Treatment of critical-sized bone defects typically involves implantation of a bone graft. Various types of bone grafts are nowadays marketed, categorized by their origin as allografts, xenografts, or synthetic grafts. Despite their widespread use, a comprehensive understanding of their morphology and mechanical response remains elusive. Controlling these characteristics for promoting bone growth and ensuring mechanical resistance remains challenging, especially in load-bearing districts. This study aims to systematically review existing literature to delineate the principal morpho-mechanical characteristics of marketed bone grafts designed for load-bearing applications. Furthermore, the obtained data are organized and deeply discussed to find out the relationship between different graft characteristics. Among 196 documents identified through PRISMA guidelines, encompassing scientific papers and 510(k) documents, it was observed that a majority of marketed bone grafts exhibited porosity akin to bone (>60%) and mechanical properties resembling those of low-bone volume fraction trabecular bone. The present review underscores the dearth of information regarding the morpho-mechanical characteristics of bone grafts and the incomparability of data derived from different studies, due to the absence of suitable standards and guidelines. The need for new standards and complete and transparent morpho-mechanical characterization of marketed bone grafts is finally emphasized. Such an approach would enhance the comparability of data, aiding surgeons in selecting the optimal device to meet patient's needs.

Extrusion-based 3D printing methods have great potential for manufacturing of personalized polymer-based drug-releasing systems. However, traditional melt-based extrusion techniques are often unsuitable for processing thermally labile molecules. Consequently, methods that utilize the extrusion of semi-solid inks under mild conditions are frequently employed. The rheological properties of the semi-solid inks have a substantial impact on the 3D printability, making it necessary to evaluate and tailor these properties. Here, we report a novel semi-solid extrusion 3D printing method based on utilization of a Carbopol gel matrix containing various concentrations of polymeric microspheres. We also demonstrate the use of a solvent vapor-based post-processing method for enhancing the mechanical strength of the printed objects. As our approach enables room-temperature processing of polymers typically used in the pharmaceutical industry, it may also facilitate the broader application of 3D printing and microsphere technologies in preparation of personalized medicine.

Inspired by mammal cranial sutures with spatiotemporal morphological variation, two-phase space-filling fractal metamaterial was designed. Designs with different levels of complexity are fabricated via multi-material polymer jetting. Mechanical tests and systematic finite element (FE) simulations are conducted to evaluate the mechanical performance of the designs. It is found that the hierarchical number N of two-phase space-filling fractal metamaterial played an important role in their mechanical behaviors. The experimental results show that with increasing the hierarchical number N, these metamaterials show enhanced stiffness, strength, and toughness under tensile tests. From the simulation results, we found by decoupling the strain energy density in two phases, with increasing N, the soft phase has contributed almost the same energy level, however, the hard phase has contributed increasing energy level. Moreover, we found the volume fraction and the stiffness ratio of the hard phase dominate the overall mechanical properties of these two-phase space-filling fractal metamaterial. The bio-inspired mechanical metamaterials have broad applications in engineering materials for dissipating energy dissipation, mitigating impact, and retarding damages.

Perfluorocarbon (PFC) droplets represent a novel class of phase-shift contrast agent with promise in applications in biomedical and bioengineering fields. PFC droplets undergo a fast liquid-gas transition upon exposure to acoustic or optical triggering, offering a potential adaptable and versatile tool as contrast agent in diagnostic imaging and localized drug delivery vehicles in therapeutics systems. In this paper, we utilize advanced imaging techniques to investigate ultra-high-speed inertial dynamics and rectified quasi-static (low-speed) diffusion evolution of optically induced PFC droplet vaporization within three different hydrogels, each of different concentrations, examining effects such as droplet size and PFC core on bubble dynamics and material viscoelastic properties. Gelatin hydrogels reveal concentration-dependent impacts on bubble expansion and material elasticity. Embedding PFC droplets in gelatin increases internal pressure, resulting in higher equilibrium radius and continuous bubble growth during quasi-static evolution. Similar trends are observed in fibrin and polyacrylamide matrices, with differences in bubble behavior attributed to matrix properties and droplet presence. Interestingly, droplet size exhibits minimal impact on bubble expansion during inertial dynamics but influences quasi-static evolution, with larger droplets leading to continuous growth beyond 60 s. Furthermore, the core composition of PFC droplets significantly affects bubble behavior, with higher boiling point droplets exhibiting higher maximum expansion and faster quasi-static dissolution rates. Overall, the study sheds light on the intricate interplay between droplet characteristics, matrix properties, and multi-timescale bubble dynamics, offering valuable insights into their behavior within biomimetic hydrogels.

