Objective To compare the clinical effects of treating cervical prolapse of intervertebral disc by using Solis cage, titanium cage and autogenous iliac crest graft (AICG) combined with titanium plate. Methods 64 cases ...Objective To compare the clinical effects of treating cervical prolapse of intervertebral disc by using Solis cage, titanium cage and autogenous iliac crest graft (AICG) combined with titanium plate. Methods 64 cases of cervical prolapse of intervertebral disc were analyzed retrospectively. All the patients were followed up for about one year. Group A is composed of 20 patients (30 intervertebral spaces) treated with microdiscectomy and Solis cage fusion; group B is composed of 21 patients(22 intervertebral spaces) treated with titanium cage and group C is involved of 23 patients(28 intervertebral spaces) which were dealt with AICG combined with titanium plate. The differences in the total X ray exposure time, time working on iliac bone, incidence of complications, fusion rate, incidence of JOA score recovery rate more than 50% and rehabilitation time of the three groups are analyzed. Results All indexes from group A and B were more satisfactory than those from group C (P<0.05). The statistic analysis results of the incidence of complications of cervical part, rehabilitation time in group A are 5.0±1.8, 5.1±1.2; and that is 14.3±2.6, 7.5 ±1.6 and 26.1±6.2, 8.6±2.3 in group B and group C respectively. There is significant difference between group A and group B on the incidence of complications of cervical part and rehabilitation time (P<0.05). Results of the incidence of JOA score recovery rate >50% in group A(95.8±3.2) was more satisfactory than that in group B(93.6±2.9), while there was no statistical difference between group A and group B (P>0.05). Conclusion The Solis cage is better in treating the cervical prolapse of intervertebral disc than other ways. Also, it makes the operation easier, rehabilitation time shorter, and it causes fewer complications.展开更多
Two types of titanium/steel composite plates with the same thickness were manufactured by parallel explosive welding and double vertical explosive welding and rolling, respectively. The comparative analysis of microst...Two types of titanium/steel composite plates with the same thickness were manufactured by parallel explosive welding and double vertical explosive welding and rolling, respectively. The comparative analysis of microstructure showed that the interface of double vertical explosive welding plate （B plate） tended to be straight while the interface of parallel explosive welding plate （A plate） was wavy bonding. Defects near the interface of B plate were extruded, and the thickness of the diffusion layer of B plate was thicker under the effects of preheating temperature and press-working. Comparative tests of mechanical properties indicated that the tensile shear strength of B plate was lower while its micro-hardness was higher. Specimens of these two types of plates were neither separated nor cracked after bending up to 180° in the three-point bending test. From the microstructural observation of tensile fracture characteristics, A plate had strong toughness fracture while B plate had mainly ductile fracture with cleavage fracture as the supplement. Macroscopically, the tensile strength of the latter was 7.9% less than that of the former. However, both satisfied the Chinese standard of tensile strength.展开更多
Some of the major manufacturing processes and corresponding mechanical properties of titanium clad steel plates were analyzed, and the consequences of research, manufacturing, and application of titanium clad steel pl...Some of the major manufacturing processes and corresponding mechanical properties of titanium clad steel plates were analyzed, and the consequences of research, manufacturing, and application of titanium clad steel plates in both markets of China and overseas were also summarized. As an economical and environmentally friendly technology, the roll bonding process is expected to become the next-generation mainstream process for the manufacturing of titanium clad steel plate. Some of the crucial and most important technical problems of this particular process, including vacuum sealing technology, surface treatment process technology, application of a transition layer, and rolling process, were discussed along with the advantageous mechanical properties and life-cycle economy of these plates processed by this technology. Finally, the market needs, application trends, and requirements of titanium clad steel plate were also considered from industries of petrochemical, shipbuilding, marine, and electric power.展开更多
