Tissue Implants: Biological and Synthetic Materials
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Questions and Answers

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?

  • 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?

  • Homografts
  • Synthetic implants
  • Autografts (correct)
  • Allografts
  • What is the main consequence of the presence of blood in the surgical field during grafting?

    <p>Graft resorption (C)</p> Signup and view all the answers

    What characteristic of the stress-strain curve does cartilage exhibit as strain is increased?

    <p>Non-linear behavior (D)</p> Signup and view all the answers

    What issue may arise from a rough surface of a graft?

    <p>Graft resorption (D)</p> Signup and view all the answers

    Which type of graft is obtained from a donor of the same species as the recipient?

    <p>Homograft (A)</p> Signup and view all the answers

    What is a significant drawback of synthetic materials used in facial implants?

    <p>They stimulate a chronic inflammatory response (B)</p> Signup and view all the answers

    What primarily causes the smooth flow in arteries, similar to water in a slow river?

    <p>Build-up of fatty deposits in the artery (C)</p> Signup and view all the answers

    Which factor does NOT influence the mechanical properties of PVA hydrogel?

    <p>Rate of blood flow in arteries (D)</p> Signup and view all the answers

    What is the role of polymer crystallinites formed during the freezing of PVA solution?

    <p>To act as physical crosslinking points between PVA chains (B)</p> Signup and view all the answers

    In the context of PVA hydrogel, what is the impact of freeze-thaw cycles on the relaxation time parameter, τ?

    <p>It increases with an increase in freeze-thaw cycles (A)</p> Signup and view all the answers

    Which method is primarily mentioned for creating stiffness gradient in PVA hydrogel?

    <p>Gradual freezing-thawing technique (A)</p> Signup and view all the answers

    What is a significant disadvantage of using free bone grafts?

    <p>They undergo resorption. (A)</p> Signup and view all the answers

    Which of the following is an example of a synthetic implant material?

    <p>Collagen (C)</p> Signup and view all the answers

    What characteristic should an ideal augmentation material possess regarding its long-term stability?

    <p>It should persist over long periods of time. (B)</p> Signup and view all the answers

    How does the porosity of porous mesh implants affect their integration with host tissues?

    <p>They enable extensive ingrowth of fibrous tissue. (B)</p> Signup and view all the answers

    What is a common surgical site option for harvesting grafts used in mandibular defects?

    <p>Iliac crest (C)</p> Signup and view all the answers

    Which of the following statements is true regarding solid implants?

    <p>They are fixed to tissue by fibrous tissue forming a capsule. (D)</p> Signup and view all the answers

    What is NOT a characteristic of an ideal augmentation material?

    <p>Toxicity (C)</p> Signup and view all the answers

    What is the role of materials like polyglycolic acid and collagen in implant applications?

    <p>They are rapidly replaced by fibrous tissue. (D)</p> Signup and view all the answers

    What is the function of the pores in the inner layer of an implant?

    <p>To facilitate cell colonization and tissue fusion (B)</p> Signup and view all the answers

    Which material is mentioned as having a structure identical to that of bone?

    <p>Ultra-high molecular weight polyethylene (C)</p> Signup and view all the answers

    What type of ultrasound technique is used for measuring blood flow velocity?

    <p>Doppler ultrasound (C)</p> Signup and view all the answers

    How is the Doppler frequency shift calculated?

    <p>Using the formula $f_D = 2 f_0 v \cos(\theta)$ (A)</p> Signup and view all the answers

    What do tissue and vessel mimicking materials aim to achieve?

    <p>Replicate tissue behavior and predict disease onset (B)</p> Signup and view all the answers

    What is the speed of sound in the medium specified for Doppler ultrasound calculations?

    <p>1540 m/s (C)</p> Signup and view all the answers

    What characteristic does blood flow exhibit in a healthy carotid artery?

    <p>Directional turbulence, similar to rapids (C)</p> Signup and view all the answers

    Which type of biological implant involves transplantation from a donor of the same species?

    <p>Homograft (D)</p> Signup and view all the answers

    What is the main advantage of mixing hydroxyapatite with a polymer for bone grafts?

    <p>Improved flexibility of the material (D)</p> Signup and view all the answers

    What role does porosity play in bone graft materials according to the research?

    <p>It encourages blood vessel growth into the surgery area (D)</p> Signup and view all the answers

    What measurement of UHMW PE exceeds that of steel, highlighting its mechanical properties?

