Evidence map›Paper›PMID 33964120›Full record

ArticleJournal of biomedical materials research. Part B, Applied biomaterials2021

Mechanical and in vitro biological properties of uniform and graded Cobalt-chrome lattice structures in orthopedic implants.

Stefania Pagani, Erica Liverani, Gianluca Giavaresi, Angela De Luca, Claudio Belvedere, Alessandro Fortunato, Alberto Leardini, Milena Fini, Luca Tomesani, Paolo Caravaggi

Abstract read
In one paragraph

Article in Journal of biomedical materials research. Part B, Applied biomaterials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

10 authors.

Stefania PaganiComplex Structure of Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Erica LiveraniDepartment of Industrial Engineering, Università di Bologna, Bologna, Italy.
Gianluca GiavaresiComplex Structure of Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Angela De LucaComplex Structure of Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Claudio BelvedereMovement Analysis Laboratory, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Alessandro FortunatoDepartment of Industrial Engineering, Università di Bologna, Bologna, Italy.
Alberto LeardiniMovement Analysis Laboratory, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Milena FiniComplex Structure of Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Luca TomesaniDepartment of Industrial Engineering, Università di Bologna, Bologna, Italy.
Paolo CaravaggiMovement Analysis Laboratory, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.ORCID 0000-0002-8994-8062

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human bones are biological examples of functionally graded lattice capable to withstand large in vivo loading and allowing optimal stress distribution. Disruption of bone integrity may require biocompatible implants capable to restore the original bone structure and properties. This study aimed at comparing mechanical properties and biological behavior in vitro of uniform (POR-FIX) and graded (POR-VAR) Cobalt-chrome alloy lattice structures manufactured via Selective Laser Melting. In compression, the POR-VAR equivalent maximum stress was about 2.5 times lower than that of the POR-FIX. According to the DIC analysis, the graded lattice structures showed a stratified deformation associated to unit cells variation. At each timepoint, osteoblast cells were observed to colonize the surface and the first layer of both scaffolds. Cell activity was always significantly higher in the POR-VAR (p < 0.0005). In terms of gene expression, the OPG/RANKL ratio increased significantly over time (p < 0.0005) whereas IL1β and COX2 significantly decreased (7 day vs 1 day; p < 0.0005) in both scaffolds. Both uniform- and graded-porosity scaffolds provided a suitable environment for osteoblasts colonization and proliferation, but graded structures seem to represent a better solution to improve stress distribution between implant and bone of orthopedic implants.

Indexed as

AlloysProstheses and ImplantsChromium AlloysCobaltHumansOsteoblastsPorosityTitaniumAlloysChromium AlloysCobaltTitaniumadditive manufacturingbiocompatibilitygraded lattice structuresorthopedic implantsosteoblasts

Identifiers

PMID33964120
PMCPMC8518749

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Registered trials

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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.