Evidence map›Paper›PMID 37241487›Full record

ArticleMaterials (Basel, Switzerland)2023

Comparative Analysis of Bone Ingrowth in 3D-Printed Titanium Lattice Structures with Different Patterns.

Ágnes Éva Kovács, Zoltán Csernátony, Loránd Csámer, Gábor Méhes, Dániel Szabó, Mihály Veres, Mihály Braun, Balázs Harangi, Norbert Serbán, Lei Zhang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Materials (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
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

9 citing papers in PubMed, 23 citations in OpenAlex.

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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

13 authors at 2 institutions in 2 countries.

Ágnes Éva KovácsLaboratory of Biomechanics, Department of Orthopaedic Surgery, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Zoltán CsernátonyLaboratory of Biomechanics, Department of Orthopaedic Surgery, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Loránd CsámerLaboratory of Biomechanics, Department of Orthopaedic Surgery, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.ORCID 0000-0002-5023-3617
Gábor MéhesDepartment of Pathology, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Dániel SzabóLaboratory of Biomechanics, Department of Orthopaedic Surgery, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Mihály VeresIsotoptech Private Limited Company, H-4026 Debrecen, Hungary.
Mihály BraunIsotoptech Private Limited Company, H-4026 Debrecen, Hungary.
Balázs HarangiDepartment of Data Science and Visualization, Faculty of Informatics, University of Debrecen, H-4028 Debrecen, Hungary.ORCID 0000-0003-4405-2040
Norbert SerbánDepartment of Data Science and Visualization, Faculty of Informatics, University of Debrecen, H-4028 Debrecen, Hungary.
Lei ZhangLaboratory of Biomechanics, Department of Orthopaedic Surgery, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
György FalkVarinex Private Limited Company, H-1141 Budapest, Hungary.
Hajnalka Soósné HorváthLaboratory of Biomechanics, Department of Orthopaedic Surgery, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Sándor ManóLaboratory of Biomechanics, Department of Orthopaedic Surgery, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
University of Debrecen · HUOptech (Canada) · CA

Funding

European Union and the Government of Hungary GINOP-2.2.1-15.2017-00055National Research, Development and Innovation Office PD 137775
6 · The paper itself

Abstract

In this study, metal 3D printing technology was used to create lattice-shaped test specimens of orthopedic implants to determine the effect of different lattice shapes on bone ingrowth. Six different lattice shapes were used: gyroid, cube, cylinder, tetrahedron, double pyramid, and Voronoi. The lattice-structured implants were produced from Ti6Al4V alloy using direct metal laser sintering 3D printing technology with an EOS M290 printer. The implants were implanted into the femoral condyles of sheep, and the animals were euthanized 8 and 12 weeks after surgery. To determine the degree of bone ingrowth for different lattice-shaped implants, mechanical, histological, and image processing tests on ground samples and optical microscopic images were performed. In the mechanical test, the force required to compress the different lattice-shaped implants and the force required for a solid implant were compared, and significant differences were found in several instances. Statistically evaluating the results of our image processing algorithm, it was found that the digitally segmented areas clearly consisted of ingrown bone tissue; this finding is also supported by the results of classical histological processing. Our main goal was realized, so the bone ingrowth efficiencies of the six lattice shapes were ranked. It was found that the gyroid, double pyramid, and cube-shaped lattice implants had the highest degree of bone tissue growth per unit time. This ranking of the three lattice shapes remained the same at both 8 and 12 weeks after euthanasia. In accordance with the study, as a side project, a new image processing algorithm was developed that proved suitable for determining the degree of bone ingrowth in lattice implants from optical microscopic images. Along with the cube lattice shape, whose high bone ingrowth values have been previously reported in many studies, it was found that the gyroid and double pyramid lattice shapes produced similarly good results.

Indexed as

additive manufacturingbone ingrowthdirect metal laser sinteringlattice structure patternosseointegrationsheepTi6Al4V

Identifiers

PMID37241487
PMCPMC10223620
OpenAlexW4377289773

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.