    <p>Tensile strength (B)</p> Signup and view all the answers

    What is the main purpose of systemic antibiotics in relation to implants?

    <p>To prevent infection before and after procedures (D)</p> Signup and view all the answers

    What innovative method did Russian scientists use to create a porous structure in UHMW PE?

    <p>Solid-phase mixing (B)</p> Signup and view all the answers

    What characteristic does the outer layer of the synthetic scaffold simulate?

    <p>Cortical bone (D)</p> Signup and view all the answers

    Which of the following polymers is NOT mentioned as being used in facial implants?

    <p>Polyvinyl chloride (PVC) (A)</p> Signup and view all the answers

    What is a key characteristic of injectable collagen used for tissue augmentation?

    <p>It requires maintenance every 6 to 9 months (A)</p> Signup and view all the answers

    Why was the conventional method of creating a porous structure not suitable for UHMW PE?

    <p>The high molecular weight of the polymer posed challenges (D)</p> Signup and view all the answers

    What is a significant characteristic of the new promising material used for 3D printed bone grafts?

    <p>It is highly absorbent (D)</p> Signup and view all the answers

    Which injectable polymer is specifically known for its use in treating wrinkles and depressions?

    <p>Polydimethylsiloxane (silicone) (B)</p> Signup and view all the answers

    What is one of the results found in early experiments on animals using new bone graft materials?

    <p>Results were described as 'quite astounding' (D)</p> Signup and view all the answers

    What complication is NOT associated with PDMS implants?

    <p>Allergic reaction to titanium (B)</p> Signup and view all the answers

    How are solid facial implants such as PDMS typically prepared before insertion?

    <p>They are soaked in an antibiotic solution (C)</p> Signup and view all the answers

    What is a common issue that might arise from the use of PDMS implants?

    <p>Improper positioning (D)</p> Signup and view all the answers

    What material is used as a reinforcing agent in PTFE solid implants?

    <p>Carbon fibers or aluminum oxide (C)</p> Signup and view all the answers

    What is the primary focus of rheology in relation to fluids?

    <p>The study of the flow and deformation of matter (D)</p> Signup and view all the answers

    How do shear-thickening materials behave under increasing shear stress?

    <p>They increase in viscosity (A)</p> Signup and view all the answers

    What relationship does viscosity have with shear strain rate in Newtonian fluids?

    <p>Viscosity remains constant regardless of shear strain rate (C)</p> Signup and view all the answers

    In rheology, what does the elastic modulus G represent?

    <p>The constant of proportionality for elastic deformation (B)</p> Signup and view all the answers

    What type of fluids exhibit a decrease in viscosity with increasing shear stress?

    <p>Shear-thinning fluids (A)</p> Signup and view all the answers

    What is the primary role of growth factors in tissue engineering?

    <p>To facilitate and promote cell function in tissue generation (D)</p> Signup and view all the answers

    Which aspect is crucial for the scaffold used in tissue engineering?

    <p>It must mimic the biological properties of the tissue being replaced (C)</p> Signup and view all the answers

    What is an important consideration in the design of complex scaffold structures?

    <p>The mechanical interplay between scaffold and cells must be understood (C)</p> Signup and view all the answers

    Which of the following describes a key feature of strain-stiffening in polymer networks?

    <p>The network exhibits increased stiffness with increased strain (D)</p> Signup and view all the answers

    What approach was primarily used in the 1997 experiment by Prof. Charles Vacanti?

    <p>Using biodegradable synthetic scaffolds for cartilage structure (D)</p> Signup and view all the answers

    What modulus represents the storage of energy in materials?

    <p>Storage modulus (D)</p> Signup and view all the answers

    Which of the following terms relates to the behavior of cells in response to their mechanical environment?

    <p>Mechanotransduction (D)</p> Signup and view all the answers

    What was a primary advancement mentioned in tissue engineering for scaffold development?

    <p>Improving technology for building scaffold structures (B)</p> Signup and view all the answers

    In small amplitude oscillatory strain/stress testing, what does the complex modulus (G*) measure?

    <p>The ratio of applied stress to measured strain (D)</p> Signup and view all the answers

    What is the significance of poroelasticity in biopolymer networks?

    <p>It refers to how the material behaves under compression and fluid flow (C)</p> Signup and view all the answers

    What is the purpose of the phase angle δ in the context of material stiffness?

    <p>To distinguish between elastic and viscous behavior (A)</p> Signup and view all the answers

    What does the loss modulus (G'') represent in material characterization?

