Bone Mechanics, Repair, and Tissue Engineering Flashcards

1
Q

bone is inherently a _____ tissue

trabecular bone acts as a damper; can bear mechanical forces and distribute them _____; if you overload your bone and you experience a crack, this mechanism makes it not as devastating

osteoporosis: bone resorbing cells become _____; spit out acid and decalcify bone and no activation of osteoblasts; preferential resorption in _____ over cortical > cells are sitting on surface, and trabecular bone has higher _____ than cortical, thereby there is more resorption in this area

A
mechanical
evenly
over-active
trabecular
SA
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2
Q

Stress and Strain

elongation of rod: relationship bt _____ and how much _____ it gets

epsilon is essentially a _____ (unitless)

stress = _____ / _____ (force is normalized via the cross sectional area)

_____ relationship bt stress and strain, and related by E (elastic modulus, tells you how _____ the material is)

A
force
longer
percent change
force
cross sectional area
linear
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3
Q

Rule of Mixtures

“_____ Model”
-Lower bound for composite modulus

“_____ Model”
-Upper bound for composite modulus

A

Reuss

Voigt

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4
Q

Intrinsic vs. Extrinsic Properties

load displacement curve (_____ relationship initially)

linearity holds true until the object is no longer _____ (returns to original with zero loss, no loss of energy); no longer returns to original shape

once bent too much, plastic deformation = permanent deformation

_____ (the peak) tells you how much force can be applied before it breaks

slope tells you linear/elastic _____

I parameter > tells you how big the _____ of the rod is; small I, stress _____

A
linear
elastic
ultimate load
stiffness
outside
increase
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5
Q

Mechanical Regulation of Tissue Differentiation

osteoblasts in fractures can lay approx. _____ of bone per day

direct bone formation, _____ fromation (left picture, cast, etc.)

stabilize the bone so that it can bend, everytime the animal takes a step, the two fragments get closer together > _____; when you have interfragmentary strain (motion bt fragments) > you have _____ bone formation, and then you have cartilage that forms a callus > and then the cartilage gets replaced by bone; this method is a much faster way to heal bone

_____ stabilizes the fracture, which then can become remodeled

if you have a fracture (particularly true in children) > if bones are not straight, the bone will _____ itself out and heal by itself > occurs via endochondral process; callus formation, muscles begin to pull to align the fragments

the endochondral process is _____; depends on mechanical environment to determine how the cells behave

A

1mm
intramembranous

cyclic loading
endochondral
callus
straighen

mechanosensitive

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6
Q

Tissue Differentiation

the mechanical environment determines what type of _____ it will become

if stem cell gets little mechanical stimulus > you’ll end up with _____

more compressive stresses, you get _____

if mostly shape change > mostly _____, fibrous tissue

A

tissue
bone
cartilage
fibrocartilage

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7
Q

Fracture repair: recapitulating development

_____ and _____ have similar structure

A

callus

GP

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8
Q

Biomaterials: Design Parameters

  • _____ (natural/synthetic)
  • _____
  • _____
  • _____ properties
  • _____ (connectivity, porosity, scale)
A
material
biocompatibility
degradation
mechanical
structure
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9
Q

Natural Biomaterials

hyxdroxyapatite scaffold > slurry of hydroxyapatite (calcium phosphate)

sugars derived from seaweed (_____) > biocompatible, degradable, can modify it (chemical modifications), can crosslink it

collagen > triple helix of polypeptides

A

alginate

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10
Q

Engineered hydrogels

reduce the doses of the proteins that you’re examining

GF > BMP2 > put it on a sponge and stick it in a defect > bone formation; however, BMP diffuses out and bone formation occurs in _____ locations
(used in cervical vertebrae, but would choke people due to bone formation surrounding the neck)

_____ allow the GF to remain within the complex, and only the cells that are targeted will sense it

HA based matrices, can link different peptides to them; allows cells to grab onto matrix, but also fools the cell into thinking its next to another cell > make cells think t hey’re in totally different _____

A

ectopic
hydrogels
environments

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11
Q

Biologics

  • Growth factors
  • DNA/RNA
  • CRISPR

_____ > editing genomes
Cas9 identifies the _____ domain of DNA, in conjunction with CRISPR you can program where cuts are made in DNA

in DMD mice, this complex restored complete _____ of muscle when targetting specific genetic sequences

A

CRISPR
repeating
function

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12
Q

Considerations: kinetics & dose

deliver GF on different matrices (i.e. hydrogels, do not want on collagen sponge)

can use _____ doses and put on alginate sponge (traps BMP in matrix); only way you used to be able to fix was by _____ the dose with the collagen sponge, but it would _____

A

higher
lower
leak

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13
Q

A tale of twins

made use of the fingerprint to tell the twins apart; fingerprints are not regulated by the _____

fingerprints arise because of differential _____ rates between the epidermis and dermis, that causes a buckling of the _____

the patterns that form while it undergoes a buckling process (_____), are influenced by the _____ that are put on that finger during the _____ process

A

genome

proliferation
dermis

mechanical
forces
developmental

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14
Q

Mechanical cues in endochondral ossification

_____ forces are important in long bone development

mechanical forces are critical for _____ ossification process

developmental problem in babies, if there’s not sufficient _____, the womb constricts around the baby and the baby cannot kick > the hips don’t form correct (developmental hip _____, caused by a lack of amniotic fluid) > it’s becasu of the biochemical environment that is defective that amniotic fluid provides

A

mechanical
endochondral
amniotic fluid
dysplasias

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15
Q

Bone defects & mechanical loading

_____ plate: contralateral control

_____ plate: axial loading

A

stiff

compliant

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16
Q

Loading increased in vivo bone volume

no mechanical loading, a _____ bit of bone formation

apply mechanical loading, almost _____ restore the defects

A

little

fully

17
Q

Endochondral regeneration

the above approach is taking advantage of _____ ossification

A

endochondral

18
Q

A connection between _____ biology, _____ and _____ engineering

A

developmental
mechanobiology
tissue