Podcast
Questions and Answers
What primarily dissipates initial loads applied to cartilage?
What primarily dissipates initial loads applied to cartilage?
- Increased modulus
- Elastic deformation (correct)
- Stress relaxation
- Water displacement from collagen
Which factor is NOT important for the survival of cartilage grafts?
Which factor is NOT important for the survival of cartilage grafts?
- Curvature of the implant
- Temperature of the surgical environment (correct)
- Absence of dead space
- Smooth surface
Which type of implant is considered to grow when implanted into young hosts?
Which type of implant is considered to grow when implanted into young hosts?
- Homografts
- Synthetic implants
- Autografts (correct)
- Allografts
What is the main consequence of the presence of blood in the surgical field during grafting?
What is the main consequence of the presence of blood in the surgical field during grafting?
What characteristic of the stress-strain curve does cartilage exhibit as strain is increased?
What characteristic of the stress-strain curve does cartilage exhibit as strain is increased?
What issue may arise from a rough surface of a graft?
What issue may arise from a rough surface of a graft?
Which type of graft is obtained from a donor of the same species as the recipient?
Which type of graft is obtained from a donor of the same species as the recipient?
What is a significant drawback of synthetic materials used in facial implants?
What is a significant drawback of synthetic materials used in facial implants?
What primarily causes the smooth flow in arteries, similar to water in a slow river?
What primarily causes the smooth flow in arteries, similar to water in a slow river?
Which factor does NOT influence the mechanical properties of PVA hydrogel?
Which factor does NOT influence the mechanical properties of PVA hydrogel?
What is the role of polymer crystallinites formed during the freezing of PVA solution?
What is the role of polymer crystallinites formed during the freezing of PVA solution?
In the context of PVA hydrogel, what is the impact of freeze-thaw cycles on the relaxation time parameter, τ?
In the context of PVA hydrogel, what is the impact of freeze-thaw cycles on the relaxation time parameter, τ?
Which method is primarily mentioned for creating stiffness gradient in PVA hydrogel?
Which method is primarily mentioned for creating stiffness gradient in PVA hydrogel?
What is a significant disadvantage of using free bone grafts?
What is a significant disadvantage of using free bone grafts?
Which of the following is an example of a synthetic implant material?
Which of the following is an example of a synthetic implant material?
What characteristic should an ideal augmentation material possess regarding its long-term stability?
What characteristic should an ideal augmentation material possess regarding its long-term stability?
How does the porosity of porous mesh implants affect their integration with host tissues?
How does the porosity of porous mesh implants affect their integration with host tissues?
What is a common surgical site option for harvesting grafts used in mandibular defects?
What is a common surgical site option for harvesting grafts used in mandibular defects?
Which of the following statements is true regarding solid implants?
Which of the following statements is true regarding solid implants?
What is NOT a characteristic of an ideal augmentation material?
What is NOT a characteristic of an ideal augmentation material?
What is the role of materials like polyglycolic acid and collagen in implant applications?
What is the role of materials like polyglycolic acid and collagen in implant applications?
What is the function of the pores in the inner layer of an implant?
What is the function of the pores in the inner layer of an implant?
Which material is mentioned as having a structure identical to that of bone?
Which material is mentioned as having a structure identical to that of bone?
What type of ultrasound technique is used for measuring blood flow velocity?
What type of ultrasound technique is used for measuring blood flow velocity?
How is the Doppler frequency shift calculated?
How is the Doppler frequency shift calculated?
What do tissue and vessel mimicking materials aim to achieve?
What do tissue and vessel mimicking materials aim to achieve?
What is the speed of sound in the medium specified for Doppler ultrasound calculations?
What is the speed of sound in the medium specified for Doppler ultrasound calculations?
What characteristic does blood flow exhibit in a healthy carotid artery?
What characteristic does blood flow exhibit in a healthy carotid artery?
Which type of biological implant involves transplantation from a donor of the same species?
Which type of biological implant involves transplantation from a donor of the same species?
What is the main advantage of mixing hydroxyapatite with a polymer for bone grafts?
What is the main advantage of mixing hydroxyapatite with a polymer for bone grafts?