In the present study, titanium plate was treated by a novel method of laser quenching, simultaneously combined with liquidnitrogen cryogenics(LQLNC). The microstructure and properties of the titanium plate after treat...In the present study, titanium plate was treated by a novel method of laser quenching, simultaneously combined with liquidnitrogen cryogenics(LQLNC). The microstructure and properties of the titanium plate after treatment were investigated by X-ray diffraction, scanning electron microscopy, energy dispersive spectrometry, Vickers hardness testing, and friction wear testing.The results show that the treated titanium plate is covered by a nitrided layer with a homogeneous thickness of about 60 μm,while the nitrided layer consists of Ti N and α-Ti phases. Compared to general laser quenching, the LQLNC treatment increases the hardness and wear resistance of the surface-modified layer of the titanium plate. As a result of grain refinement in the nitrided layer, the cracking induced by the rapid solidification of the conventional laser-quenching process has also been effectively solved.展开更多
In this study,the interface characteristics of a direct hot rolling titanium-clad steel plate were analyzed, and the mechanism of interface cracking was explored. The detrimental effect from the formation of TiFe ,TiC...In this study,the interface characteristics of a direct hot rolling titanium-clad steel plate were analyzed, and the mechanism of interface cracking was explored. The detrimental effect from the formation of TiFe ,TiC,and a Si-enriched layer on the bonding strength was clarified, and an industrial-scaled titanium-clad steel plate with shear strength over 200 MPa was produced with a carefully set schedule accordingly. It was found that hot rolling titanium-clad steel plates had a flat interface without obvious cracks. In the rolling process,both Ti and Fe atoms interdiflhsed,but Fe difthsed much faster than Ti. The Fe-diffused area consisted of three regions. After a high temperature heat treatment, the diffusion depth of Fe and Ti elements increased significantly and evident Si segregation and TiFe layers were identified. Thermal cracking initiated in the Si segregation layer and then propagated along the TiFe layer and Fe-diffused layer on the titanium side.展开更多
In this paper, the single-pass hot compression experiment of titanium clad steel plate was carried out by Gleeble-3500 thermal mechanics simulation test machine,and the effect of deformation temperature(T), strain ra...In this paper, the single-pass hot compression experiment of titanium clad steel plate was carried out by Gleeble-3500 thermal mechanics simulation test machine,and the effect of deformation temperature(T), strain rate(ε),thickness ratio(k), and friction coefficient(l) on flow pattern of the metal and stress in the deformation zone was analyzed.The results show that the metal flow behavior and the stress during compressive deformation depend strongly on the deformation temperature. At 800 and 850 °C, the bimetal can flow uniformly, while at 900 °C, the TA2 flows faster than Q235 B, and the phenomenon of TA2 wrapping Q235 B is observed. The metal flow of the bimetal material will coordinate each other through the bonding interface. It is noted that the stress increases with the increase of the ε and l and decreases when the metal flows along the contact area.展开更多
The low cycle fatigue behavior of zirconium−titanium−steel composite plate under symmetrical and asymmetric stress control was studied.The effects of mean stress and stress amplitude on cyclic deformation,ratcheting e...The low cycle fatigue behavior of zirconium−titanium−steel composite plate under symmetrical and asymmetric stress control was studied.The effects of mean stress and stress amplitude on cyclic deformation,ratcheting effect and damage mechanism were discussed in detail.The results show that under symmetric stress control,the forward ratcheting deformation is observed.Under asymmetric stress control,the ratcheting strain increases rapidly with mean stress and stress amplitude increasing.Under high stress amplitude,the influence of mean stress is more significant.In addition,by studying the variation of strain energy density,it is found that the stress amplitude mainly promotes the fatigue damage,while the mean stress leads to the ratcheting damage.In addition,fractographic observation shows that the crack initiates in the brittle metal compound at the interface,and the steel has higher resistance to crack propagation.Finally,the accuracy of life prediction model considering ratcheting effect is discussed in detail,and a high-precision life prediction model directly based on mean stress and stress amplitude is proposed.展开更多
