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Abdelghafour KM, Khaled SA, Abdel-Kader KFM, Azeem HA, Shah NN. Outcomes of a hydroxyapatite ceramic-coated femoral stem in primary total hip arthroplasty: a report of excellent survivorship from a single United Kingdom centre. SICOT J 2024; 10:28. [PMID: 39145666 PMCID: PMC11325862 DOI: 10.1051/sicotj/2024026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 07/02/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND Hydroxyapatite (HA) coated femoral stems were introduced to enhance the biological fixation at the implant-bone interface, aiming to increase the longevity and survival of the prostheses. We aimed to assess the long-term outcomes of an HA ceramic (HAC) coated stem in primary total hip arthroplasty (THA), assess the stem survival, and clinically evaluate the patients using patient-reported outcome measures (PROMs) and radiological evaluation of stem osseointegration. PATIENTS AND METHODS This was a prospective evaluation of a retrospective cohort of 385 patients (442 hips) who underwent primary THA between June 2008 and December 2018. The mean age was 63.83 years (range, 30-82 years). During the follow-up duration, 23 patients died, and 36 patients (38 hips) were lost to follow-up. Prospective data collected for 326 patients (381 hips) was used to evaluate stem survival with the Kaplan-Meier method using aseptic loosening or any revision as the endpoint. Clinical evaluation was done using the EuroQol five-dimension (EQ-5D) scoring system and PROMs using the Oxford Hip Score (OHS) and Merle D'Aubigne Postel (MDP) score. Radiological assessments were performed using the Engh radiological criteria for stem osteointegration. RESULTS The mean follow-up duration was 9.39 years (range, 4-14.5 years). The survival of the HAC-coated femoral stem was 100% (95% confidence interval [CI], 96.7-100%) at 14 years with aseptic loosening as the endpoint, and 98.9% (CI, 96.7-100%) at 14 years with stem revision for any reason as the endpoint. The mean OHS was 44.5 (range, 30-48), and the mean MDP score was 15.87 (range, 10-18). Radiological evaluations showed full osseointegration of all stems. CONCLUSION This HAC-coated femoral stem has shown excellent survivorship, functional outcomes, and full osseointegration at the final follow-up.
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Affiliation(s)
- Karim M Abdelghafour
- Worthing Hospital, University Hospitals of Sussex, Lyndhurst Road, Worthing BN112DH, UK - Kasr Alainy School of Medicine Cairo University, Al-Saray Street, El Manial Cairo 11956, Egypt
| | - Sherif A Khaled
- Kasr Alainy School of Medicine Cairo University, Al-Saray Street, El Manial Cairo 11956, Egypt
| | - Khaled F M Abdel-Kader
- Kasr Alainy School of Medicine Cairo University, Al-Saray Street, El Manial Cairo 11956, Egypt
| | - Hazem A Azeem
- Kasr Alainy School of Medicine Cairo University, Al-Saray Street, El Manial Cairo 11956, Egypt
| | - Nirav N Shah
- Worthing Hospital, University Hospitals of Sussex, Lyndhurst Road, Worthing BN112DH, UK
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Chernozem RV, Pariy I, Surmeneva MA, Shvartsman VV, Planckaert G, Verduijn J, Ghysels S, Abalymov A, Parakhonskiy BV, Gracey E, Gonçalves A, Mathur S, Ronsse F, Depla D, Lupascu DC, Elewaut D, Surmenev RA, Skirtach AG. Cell Behavior Changes and Enzymatic Biodegradation of Hybrid Electrospun Poly(3-hydroxybutyrate)-Based Scaffolds with an Enhanced Piezoresponse after the Addition of Reduced Graphene Oxide. Adv Healthc Mater 2023; 12:e2201726. [PMID: 36468909 DOI: 10.1002/adhm.202201726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 11/29/2022] [Indexed: 12/12/2022]
Abstract
This is the first comprehensive study of the impact of biodegradation on the structure, surface potential, mechanical and piezoelectric properties of poly(3-hydroxybutyrate) (PHB) scaffolds supplemented with reduced graphene oxide (rGO) as well as cell behavior under static and dynamic mechanical conditions. There is no effect of the rGO addition up to 1.0 wt% on the rate of enzymatic biodegradation of PHB scaffolds for 30 d. The biodegradation of scaffolds leads to the depolymerization of the amorphous phase, resulting in an increase in the degree of crystallinity. Because of more regular dipole order in the crystalline phase, surface potential of all fibers increases after the biodegradation, with a maximum (361 ± 5 mV) after the addition of 1 wt% rGO into PHB as compared to pristine PHB fibers. By contrast, PHB-0.7rGO fibers manifest the strongest effective vertical (0.59 ± 0.03 pm V-1 ) and lateral (1.06 ± 0.02 pm V-1 ) piezoresponse owing to a greater presence of electroactive β-phase. In vitro assays involving primary human fibroblasts reveal equal biocompatibility and faster cell proliferation on PHB-0.7rGO scaffolds compared to pure PHB and nonpiezoelectric polycaprolactone scaffolds. Thus, the developed biodegradable PHB-rGO scaffolds with enhanced piezoresponse are promising for tissue-engineering applications.