What role does porosity play in bone graft materials according to the research?
What role does porosity play in bone graft materials according to the research?
What measurement of UHMW PE exceeds that of steel, highlighting its mechanical properties?
What measurement of UHMW PE exceeds that of steel, highlighting its mechanical properties?
What is the main purpose of systemic antibiotics in relation to implants?
What is the main purpose of systemic antibiotics in relation to implants?
What innovative method did Russian scientists use to create a porous structure in UHMW PE?
What innovative method did Russian scientists use to create a porous structure in UHMW PE?
What characteristic does the outer layer of the synthetic scaffold simulate?
What characteristic does the outer layer of the synthetic scaffold simulate?
Which of the following polymers is NOT mentioned as being used in facial implants?
Which of the following polymers is NOT mentioned as being used in facial implants?
What is a key characteristic of injectable collagen used for tissue augmentation?
What is a key characteristic of injectable collagen used for tissue augmentation?
Why was the conventional method of creating a porous structure not suitable for UHMW PE?
Why was the conventional method of creating a porous structure not suitable for UHMW PE?
What is a significant characteristic of the new promising material used for 3D printed bone grafts?
What is a significant characteristic of the new promising material used for 3D printed bone grafts?
Which injectable polymer is specifically known for its use in treating wrinkles and depressions?
Which injectable polymer is specifically known for its use in treating wrinkles and depressions?
What is one of the results found in early experiments on animals using new bone graft materials?
What is one of the results found in early experiments on animals using new bone graft materials?
What complication is NOT associated with PDMS implants?
What complication is NOT associated with PDMS implants?
How are solid facial implants such as PDMS typically prepared before insertion?
How are solid facial implants such as PDMS typically prepared before insertion?
What is a common issue that might arise from the use of PDMS implants?
What is a common issue that might arise from the use of PDMS implants?
What material is used as a reinforcing agent in PTFE solid implants?
What material is used as a reinforcing agent in PTFE solid implants?
What is the primary focus of rheology in relation to fluids?
What is the primary focus of rheology in relation to fluids?
How do shear-thickening materials behave under increasing shear stress?
How do shear-thickening materials behave under increasing shear stress?
What relationship does viscosity have with shear strain rate in Newtonian fluids?
What relationship does viscosity have with shear strain rate in Newtonian fluids?
In rheology, what does the elastic modulus G represent?
In rheology, what does the elastic modulus G represent?
What type of fluids exhibit a decrease in viscosity with increasing shear stress?
What type of fluids exhibit a decrease in viscosity with increasing shear stress?
What is the primary role of growth factors in tissue engineering?
What is the primary role of growth factors in tissue engineering?
Which aspect is crucial for the scaffold used in tissue engineering?
Which aspect is crucial for the scaffold used in tissue engineering?
What is an important consideration in the design of complex scaffold structures?
What is an important consideration in the design of complex scaffold structures?
Which of the following describes a key feature of strain-stiffening in polymer networks?
Which of the following describes a key feature of strain-stiffening in polymer networks?
What approach was primarily used in the 1997 experiment by Prof. Charles Vacanti?
What approach was primarily used in the 1997 experiment by Prof. Charles Vacanti?
What modulus represents the storage of energy in materials?
What modulus represents the storage of energy in materials?
Which of the following terms relates to the behavior of cells in response to their mechanical environment?
Which of the following terms relates to the behavior of cells in response to their mechanical environment?
What was a primary advancement mentioned in tissue engineering for scaffold development?
What was a primary advancement mentioned in tissue engineering for scaffold development?
In small amplitude oscillatory strain/stress testing, what does the complex modulus (G*) measure?
In small amplitude oscillatory strain/stress testing, what does the complex modulus (G*) measure?
What is the significance of poroelasticity in biopolymer networks?
What is the significance of poroelasticity in biopolymer networks?
What is the purpose of the phase angle δ in the context of material stiffness?
What is the purpose of the phase angle δ in the context of material stiffness?
What does the loss modulus (G'') represent in material characterization?
What does the loss modulus (G'') represent in material characterization?
How is the persistence length (lp) of a filament defined?