Objective：To observe the clinical effect of anterior decompression and reconstruction using titanium mesh with locking plates in the treatment of cervical spondylotic myelopathy. Methods：One hundred and twenty patie...Objective：To observe the clinical effect of anterior decompression and reconstruction using titanium mesh with locking plates in the treatment of cervical spondylotic myelopathy. Methods：One hundred and twenty patients with cervical spondylotic myelopathy were treated by anterior decompression and reconstruction using titanium mesh with locking plates. There were 66 men and 54 women ranges in age from 37 to 72 Years（mean age, 58.3 years）. The mean Japanese orthopedic surgery association（JOA） scale was 9.6 points before operation. Patients were followed up clinically and radiographically. Results：Having stood surgery well, the operation time ranged between 60-100 min and bleeding during operation ranged between 20-200 ml. There were no case of postoperative infection, recurrent laryngeal nerve palsy, or esophageal or tracheal laceration or rupture. The average follow-up period was 14.3 months（range, 12 to 24 months） in 96 who were followed up. At the last follow-up visit the mean JOA scale had improved to 14.4 points, reflecting an improvement of 4.8 points. The results were considered to be excellent in 87 patients, good in 25, fair in 6, and poor in 2. No hardware-related complications or adjacent segment degenerative changes were encountered during the follow-up periods. Stable bone union was observed in all cases and the average time required for fusion was 5.7 months. Conclusion：Titanium mesh filled with autologous bone graft can avoid the complications associated with harvesting bone from the iliac crest donor site. When combined with cervical anterior locking plate, it can obtain satisfatory clinical results for the treatment of cervical spondylotic myelopathy.展开更多
Chest wall reconstruction after en-bloc tumor resection is very important to preserve functional mobility and to enhance the cosmetic effect. Because they are flexible and pliable, titanium plates are proposed to reco...Chest wall reconstruction after en-bloc tumor resection is very important to preserve functional mobility and to enhance the cosmetic effect. Because they are flexible and pliable, titanium plates are proposed to reconstruct the chest wall, even though such chest wall reconstruction has been performed in only a few cases worldwide. We present a case of a 49-year-old man with a chondrosarcoma arising from the left 1st rib, invading the manubrium, clavicle, 2nd and 3rd ribs, and the anterior segment of the left upper lobe. After wide resection, the chest wall was reconstructed using titanium rib plates and Marlex mesh- the Bovine pericardium sandwich type. The patient tolerated the pain well, and fourteen months after surgery, the chest wall was well preserved function mobility and improved pulmonary function test.展开更多
The scanning electron microscope (SEM) results of bone interface of titanium-coated 317L plate screw are reported in this article. 317L plate screw had a rough surface composed of sprayed pure titanium which formed a ...The scanning electron microscope (SEM) results of bone interface of titanium-coated 317L plate screw are reported in this article. 317L plate screw had a rough surface composed of sprayed pure titanium which formed a bone/metal interface in biointegration after implanted into the mandible of dog. Though a bone/metal interface in osseointegration was also formed on the surface of uncoated 317L plate screw after implantation, a smal1 space was seen between the bone and surface of the screw, indicating that the tissue compatibility of titanium-coated 317L plate screw may be better than that of the non-coated screw.展开更多
An attempt was made on the quantitative prediction of the relationship hetween the yield stress and R-value along the parallel and perpendicular to the rolling direction of Ti plate based on analysis of the previous e...An attempt was made on the quantitative prediction of the relationship hetween the yield stress and R-value along the parallel and perpendicular to the rolling direction of Ti plate based on analysis of the previous experimental data.It is shown that the yield stress along one direction and another is quite synchronized with the R—value.According to the plasticity theo- ry,an formular of σ_(1s)/σ_(2s)=[(1+1/R_2)/(1+1/R_1)/^(1 2) was proposed,In statistic estima- tion.the calculated results are in good agreement with the experimental data.The availability of this formula was briefly discussed also.展开更多
