journal article·2025-01Open access

Advanced Piezoelectric Materials, Devices, and Systems for Orthopedic Medicine

Jingkai Zhang, Chang Liu, Jun Li, Tao Yu, Jing Ruan, Fan Yang

Advanced Science· Volume 12· Issue 3

Abstract

Abstract Harnessing the robust electromechanical couplings, piezoelectric materials not only enable efficient bio‐energy harvesting, physiological sensing and actuating but also open enormous opportunities for therapeutic treatments through surface polarization directly interacting with electroactive cells, tissues, and organs. Known for its highly oriented and hierarchical structure, collagen in natural bones produces local electrical signals to stimulate osteoblasts and promote bone formation, inspiring the application of piezoelectric materials in orthopedic medicine. Recent studies showed that piezoelectricity can impact microenvironments by regulating molecular sensors including ion channels, cytoskeletal elements, cell adhesion proteins, and other signaling pathways. This review thus focuses on discussing the pioneering applications of piezoelectricity in the diagnosis and treatment of orthopedic diseases, aiming to offer valuable insights for advancing next‐generation medical technologies. Beginning with an introduction to the principles of piezoelectricity and various piezoelectric materials, this review paper delves into the mechanisms through which piezoelectric materials accelerated osteogenesis. A comprehensive overview of piezoelectric materials, devices, and systems enhancing bone tissue repair, alleviating inflammation at infection sites, and monitoring bone health is then provided, respectively. Finally, the major challenges faced by applications of piezoelectricity in orthopedic conditions are thoroughly discussed, along with a critical outlook on future development trends.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Advanced Sensor and Energy Harvesting Materials · Planarian Biology and Electrostimulation · Neonatal Respiratory Health Research

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Orthopaedics Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases Shanghai Institute of Traumatology and Orthopaedics Ruijin Hospital Shanghai Jiao Tong University School of Medicine Shanghai 200025 China

Department of Ophthalmology Shanghai Ninth People's Hospital Shanghai JiaoTong University School of Medicine Shanghai 200011 China

Department of Materials Science and Engineering University of Wisconsin–Madison Madison WI 53706 USA

Research Institute of Frontier Science Southwest Jiaotong University Chengdu Sichuan 610031 China

Funding

National Natural Science Foundation of China · Science and Technology Commission of Shanghai Municipality

References (100+)