How is the persistence length (lp) of a filament defined?
What describes the behavior of purely elastic materials under stress?
What describes the behavior of purely elastic materials under stress?
What phenomenon does small amplitude oscillatory strain/stress testing quantitatively measure?
What phenomenon does small amplitude oscillatory strain/stress testing quantitatively measure?
What type of contribution to material stiffness does the storage modulus G' provide?
What type of contribution to material stiffness does the storage modulus G' provide?
What material is the Agili-C implant primarily made from?
What material is the Agili-C implant primarily made from?
What is the key benefit of the porosity of the Agili-C implant?
What is the key benefit of the porosity of the Agili-C implant?
What is observed in MRI images of the treated defect area over a 24-month period?
What is observed in MRI images of the treated defect area over a 24-month period?
What surgical option has been approved by the FDA for cartilage repair?
What surgical option has been approved by the FDA for cartilage repair?
What is the primary function of the stem cells migrating to the Agili-C implant?
What is the primary function of the stem cells migrating to the Agili-C implant?
What is the purpose of the titanium coating applied to the implant?
What is the purpose of the titanium coating applied to the implant?
What type of cartilage does the Agili-C implant aim to replace?
What type of cartilage does the Agili-C implant aim to replace?
What defines the biocompatibility of the Agili-C implant?
What defines the biocompatibility of the Agili-C implant?
What is the primary mechanical behavior of biopolymer networks at low stress?
What is the primary mechanical behavior of biopolymer networks at low stress?
How does the presence of a fluid phase affect the normal stress in biopolymer networks?
How does the presence of a fluid phase affect the normal stress in biopolymer networks?
What phenomenon describes the contractile or extensile behavior in biopolymer networks under shear?
What phenomenon describes the contractile or extensile behavior in biopolymer networks under shear?
What determines the poroelastic response time in biopolymer networks?
What determines the poroelastic response time in biopolymer networks?
What occurs at large (>50%) strains in biopolymer networks?
What occurs at large (>50%) strains in biopolymer networks?
What aspect of biopolymer networks is often neglected in network models?
What aspect of biopolymer networks is often neglected in network models?
Which statement correctly describes rapid deformations of fluid-coupled networks?
Which statement correctly describes rapid deformations of fluid-coupled networks?
In the study of biopolymer networks, what happens to the normal stress during long timescales?
In the study of biopolymer networks, what happens to the normal stress during long timescales?
What is the main role of transglutaminase in the 3D-printed scaffold?
What is the main role of transglutaminase in the 3D-printed scaffold?
Which factor contributes to the increased differentiation of MSCs in the gelatin-HAP scaffold?
Which factor contributes to the increased differentiation of MSCs in the gelatin-HAP scaffold?
Why are pigs commonly used as model animals in cartilage studies?
Why are pigs commonly used as model animals in cartilage studies?
What is one advantage of using a hydrogel-based implant made from bacterial cellulose and polyvinyl alcohol?
What is one advantage of using a hydrogel-based implant made from bacterial cellulose and polyvinyl alcohol?
Which group showed significant improvement in cartilage repair in the pig model study?
Which group showed significant improvement in cartilage repair in the pig model study?
What is the Young's modulus for the gelatin and gelatin/HAP scaffolds, respectively?
What is the Young's modulus for the gelatin and gelatin/HAP scaffolds, respectively?
What component in the hydrogel-based implant replaces the gelatinous matrix in cartilage?
What component in the hydrogel-based implant replaces the gelatinous matrix in cartilage?
In the context of cartilage repair with MSCs, what does MSC stand for?
In the context of cartilage repair with MSCs, what does MSC stand for?
What is the primary function of rheology in the context of fluids?
What is the primary function of rheology in the context of fluids?
Which statement accurately describes the behavior of shear-thickening materials?
Which statement accurately describes the behavior of shear-thickening materials?
What does the elastic modulus G signify in the field of rheology?
What does the elastic modulus G signify in the field of rheology?
What is the relationship between viscosity and strain rate in Newtonian fluids?
What is the relationship between viscosity and strain rate in Newtonian fluids?