Ti0.5Al0.5N coatings were deposited on TC11（Ti-6.5Al-3.5Mo-1.5Zr-0.3Si） and silicon substrates using a cathode arc ion-plating system.The microstructure, composition, phase structure, and oxidation-resistance of the...Ti0.5Al0.5N coatings were deposited on TC11（Ti-6.5Al-3.5Mo-1.5Zr-0.3Si） and silicon substrates using a cathode arc ion-plating system.The microstructure, composition, phase structure, and oxidation-resistance of the alloys and nitride coatings were investigated by scanning electron microscopy, X-ray diffraction, transmission electron microscopy, Auger electron spectroscopy, and thermal analyzer.The results show that the oxidation resistance of the titanium alloy is relatively limited;the compound structures of Ti mixed with Al oxides are formed during the heating process.The phases of the Ti0.5Al0.5N coatings are composed of a TiN solid solution phase.The oxidation kinetics obeys the parabolic law.During the oxidation process, the selective oxidation of Al occurs, thus protecting the underlying coating and substrate.展开更多
Bone plates play a vital role in bone fracture healing by providing the necessary mechanical fixation for fracture fragments through modulating biomechanical microenvironment adjacent to the fracture site.Good treatme...Bone plates play a vital role in bone fracture healing by providing the necessary mechanical fixation for fracture fragments through modulating biomechanical microenvironment adjacent to the fracture site.Good treatment effect has been achieved for fixation of bone fracture with conventional bone plates,which are made of stainless steel or titanium alloy.However,several limitations still exist with traditional bone plates including loosening and stress shielding due to significant difference in modulus between metal material and bone tissue that impairs optimal fracture healing.Additionally,due to demographic changes and non-physiological loading,the population suffering from refractory fractures,such as osteoporosis fractures and comminuted fractures,is increasing,which imposes a big challenge to traditional bone plates developed for normal bone fracture repair.Therefore,optimal fracture treatment with adequate fixation implants in terms of materials and design relevant to special conditions is desirable.In this review,the complex physiological process of bone healing is introduced,followed by reviewing the development of implant design and biomaterials for bone plates.Finally,we discuss recent development of hybrid bone plates that contains bioactive elements or factors for fracture healing enhancement as a promising direction.This includes biodegradable Mg-based alloy used for designing bone screw-plates that has been proven to be beneficial for fracture healing,an innovative development that attracts more and more attention.This paper also indicates that the tantalum bone plates with porous structure are also emerging as a new fracture internal fixation implants.The reduction of the stress shielding is verified to be useful to accelerate bone fracture healing.Potential application of biodegradable metals may also avoid a second operation for implant removal.Further developments in biometals and their design for orthopedic bone plates are expected to improve the treatment of bone fracture,especially the refractory fractures.展开更多
文摘Objective To compare the clinical effects of treating cervical prolapse of intervertebral disc by using Solis cage, titanium cage and autogenous iliac crest graft (AICG) combined with titanium plate. Methods 64 cases of cervical prolapse of intervertebral disc were analyzed retrospectively. All the patients were followed up for about one year. Group A is composed of 20 patients (30 intervertebral spaces) treated with microdiscectomy and Solis cage fusion; group B is composed of 21 patients(22 intervertebral spaces) treated with titanium cage and group C is involved of 23 patients(28 intervertebral spaces) which were dealt with AICG combined with titanium plate. The differences in the total X ray exposure time, time working on iliac bone, incidence of complications, fusion rate, incidence of JOA score recovery rate more than 50% and rehabilitation time of the three groups are analyzed. Results All indexes from group A and B were more satisfactory than those from group C (P<0.05). The statistic analysis results of the incidence of complications of cervical part, rehabilitation time in group A are 5.0±1.8, 5.1±1.2; and that is 14.3±2.6, 7.5 ±1.6 and 26.1±6.2, 8.6±2.3 in group B and group C respectively. There is significant difference between group A and group B on the incidence of complications of cervical part and rehabilitation time (P<0.05). Results of the incidence of JOA score recovery rate >50% in group A(95.8±3.2) was more satisfactory than that in group B(93.6±2.9), while there was no statistical difference between group A and group B (P>0.05). Conclusion The Solis cage is better in treating the cervical prolapse of intervertebral disc than other ways. Also, it makes the operation easier, rehabilitation time shorter, and it causes fewer complications.