Show source-provided references
1. 10.1097/PRS.0b013e31824eca9410.1097/PRS.0b013e31824eca94 ↗
2. 10.1016/j.pharmthera.2020.10747310.1016/j.pharmthera.2020.107473 ↗
3. 10.1016/j.joms.2011.07.01910.1016/j.joms.2011.07.019 ↗
4. 10.3390/nano1224438610.3390/nano12244386 ↗
5. 10.1021/acsami.2c1976710.1021/acsami.2c19767 ↗
6. 10.3390/jfb1301000110.3390/jfb13010001 ↗
7. 10.3390/ijms2121835210.3390/ijms21218352 ↗
8. 10.1016/j.mehy.2017.07.02110.1016/j.mehy.2017.07.021 ↗
9. 10.1016/j.ijbiomac.2017.09.01410.1016/j.ijbiomac.2017.09.014 ↗
10. 10.1002/ame2.1230010.1002/ame2.12300 ↗
11. 10.3390/ijms1811239110.3390/ijms18112391 ↗
12. 10.1186/s41232-018-0059-810.1186/s41232-018-0059-8 ↗
13. 10.1016/j.biomaterials.2022.12199010.1016/j.biomaterials.2022.121990 ↗
14. 10.1080/10255842.2011.60866110.1080/10255842.2011.608661 ↗
15. 10.1038/s41584-022-00793-510.1038/s41584-022-00793-5 ↗
16. 10.1002/term.185110.1002/term.1851 ↗
17. 10.1016/j.bone.2019.07.02410.1016/j.bone.2019.07.024 ↗
18. 10.1016/0141-5425(88)90109-410.1016/0141-5425(88)90109-4 ↗
19. 10.1002/adhm.20230092710.1002/adhm.202300927 ↗
20. Khare D. · Biomaterials · 2020 · 258
21. 10.1126/sciadv.abd474210.1126/sciadv.abd4742 ↗
22. E.Fukada I.Yasuda 1964 3 117.10.1143/JJAP.3.117 ↗
23. 10.1016/0141-5425(88)90109-410.1016/0141-5425(88)90109-4 ↗
24. 10.1021/nl049453i10.1021/nl049453i ↗
25. 10.1002/jor.110001010510.1002/jor.1100010105 ↗
26. Brown J. P. · Can. Fam. Physician · 2014 · 60 · 324
27. 10.3390/ijms2002043510.3390/ijms20020435 ↗
28. 10.3390/mi1212148810.3390/mi12121488 ↗
29. 10.3389/fbioe.2022.92128410.3389/fbioe.2022.921284 ↗
30. 10.1126/scitranslmed.abi728210.1126/scitranslmed.abi7282 ↗
31. 10.3390/ma1603090110.3390/ma16030901 ↗
32. 10.1016/j.msec.2019.03.04710.1016/j.msec.2019.03.047 ↗
33. 10.3390/ijms2306290710.3390/ijms23062907 ↗
34. 10.1016/j.actbio.2018.04.02610.1016/j.actbio.2018.04.026 ↗
35. 10.3390/ijms2302060810.3390/ijms23020608 ↗
36. 10.3233/BME-17165710.3233/BME-171657 ↗
37. 10.1002/jbm.b.3418710.1002/jbm.b.34187 ↗
38. 10.1016/j.matlet.2017.07.09910.1016/j.matlet.2017.07.099 ↗
39. 10.3389/fbioe.2023.121063710.3389/fbioe.2023.1210637 ↗
40. 10.1080/09205063.2022.206540910.1080/09205063.2022.2065409 ↗
41. 10.1002/adma.20230872610.1002/adma.202308726 ↗
42. 10.1016/j.actbio.2015.07.01010.1016/j.actbio.2015.07.010 ↗
43. 10.1016/j.cossms.2020.10080610.1016/j.cossms.2020.100806 ↗
44. 10.1039/D2RA06774A10.1039/D2RA06774A ↗
45. 10.3390/mi1112107610.3390/mi11121076 ↗
46. 10.1016/j.nanoen.2019.01.01210.1016/j.nanoen.2019.01.012 ↗
47. 10.1088/1361-6528/accb5f10.1088/1361-6528/accb5f ↗
48. 10.1109/TUFFC.2020.297534510.1109/TUFFC.2020.2975345 ↗
49. 10.3390/jfb1401000810.3390/jfb14010008 ↗
50. 10.1073/pnas.171087411510.1073/pnas.1710874115 ↗
51. 10.1038/srep0221510.1038/srep02215 ↗
52. 10.1002/adma.20180208410.1002/adma.201802084 ↗
53. 10.1016/j.bioactmat.2020.07.00110.1016/j.bioactmat.2020.07.001 ↗
54. 10.3390/ijms2301043210.3390/ijms23010432 ↗
55. 10.1016/j.nanoen.2014.11.05910.1016/j.nanoen.2014.11.059 ↗
56. 10.1039/D1RA03557F10.1039/D1RA03557F ↗
57. 10.1080/10717544.2020.182708410.1080/10717544.2020.1827084 ↗
58. 10.1166/jbn.2018.251910.1166/jbn.2018.2519 ↗
59. 10.3390/polym1211275410.3390/polym12112754 ↗
60. 10.1021/nl104412b10.1021/nl104412b ↗
61. 10.3390/s2001008610.3390/s20010086 ↗
62. 10.3390/bioengineering504009010.3390/bioengineering5040090 ↗
63. 10.3390/ma1307177310.3390/ma13071773 ↗
64. 10.1016/j.msec.2014.02.02210.1016/j.msec.2014.02.022 ↗
65. 10.2147/IJN.S19782410.2147/IJN.S197824 ↗
66. 10.1016/j.colsurfb.2019.11058710.1016/j.colsurfb.2019.110587 ↗
67. 10.3390/ijms2306290710.3390/ijms23062907 ↗
68. 10.1021/acsnano.2c0816410.1021/acsnano.2c08164 ↗
69. 10.3390/s2116539210.3390/s21165392 ↗
70. 10.1016/j.nanoen.2019.10422010.1016/j.nanoen.2019.104220 ↗
71. 10.3390/polym1419419010.3390/polym14194190 ↗
72. 10.1002/adma.20200845210.1002/adma.202008452 ↗
73. 10.1016/j.progpolymsci.2013.07.00610.1016/j.progpolymsci.2013.07.006 ↗
74. 10.1016/j.polymertesting.2016.12.00310.1016/j.polymertesting.2016.12.003 ↗
75. 10.1016/j.sna.2014.11.01210.1016/j.sna.2014.11.012 ↗
76. 10.3390/polym1424537910.3390/polym14245379 ↗
77. 10.1002/jbm.b.3523910.1002/jbm.b.35239 ↗
78. 10.1002/cre2.71210.1002/cre2.712 ↗
79. 10.1002/adma.20190698910.1002/adma.201906989 ↗
80. 10.1021/acsami.9b2105210.1021/acsami.9b21052 ↗
81. 10.1021/acsbiomaterials.7b0010710.1021/acsbiomaterials.7b00107 ↗
82. 10.1002/asia.20180192110.1002/asia.201801921 ↗
83. 10.1126/science.abf215510.1126/science.abf2155 ↗
84. 10.1021/acsami.2c1113110.1021/acsami.2c11131 ↗
85. 10.2147/IJN.S37842210.2147/IJN.S378422 ↗
86. 10.1002/adma.20190697010.1002/adma.201906970 ↗
87. 10.3390/polym1511244610.3390/polym15112446 ↗
88. 10.3390/biom1111173110.3390/biom11111731 ↗
89. 10.1016/j.jmbbm.2017.12.03410.1016/j.jmbbm.2017.12.034 ↗
90. 10.1021/acsami.1c1184310.1021/acsami.1c11843 ↗
91. 10.1016/j.jmbbm.2021.10466910.1016/j.jmbbm.2021.104669 ↗
92. 10.1038/s41467-023-44065-610.1038/s41467-023-44065-6 ↗
93. Li T. · Sci. Adv. · 2021 · 24 · 7
94. 10.1021/acsnano.1c0500310.1021/acsnano.1c05003 ↗
95. 10.1002/adfm.20200286810.1002/adfm.202002868 ↗
96. 10.1007/s11914-018-0449-510.1007/s11914-018-0449-5 ↗
97. 10.1002/adma.20200742910.1002/adma.202007429 ↗
98. 10.1021/acsami.3c1174910.1021/acsami.3c11749 ↗
99. 10.1002/adhm.20230006410.1002/adhm.202300064 ↗
100. 10.1016/j.jmbbm.2023.10635510.1016/j.jmbbm.2023.106355 ↗