In rheology, how is shear flow explained?
In rheology, how is shear flow explained?
What defines the mechanical signal provided by nanopatterned surfaces to endothelial cells?
What defines the mechanical signal provided by nanopatterned surfaces to endothelial cells?
What purpose does a scaffold serve when seeded with endothelial and liver cells?
What purpose does a scaffold serve when seeded with endothelial and liver cells?
Which technology is key in creating scaffolds with precise porous architecture?
Which technology is key in creating scaffolds with precise porous architecture?
What is a main characteristic of the mechanical properties influenced by scaffolds in tissue repair?
What is a main characteristic of the mechanical properties influenced by scaffolds in tissue repair?
What distinguishes solid free-form fabrication systems in tissue engineering?
What distinguishes solid free-form fabrication systems in tissue engineering?
What is the significance of endothelial cells aligning in the direction of grooves in nanopatterned surfaces?
What is the significance of endothelial cells aligning in the direction of grooves in nanopatterned surfaces?
What does the term 'hybrid tissue' refer to in the context of scaffold applications?
What does the term 'hybrid tissue' refer to in the context of scaffold applications?
What happens to biopolymer networks when subjected to large strains without extensibility?
What happens to biopolymer networks when subjected to large strains without extensibility?
What is observed in the strain-stress response of reconstituted collagen networks at strains beyond 4-5%?
What is observed in the strain-stress response of reconstituted collagen networks at strains beyond 4-5%?
In tissue engineering, what role does the polymer scaffold cast from a silicon mold play?
In tissue engineering, what role does the polymer scaffold cast from a silicon mold play?
What term describes the maximum stress that a network can withstand before fracture occurs?
What term describes the maximum stress that a network can withstand before fracture occurs?
Which of the following best explains the effect of molecular packing structure on biopolymer extensibility?
Which of the following best explains the effect of molecular packing structure on biopolymer extensibility?
What indicates that network fracture has occurred during shear strain testing?
What indicates that network fracture has occurred during shear strain testing?
What characterizes purely elastic materials when stress is applied?
What characterizes purely elastic materials when stress is applied?
What does the complex modulus G* measure in a material?
What does the complex modulus G* measure in a material?
What is the storage modulus G’ indicative of in material behavior?
What is the storage modulus G’ indicative of in material behavior?
How do the elastic and viscous contributions to G* relate to each other?
How do the elastic and viscous contributions to G* relate to each other?
Which factor significantly affects the bending behavior of filaments in polymer physics?
Which factor significantly affects the bending behavior of filaments in polymer physics?
What does a phase angle δ represent in material testing?
What does a phase angle δ represent in material testing?
What is the loss modulus G’’ associated with in materials?
What is the loss modulus G’’ associated with in materials?
What does the term 'persistence length' in polymer physics refer to?
What does the term 'persistence length' in polymer physics refer to?
What defines the onset of nonlinearity in strain-stiffening within biopolymer networks?
What defines the onset of nonlinearity in strain-stiffening within biopolymer networks?
How does the differential shear modulus behave in response to applied stress in biopolymer networks?
How does the differential shear modulus behave in response to applied stress in biopolymer networks?
What factor primarily influences the onset strain in semiflexible polymer networks?
What factor primarily influences the onset strain in semiflexible polymer networks?
In stiff polymer networks, what is the main factor affecting strain-stiffening?
In stiff polymer networks, what is the main factor affecting strain-stiffening?
What exponent describes the power law for elastic modulus increase in response to shear load?
What exponent describes the power law for elastic modulus increase in response to shear load?
Which method is primarily used to study shear forces in tissues or networks?
Which method is primarily used to study shear forces in tissues or networks?
What is primarily measured to assess the properties of biopolymer networks under shear?
What is primarily measured to assess the properties of biopolymer networks under shear?
What common behavior is observed in most reconstituted biopolymer networks under load?
What common behavior is observed in most reconstituted biopolymer networks under load?
What primarily characterizes the relationship between tension and stress in the high-tension limit?
What primarily characterizes the relationship between tension and stress in the high-tension limit?
What can affect the stiffness of semiflexible polymer networks due to thermal fluctuations?