基金This project was sponsored by the National Natural Science Foundation of China （No. 51541112） and Special Fund Achievement Transformation Projects in Jiangsu of China （No. BA2012030）.
文摘Two types of titanium/steel composite plates with the same thickness were manufactured by parallel explosive welding and double vertical explosive welding and rolling, respectively. The comparative analysis of microstructure showed that the interface of double vertical explosive welding plate （B plate） tended to be straight while the interface of parallel explosive welding plate （A plate） was wavy bonding. Defects near the interface of B plate were extruded, and the thickness of the diffusion layer of B plate was thicker under the effects of preheating temperature and press-working. Comparative tests of mechanical properties indicated that the tensile shear strength of B plate was lower while its micro-hardness was higher. Specimens of these two types of plates were neither separated nor cracked after bending up to 180° in the three-point bending test. From the microstructural observation of tensile fracture characteristics, A plate had strong toughness fracture while B plate had mainly ductile fracture with cleavage fracture as the supplement. Macroscopically, the tensile strength of the latter was 7.9% less than that of the former. However, both satisfied the Chinese standard of tensile strength.
文摘Some of the major manufacturing processes and corresponding mechanical properties of titanium clad steel plates were analyzed, and the consequences of research, manufacturing, and application of titanium clad steel plates in both markets of China and overseas were also summarized. As an economical and environmentally friendly technology, the roll bonding process is expected to become the next-generation mainstream process for the manufacturing of titanium clad steel plate. Some of the crucial and most important technical problems of this particular process, including vacuum sealing technology, surface treatment process technology, application of a transition layer, and rolling process, were discussed along with the advantageous mechanical properties and life-cycle economy of these plates processed by this technology. Finally, the market needs, application trends, and requirements of titanium clad steel plate were also considered from industries of petrochemical, shipbuilding, marine, and electric power.
基金supported by the National High Technology Research and Development Program of China(Grant No.2012AA03A508)the National Natural Science Foundation of China(Grant Nos.U1360102,51275344)
文摘In the present study, titanium plate was treated by a novel method of laser quenching, simultaneously combined with liquidnitrogen cryogenics(LQLNC). The microstructure and properties of the titanium plate after treatment were investigated by X-ray diffraction, scanning electron microscopy, energy dispersive spectrometry, Vickers hardness testing, and friction wear testing.The results show that the treated titanium plate is covered by a nitrided layer with a homogeneous thickness of about 60 μm,while the nitrided layer consists of Ti N and α-Ti phases. Compared to general laser quenching, the LQLNC treatment increases the hardness and wear resistance of the surface-modified layer of the titanium plate. As a result of grain refinement in the nitrided layer, the cracking induced by the rapid solidification of the conventional laser-quenching process has also been effectively solved.
文摘In this study,the interface characteristics of a direct hot rolling titanium-clad steel plate were analyzed, and the mechanism of interface cracking was explored. The detrimental effect from the formation of TiFe ,TiC,and a Si-enriched layer on the bonding strength was clarified, and an industrial-scaled titanium-clad steel plate with shear strength over 200 MPa was produced with a carefully set schedule accordingly. It was found that hot rolling titanium-clad steel plates had a flat interface without obvious cracks. In the rolling process,both Ti and Fe atoms interdiflhsed,but Fe difthsed much faster than Ti. The Fe-diffused area consisted of three regions. After a high temperature heat treatment, the diffusion depth of Fe and Ti elements increased significantly and evident Si segregation and TiFe layers were identified. Thermal cracking initiated in the Si segregation layer and then propagated along the TiFe layer and Fe-diffused layer on the titanium side.
