNS) using spark plasma sintering (SPS) as a filler to enhance the comprehensive performance of UHMWPE. Sr/Zn-doped CPP/GNS was interfused evenly with UHMWPE particles and cured in a hot press instrument to prepare Sr/Zn-doped CPP/GNS/UHMWPE composites. FTIR and SEM were carried out to characterize Sr/Zn-doped CPP/GNS particles. EDS was carried out to characterize Sr/Zn-doped CPP/GNS/UHMWPE. The micro-structure, hardness, impact strength, tribology and bio-activities of Sr/Zn-doped CPP/GNS/UHMWPE composite materials were also investigated. The results confirmed the effectiveness of this method. The hardness, impact strength, and tribology of the composites were enhanced by adding homodispersed Sr/Zn-doped CPP/GNS particles into UHMWPE. In the meantime, Sr/Zn-doped CPP/GNS/UHMWPE composites could significantly promote the growth of osteoblasts due to the bio-activity of Sr/Zn-doped CPP/GNS. Furthermore, the addition of Sr/Zn-doped CPP/GNS particle-fillers into UHMWPE could promote the secretion of OPG from osteoblasts and inhibit the secretion of RANKL from osteoblasts, and thus increase the OPG/RANKL ratio. All the results above showed that Sr/Zn-doped CPP/GNS/UHMWPE composites with appropriate Sr/Zn-doped CPP/GNS content possessed superior physicochemical performances and bio-properties, and could be considered as promising materials to treat aseptic loosening in total joint replacement.

A new kind of metalo-organic particle (Sr/Zn-doped CPP/GNS), synthesized using spark plasma sintering (SPS), was used as a filler to enhance the comprehensive performance of UHMWPE for applications in joint replacement.

Innovative Options for Bone Metastasis Treatment: An Extensive Analysis on Biomaterials-Based Strategies for Orthopedic Surgeons

Bone is the third most frequent site of metastasis, with a particular incidence in breast and prostate cancer patients. For example, almost 70% of breast cancer patients develop several bone metastases in the late stage of the disease. Bone metastases are a challenge for clinicians and a burden for patients because they frequently cause pain and can lead to fractures. Unfortunately, current therapeutic options are in most cases only palliative and, although not curative, surgery remains the gold standard for bone metastasis treatment. Surgical intervention mostly provides the replacement of the affected bone with a bioimplant, which can be made by materials of different origins and designed through several techniques that have evolved throughout the years simultaneously with clinical needs. Several scientists and clinicians have worked to develop biomaterials with potentially successful biological and mechanical features, however, only a few of them have actually reached the scope. In this review, we extensively analyze currently available biomaterials-based strategies focusing on the newest and most innovative ideas while aiming to highlight what should be considered both a reliable choice for orthopedic surgeons and a future definitive and curative option for bone metastasis and cancer patients.

Biomechanics of spinal implants-a review

Spinal instrumentations have been classified as rigid fixation, total disc replacement and dynamic stabilization system for treatment of various spinal disorders. The efficacy and biomechanical suitability of any spinal implant can be measured through in vitro, in vivo experiments and numerical techniques. With the advancement in technology finite element models are making an important contribution to understand the complex structure of spinal components along with allied functionality, designing and application of spinal instrumentations at preliminary design stage. This paper aimed to review the past and recent studies to describe the biomechanical aspects of various spinal implants. The literatures were grouped and reviewed in accordance to instrumentation category and their functionality in the spinal column at respective locations.

Design of Wear-Resistant UHMWPE-Based Composites Loaded with Wollastonite Microfibers Treated with Various Silane Coupling Agents

The tribomechanical properties of the wear-resistant ultrahigh molecular weight polyethylene (UHMWPE)-based composites loaded with wollastonite microfibres silanized with various coupling agents (“KH-550”, “Penta-1006”, and “OTS”) were investigated. It was demonstrated that the mechanical properties of UHMWPE-based composites filled with various amounts of wollastonite (7–23 wt. %) increased by 1.3 times (yield strength) and by 1.8 times (elastic modulus), while the wollastonite silanization further improved yield strength by 9% in some cases. It was demonstrated that the composite loaded with 23 wt. % wollastonite silanized with the “KH-550” coupling agent possessed the maximum wear resistance under “moderate” conditions of tribological loading. Under “severe” conditions, the composites containing 23 wt. % wollastonite silanized with the less efficient “OTS” and “Penta-1006” agents showed the greatest wear resistance during dry sliding friction. Wear resistance significantly depended on filler weight fraction and the load–speed mode of the tribological tests. Based on the obtained experimental data on the mechanical (including impact toughness) and tribological properties of the UHMWPE-based composites loaded with wollastonite, the optimal compositions (the filler content and the type of the coupling agent) for two load–speed modes were designed using the developed computer algorithm. The composites provided the predefined high tribomechanical properties for operation in the metal-polymer friction units compared to neat polymer.