What can affect the stiffness of semiflexible polymer networks due to thermal fluctuations?
What was the effect of annealing on the BC-PVA hydrogels?
What was the effect of annealing on the BC-PVA hydrogels?
How does the wear resistance of the designed hydrogel compare to native cartilage?
How does the wear resistance of the designed hydrogel compare to native cartilage?
What does the improved shear strength of the designed hydrogel indicate?
What does the improved shear strength of the designed hydrogel indicate?
What was the applied pressure and cycle count during the wear test on the hydrogel?
What was the applied pressure and cycle count during the wear test on the hydrogel?
What is a critical characteristic of the designed hydrogel for it to function effectively as a cartilage substitute?
What is a critical characteristic of the designed hydrogel for it to function effectively as a cartilage substitute?
What size was the implant used in the study for treating cartilage defects?
What size was the implant used in the study for treating cartilage defects?
What effect does the incorporation of BC into PVA have on its performance?
What effect does the incorporation of BC into PVA have on its performance?
What were the tensile and compressive strength values reached for the BC-PVA hydrogels?
What were the tensile and compressive strength values reached for the BC-PVA hydrogels?
Flashcards
Free bone grafts
Free bone grafts
Bone grafts harvested from one part of the body and moved to another for reconstructive purposes.
Synthetic implants
Synthetic implants
Artificial materials used as substitutes for damaged or missing facial tissues.
Ideal augmentation material
Ideal augmentation material
A material that mimics the body's natural tissues and can remain stable over time
Mechanical properties
Mechanical properties
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Porous mesh implant
Porous mesh implant
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Solid implant
Solid implant
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Implant degradation
Implant degradation
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Host reaction to implants
Host reaction to implants
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Cartilage stress-strain
Cartilage stress-strain
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Bone's stress-strain curve
Bone's stress-strain curve
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Autograft
Autograft
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Homograft
Homograft
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Graft survival factors (negative)
Graft survival factors (negative)
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Graft survival factors (positive)
Graft survival factors (positive)
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Ideal facial implant qualities
Ideal facial implant qualities
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Stress relaxation in cartilage
Stress relaxation in cartilage
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What is a common injectable polymer?
What is a common injectable polymer?
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What is collagen used for?
What is collagen used for?
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Why does collagen correction require maintenance?
Why does collagen correction require maintenance?
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What is an example of a solid facial implant?
What is an example of a solid facial implant?
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How are PDMS implants often prepared?
How are PDMS implants often prepared?
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What is a potential complication of PDMS implants?
What is a potential complication of PDMS implants?
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What is PTFE?
What is PTFE?
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What is a unique characteristic of PTFE?
What is a unique characteristic of PTFE?
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Artery Stiffening
Artery Stiffening
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PVA Hydrogel Properties
PVA Hydrogel Properties
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Maxwell Model
Maxwell Model
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Relaxation Time (τ)
Relaxation Time (τ)
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Stiffness Gradient
Stiffness Gradient
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Tissue Mimicking Materials
Tissue Mimicking Materials
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Vessel Mimicking Materials
Vessel Mimicking Materials
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Doppler Ultrasound
Doppler Ultrasound
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Doppler Frequency Shift
Doppler Frequency Shift
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Healthy Blood Flow
Healthy Blood Flow
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Turbulent Blood Flow
Turbulent Blood Flow
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Carotid Artery
Carotid Artery
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Doppler Imaging
Doppler Imaging
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Hydroxyapatite
Hydroxyapatite
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3D Printed Bone Graft
3D Printed Bone Graft
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Porous Bone Graft Material
Porous Bone Graft Material
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Ultra-High Molecular Weight Polyethylene (UHMWPE)
Ultra-High Molecular Weight Polyethylene (UHMWPE)
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Solid-Phase Mixing Method
Solid-Phase Mixing Method
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Two-Layer Bone Scaffold
Two-Layer Bone Scaffold
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Synthetic Bone Implant Material
Synthetic Bone Implant Material
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Cortical Bone
Cortical Bone
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Tissue Engineering
Tissue Engineering
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Scaffold
Scaffold
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Growth Factors
Growth Factors
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Mechanotransduction
Mechanotransduction
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Rheology
Rheology
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Strain-Stiffening of a Network
Strain-Stiffening of a Network
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Poroelasticity
Poroelasticity
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Articular Cartilage
Articular Cartilage
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What is rheology?