基金financially supported by the Ministry of Science and Technology ‘‘Twelfth Five-Year’’ Plan for Science & Technology Support (No. 2011BAE22B00)
文摘In this paper, the single-pass hot compression experiment of titanium clad steel plate was carried out by Gleeble-3500 thermal mechanics simulation test machine,and the effect of deformation temperature(T), strain rate(ε),thickness ratio(k), and friction coefficient(l) on flow pattern of the metal and stress in the deformation zone was analyzed.The results show that the metal flow behavior and the stress during compressive deformation depend strongly on the deformation temperature. At 800 and 850 °C, the bimetal can flow uniformly, while at 900 °C, the TA2 flows faster than Q235 B, and the phenomenon of TA2 wrapping Q235 B is observed. The metal flow of the bimetal material will coordinate each other through the bonding interface. It is noted that the stress increases with the increase of the ε and l and decreases when the metal flows along the contact area.
基金the financial support from the National Natural Science Foundation of China(Nos.51975271,51675260,51475223)the Starting Research Fund of Nanjing Vocational University of Industry Technology,China(No.YK20-14-05)。
文摘The low cycle fatigue behavior of zirconium−titanium−steel composite plate under symmetrical and asymmetric stress control was studied.The effects of mean stress and stress amplitude on cyclic deformation,ratcheting effect and damage mechanism were discussed in detail.The results show that under symmetric stress control,the forward ratcheting deformation is observed.Under asymmetric stress control,the ratcheting strain increases rapidly with mean stress and stress amplitude increasing.Under high stress amplitude,the influence of mean stress is more significant.In addition,by studying the variation of strain energy density,it is found that the stress amplitude mainly promotes the fatigue damage,while the mean stress leads to the ratcheting damage.In addition,fractographic observation shows that the crack initiates in the brittle metal compound at the interface,and the steel has higher resistance to crack propagation.Finally,the accuracy of life prediction model considering ratcheting effect is discussed in detail,and a high-precision life prediction model directly based on mean stress and stress amplitude is proposed.
文摘Objective：To observe the clinical effect of anterior decompression and reconstruction using titanium mesh with locking plates in the treatment of cervical spondylotic myelopathy. Methods：One hundred and twenty patients with cervical spondylotic myelopathy were treated by anterior decompression and reconstruction using titanium mesh with locking plates. There were 66 men and 54 women ranges in age from 37 to 72 Years（mean age, 58.3 years）. The mean Japanese orthopedic surgery association（JOA） scale was 9.6 points before operation. Patients were followed up clinically and radiographically. Results：Having stood surgery well, the operation time ranged between 60-100 min and bleeding during operation ranged between 20-200 ml. There were no case of postoperative infection, recurrent laryngeal nerve palsy, or esophageal or tracheal laceration or rupture. The average follow-up period was 14.3 months（range, 12 to 24 months） in 96 who were followed up. At the last follow-up visit the mean JOA scale had improved to 14.4 points, reflecting an improvement of 4.8 points. The results were considered to be excellent in 87 patients, good in 25, fair in 6, and poor in 2. No hardware-related complications or adjacent segment degenerative changes were encountered during the follow-up periods. Stable bone union was observed in all cases and the average time required for fusion was 5.7 months. Conclusion：Titanium mesh filled with autologous bone graft can avoid the complications associated with harvesting bone from the iliac crest donor site. When combined with cervical anterior locking plate, it can obtain satisfatory clinical results for the treatment of cervical spondylotic myelopathy.
文摘Chest wall reconstruction after en-bloc tumor resection is very important to preserve functional mobility and to enhance the cosmetic effect. Because they are flexible and pliable, titanium plates are proposed to reconstruct the chest wall, even though such chest wall reconstruction has been performed in only a few cases worldwide. We present a case of a 49-year-old man with a chondrosarcoma arising from the left 1st rib, invading the manubrium, clavicle, 2nd and 3rd ribs, and the anterior segment of the left upper lobe. After wide resection, the chest wall was reconstructed using titanium rib plates and Marlex mesh- the Bovine pericardium sandwich type. The patient tolerated the pain well, and fourteen months after surgery, the chest wall was well preserved function mobility and improved pulmonary function test.
