ReviewJournal of orthopaedic translation2026
Metallic topological structures in bone repair implants: Design, properties, and biological interactions.
Review in Journal of orthopaedic translation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- From local tissue repair to systemic precision orthopaedics: recent advances in musculoskeletal regeneration and translational medicine.Journal of orthopaedic translation · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Bone repair remains a major clinical challenge. Although traditional metal implants, such as titanium and its alloys, provide mechanical strength, they are often limited by stress shielding, insufficient osseointegration, and a lack of biological activity. Recent advances in metallic topological structures offer a promising solution by integrating mechanical adaptability with biological functionality. This review systematically summarizes the design, properties, and biological interactions of metallic topological implants for bone repair. We first compare conventional metallic materials and their limitations, followed by an overview of manufacturing strategies, including structural and surface modification techniques, unit cell-based architectures, topology optimization, and reverse-engineered biological designs. The potential integration of machine learning and 4D printing is also highlighted as a future direction for personalized implant design. At the biological level, we discuss how topological cues regulate cellular responses through mechanotransduction pathways, osteogenic differentiation signaling, angiogenesis regulation, and immune modulation. Finally, we analyze the practical applications of metallic topological structures in orthopedic implants, as well as the remaining technical and translational challenges. Overall, this review emphasizes the potential of metal topologies to create a new generation of implants with greater mechanical adaptability and better biological performance. The Translational Potential of this Article: This work offers insights into the development of orthopedic metallic topological implants with enhanced mechanical and biological performance. The integration of metallic topologies with emerging technologies like 4D printing and machine learning could lead to highly personalized solutions for bone repair, addressing current limitations in clinical applications and improving patient outcomes.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.