    <p>Energy loss during deformation (C)</p> Signup and view all the answers

    How is the persistence length (lp) of a filament defined?

    <p>As the decay length of angular correlations along the polymer contour (B)</p> Signup and view all the answers

    What describes the behavior of purely elastic materials under stress?

    <p>Strain is immediately observed after stress application and vanishes upon removal. (A)</p> Signup and view all the answers

    What phenomenon does small amplitude oscillatory strain/stress testing quantitatively measure?

    <p>The stiffness of materials through G* (B)</p> Signup and view all the answers

    What type of contribution to material stiffness does the storage modulus G' provide?

    <p>It measures recoverable elastic energy storage. (B)</p> Signup and view all the answers

    What material is the Agili-C implant primarily made from?

    <p>Aragonite (C)</p> Signup and view all the answers

    What is the key benefit of the porosity of the Agili-C implant?

    <p>Promotion of natural regeneration (B)</p> Signup and view all the answers

    What is observed in MRI images of the treated defect area over a 24-month period?

    <p>Consistent increase in cartilage and bone regrowth (D)</p> Signup and view all the answers

    What surgical option has been approved by the FDA for cartilage repair?

    <p>Agili-C cartilage repair implant (D)</p> Signup and view all the answers

    What is the primary function of the stem cells migrating to the Agili-C implant?

    <p>To allow new bone and cartilage to be deposited (A)</p> Signup and view all the answers

    What is the purpose of the titanium coating applied to the implant?

    <p>To increase corrosion resistance (C)</p> Signup and view all the answers

    What type of cartilage does the Agili-C implant aim to replace?

    <p>Damaged articular cartilage (B)</p> Signup and view all the answers

    What defines the biocompatibility of the Agili-C implant?

    <p>Its ability to support integration with surrounding tissues (D)</p> Signup and view all the answers

    What is the primary mechanical behavior of biopolymer networks at low stress?

    <p>They exhibit flexibility due to fiber bending. (A)</p> Signup and view all the answers

    How does the presence of a fluid phase affect the normal stress in biopolymer networks?

    <p>Normal stress is always positive at short timescales. (B)</p> Signup and view all the answers

    What phenomenon describes the contractile or extensile behavior in biopolymer networks under shear?

    <p>Poynting effect. (A)</p> Signup and view all the answers

    What determines the poroelastic response time in biopolymer networks?

    <p>Hydraulic permeability and shear modulus. (D)</p> Signup and view all the answers

    What occurs at large (>50%) strains in biopolymer networks?

    <p>The material exhibits irreversible deformation. (C)</p> Signup and view all the answers

    What aspect of biopolymer networks is often neglected in network models?

    <p>Viscous resistance from the solvent. (C)</p> Signup and view all the answers

    Which statement correctly describes rapid deformations of fluid-coupled networks?

    <p>The system behaves as incompressible. (B)</p> Signup and view all the answers

    In the study of biopolymer networks, what happens to the normal stress during long timescales?

    <p>Normal stress may become negative due to fluid effects. (A)</p> Signup and view all the answers

    What is the main role of transglutaminase in the 3D-printed scaffold?

    <p>To enhance the mechanical properties of gelatin (D)</p> Signup and view all the answers

    Which factor contributes to the increased differentiation of MSCs in the gelatin-HAP scaffold?

    <p>The presence of chondrogenic factors (C)</p> Signup and view all the answers

    Why are pigs commonly used as model animals in cartilage studies?

    <p>Pigs have large joint areas and thick cartilage layers resembling human joints (C)</p> Signup and view all the answers

    What is one advantage of using a hydrogel-based implant made from bacterial cellulose and polyvinyl alcohol?

    <p>It can effectively mimic the structure of collagen in cartilage (B)</p> Signup and view all the answers

    Which group showed significant improvement in cartilage repair in the pig model study?

    <p>Group III – MSCs in gelatin/HAP scaffold (D)</p> Signup and view all the answers

    What is the Young's modulus for the gelatin and gelatin/HAP scaffolds, respectively?

    <p>70 kPa and 77 kPa (D)</p> Signup and view all the answers

    What component in the hydrogel-based implant replaces the gelatinous matrix in cartilage?

    <p>Polyvinyl alcohol (C)</p> Signup and view all the answers

    In the context of cartilage repair with MSCs, what does MSC stand for?

