Micro-Strain Responsive Near-Infrared Mechanoluminescence for Potential Nondestructive Artificial Joint Stress Imaging.

Recently, joint replacement surgery is facing significant challenges of patient dissatisfaction and the need for revision procedures. In-situ monitoring of stress stability at the site of artificial joint replacement during postoperative evaluation is important. Mechanoluminescence (ML), a novel "force to light" conversion technology, may be used to monitor such bio-stress within tissues. However, this is hindered by ultraviolet-visible ML emission wavelength, low ML intensity, and high strain response sensitivity. Here, by incorporating Sb ions into SrSnO crystals, a highly strain-responsive material, with ML originating from intrinsic defect emissions is obtained. The SrSnSbO film produces detectable ML signals under compressive strain as low as 50 µst in the absence of biological tissue. After pre-irradiating with red light through 15 mm of porcine tissue, ML signals can still be detected through the same tissue thickness. Notably, this material enabled real-time stress imaging through 4 mm of porcine skin during mild finger joint bending. This work presents a novel methodological framework and proposes a new mechanism to defect ML. It offers a fresh perspective for designing high-performance ML materials and lays the foundation for innovative research to enhance the functionality of artificial tissues and joints in living organism.