What is rheology?
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Viscosity
Viscosity
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Newtonian fluid
Newtonian fluid
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Non-Newtonian fluid
Non-Newtonian fluid
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Viscoelasticity
Viscoelasticity
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Elastic Modulus (G)
Elastic Modulus (G)
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Strain
Strain
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Complex Modulus (G*)
Complex Modulus (G*)
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Storage Modulus (G')
Storage Modulus (G')
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Loss Modulus (G'')
Loss Modulus (G'')
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Persistence Length (𝑙𝑝)
Persistence Length (𝑙𝑝)
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Filament Modulus (κ and µ)
Filament Modulus (κ and µ)
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Strain-Stiffening
Strain-Stiffening
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Biopolymer Network
Biopolymer Network
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Shear Rheology
Shear Rheology
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Normal Stress
Normal Stress
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Poynting Effect
Poynting Effect
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Viscosity (𝜂)
Viscosity (𝜂)
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Relaxation Time (𝜏)
Relaxation Time (𝜏)
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Agili-C Implant
Agili-C Implant
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Aragonite
Aragonite
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How does Agili-C work?
How does Agili-C work?
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Key Players in Tissue Design
Key Players in Tissue Design
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Cartilage Repair: What's the problem?
Cartilage Repair: What's the problem?
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3D Printed Scaffold: Gelatin and Hydroxyapatite
3D Printed Scaffold: Gelatin and Hydroxyapatite
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Transglutaminase: Crosslinking Protein
Transglutaminase: Crosslinking Protein
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Pigs: A Good Cartilage Model
Pigs: A Good Cartilage Model
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Hydrogel-based Implant: BV and PVA
Hydrogel-based Implant: BV and PVA
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What are the key structural components of cartilage?
What are the key structural components of cartilage?
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Why is cellular behavior important in cartilage repair?
Why is cellular behavior important in cartilage repair?
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What is the significance of MSC differentiation in cartilage repair?
What is the significance of MSC differentiation in cartilage repair?
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Nanopatterned Surface
Nanopatterned Surface
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Microfabrication
Microfabrication
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Solid Free-Form Fabrication (SFF)
Solid Free-Form Fabrication (SFF)
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Computational Topology Design (CTD)
Computational Topology Design (CTD)
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Mechanical Stiffness
Mechanical Stiffness
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Paradigm Shift in Tissue Engineering
Paradigm Shift in Tissue Engineering
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Replacing Function
Replacing Function
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Elastic Modulus
Elastic Modulus
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Shear Modulus (G)
Shear Modulus (G)
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Persistence Length (lp)
Persistence Length (lp)
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Viscosity (η)
Viscosity (η)
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Extensibility
Extensibility
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Peak Stress
Peak Stress
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Network Fracture
Network Fracture
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Connectivity and Plasticity of Network
Connectivity and Plasticity of Network
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BC-PVA Hydrogel
BC-PVA Hydrogel
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Annealing Effect
Annealing Effect
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Wear Resistance
Wear Resistance
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Shear Strength
Shear Strength
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Implant Attachment
Implant Attachment
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Increased Crystallinity
Increased Crystallinity
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Solid Content
Solid Content
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Hydrogel's Mechanical Properties
Hydrogel's Mechanical Properties
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Study Notes
Tissue Implants - Biological Materials and Synthetic Materials
- Tissue implants are used in various medical procedures.
- Development of these materials occurs via two independent pathways: biological graft materials and synthetic polymers.
- Surgeons pioneered the development of biological graft materials.
- Scientists and engineers developed synthetic polymers for medical applications.
Learning Points
- Tissue Implants - Background: Overview of tissue implants.
- Biological Implants: Focuses on autografts and homografts.
- Synthetic Implants: Discusses synthetic implant types such as injectables, solids, and meshes.
- Case Study: Investigates tissue/vessel mimicking materials.