    <p>Mesenchymal stem cells (B)</p> Signup and view all the answers

    What is the primary function of rheology in the context of fluids?

    <p>To study the flow and deformation of matter (A)</p> Signup and view all the answers

    Which statement accurately describes the behavior of shear-thickening materials?

    <p>They exhibit an increase in viscosity with increasing shear stress. (A)</p> Signup and view all the answers

    What does the elastic modulus G signify in the field of rheology?

    <p>The constant of proportionality for elastic deformation (D)</p> Signup and view all the answers

    What is the relationship between viscosity and strain rate in Newtonian fluids?

    <p>Viscosity is constant regardless of strain rate changes. (D)</p> Signup and view all the answers

    In rheology, how is shear flow explained?

    <p>As a progressive layering with faster-moving layers sliding over slower ones. (C)</p> Signup and view all the answers

    What defines the mechanical signal provided by nanopatterned surfaces to endothelial cells?

    <p>They mimic natural tissue topography. (B)</p> Signup and view all the answers

    What purpose does a scaffold serve when seeded with endothelial and liver cells?

    <p>To bridge patients while awaiting liver transplants. (A)</p> Signup and view all the answers

    Which technology is key in creating scaffolds with precise porous architecture?

    <p>Computational topology design. (A)</p> Signup and view all the answers

    What is a main characteristic of the mechanical properties influenced by scaffolds in tissue repair?

    <p>They depend on the scaffold’s design and stiffness. (B)</p> Signup and view all the answers

    What distinguishes solid free-form fabrication systems in tissue engineering?

    <p>They enable the use of 3-D printing for design. (B)</p> Signup and view all the answers

    What is the significance of endothelial cells aligning in the direction of grooves in nanopatterned surfaces?

    <p>It demonstrates increased cell proliferation and migration. (A)</p> Signup and view all the answers

    What does the term 'hybrid tissue' refer to in the context of scaffold applications?

    <p>A mix of various cell types tailored for specific functions. (A)</p> Signup and view all the answers

    What happens to biopolymer networks when subjected to large strains without extensibility?

    <p>They fracture. (A)</p> Signup and view all the answers

    What is observed in the strain-stress response of reconstituted collagen networks at strains beyond 4-5%?

    <p>Stress-stiffening occurs. (A)</p> Signup and view all the answers

    In tissue engineering, what role does the polymer scaffold cast from a silicon mold play?

    <p>It serves as a framework for cell growth. (A)</p> Signup and view all the answers

    What term describes the maximum stress that a network can withstand before fracture occurs?

    <p>Peak stress. (A)</p> Signup and view all the answers

    Which of the following best explains the effect of molecular packing structure on biopolymer extensibility?

    <p>It can change under strain. (C)</p> Signup and view all the answers

    What indicates that network fracture has occurred during shear strain testing?

    <p>Decreased shear stress after peak stress. (D)</p> Signup and view all the answers

    What characterizes purely elastic materials when stress is applied?

    <p>Strain occurs immediately and disappears when stress is removed (A)</p> Signup and view all the answers

    What does the complex modulus G* measure in a material?

    <p>The total stiffness combining elastic and viscous contributions (C)</p> Signup and view all the answers

    What is the storage modulus G’ indicative of in material behavior?

    <p>The ability to return to original form after loading (C)</p> Signup and view all the answers

    How do the elastic and viscous contributions to G* relate to each other?

    <p>They describe different aspects of material behavior (B)</p> Signup and view all the answers

    Which factor significantly affects the bending behavior of filaments in polymer physics?

    <p>Thermal fluctuations and persistence length (A)</p> Signup and view all the answers

    What does a phase angle δ represent in material testing?

    <p>The relative measure of elastic versus viscous behavior (B)</p> Signup and view all the answers

    What is the loss modulus G’’ associated with in materials?

    <p>Energy lost due to internal friction during deformation (B)</p> Signup and view all the answers

    What does the term 'persistence length' in polymer physics refer to?

    <p>The average length over which the polymer maintains its direction (A)</p> Signup and view all the answers

    What defines the onset of nonlinearity in strain-stiffening within biopolymer networks?

    <p>The spacing between crosslinks (A), The persistence length (D)</p> Signup and view all the answers

    How does the differential shear modulus behave in response to applied stress in biopolymer networks?

    <p>It increases according to a power law (D)</p> Signup and view all the answers

    What factor primarily influences the onset strain in semiflexible polymer networks?