The present study shows the effect of the hardness of bulk polyurethane on the properties of nanofibrous materials produced in the solution blow spinning process. This study focuses on nanofibrous materials made from medical-grade polyurethanes with different hardness values on the Shore scale, from 75A to 75D. We aimed to determine the effect of the intrinsic properties of polyurethane used to produce nanofibers on the tensile properties of the resulting nanofibrous materials and in vitro platelet adhesiveness. This study used a solution blow spinning process to produce nanofibrous materials from polyurethane solutions. It evaluates their properties using scanning electron microscopy, followed by porosity determination, tensile testing, and platelet adhesion assays. Generally, the bulk polymer's Shore hardness affects nanofibrous products' porosity and tensile properties. In the tested Shore hardness range, the most visible differences in material properties were observed for the fibers produced from the hardest (75D) and softest (75A) polyurethanes. The nanofibrous material produced using 75D polyurethane exhibited the highest porosity, up to approximately 0.87, owing to the low packing density of the stiff nanofibers. It also remained the stiffest, with the highest Young's modulus. On the other hand, the softest 75A polyurethane produced a less porous nanofibrous mat with the highest tensile strength among the tested polyurethanes. All tested nanofibrous materials retained their platelet adhesion resistance upon processing into nanofibers, with a mean platelet coverage below 1 % of the nanofibrous mat surface. The study results provide insights into the relationship between the hardness of bulk polyurethane and the properties of nanofibrous materials, which can be useful in various biomedical applications, particularly in producing tissue-engineered vascular grafts.

The influence of plasticizer glycerol (GLY) on the mechanical, structural, and thermal properties of silk fibroin (SF)/sodium alginate (SA) biocomposite films was investigated in detail. As the SF/SA ratio increased up to 65%, the SF content significantly improved the Tensile strength (σ), Young's modulus (E) but reduced the elongation at break (ε). To modify and enhance the elasticity and flexibility of the biocomposite films, the GLY as a plasticizer was used at different ratio from 20 to 50% for each SF/SA biocomposite films. Although the extensibility of the films was improved greatly with increasing GLY ratio, σ and E reduced significantly. The effect was observed more apparently for the GLY ratio starting from 35%. It was also shown that crystallinity index in the Amide I region increased as the SF/SA ratio increased to 65%. Increasing SF content improved the thermal stability of the SF/SA biocomposites. The XRD results showed that crystallinity was increased as SF/SA ratio increased. Stress-relaxation of SF/SA (30%) biocomposite films plasticized with GLY revealed that each kind of plasticized films showed a viscoelastic behavior and a fast relaxation in the first stage (1-2 min) of the processes and then continued slowly. The GLY increased the extensibility and elasticity limit of the SF/SA (30%) composite films. During the strain recovery processes, the plasticized composite films recovered completely in a quite shorter time than that of unplasticized films. It was observed higher the GLY content, the recovery times became shorter.

