Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, 100084, China.
Orthopedic Department, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China.
Adv Sci (Weinh). 2021 Jul;8(14):e2100719. doi: 10.1002/advs.202100719. Epub 2021 May 20.
As alternatives, metallic/nonmetallic bone graft materials play significant roles in bone defect surgery to treat external trauma or bone disease. However, to date, there are rather limited long-term implantable materials owning to in situ molding incapability of metallics and poor mechanical property of nonmetallics. Here, Bi-based low melting point alloy, with unique properties of injectability, solid-liquid phase transition, mechanical capability, and biocompatibility, present obvious long-lasting bone affinity as the excellent artificial bone-substitute. It is particularly necessary to point out that the targeted injected Bi alloy remains in its original position for up to 210 days without moving, as well as, displays good osseointegration ability to resolve repeated revision trauma caused by losing bone repair material. Additionally, with outstanding electrical and thermal conductivity, an unconventional way using Bi alloy to realize very beneficial hyperthermia analgesia via non-invasive wireless energy delivery is first proposed, which avoids adverse effects on bone remodeling inflicted by traditional drugs. The significantly decreased expression of pain sensitizing factor, such as, interleukin-6, neuropeptide substance, and transient receptor potential vanilloid 1 reveals the potential mechanism of hyperthermia analgesia. The present findings suggest the combination therapy of Bi alloy in bone repair and analgesia, which owns far-reaching clinical application value.
作为替代物,金属/非金属骨移植材料在治疗外伤或骨病的骨缺损手术中发挥着重要作用。然而,迄今为止,由于金属材料原位成型能力有限和非金属材料力学性能较差,具有体内可成型能力的长期植入材料相当有限。在这里,基于铋的低熔点合金具有可注射性、固液相转变、机械性能和生物相容性等独特性能,表现出明显的持久骨亲和力,是一种优异的人工骨替代物。特别需要指出的是,目标注射的 Bi 合金在长达 210 天的时间内保持在原位不动,并且具有良好的骨整合能力,可以解决因失去骨修复材料而导致的多次修复创伤。此外,Bi 合金具有出色的导电性和导热性,首次提出了一种使用 Bi 合金通过非侵入式无线能量传输实现非常有益的热疗镇痛的非常规方法,避免了传统药物对骨重塑的不良影响。疼痛敏感因子(如白细胞介素-6、神经肽物质和瞬时受体电位香草素 1)的表达显著降低,揭示了热疗镇痛的潜在机制。这些发现表明,Bi 合金在骨修复和镇痛方面的联合治疗具有深远的临床应用价值。