    <p>The thermal fluctuation excess length storage (A)</p> Signup and view all the answers

    In stiff polymer networks, what is the main factor affecting strain-stiffening?

    <p>Network connectivity (C)</p> Signup and view all the answers

    What exponent describes the power law for elastic modulus increase in response to shear load?

    <p>3/2 (B)</p> Signup and view all the answers

    Which method is primarily used to study shear forces in tissues or networks?

    <p>Rheology (A)</p> Signup and view all the answers

    What is primarily measured to assess the properties of biopolymer networks under shear?

    <p>Deformation and strain (C)</p> Signup and view all the answers

    What common behavior is observed in most reconstituted biopolymer networks under load?

    <p>They undergo stress-stiffening (D)</p> Signup and view all the answers

    What primarily characterizes the relationship between tension and stress in the high-tension limit?

    <p>Stress increases linearly with tension (C)</p> Signup and view all the answers

    What can affect the stiffness of semiflexible polymer networks due to thermal fluctuations?

    <p>Temperature and crosslink density (A)</p> Signup and view all the answers

    What was the effect of annealing on the BC-PVA hydrogels?

    <p>Increased crystallinity and solid content (D)</p> Signup and view all the answers

    How does the wear resistance of the designed hydrogel compare to native cartilage?

    <p>It is three times lower than that of cartilage (C)</p> Signup and view all the answers

    What does the improved shear strength of the designed hydrogel indicate?

    <p>It may fracture but remains attached to the bone (C)</p> Signup and view all the answers

    What was the applied pressure and cycle count during the wear test on the hydrogel?

    <p>1 MPa for 106 cycles (A)</p> Signup and view all the answers

    What is a critical characteristic of the designed hydrogel for it to function effectively as a cartilage substitute?

    <p>Strong shear tensile strength (A)</p> Signup and view all the answers

    What size was the implant used in the study for treating cartilage defects?

    <p>20 mm in diameter (C)</p> Signup and view all the answers

    What effect does the incorporation of BC into PVA have on its performance?

    <p>Inhibits the coefficient of friction (A)</p> Signup and view all the answers

    What were the tensile and compressive strength values reached for the BC-PVA hydrogels?

    <p>Tensile strength of 50.4 MPa and compressive strength of 95.4 MPa (D)</p> Signup and view all the answers

    Flashcards

    Free bone grafts

    Bone grafts harvested from one part of the body and moved to another for reconstructive purposes.

    Synthetic implants

    Artificial materials used as substitutes for damaged or missing facial tissues.

    Ideal augmentation material

    A material that mimics the body's natural tissues and can remain stable over time

    Mechanical properties

    Physical characteristics of a material, such as strength, flexibility and elasticity, that are relevant to its use in the body.

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    Porous mesh implant

    A mesh implant with many small openings which allows for strong connection to surrounding tissue.

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    Solid implant

    An implant without many openings, which is surrounded by a protective layer of fibrous tissue

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    Implant degradation

    The process where an implant breaks down over time

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    Host reaction to implants

    The body's response to an implanted material including possible inflammation, rejection, or tissue growth around the implant

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    Cartilage stress-strain

    Cartilage's stress-strain relationship is non-linear; it becomes stiffer as strain increases. Initially, load is absorbed by elastic deformation, and over time, by the displacement of water molecules between collagen fibers.

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    Bone's stress-strain curve

    Bone's stress-strain relationship is mostly linear but plateaus at around 1% strain, depending on the rate of strain.

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    Autograft

    A tissue or organ transplant from one part of the same individual's body to another.

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    Homograft

    A tissue transplant between two individuals of the same species.

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    Graft survival factors (negative)

    Factors that can lead to cartilage graft failure, like blood in the surgical site, dead space, rough implant surface, lack of smooth cartilage contact, or inadequate soft tissue covering.

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    Graft survival factors (positive)

    Factors that help long-term graft survival, including smooth implants and good contact with surrounding tissues, preventing dead space or blood.

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    Ideal facial implant qualities

    A permanent implant that doesn't trigger a chronic inflammatory response, maintaining its position and size over time.

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    Stress relaxation in cartilage

    The gradual dissipation of load in cartilage over time due to the shifting of water molecules in the spaces between collagen fibers.

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    What is a common injectable polymer?

    Polydimethylsiloxane, also known as silicone, is used to augment tissues of the face. It removes depressions or wrinkles.

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    What is collagen used for?