文摘The scanning electron microscope (SEM) results of bone interface of titanium-coated 317L plate screw are reported in this article. 317L plate screw had a rough surface composed of sprayed pure titanium which formed a bone/metal interface in biointegration after implanted into the mandible of dog. Though a bone/metal interface in osseointegration was also formed on the surface of uncoated 317L plate screw after implantation, a smal1 space was seen between the bone and surface of the screw, indicating that the tissue compatibility of titanium-coated 317L plate screw may be better than that of the non-coated screw.
文摘An attempt was made on the quantitative prediction of the relationship hetween the yield stress and R-value along the parallel and perpendicular to the rolling direction of Ti plate based on analysis of the previous experimental data.It is shown that the yield stress along one direction and another is quite synchronized with the R—value.According to the plasticity theo- ry,an formular of σ_(1s)/σ_(2s)=[(1+1/R_2)/(1+1/R_1)/^(1 2) was proposed,In statistic estima- tion.the calculated results are in good agreement with the experimental data.The availability of this formula was briefly discussed also.
文摘Ti0.5Al0.5N coatings were deposited on TC11（Ti-6.5Al-3.5Mo-1.5Zr-0.3Si） and silicon substrates using a cathode arc ion-plating system.The microstructure, composition, phase structure, and oxidation-resistance of the alloys and nitride coatings were investigated by scanning electron microscopy, X-ray diffraction, transmission electron microscopy, Auger electron spectroscopy, and thermal analyzer.The results show that the oxidation resistance of the titanium alloy is relatively limited;the compound structures of Ti mixed with Al oxides are formed during the heating process.The phases of the Ti0.5Al0.5N coatings are composed of a TiN solid solution phase.The oxidation kinetics obeys the parabolic law.During the oxidation process, the selective oxidation of Al occurs, thus protecting the underlying coating and substrate.
基金supported by the National Key R&D Program of China(Grant No.2016YFC1102000)the National Natural Science Foundation of China(Grant Nos.81672139 and 81702129)+3 种基金the China Postdoctoral Science Foundation(No.171479)Doctor Initial Foundation of Liaoning Province(No.20170520017)Affiliated Zhongshan Hospital of Dalian University(No.DLDXZSYYDK201701)by a grant from the Research Grants Council of the Hong Kong Special Administrative Region,China(Project No.T13-402/17-N)。
文摘Bone plates play a vital role in bone fracture healing by providing the necessary mechanical fixation for fracture fragments through modulating biomechanical microenvironment adjacent to the fracture site.Good treatment effect has been achieved for fixation of bone fracture with conventional bone plates,which are made of stainless steel or titanium alloy.However,several limitations still exist with traditional bone plates including loosening and stress shielding due to significant difference in modulus between metal material and bone tissue that impairs optimal fracture healing.Additionally,due to demographic changes and non-physiological loading,the population suffering from refractory fractures,such as osteoporosis fractures and comminuted fractures,is increasing,which imposes a big challenge to traditional bone plates developed for normal bone fracture repair.Therefore,optimal fracture treatment with adequate fixation implants in terms of materials and design relevant to special conditions is desirable.In this review,the complex physiological process of bone healing is introduced,followed by reviewing the development of implant design and biomaterials for bone plates.Finally,we discuss recent development of hybrid bone plates that contains bioactive elements or factors for fracture healing enhancement as a promising direction.This includes biodegradable Mg-based alloy used for designing bone screw-plates that has been proven to be beneficial for fracture healing,an innovative development that attracts more and more attention.This paper also indicates that the tantalum bone plates with porous structure are also emerging as a new fracture internal fixation implants.The reduction of the stress shielding is verified to be useful to accelerate bone fracture healing.Potential application of biodegradable metals may also avoid a second operation for implant removal.Further developments in biometals and their design for orthopedic bone plates are expected to improve the treatment of bone fracture,especially the refractory fractures.
