Evidence map›Paper›PMID 30939719›Full record

ArticleJournal of functional biomaterials2019

3D Printing Custom Bioactive and Absorbable Surgical Screws, Pins, and Bone Plates for Localized Drug Delivery.

Karthik Tappa, Udayabhanu Jammalamadaka, Jeffery A Weisman, David H Ballard, Dallas D Wolford, Cecilia Pascual-Garrido, Larry M Wolford, Pamela K Woodard, David K Mills

Abstract read
In one paragraph

Article in Journal of functional biomaterials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Karthik TappaMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA. kktappa@wustl.edu.ORCID 0000-0002-9857-8665
Udayabhanu JammalamadakaMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA. ujammalamadaka@wustl.edu.
Jeffery A WeismanUniversity of Illinois at Chicago Occupational Medicine, Chicago, IL 60612, USA. jeffery.weisman@gmail.com.
David H BallardMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA. davidballard@wustl.edu.ORCID 0000-0001-7470-3364
Dallas D WolfordDepartment of Surgery, UT Southwestern Medical Center; University of Texas Southwestern, Dallas, TX 75390, USA. dallaswolford@gmail.com.
Cecilia Pascual-GarridoAdult Reconstruction-Adolescent and Young Adult Hip Service, Washington University Orthopedics, St Louis, MO 63110, USA. cpascualgarrido@wustl.edu.
Larry M WolfordDepartment of Oral and Maxillofacial Surgery, Texas A&M University College of Dentistry and Baylor University Medical Center, Dallas, TX 75246, USA. lwolford@drlarrywolford.com.
Pamela K WoodardMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA. woodardp@wustl.edu.
David K MillsDepartment of Biomedical Engineering, Louisiana Tech University, 305 Wisteria Street, Ruston, LA 71272, USA. dkmills@latech.edu.ORCID 0000-0002-6489-4520

Funding

Training OPportunities in Translational Imaging Education and Research (TOP-TIER)T32EB021955 · NIBIB · WASHINGTON UNIVERSITY · PI Hongyu An, Joseph Edward Ippolito · 2017 to 2026
$2.4M
NIBIB NIH HHS T32 EB021955
6 · The paper itself

Abstract

Additive manufacturing has great potential for personalized medicine in osseous fixation surgery, including maxillofacial and orthopedic applications. The purpose of this study was to demonstrate 3D printing methods for the fabrication of patient-specific fixation implants that allow for localized drug delivery. 3D printing was used to fabricate gentamicin (GS) and methotrexate (MTX)-loaded fixation devices, including screws, pins, and bone plates. Scaffolds with different infill ratios of polylactic acid (PLA), both without drugs and impregnated with GS and MTX, were printed into cylindrical and rectangular-shaped constructs for compressive and flexural strength mechanical testing, respectively. Bland PLA constructs showed significantly higher flexural strength when printed in a Y axis at 100% infill compared to other axes and infill ratios; however, there was no significant difference in flexural strength between other axes and infill ratios. GS and MTX-impregnated constructs had significantly lower flexural and compressive strength as compared to the bland PLA constructs. GS-impregnated implants demonstrated bacterial inhibition in plate cultures. Similarly, MTX-impregnated implants demonstrated a cytotoxic effect in osteosarcoma assays. This proof of concept work shows the potential of developing 3D printed screws and plating materials with the requisite mechanical properties and orientations. Drug-impregnated implants were technically successful and had an anti-bacterial and chemotherapeutic effect, but drug addition significantly decreased the flexural and compressive strengths of the custom implants.

Indexed as

3D printingadditive manufacturingantibioticsbiodegradablechemotherapeuticsdrug delivery implantsorthopedic fixation devicespolylactic acid (PLA)

Identifiers

PMID30939719
PMCPMC6616894

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.