    Collagen is used in an injectable form to remove depressions and wrinkles and mask acne scars.

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    Why does collagen correction require maintenance?

    Correction with collagen requires continuous maintenance due to the limited persistence of the implant (6 to 9 months).

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    What is an example of a solid facial implant?

    Polydimethylsiloxane (PDMS) is a widely used solid implant in areas of the face, including the chin and cheek.

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    How are PDMS implants often prepared?

    Implants are inserted after soaking in an antibiotic solution; patients are given antibiotics before and after surgery.

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    What is a potential complication of PDMS implants?

    Bone erosion is an infrequent complication of PDMS implants.

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    What is PTFE?

    Polyterafluroroethyolene (PTFE) is a solid implant containing either carbon fibers or aluminum oxide as reinforcing materials.

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    What is a unique characteristic of PTFE?

    PTFE is manufactured as sponges with pores occupying about 70% of the volume.

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    Artery Stiffening

    The process of artery walls thickening due to fatty deposits, often leading to restricted blood flow and an increased risk of cardiovascular disease.

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    PVA Hydrogel Properties

    PVA hydrogels are used in biomaterials due to their adjustable stiffness controlled by factors like polymer concentration, freezing time, and the number of freeze-thaw cycles.

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    Maxwell Model

    A mathematical model used to analyze the viscoelastic behavior of materials like PVA hydrogel, where stress and strain are related over time.

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    Relaxation Time (τ)

    A parameter in the Maxwell model representing the time it takes for a material to relax after an applied stress, indicating how quickly it returns to its original state.

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    Stiffness Gradient

    A gradual change in the stiffness of a material across its structure, allowing for tailored responses in biological applications.

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    Tissue Mimicking Materials

    Materials designed to replicate the behavior of real tissues, helping scientists understand how tissues function and predict diseases.

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    Vessel Mimicking Materials

    Materials that imitate the properties of blood vessels, allowing researchers to study blood flow and identify potential health problems.

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    Doppler Ultrasound

    A medical imaging technique that uses sound waves to assess blood flow in the body, particularly in arteries.

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    Doppler Frequency Shift

    The difference in frequency between the sound waves sent out and those reflected back, revealing the speed of blood flow.

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    Healthy Blood Flow

    Blood flow that is smooth and consistent, indicating a healthy artery.

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    Turbulent Blood Flow

    Irregular blood flow, often signifying a blockage or narrowing in an artery.

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    Carotid Artery

    A major artery in the neck that supplies blood to the brain and head.

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    Doppler Imaging

    Using Doppler ultrasound to create images that show blood flow patterns in arteries.

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    Hydroxyapatite

    A form of calcium found in bone, often used in reconstructive surgeries. It's brittle, so it's combined with a polymer to make it more flexible.

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    3D Printed Bone Graft

    A new bone graft material made from a mix of hydroxyapatite and a polymer, created using 3D printing technology.

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    Porous Bone Graft Material

    A material that has many tiny holes or pores, which allows blood vessels to grow into the area, promoting healing.

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    Ultra-High Molecular Weight Polyethylene (UHMWPE)

    A type of plastic incredibly strong and lightweight, even exceeding the strength of steel.

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    Solid-Phase Mixing Method

    A technique used to create porous structures in UHMWPE by physically mixing ingredients in a solid state.

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    Two-Layer Bone Scaffold

    A bone scaffold with two layers: a solid outer layer for strength and a porous inner layer for blood vessel growth.

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    Synthetic Bone Implant Material

    Artificial materials used to replace or repair damaged bone, like the 'Iron Polymer' example.

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    Cortical Bone

    The hard, outer layer of bone providing structural support.

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    Tissue Engineering

    The process of designing and creating artificial tissues to replace or regenerate damaged ones, often using cells, scaffolds, and growth factors.

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    Scaffold

    A three-dimensional structure that provides a framework for cells to grow and organize into a tissue. Usually made from synthetic materials.

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    Growth Factors

    Proteins that stimulate cell growth, division, and differentiation. They help cells specialize and form a functional tissue.

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    Mechanotransduction

    The process by which cells sense and respond to mechanical forces, such as pressure or stretching.

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    Rheology

    The study of how fluids flow and deform under different conditions, important for designing artificial tissues that behave like real ones.

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    Strain-Stiffening of a Network

    A property of some materials where they become stiffer as they are stretched or deformed.

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    Poroelasticity

    The ability of a porous material, like a tissue scaffold, to deform and recover elastically due to the movement of fluids through its pores.