While titanium alloy (Ti-6Al-4V) made by laser powder bed fusion (L-PBF) exhibits complex deformation behaviors, its important micromechanical properties in relation to loading directions are not fully understood. This research aims to investigate the micromechanical behaviors of printed L-PBF Ti-6Al-4V alloys under vertical (i.e., the loading direction perpendicular to printed layers) and horizontal (i.e., the loading direction parallel to printed layers) compressions using in-situ scanning electron microscopy (SEM) micropillar techniques. Ti-6Al-4V alloys were L-PBF-printed using a 45° rotate scanning strategy with vertical and horizontal build directions. The microstructures of the two alloys were analyzed using the SEM with energy-dispersive X-ray spectroscopy (EDS). The titanium alloy micropillars were produced using focused ion beam (FIB) milling in the SEM. In-situ SEM micropillar compressions were conducted using a flat diamond indenter. Vertical alloy had smaller cross-patterned finer α' martensite than horizontal one. While both vertical and horizontal micropillars showed elastic-plastic behaviors, the former had significantly higher yield, fracture, and compression strength values, as well as resilience and toughness, than the latter, leading to the formation of favorable shear bands. Both micropillars exhibited ductile fractures but had distinct failure mechanisms. The ductile fracture in the vertical micropillars was due to strain hardening, large plastic deformation, and shear band formation, while the ductile fracture in the horizontal ones was attributed to compression-induced bending and plastic buckling. The micromechanical characteristics of L-PBF Ti-6Al-4V materials provides an important insight into the small-scale deformation and failure mechanisms of the alloys influenced by loading directions.

Surgical treatments of benign primary bone tumors of the femur face the challenge of limiting tissue damage and contamination while providing sufficient stabilization to avoid fracture. While no clear treatment guidelines exist, surgical treatment commonly consists of femoral fenestration and curettage with optional filling and plating of the defect. Mono- or bicortical plating of distal femoral defects aim to reduce fracture risk and have been shown to increase axial stability. However, it remains unclear whether plating increases torsional stability of the affected femur.

Planar biaxial testing offers a physiologically relevant approach for mechanically characterizing thin deformable soft tissues, but often relies on erroneous assumptions of uniform strain fields and negligible shear strains and forces. In addition to the complex mechanical behavior exhibited by soft tissues, constraints on sample size, geometry, and aspect ratio often restrict sample shape and symmetry. Using simple PDMS gels, we explored the unknown and unquantified effects of sample shape asymmetry on planar biaxial testing results, including shear strain magnitudes, shear forces measured at the sample's boundary, and the homogeneity of strains experienced at the center of each sample. We used a combination of finite element modeling and experimental validation to examine PDMS gels of varying levels of asymmetry, allowing us to identify effects of sample shape without confounding factors introduced by the nonlinear, spatially variable, and anisotropic properties of soft tissues. Both biaxial simulations and experiments, which showed strong agreement, revealed that sample shape asymmetry led to significantly larger shear strains, shear forces, and overestimation of principal stresses. Excluding these shear forces resulted in an underestimation of shear moduli during inverse mechanical characterizations. Even in the simplest of deformable biomaterials, sample shape asymmetry should be avoided as it can induce drastic increases in shear strains and shear forces, invalidating traditional planar biaxial testing analyses. Alternatively, sample shape asymmetry may be exploited to generate more robust estimates of constitutive parameters in more complex materials, which could lead to a refined understanding and inference of mechanical behavior.

The connection structure of zirconia dental implants significantly influences their biomechanical behavior and plays a crucial role in the overall service performance of the implant system. This study aims to compare the stress distribution of zirconia implants featuring various internal connection structures under different working conditions. Four distinct types of connection structures were designed for zirconia dental implants: triangular, quadrilateral, hexagonal, and hexalobular plus connections. Additionally, the finite element method was employed to analyze these structures under three working conditions: a static load test model, a bone level model, and a torsion model. Results indicated that in the static load test model, the hexagonal structure experienced the highest stress value at 1284.9 MPa due to its thin neck wall, whereas the hexalobular plus connected implant exhibited the lowest stress value at 1252.9 MPa. In the bone level model, the triangular connection structure demonstrated poor stress distribution for cortical bone and cancellous bone at 69.606 MPa and 7.8191 MPa, respectively. Conversely, the hexalobular plus connection yielded superior stress results for cortical bone and cancellous bone, with values of 66.24 MPa and 5.1327 MPa, respectively. In the torsion model, the hexalobular plus-connected implant exhibits the highest stress value at 237.6 MPa, while maintaining the smallest force transmission angle. Therefore, given that the abutment necessitates a greater range of installation angles and improved torque transmission, the hexalobular plus connection structure may represent the optimal choice.

