Repair of critical diaphyseal defects of lower limbs by 3D printed porous Ti6Al4V scaffolds without additional bone grafting: a prospective clinical study.

The repair of critical diaphyseal defects of lower weight-bearing limbs is an intractable problem in clinical practice. From December 2017, we prospectively applied 3D printed porous Ti6Al4V scaffolds to reconstruct this kind of bone defect. All patients experienced a two-stage surgical process, including thorough debridement and scaffold implantation. With an average follow-up of 23.0 months, ten patients with 11 parts of bone defects were enrolled in this study. The case series included three females and seven males, their defect reasons included seven parts of osteomyelitis and four parts of aseptic nonunion. The bone defects located at femur (five parts) and tibia (six parts), with an average defect distance of 12.2 cm. Serial postoperative radiologic follow-ups displayed a continuous process of new bone growing and remodeling around the scaffold. One patient suffered tibial varus deformity, and he underwent a revision surgery. The other nine patients achieved scaffold stability. No scaffold breakage occurred. In conclusion, the implantation of 3D printed Ti6Al4V scaffold was feasible and effective to reconstruct critical bone defects of lower limbs without additional bone grafting. Graphical abstract.

An innovative strategy to treat large metaphyseal segmental femoral bone defect using customized design and 3D printed micro-porous prosthesis: a prospective clinical study.

Five patients with segmental irregular-shaped bone defect of the femur were recruited in this study from 2017.12 to 2018.11. All patients were treated by customized design and 3D printed micro-porous prosthesis. And the procedure was divided into stages: radical debridement and temporary fixation (the first stage); the membrane formation and virtual surgery (intervening period for 6-8 weeks); definite reconstruction the defects (the second stage). Routine clinical follow-up and radiographic evaluation were done to assess bone incorporation and complications of internal fixation. The weight-bearing time and the joint function of the patients were recorded. The patients were followed up for an average of 16.4 months. The average length of bone defect and the distal residual bone was 12 cm and 6.5 cm. The average time of partial weight-bearing and full weight-bearing was 12.7 days and 2.6 months. X-ray demonstrated good osseous integration of the implant/bone interface. No complications occurred such as implant loosening, subsidence, loss of correction and infection. At the last follow-up, Harris score of hip joint was excellent in 2 cases, good in 2 cases, fair in 1 case; HSS score of knee joint was good in 4 cases, middle in 1 case. From our study, we concluded that meticulous customized design 3D printed micro-porous prosthesis combined with intramedullary nail may be a promising and an alternative strategy to treat metaphyseal segmental irregular-shaped femoral bone defect, especially for cases with massive juxta-articular bone loss.

Microplastics affect rice (Oryza sativa L.) quality by interfering metabolite accumulation and energy expenditure pathways: A field study.

Microplastic accumulation in agricultural soils can stress plants and affects quality of the products. Current research on the effects of microplastics on plants is not consistent and the underlying mechanisms are yet unknown. Here, the molecular mechanisms of the stress response were investigated via metabolomic and transcriptomic analyses of rice Oryza sativa L. II Y900 and XS123 under the exposure of polystyrene microplastics (PS-MPs) in a field study. Distinct responses were obtained in these two rice subspecies, showing decreased head rice yield by 10.62% in Y900 and increase by 6.35% in XS123. The metabolomics results showed that PS-MPs exposure inhibited 29.63% of the substance accumulation-related metabolic pathways and 43.25% of the energy expenditure-related metabolic pathways in the Y900 grains; however, these related pathways were promoted in the XS123 grains. The transcriptomics results indicated that the expression of genes encoding proteins involved in the tricarboxylic acid cycle in the Y900 grains was inhibited, but it was enhanced in the XS123 grains. The XS123 subspecies could response against microplastic exposure stress through the metabolite accumulation and energy expenditure pathways, while the Y900 could not. The results provide insight into the perturbation of rice grains in farmlands with microplastics contamination.

An Injectable Strong Hydrogel for Bone Reconstruction.

For treating bone defects in periarticular fractures, there is a lack of biomaterial with injectable characteristics, tough structure, and osteogenic capacity for providing a whole-structure support and osteogenesis in the defect area. An injectable hydrogel is an ideal implant, however is weak as load-bearing scaffolds. Herein, a new strategy, i.e., an in situ formation of "active" composite double network (DN), is raised for the preparation of an injectable strong hydrogel particularly against compression. As a demonstration, 4-carboxyphenylboronic acid grafted poly(vinyl alcohol) (PVA) is crosslinked using calcium ions to provide a tough frame while bioactive glass (BG) microspheres are associated by poly(ethylene glycol) to obtain an interpenetrated inorganic network for reinforcement. The injected PVA/BG DN hydrogel gains compressive strength, modulus, and fracture energy of 34 MPa, 0.8 MPa, and 40 kJ m-2 , respectively. Then, the properties can be "autostrengthened" to 57 MPa, 2 MPa, and 65 kJ m-2 by mineralization in 14 days. In vivo experiments prove that the injected DN hydrogel is more efficient to treat femoral supracondylar bone defects than the implanted bulk DN gel. The work suggests a facile way to obtain a strong hydrogel with injectability, cytocompatibility, and tailorable functionality.