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    Articular Cartilage

    The smooth, specialized tissue that covers the ends of bones in joints, providing cushioning and reducing friction.

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    What is rheology?

    Rheology is the study of how materials flow and deform under stress. It helps us understand how liquids, like honey, and solids, like dough, behave.

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    Viscosity

    Viscosity is a measure of how viscous a fluid is, or how resistant it is to flow. Higher viscosity means the fluid is thicker and flows more slowly.

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    Newtonian fluid

    A Newtonian fluid has a fixed viscosity at a given temperature. This means its flow rate changes linearly in response to the applied force.

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    Non-Newtonian fluid

    A Non-Newtonian fluid's viscosity changes depending on the force applied to it. They can be either shear-thinning (thinner with more force) or shear-thickening (thicker with more force).

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    Viscoelasticity

    Viscoelasticity describes materials exhibiting both viscous and elastic behavior. They deform under stress but also partially recover their original shape after the stress is removed.

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    Elastic Modulus (G)

    A material's resistance to deformation under stress. It's a measure of how stiff a material is.

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    Strain

    The amount of deformation a material undergoes when a stress is applied. It's a measure of how much the material stretches or compresses.

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    Complex Modulus (G*)

    A measure of a material's stiffness when subjected to oscillating stress or strain. Represents both elastic and viscous components.

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    Storage Modulus (G')

    The elastic component of the complex modulus. It represents how much energy is stored in a material during deformation.

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    Loss Modulus (G'')

    The viscous component of the complex modulus. It represents how much energy is lost in a material during deformation.

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    Persistence Length (𝑙𝑝)

    The distance over which a filament maintains a straight orientation before bending due to thermal fluctuations.

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    Filament Modulus (κ and µ)

    Measures a filament's resistance to bending (κ) and stretching (µ).

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    Strain-Stiffening

    A material's tendency to become stiffer as it is stretched or compressed, often observed in biological tissues.

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    Biopolymer Network

    A complex, three-dimensional structure formed by interconnected biopolymers (like proteins or polysaccharides), often found in biological materials.

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    Shear Rheology

    Study of a material's response to shear stress, which is a force applied parallel to a surface, often impacting the material's shape and flow properties.

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    Normal Stress

    A force acting perpendicular to a surface, often arising in materials subjected to shear.

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    Poynting Effect

    A phenomenon where shear deformation in a material induces a normal force, either compressive or tensile, depending on the material's properties.

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    Viscosity (𝜂)

    A measure of a fluid's resistance to flow - thicker fluids have higher viscosity.

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    Relaxation Time (𝜏)

    The time it takes for a material to return to its original shape after stress is removed, indicating how quickly its deformation recovers.

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    Agili-C Implant

    A synthetic implant made from aragonite, a form of calcium carbonate derived from coral exoskeletons, designed to repair damaged cartilage. It acts as a scaffold, promoting natural regeneration of articular cartilage.

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    Aragonite

    A form of calcium carbonate derived from coral exoskeletons, used in the Agili-C implant to promote cartilage regeneration.

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    How does Agili-C work?

    Agili-C is inserted into the damaged cartilage area. It gradually absorbs, allowing stem cells and healing factors to migrate to the site, promoting new bone and cartilage growth.

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    Key Players in Tissue Design

    The key players in designing artificial tissues include understanding the mechanical properties of materials, how they interact with cells, and the healing process.

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    Cartilage Repair: What's the problem?

    Cartilage, the smooth tissue in joints, is difficult to repair because it lacks blood vessels, making healing slow. Current treatments often fail to restore its original strength and flexibility.

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    3D Printed Scaffold: Gelatin and Hydroxyapatite

    This scaffold uses gelatin (from collagen) and hydroxyapatite (a mineral found in bone) to create a structure that mimics cartilage's makeup. It helps cells grow and differentiate.

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    Transglutaminase: Crosslinking Protein

    Transglutaminase acts like a 'molecular zipper,' creating strong links between gelatin molecules, making the scaffold more stable and durable.

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    Pigs: A Good Cartilage Model

    Pigs are often used in cartilage research because their knee joints have similar size and structure to human knees, making them a suitable model for testing.

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    Hydrogel-based Implant: BV and PVA

    This artificial cartilage uses bacterial cellulose (BV) to mimic collagen's strength and polyvinyl alcohol (PVA) to act like the proteoglycans that give cartilage its gel-like properties.