The use of a video method based on the Digital Image Correlation (DIC) algorithm from experimental mechanics to estimate the displacements, strain field, and sarcolemma length in a beating single-cell cardiomyocyte is proposed in this work. The obtained deformation is then correlated with the calcium signal, from calcium imaging where fluorescent dyes sensitive to calcium Ca are used. Our proposed video-based method for simultaneous contraction and intracellular calcium analysis results in a low-cost, non-invasive, and label-free method. This technique has shown great advantages in long-term observations because this type of intervention-free measurement neutralizes the possible alteration in the beating cardiomyocyte introduced by other techniques for measuring cell contractility (e.g., Traction Force Microscopy, Atomic Force Microscopy, Microfabrication or Optical tweezers). Three tests were performed with synthetically augmented data from cardiomyocyte images to validate the robustness of the algorithm. First, a simulated rigid translation of a referenced image is applied, then a rotation, and finally a controlled longitudinal deformation of the referenced image, thus simulating a native realistic deformation. Finally, the proposed framework is evaluated with real experimental data. To validate contraction induced by intracellular calcium concentration, this signal is correlated with a new deformation measure proposed in this article, which is independent of cell orientation in the imaging setup. Finally, based on the displacements obtained by the DIC algorithm, the change in sarcolemma length in a contracting cardiomyocyte is calculated and its temporal correlation with the calcium signal is obtained.

The objective was to evaluate the effect of material (four monolithic zirconia) and surface condition [glazed (G) versus polished after simulation of occlusal adjustment (GAP)] on roughness and volumetric wear (VW) of dental zirconia after chewing simulation (CS). Zirconia specimens (ZS) were fabricated with an approximate diameter of 12.0 mm and a thickness of 1.0 mm. The four types of monolithic zirconia utilized were Prettau 4 Anterior (PA), Lava Plus (LP), Cercon hT (hT), and Cercon xT (xT). All specimens were coated with a thin and uniform layer of Prettau Plus glaze. Additionally, half of the ZS underwent a simulation of occlusal adjustment followed by clinical polishing. The sliding wear test was performed using a chewing simulator set at 30 N, 2 Hz, and 500,000 cycles, employing steatite specimens (SS) to simulate opposing dentition. ZS and SS underwent topographic analysis through optical profilometry to assess volumetric wear (VW) and surface roughness. The average roughness values (μm) of the zirconia ranged from 0.38 (PA-G before CS) to 2.55 (PA-GAP after CS), while for the antagonist the values ranged from 1.3 (LP-G before CS) to 2.6 (PA-GAP after CS). The VW values (mm) of the ZS ranged from 0.7 (LP-G) to 2.5 (LP-GAP), while for the antagonist the values ranged from 0.17 (xT-GAP) to 0.33 (LP-G). The CS increased the roughness of all materials tested, regardless of the surface condition. The glazed condition showed lower roughness than the glazed/occlusal adjustment/polishing condition before the CS for three zirconia (PA, LP and xT) and after the CS for all materials. The surface condition did not significantly influence volumetric wear (VW) for three materials (PA, hT, and xT); however, for the Lava Plus (LP) group, the glazed condition resulted in reduced VW. The VW of the SS was unaffected by the material type or surface condition. In summary, zirconia specimens that underwent occlusal adjustment followed by repolishing demonstrated increased surface roughness compared to the glazed ones, while their wear behavior varied depending on the type of zirconia used.

Enhancement of the mechanical and biological properties of dental restoration materials is of significant importance. Drawing inspiration from the architecture and mechanical properties of natural nacre, we employed a low-cost accumulative rolling process to develop resin-ceramic composites with suitable hardness and high toughness. Plate-like aluminum oxide powder with diameters of 5-10 μm and nano-zinc oxide (ZnO) with antibacterial properties were mixed as the ceramic phase of the composite. Aluminum oxide ceramic plates were stacked using an accumulative rolling process to achieve a consistent orientation, followed by sintering to obtain porous ceramic scaffolds. The ceramic scaffolds were subsequently immersed in methyl methacrylate resin to complete the fabrication of the biomimetic composites. The mechanical and biological properties of the composites were comprehensively tested. The composites had a suitable hardness (1.09-1.63 GPa), excellent flexural strength (156.7-167.8 MPa), and fracture toughness (K = 2.66-3.59 MPa m). Biomimetic composites are expected to mitigate the wear of natural teeth without developing fractures or deformations, while also exhibiting excellent cytocompatibility and antibacterial activity. This study investigated the factors influencing crack propagation in fracture tests and provided insights into enhancing the toughness of dental restorative materials. The biomimetic resin-ceramic composites containing Zn developed in this study have the potential to be used as functional dental restoration materials.

