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Images of 3D bones with implants on them

Image courtesy of Getty Images.

Bone-building cells favour different orthopaedic implant designs and this can be exploited to create devices that promote faster healing, new study finds

New orthopaedic implant devices that promote faster healing and ultimately reduce the strain on the NHS could be available in the future thanks to new research by Loughborough University engineering experts that reveals which structures best promote bone healing.

This study appears in a special series titled ‘Women in Engineering Materials’.

The study, led by Dr Carmen Torres-Sanchez, a Reader in Multifunctional Materials Manufacturing, tested implant designs currently in use and compared them to novel designs to better understand the structures bone-building cells favour.

Dr Torres-Sanchez and her team of researchers found that the cells are sensitive to ‘topology’ – the way in which structures are arranged in a design – and this can be exploited to help tissue heal faster.

The new paper, published in the Advanced Engineering Materials Journal, even shows that the researchers were able to accelerate bone healing by making design tweaks.

Dr Torres-Sanchez hopes the study findings will “see clinical application in the very near future to help trauma and bone cancer patients”.

The paper has also been included in a special series titled ‘Women in Engineering Materials’, praising its practical significance.

icons of bone breaks

Implant design and previous studies

Orthopaedic implants are medical devices that are used to replace missing joints or bone sections, or to support a damaged or diseased bone.

In the body, bones comprise voids and pores, which help give bone its biological and mechanical properties.

Implants look to mimic this porous structure in a bid to promote faster healing and integration of the implant in the body and replicate the mechanical properties of bone, including its ability to withstand forces generated by movement.

Two new types of designs were used in Dr Torres-Sanchez’s study: triply periodic minimal surface (TPMS) and trabecular-like structures.

The study is one of the very few worldwide that assesses how design topology impacts biological and mechanical performance concurrently.

Bone with scaffold in it.  ‌

Implants bridge the gap left after trauma or resection of diseased bone and the topology of designs supports bone healing. The image highlights the topology of a trabecular-like structure. 

Study methods

Dr Torres-Sanchez and team, in collaboration with industrial partners Alloyed Ltd and Core Specialists Services Ltd, tested the mechanical properties of TPMS and trabecular-like structures by 3D printing cubes – referred to as ‘scaffolds’ – using a biocompatible material such as titanium.

The mechanical properties of the scaffolds were tested by applying forces that replicate the physiological loads that implants would be subjected to in the body, to find out whether the new designs could withstand them and at which point they would fail.

Different designs used in the study, comprising 2 TPMS-type structures (1st and 2st from the left), 2 Trabecular-like and the typical Lattice currently used in Scaffolds (3rd and 4th from the left), used as a control (far right)

Different scaffold designs used in the study (CAD image). From left to right: two TPMS-type structures, two trabecular-like structures, and a lattice structure (used as a control scaffold, typically used at present).

The biological performance of the designs was assessed by adding pre-osteoblasts – precursor cells to osteoblasts (bone-building cells) – to the inside the scaffolds to see if the cells could evolve into mineral matter, which forms bone. 

Findings

The researchers found that cells prefer the more random distribution of porosity, such as that seen in trabecular scaffolds, as they seem to ‘identify them as home’ when pore structure is not organised.

The researchers were able to adjust the design of the ‘house’ where cells live to accelerate the formation of mineral matter.

‌Of the importance of the study, Dr Torres-Sanchez commented: “Long-lasting successful implants, those that promote faster healing, without setbacks such as loosening or infections, without having second surgeries, are a no brainer for the NHS, for the patient, for society.

“The patient can go back to doing their normal life sooner, relieving the burden on hospitals, physiotherapy, carers, and contributing to a healthier, happier, more active life.

“We engineers can contribute to that by providing designs and scaffolds that promote healing and help speed up the patient recovery, including supporting mental health.

“We are continuing to research on finetuning the designs, so we can find subsequent evolutions of these multifunctional scaffolds that are even more appealing to the cells.”

Dr Torres-Sanchez added that it is a “privilege” to have the paper featured in the Women in Engineering Materials special series and she hopes “more girls and women will be drawn to come and work in Design and Manufacturing, a field typically outnumbered by men”.

To read the study, titled ‘Comparison of Selective Laser Melted Commercially Pure Titanium Sheet-Based Triply Periodic Minimal Surfaces and Trabecular-Like Strut-Based Scaffolds for Tissue Engineering', in full, click here.

To read the Women in Engineering Materials special issue, click here.

Notes for editors

Press release reference number: 22/04

Loughborough is one of the country’s leading universities, with an international reputation for research that matters, excellence in teaching, strong links with industry, and unrivalled achievement in sport and its underpinning academic disciplines.

It has been awarded five stars in the independent QS Stars university rating scheme, named the best university in the world for sports-related subjects in the 2021 QS World University Rankings and University of the Year for Sport by The Times and Sunday Times University Guide 2022.

Loughborough is in the top 10 of every national league table, being ranked 7th in The UK Complete University Guide 2022, and 10th in both the Guardian University League Table 2022 and the Times and Sunday Times Good University Guide 2022.

Loughborough is consistently ranked in the top twenty of UK universities in the Times Higher Education’s ‘table of tables’ and is in the top 10 in England for research intensity. In recognition of its contribution to the sector, Loughborough has been awarded seven Queen's Anniversary Prizes.

The Loughborough University London campus is based on the Queen Elizabeth Olympic Park and offers postgraduate and executive-level education, as well as research and enterprise opportunities. It is home to influential thought leaders, pioneering researchers and creative innovators who provide students with the highest quality of teaching and the very latest in modern thinking.

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