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    What are the key structural components of cartilage?

    Cartilage is mainly composed of collagen fibers, which provide strength and structural support, and a gel-like matrix of proteoglycans, which provide cushioning and lubrication.

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    Why is cellular behavior important in cartilage repair?

    Cells, particularly MSCs, play a crucial role in cartilage repair. They can differentiate into cartilage cells (chondrocytes) and produce the necessary extracellular matrix components.

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    What is the significance of MSC differentiation in cartilage repair?

    MSCs, when differentiated into chondrocytes, produce the vital components for cartilage regeneration, such as collagen and proteoglycans, which are crucial for its structure and function.

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    Nanopatterned Surface

    A surface designed to mimic the natural texture of tissues, providing mechanical signals that influence cell behavior.

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    Microfabrication

    A technique used to create tiny, precisely shaped structures on a surface, often used in tissue engineering to create scaffolds with specific architectures.

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    Solid Free-Form Fabrication (SFF)

    A 3D printing technique used to create complex, porous structures for tissue engineering scaffolds.

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    Computational Topology Design (CTD)

    A computer-aided design method used to create the optimal shape and pore arrangement for tissue engineering scaffolds.

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    Mechanical Stiffness

    The resistance of a material to deformation under applied force, a crucial factor in creating tissues that match the natural properties of the body.

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    Paradigm Shift in Tissue Engineering

    A significant change in the way tissues are designed and created, moving from simple implants to structures that actively promote tissue regeneration.

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    Replacing Function

    The goal of tissue engineering is not just to replace lost tissue but to restore its original function, allowing the body to work properly again.

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    Elastic Modulus

    A measure of a material's stiffness, indicating its resistance to deformation under stress. Higher modulus means the material is stiffer.

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    Shear Modulus (G)

    A material's resistance to deformation when a force is applied parallel to its surface. It's like a measure of how much it wants to 'slide' instead of compress.

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    Persistence Length (lp)

    The distance over which a filament maintains a straight orientation before bending due to thermal fluctuations. It's like a measure of its 'straightness'.

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    Viscosity (η)

    A measure of a fluid's resistance to flow - thicker fluids have higher viscosity. It's like how easily a fluid 'pours' or 'spreads'.

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    Extensibility

    The ability of a biopolymer network (like tissue) to stretch or deform without breaking under strain. This is important for tissues to withstand forces without tearing.

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    Peak Stress

    The maximum stress a biopolymer network can withstand before it starts to fracture or break apart during a stress test. This peak occurs at a specific strain.

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    Network Fracture

    The breaking or tearing of a biopolymer network, often occurring after reaching the peak stress during a stress test. This process is influenced by how the network is connected and its ability to stretch (extensibility).

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    Connectivity and Plasticity of Network

    Important factors in how well a biopolymer network can handle stress. Connectivity refers to how linked the components are within the network, while plasticity refers to the ability of a material to deform and retain its shape even after stress is removed.

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    BC-PVA Hydrogel

    A type of biomaterial hydrogel made from bacterial cellulose (BC) and polyvinyl alcohol (PVA), designed to mimic the properties of cartilage.

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    Annealing Effect

    The process of heating the BC-PVA hydrogel to a specific temperature for a certain time to increase its crystallinity and solid content, improving its mechanical strength.

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    Wear Resistance

    The ability of a material to withstand abrasion and wear. The BC-PVA hydrogel showed superior wear resistance compared to native cartilage.

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    Shear Strength

    The ability of a material to resist forces applied parallel to its surface. The BC-PVA hydrogel exhibited significantly greater shear strength than porcine cartilage.

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    Implant Attachment

    The ability of an implant to securely attach to the surrounding tissues. The BC-PVA hydrogel demonstrated strong attachment to titanium, which can integrate with bone.

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    Increased Crystallinity

    A higher degree of order and regularity in the arrangement of molecules within a material, which often leads to improved mechanical properties.

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    Solid Content

    The amount of solid material present in a substance, which can significantly influence its mechanical strength and stability.

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    Hydrogel's Mechanical Properties

    These properties describe how the biomaterial reacts to applied forces, including its stiffness, strength, and ability to resist deformation.

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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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    Description

    This quiz explores the development and types of tissue implants, highlighting both biological graft materials and synthetic polymers. It covers key concepts such as autografts, homografts, and various forms of synthetic implants. A case study on tissue mimicking materials will enhance your understanding of these medical applications.

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