Titanium (Ti) is one of the most commonly used biomedical materials in orthopedics and dentistry. The excellent biocompatibility of Ti with high bone affinity makes it a suitable material for biomedical applications. Nevertheless, the higher Young’s modulus of Ti (≈110 GPa) than that of the cortical bone (10-30 GPa) causes stress shielding, leading to bone embrittlement. Since stress shielding is unavoidable with the use of Ti plates, it is generally recommended to remove them from the bone after completion of bone repair. However, removal of the Ti plate involves many risks; bone formation around the plate poses difficulty in removal of the plate besides pain and infections due to surgery. Researchers at Department of Orthopaedic Surgery, Shinshu University School of Medicine, Mechanical Systems Engineering, Shinshu University, Faculty of Engineering, Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University and Department of Applied Physical Therapy, Shinshu University School of Health Sciences, Japan have suggested the use of Ti fiber plates in place of the conventional Ti plates. Since the Young’s modulus of Ti fiber plates are similar to that of the cortical bone, stress shielding effect can be minimized. In addition, the porous structure of Ti fiber plates could act as scaffolds and promotes cell attachment.
The Ti fiber plates were prepared using Ti fibers (ASTM Grade 1 with 99.52% purity) with a mean diameter of 20 μm and a mean length of 500 μm (Fig. 1(a)). The Ti fibers were molded into a plate by simultaneously applying a compression stress of 1000 MPa and a shearing load of 400 kN at room temperature (Fig. 1(b)) followed by sintering at 300 K. The resultant Ti fiber plates had a thickness of 0.2 mm, Young’s modulus of ≈30 GPa and uniform porous structure with 30–40% porosity and 60–80 μm pore diameter (Fig. 1(c). The utility of the plates for repair of bone fracture and bone tissue regeneration was evaluated under in vitro and in vivo conditions.
Fig. 1 (a) SEM image of Ti fibers; (b) schematic diagram of the process used for preparing Ti fiber plates; and (c) SEM image of the Ti fiber plate
In vitro test results indicate that the extent of osteoblast adhesion and cell proliferation on the Ti fiber plates are quite similar to that of the conventional Ti plates. However, the difference in expression levels of cell-adhesion-related genes between cells on the Ti fiber plates and the cells on conventional Ti plates, suggests the existence of a difference in the mode of cell adhesion at the gene level between these two plates. The unique 3D structure of the Ti fiber plate is considered responsible for the increased level of osteoblast adhesion than those observed for the conventional titanium plates with a simple planar structure. In vivo study in rabbits with comminuted fracture at the center of the ulnar stem indicates that placing the titanium fiber plate in close contact with the fractured bone helps to immobilize and repair of small bone fragments.

Fig. 2 (a) Fixing of titanium fiber plate to the ulna using miniature screws for the repair of comminuted fracture (arrow mark) in rabbits; (b) Scout radiograms and (c) μCT images taken at Week 4 post-operation indicate complete bone union in the titanium fiber plate group but not with the control group
Unlike the conventional Ti plate, the Ti fiber plates could be easily prepared by compressing Ti fibers at room temperature without changing the fiber shape, which makes the process cost-effective and commercially viable. By suitably altering the length and thickness of the Ti fibers as well as the extent of compression and shear stress, Ti fiber plates with varying thickness, surface properties, porosity, Young’s modulus and strength can be prepared. Due to its malleability, the Ti fiber plates can be manually reshaped into a curved 3D structure and customized to the required size and shape of the fixation site for bone regeneration. The porous structure of Ti fibers with 30–40% porosity and 60–80 μm pore diameter is considered to be suitable for bone regeneration. Since the Young’s modulus of Ti fiber plate is similar to that of cortical bone, the deleterious stress shielding effect can be minimized and hence, it can remain implanted even after the fracture is healed. The use of pure Ti fibers ensures a better biosafety.
The Ti fiber plate is easy to deform manually and hence it can be shaped optimally during surgery to prevent loss of bone fragments from comminuted fractures. Since the titanium fiber plate is thin and easily deformable, it is suitable for fractures at sites where the space around the plate is limited such as ulnar and phalangeal fractures. The titanium fiber plates also allow holes to be drilled for insertion of small screws at given sites during surgery. Hence, the Ti fiber plates can be used for a wide variety of fracture treatments including bone regeneration. Titanium fiber plates are not so tough to withstand high mechanical loads. In addition, rubbing of Ti fibers against one another could produce wear particles. These limitations still remain to be solved.
T.S.N. Sankara Narayanan
For more information, the reader may kind refer: Takashi Takizaw et al., Titanium Fiber Plates for Bone Tissue Repair, Adv. Mater. 2017, 1703608, DOI: 10.1002/adma.201703608

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Fig. 2 Morphological features of the laser-scribed pine wood at varying powers: (a) 30%; (b) 50%; and (f) 70%.
Fig. 3 (a) Change in chemical composition derived from XPS; and (b) Raman spectra of P-LIG as a function of laser power
Fig. 4 TEM images of (a) P-LIG-30; (b) P-LIG-50; and (c) P-LIG-70
Fig. 5 (a) CV of P-LIG-PANI and P-LIG in 1 M H2SO4 at a scan rate of 20 mV/s; and (b) Galvanostatic charge–discharge curves of P-LIG-PANI at varying current densities.
Fig. 6 (a) HER and OER windows of P-LIG-Co-P and P-LIG-NiFe in 1 M KOH; (b) HER and OER Tafel slopes of P-LIG-Co-P and P-LIG-NiFe; and (c) Photograph of P-LIG-Co-P and P-LIG-NiFe are powered by two 1.5 V batteries in series.
Fig. 1 Schematic illustration of the various stages involved in the fabrication of MXene foam along with photographs of MXene suspension, film and foam
Fig. 2 Cross-sectional SEM of: (a, b) MXene film; and (c, d) MXene foam
Fig. 3 EMI-shielding efficiency: (a) MXene films; and (b) MXene foams
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