The Bouligand structure represents helicoidal stacking of aligned fibers; such a structure is widely observed in biological composites. Despite the progress in characterization of toughening caused by Bouligand arrangement of fibers, the inelastic deformation mechanisms of this structure remain elusive. In this study, we carry out calculations for plastic deformation of Bouligand structure, crossed-lamellar structure and the single lamellar structure. It is found that the single lamellar structure and crossed-lamellar structure can undergo necking, while in the Bouligand structure, plastic strain localization bands develop, which is accompanied by plastic rotating of fibers, lamellar twisting and lamellar delamination. Compared with crossed-lamellar structure, the Bouligand structure exhibits lower plastic energy dissipation. However, the Bouligand pattern can activate delamination of lamellae, generating high level of damage energy dissipation. The plastic deformation of Bouligand structure depends on the fracture properties of interface between adjacent lamellae. It is identified that the plastic dissipation of Bouligand structure increases with increasing cohesive strength of lamellar interface, and dominant shear bands emerge in the case of weak lamellar interface. The high strength of lamellar interface plays a role in promoting twisting of lamellae. We have further revealed the effect of the thickness of individual lamella on plastic deformation of the Bouligand structure. The thick lamella is capable of suppressing plastic strain localization in Bouligand structure, thereby giving rise to high plastic dissipation. The findings of this study shed new light on the development of bioinspired Bouligand-type materials.

Bone cements are the subject of intensive research, primarily due to their versatility and the increasing importance for personalized medicine. In this study, novel hybrid self-setting scaffolds, based on calcium phosphates and natural polymers, were fabricated using the robocasting technique. Additionally, the influence of two different silane coupling agents, tetraethyl orthosilicate (TEOS) and 3-glycidoxypropyltrimethoxysilane (GPTMS), on the physicochemical and biological properties of the obtained materials was thoroughly investigated. The chemical and phase compositions (XRF, XRD, FTIR), setting process, rheological properties, mechanical strength, microstructure (SEM), and chemical stability in vitro were comprehensively examined. The use of silane coupling agents improved compressive strength of the scaffolds from 5.20 to 9.26 MPa. The incorporation of citrus pectin into the liquid phase of the materials, along with the use of a hybrid hydroxyapatite-chitosan powder, not only facilitated the development of printable pastes suitable for robocasting but also enhanced the physicochemical properties of the robocasted scaffolds. The results presented in this study underscore the beneficial influence of silane coupling agents on the characteristics of calcium phosphate-based bone scaffolds. Developed robocasted scaffolds hold great potential for applications in the field of bone tissue engineering and personalized medicine. Further in vitro and in vivo studies are necessary to validate their suitability for clinical applications.

Polyvinyl alcohol (PVA) is a biocompatible biopolymer with superior dimensional and mechanical stability when compared to naturally available biomaterials such as collagen and gelatin. Furthermore, PVA in hydrogel form behaves non-linearly during mechanical loading, generating a response like soft biological tissues. Generally, PVA hydrogels are fabricated using freeze-thaw cycles (FTCs) and changing the number of FTCs gives control over its mechanical properties. Porosity of the hydrogel is another important factor which determines its mechanical properties and is also evident in biological soft tissues. Incorporating macro-pores in PVA hydrogels substantially reduces the stiffness of the material and can mimic some porous tissues such as lung, liver, bone marrow, kidneys, and penile tissues (corpus cavernosa and spongiosum). Within this study, we developed macro-porous PVA hydrogels using the freeze-thaw process followed by particulate leaching of sacrificial 3D-printed and milled PVA (m-PVA) filler particles. This fabrication method enables control over the porosity in macro-porous PVA hydrogels, which is crucial not only for tuning mechanical properties but also for mimicking the structure of spongy tissues, such as liver tissue and corpus cavernosum in the penis, for example. We investigated the level of porosity in the specimen using optical microscopy to understand the distribution of the pores and the pore size. The tunability of the mechanical properties of PVA hydrogels is a key finding of this study and is achieved using three factors: (i) weight percentage of sacrificial fillers, (ii) number of FTCs and (iii) concentration of PVA. These macro-porous PVA specimens have wide ranging biomedical applications as biological soft tissue analogues, or tissue engineering scaffolds, where the PVA hydrogel can be tuned to match the mechanical properties of these soft biological tissues.