Citric acid assisted Fenton-like process for enhanced dewaterability of waste activated sludge with in-situ generation of hydrogen peroxide.

Fenton's reagent has been widely used to enhance sludge dewaterability. However, drawbacks associated with hydrogen peroxide (H2O2) in Fenton's reagents exist, since it is a hazardous chemical and shows carcinogenicity, explosivity, instability, and corrosivity. Moreover, initial acidification and subsequent neutralization are needed as optimal conditions for homogeneous Fenton conditioning and final filtrate discharge. In this study, a Fenton-like process for the enhanced dewaterability of waste activated sludge with in-situ generation of H2O2 and without extra pH adjustment was firstly proposed, namely citric acid (CA)-assisted oxygen activation in an air/nano zero-valent iron (nZVI) system and chemical re-coagulation with polydiallyldimethylammonium chloride (PDMDAAC). Using the response surface methodology (RSM), the optimal doses of CA, nZVI, and PDMDAAC were determined to be 13, 33, and 9 mg g-1 dry solids (DS), respectively. This composite conditioner showed a good dewatering capability compared with the raw sludge, e.g. the capillary suction time decreased from 130.0 to 9.5 s. The enhanced sludge dewaterability was further confirmed by laboratory-scale diaphragm filter press dewatering tests, which produced a lower cake moisture content compared with the raw sludge, and the final pH of the filtrate was close to neutrality. The citric acid promoted the production of H2O2 and Fe(II)/Fe(III) species, the degradation of protein in tightly-bound extracellular polymeric substances, and the decomposition of protein-N in the solid phase of sludge, resulting a greater conversion of bound water to free water. The results of electron spin resonance indicated that the hydroxyl radicals were mainly responsible for the decomposition of proteinaceous compounds. The subsequent chemical re-coagulation with PDMDAAC can make the zeta potential of sludge samples less negative, reduce the repulsive electrostatic interactions, and agglomerate the smaller particles into larger aggregates, thus enhancing sludge dewaterability.

Pretreatment of eucalyptus with recycled ionic liquids for low-cost biorefinery.

It is urgent to develop recycled ionic liquids (ILs) as green solvents for sustainable biomass pretreatment. The goal of this study is to explore the availability and performance of reusing 1-allyl-3-methylimidazolium chloride ([amim]Cl) and 1-butyl-3-methylimidazolium acetate ([bmim]OAc) for pretreatment, structural evolution, and enzymatic hydrolysis of eucalyptus. Cellulose enzymatic digestibility slightly decreased with the increased number of pretreatment recycles. The hydrolysis efficiencies of eucalyptus pretreated via 4th recycled ILs were 54.3% for [amim]Cl and 72.8% for [bmim]OAc, which were 5.0 and 6.7-folds higher than that of untreated eucalyptus. Deteriorations of ILs were observed by the relatively lower sugar conversion and lignin removal from eucalyptus after 4th reuse. No appreciable changes in fundamental framework and thermal stability of [amim]Cl were observed even after successive pretreatments, whereas the anionic structure of [bmim]OAc was destroyed or replaced. This study suggested that the biomass pretreatment with recycled ILs was a potential alternative for low-cost biorefinery.

Flat microliter membrane-based microbial fuel cell as "on-line sticker sensor" for self-supported in situ monitoring of wastewater shocks.

Novel flat membrane-based microbial fuel cell (MMFC) sensors were developed by compacting two filter membranes coated with carbon ink. High micro-porosity and hydrophilicity of membranes offered the distinct advantages of short acclimation period (couple hours), simple compact configuration with microliter size, and high sensitivity and stability. MMFC sensors were examined at two toxic shocks (chromium and nickel) in a batch-mode test chamber, and rapidly responded to shock types and concentrations. The variation of voltage output was correlated with open circuit potential (OCP). Filter membranes facilitated bacterial attachment and shortened acclimation. The MMFC sensors showed good reusability and recovered several days after toxic shocks. The robustness of MMFC sensors was validated through 1-month tests. The stability of sensor signals was examined with coefficient of variance (CV) statistical analysis. The flat microliter MMFC has a great potential as "on-line sticker sensor" for real time in situ monitoring of wastewater quality.