Sebastian Fritsch

Do Cells Contribute to Tendon and Ligament Biomechanics

Introduction Acellular scaffolds are increasingly used for the surgical repair of tendon injury and ligament tears. Despite this increased use, very little data exist directly comparing acellular scaffolds and their native counterparts. Such a comparison would help establish the effectiveness of the acellularization procedure of human tissues. Furthermore, such a comparison would help estimate the influence of cells in ligament and tendon stability and give insight into the effects of acellularization on collagen. Material and Methods Eighteen human iliotibial tract samples were obtained from nine body donors. Nine samples were acellularized with sodium dodecyl sulphate (SDS), while nine counterparts from the same donors remained in the native condition. The ends of all samples were plastinated to minimize material slippage. Their water content was adjusted to 69%, using the osmotic stress technique to exclude water content-related alterations of the mechanical properties. Uniaxial tensile testing was performed to obtain the elastic modulus, ultimate stress and maximum strain. The effectiveness of the acellularization procedure was histologically verified by means of a DNA assay. Results The histology samples showed a complete removal of the cells, an extensive, yet incomplete removal of the DNA content and alterations to the extracellular collagen. Tensile properties of the tract samples such as elastic modulus and ultimate stress were unaffected by acellularization with the exception of maximum strain. Discussion The data indicate that cells influence the mechanical properties of ligaments and tendons in vitro to a negligible extent. Moreover, acellularization with SDS alters material properties to a minor extent, indicating that this method provides a biomechanical match in ligament and tendon reconstruction. However, the given protocol insufficiently removes DNA. This may increase the potential for transplant rejection when acellular tract scaffolds are used in soft tissue repair. Further research will help optimize the SDS-protocol for clinical application.

Acellularization-Induced Changes in Tensile Properties Are Organ Specific - An In-Vitro Mechanical and Structural Analysis of Porcine Soft Tissues.

Introduction Though xenogeneic acellular scaffolds are frequently used for surgical reconstruction, knowledge of their mechanical properties is lacking. This study compared the mechanical, histological and ultrastructural properties of various native and acellular specimens. Materials and Methods Porcine esophagi, ureters and skin were tested mechanically in a native or acellular condition, focusing on the elastic modulus, ultimate tensile stress and maximum strain. The testing protocol for soft tissues was standardized, including the adaption of the tissue’s water content and partial plastination to minimize material slippage as well as templates for normed sample dimensions and precise cross-section measurements. The native and acellular tissues were compared at the microscopic and ultrastructural level with a focus on type I collagens. Results Increased elastic modulus and ultimate tensile stress values were quantified in acellular esophagi and ureters compared to the native condition. In contrast, these values were strongly decreased in the skin after acellularization. Acellularization-related decreases in maximum strain were found in all tissues. Type I collagens were well-preserved in these samples; however, clotting and a loss of cross-linking type I collagens was observed ultrastructurally. Elastins and fibronectins were preserved in the esophagi and ureters. A loss of the epidermal layer and decreased fibronectin content was present in the skin. Discussion Acellularization induces changes in the tensile properties of soft tissues. Some of these changes appear to be organ specific. Loss of cross-linking type I collagen may indicate increased mechanical strength due to decreasing transverse forces acting upon the scaffolds, whereas fibronectin loss may be related to decreased load-bearing capacity. Potentially, the alterations in tissue mechanics are linked to organ function and to the interplay of cells and the extracellular matrix, which is different in hollow organs when compared to skin.

Manufacture of a β-titanium hollow shaft by incremental forming

Excellent mechanical properties and corrosion resistance combined with low weight qualify β-titanium materials for lightweight applications in aviation, automotive and energy engineering. Thus far, actual applications of these materials have been limited due to high material costs and limited processing knowledge. One approach for developing resource-efficient manufacturing methods is the application of incremental forming methods. This article focuses on the development of the incremental spin extrusion process, which creates hollow profiles from solid bars. This method allows hollow shape manufacturing with a much higher flexibility than other forming methods and a significantly improved material utilization in comparison to machining methods, such as deep hole drilling. Beta-titanium alloys basically have very good cold forming suitability and the resulting material properties can be controlled. The application of incremental forming methods with high hydrostatic compressive stress is a promising manufacturing approach. The β-titanium Ti-10V-2Fe-3Al material has an excellent combination of the properties strength, ductility and fatigue strength. In order to utilize these properties the forming conditions and the temperature control need to be optimized. The investigations show that the Ti-10V-2Fe-3Al material can be formed only in a narrow semi-hot forming temperature window. The paper describes the investigation and presents results on the design of partial forming process sequences, forming properties, microstructure formation and failure prevention. The process design objective is a very fine microstructure with a homogeneous secondary α-phase and very small grained β-phase.

Quantification of material slippage in the iliotibial tract when applying the partial plastination clamping technique.

The objective of this study was to evaluate the potential of the partial plastination technique in minimizing material slippage and to discuss the effects on the tensile properties of thin dense connective tissue. The ends of twelve iliotibial tract samples were primed with polyurethane resin and covered by plastic plates to provide sufficient grip between the clamps. The central part of the samples remained in an anatomically unfixed condition. Strain data of twelve partially plastinated samples and ten samples in a completely anatomically unfixed state were obtained using uniaxial crosshead displacement and an optical image tracking technique. Testing of agreement between the strain data revealed ongoing but markedly reduced material slippage in partially plastinated samples compared to the unfixed samples. The mean measurement error introduced by material slippage was up to 18.0% in partially plastinated samples. These findings might complement existing data on measurement errors during material testing and highlight the importance of individual quantitative evaluation of errors that come along with self-made clamping techniques.

Influence of thermally activated processes on the deformation behavior during low temperature ECAP

High strength aluminum alloys are generally hard to deform. Therefore, the application of conventional severe plastic deformation methods to generate ultrafine-grained microstructures and to further increase strength is considerably limited. In this study, we consider low temperature deformation in a custom-built, cooled equal channel angular pressing (ECAP) tool (internal angle 90°) as an alternative approach to severely plastically deform a 7075 aluminum alloy. To document the maximum improvement of mechanical properties, these alloys are initially deformed from a solid solution heat-treated condition. We characterize the mechanical behavior and the microstructure of the coarse grained initial material at different low temperatures, and we analyze how a tendency for the PLC effect and the strain-hardening rate affect the formability during subsequent severe plastic deformation at low temperatures. We then discuss how the deformation temperature and velocity influence the occurrence of PLC effects and the homogeneity of the deformed ECAP billets. Besides the mechanical properties and these microstructural changes, we discuss technologically relevant processing parameters (such as pressing forces) and practical limitations, as well as changes in fracture behavior of the low temperature deformed materials as a function of deformation temperature.