Spheroid culture, where cells are aggregated three-dimensionally, is expected to have applications as a model that better recapitulates invivo environment beyond two-dimensional environments. When human mesenchymal stem cells are subjected to spheroid culture in the presence of osteogenesis supplements, the gene expression of osteocyte differentiation marker is greatly increased within a short period compared to two-dimensional culture. However, how such alterations may be reflected to mechanical properties of the spheroid remains unknown. In this study, using a uniaxial compression system, we evaluated the macroscopic mechanical properties of human mesenchymal stem cell-derived spheroids including viscoelastic behavior. The Young's modulus of spheroids cultured for 2 days was about 18 kPa, whereas that of individual cells is around 1-10 kPa. We also found that creep behavior of the spheroid was greater in 50% strain compression beyond 10 or 30% strain, indicating that they are viscoelastic materials. Upon release from compression, the spheroids tended to revert to their original shape through elastic deformation. However, spheroids in which actin filament formation was inhibited exhibited a remarkably greater plastic deformation, suggesting that the actin filaments play a crucial role in the elastic behavior of spheroids. By understanding the mechanical properties and behavior of spheroids, it provides a framework for predicting and manipulating the development of tissues and organs in the field of morphogenesis.

Sequential irradiation has been advocated for mitigating the reduction in fatigue properties of tendon compared to a single dose. However, to our knowledge, its capability of mitigating fatigue losses in bone is unknown. Recently, we reported that sequential irradiation did not mitigate losses in high-cycle S-N fatigue life of cortical bone at 15 kGy; however, it is unclear if sequential irradiation provides a benefit to fatigue crack propagation resistance. Our previous study also showed that radiation-induced collagen chain fragmentation and crosslinking increased from 0 to 15 kGy, suggesting that both likely contribute to the reduction in high-cycle S-N fatigue life within this dose range. Our objectives were: 1) to evaluate the fatigue crack propagation resistance of cortical bone and the effect of radiation on fracture plane damage zone thickness (DZT) at the crack tip in the dose range of 0-15 kGy, and 2) to evaluate whether sequential irradiation at 15 kGy mitigates the loss of fatigue crack propagation resistance of cortical bone compared to a single irradiation dose. Compact tension specimens from four male donor femoral pairs (ages 21-61 years old) were divided into 5 treatment groups (0 kGy, 5 kGy, 10 kGy, 15 kGy, and a 15 kGy sequential irradiation dose of 5 kGy sequentially irradiated with 10 kGy) and subjected to fatigue crack propagation testing (n = 3-4 specimens per group) where fatigue crack growth rate da/dN and cyclic stress intensity factor ΔK were determined. Following testing, specimens were bulk stained in basic fuchsin, embedded in poly(methylmethacrylate), sectioned, and mounted on acrylic slides to evaluate fracture plane DZT at known crack lengths. Sections were then imaged with a fluorescence microscope, and fracture plane DZT was measured using ImageJ (n = 3-4 specimens per group) and analyzed as a function of ΔK. We observed a decrease in fatigue crack propagation resistance at 15 kGy compared to doses of 10 kGy or lower (p ≤ 0.013). Fracture plane DZT decreased overall with increasing radiation dose from 0 to 15 kGy. Sequential irradiation offered no improvement in fatigue crack propagation resistance (p = 0.98). Radiation-induced collagen chain fragmentation and crosslinking in this dose range likely contribute to a decrease in energy dissipation capability with increasing radiation dose. Other alternative radiation sterilization methods besides sequential irradiation may be warranted to mitigate radiation-induced tissue damage and extend the functional lifetime of structural cortical bone allografts.