Tissue Implants - Background
- The development of tissue implant materials, both biological and synthetic, has occurred via two distinct pathways.
- Surgeons have pioneered the development of biological graft materials.
- Scientists and engineers have largely been responsible for introducing synthetic polymers in various medical applications.
Anatomy and Physiology of Facial Structure
- Facial implants, such as those for the face, chin, nose, or forehead, are used to replace or interface with facial structures like skin, cartilage, and bone.
- Skin is highly flexible, absorbing impact without permanent damage.
- Cartilage shows a stress-strain profile similar to skin, including almost 100% tensile deformation before failure.
- Cartilage's flexibility dissipates loads through water molecule displacement in collagen fibers.
- Bone initially shows almost linear stress-strain behavior, plateauing at around 1% strain.
Facial Implants
- Increased sophistication in facial plastic surgery has resulted in more procedures to correct genetic, traumatic, and cosmetic deformities and increased expectations by patients .
- Population aging necessitates procedures minimizing age-related cosmetic changes.
- Growing cosmetic procedure awareness and ideal outcome expectations push the need for enhanced techniques.
Biological Implants - Types
- Autografts: Tissue/organ grafts from the same individual (e.g., cartilage autografts commonly used in facial procedures).
- Continue to grow when transplanted, not resorbing for up to 12 years.
- Important factors in survival include clean surgical fields, smooth graft surfaces, and good contact with adjacent cartilage, and appropriate coverage with soft tissue.
- Dead space or blood within the surgical field can negatively affect graft survival.
- Homografts: Tissue grafts from a donor of the same species (e.g., tissue transplant between two humans).
- Fresh autografts are often preferred but not always readily available
- Preservation techniques are essential to ensure grafting. Preservation is typically by cold storage in saline, antiseptic or antibiotic solution or by freeze drying and irradiation
- These methods ensure graft sterility, reduce viral contamination, and minimize rejections.
- Factors for Cartilage Graft Survival: Blood, Dead Space, Rough Surface, Curved Implant, No Cartilage Interface , Thin skin covering.
Synthetic Implant Materials
- Synthetic implants provide advantages over tissue grafts, eliminating the need for multiple operations, recovery time, and infection risk.
- Ideal implants are permanent and don't trigger chronic inflammation.
- They come in a range of shapes and sizes, allowing for specific modifications.
- Synthetic materials, including collagen, polydimethylsiloxane (silicone), polytetrafluoroethylene (PTFE), polyethylene, polyethylene terephthalate (Dacron), and polyglycolic acid, are common choices for facial augmentation.
Synthetic Implant Materials - Face
- Injectables: Polydimethylsiloxane (silicone) for wrinkle/depression correction and collagen for smoothing acne scars. Injectable collagen requires ongoing maintenance.
- Solids: Polymers like polydimethylsiloxane (silicone), polytetrafluoroethylene (PTFE), polyethylene, and polyacrylate are widely used for chin and cheek augmentation. Often, these solids necessitate soaking in antibiotic solutions prior to use, to prevent infection.
- Meshes: Polymeric fibers like polyglycolic acid and polylactic acid are used in mesh form as a structural material to rebuild facial areas with defects.
Bone Grafts
- Bone grafts for facial defects or reconstruction can be free or connected to their vascular supply for better integration.
- Common harvesting sites include iliac crest and split ribs.
- Free grafts resorb, which is a disadvantage. Resorption rate depends on vascular development and the implantation site.
Case Study - Tissue/Vessel Mimicking Materials
- Tissue and vessel mimicking materials replicate tissue behavior, improve quality assurance tests, understand tissue/vessel/organ behavior, and predict disease occurrences at earlier stages.
Doppler Ultrasound
- Doppler ultrasound technique measures blood flow velocity, assessing flow patterns and detecting issues.
- Blood flow in a healthy artery should be smooth and unidirectional; irregular or non-uniform flow patterns, conversely, indicate potential issues or abnormalities.
- Doppler technology evaluates flow properties, enabling the detection of cardiovascular diseases such as thickening of the artery wall resulting from fatty deposit buildup.
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