Orthopedic implants such as arthroplasty prostheses, fracture plates, and intramedullary nails often use materials like Ti6Al4V alloy and commercially pure titanium (CP-Ti), which have Young's modulus significantly higher than that of human cortical bone, potentially causing stress shielding and inhibiting effective fracture healing. TiNbSn alloy, a β-type titanium alloy with a lower Young's modulus (40-49 GPa), has shown promise in reducing stress shielding and enhancing bone healing by promoting effective load sharing with bone. This study used 5-hole plates made from TiNbSn alloy and CP-Ti to investigate their effects on bone healing in a rat femoral fracture model. Micro-CT analysis and mechanical testing were performed six weeks postoperatively to assess bone healing. Additionally, Finite element method (FEM) analysis was employed to evaluate stress shielding and interfragmentary movement (IFM) at the fracture site. Micro-CT analysis revealed significantly higher bone volume and mineral density in the TiNbSn group than in the CP-Ti group. Mechanical testing showed increased maximum load and stiffness in the TiNbSn group (77.2 ± 10.0 N for the TiNbSn alloy plate group versus 53.3 ± 8.5 N for the CP-Ti group (p = 0.002)). FEM analysis indicated that TiNbSn plates reduced stress shielding and allowed for greater displacement and strain, promoting IFM conducive to bone healing. The findings suggest that TiNbSn alloy plates are more effective than CP-Ti plates in promoting bone healing by reducing stress shielding and enhancing IFM. The lower Young's modulus of TiNbSn allows better load distribution, facilitating bone regeneration and strengthening at the fracture site.

The brain-skull interface plays an important role in the mechano-pathology of traumatic brain injury (TBI). A comprehensive understanding of the mechanical behavior of the brain-skull interface in vivo is significant for understanding the mechanisms of TBI and creating accurate computational models. Here we investigate the force and energy transmission at the minipig brain-skull interface by non-invasive methods in the live (in vivo) and dead animal (in situ). Displacement fields in the brain and skull were measured in four female minipigs by magnetic resonance elastography (MRE), and the relative displacements between the brain and skull were estimated. Surface maps of deviatoric stress, the apparent mechanical properties of the brain-skull interface, and the net energy flux were generated for each animal when alive and at specific times post-mortem. After death, these maps reveal increases in relative motion between brain and skull, brain surface stress, stiffness of brain-skull interface, and net energy flux from skull to brain. These results illustrate the ability to study both skull and brain mechanics by MRE; the observed post-mortem decrease in the protective capability of the brain-skull interface emphasizes the importance of measuring its behavior in vivo.

Magnesium (Mg) alloy which benefits from biodegradability and mechanical characteristics offers great potential for the development of degradable hemostatic clips. However, the deformation process induces stress concentration, which in turn accelerates the corrosion rate of Mg hemostatic clips. In this study, two types of R-shape clips based on Mg-Nd-Zn-Zr alloy were designed with structural features of no teeth and staggered teeth and simulated using finite element analysis (FEA), and the corrosion behaviors of the Mg clips were investigated by immersion test and electrochemical measurement. Furthermore, the clamping properties of the Mg clips were evaluated by burst pressure test. The simulation results showed that the R-shape clip with staggered teeth caused the minimum stress (1.237 MPa) to blood vessels. After the clamping deformation process, the closed clips remained intact without any signs of cracking. In vitro degradation analysis indicated that the corrosion rate of the closed clip was slightly faster than that of the open clip, and the Mg clip maintained its efficacy in achieving vascular closure even after a 4-week period of immersion, indicating a commendable performance in secure ligation closure. In addition, the burst pressure test results showed that the staggered teeth clip exhibited a higher burst pressure (88.73 ± 2.58 kPa) with less mechanical damage occurring to the ligated vessels compared with the toothless clip, meeting the requirements for clinical application. Therefore, the newly developed R-shape Mg alloy clip, featuring staggered teeth, has demonstrated excellent mechanical stability and shows great promise in the application of biodegradable tissue clips.