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Affiliation(s)
- Roman V Chernozem
- Physical Materials Science and Composite Materials Centre, Research School of Chemistry & Applied Biomedical Sciences, Tomsk Polytechnic University, Tomsk, 634050, Russia
- Department of Biotechnology, Ghent University, Ghent, 9000, Belgium
| | - Igor Pariy
- Physical Materials Science and Composite Materials Centre, Research School of Chemistry & Applied Biomedical Sciences, Tomsk Polytechnic University, Tomsk, 634050, Russia
| | - Maria A Surmeneva
- Physical Materials Science and Composite Materials Centre, Research School of Chemistry & Applied Biomedical Sciences, Tomsk Polytechnic University, Tomsk, 634050, Russia
| | - Vladimir V Shvartsman
- Institute for Materials Science and Center for Nanointegration Duisburg-Essen (CENIDE), University of Duisburg-Essen, 45141, Essen, Germany
| | - Guillaume Planckaert
- VIB-UGent Center for Inflammation Research, Technologiepark-Zwijnaarde 71, Ghent, B-9052, Belgium
| | - Joost Verduijn
- Department of Biotechnology, Ghent University, Ghent, 9000, Belgium
| | - Stef Ghysels
- Department of Green Chemistry and Technology, Ghent University, Ghent, 9000, Belgium
| | - Anatolii Abalymov
- Department of Environmental Sciences, Jozef Stefan Institute, Jamova cesta 39, Ljubljana, 1000, Slovenia
| | | | - Eric Gracey
- VIB-UGent Center for Inflammation Research, Technologiepark-Zwijnaarde 71, Ghent, B-9052, Belgium
| | - Amanda Gonçalves
- VIB-UGent Center for Inflammation Research, Technologiepark-Zwijnaarde 71, Ghent, B-9052, Belgium
| | - Sanjay Mathur
- Institute of Inorganic Chemistry, University of Cologne, Greinstr. 6, 50939, Cologne, Germany
| | - Frederik Ronsse
- Department of Green Chemistry and Technology, Ghent University, Ghent, 9000, Belgium
| | - Diederik Depla
- Department of Solid State Sciences, Ghent University, 9000, Ghent, Belgium
| | - Doru C Lupascu
- Institute for Materials Science and Center for Nanointegration Duisburg-Essen (CENIDE), University of Duisburg-Essen, 45141, Essen, Germany
| | - Dirk Elewaut
- VIB-UGent Center for Inflammation Research, Technologiepark-Zwijnaarde 71, Ghent, B-9052, Belgium
| | - Roman A Surmenev
- Physical Materials Science and Composite Materials Centre, Research School of Chemistry & Applied Biomedical Sciences, Tomsk Polytechnic University, Tomsk, 634050, Russia
- Institute of Inorganic Chemistry, University of Cologne, Greinstr. 6, 50939, Cologne, Germany
| | - Andre G Skirtach
- Department of Biotechnology, Ghent University, Ghent, 9000, Belgium
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3
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Liu J, Mohd Rafiq NB, Wong LM, Wang S. Surface Treatment and Bioinspired Coating for 3D-Printed Implants. Front Chem 2021; 9:768007. [PMID: 34869211 PMCID: PMC8636835 DOI: 10.3389/fchem.2021.768007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 09/22/2021] [Indexed: 11/24/2022] Open
Abstract
Three-dimensional (3D) printing technology has developed rapidly and demonstrates great potential in biomedical applications. Although 3D printing techniques have good control over the macrostructure of metallic implants, the surface properties have superior control over the tissue response. By focusing on the types of surface treatments, the osseointegration activity of the bone-implant interface is enhanced. Therefore, this review paper aims to discuss the surface functionalities of metallic implants regarding their physical structure, chemical composition, and biological reaction through surface treatment and bioactive coating. The perspective on the current challenges and future directions for development of surface treatment on 3D-printed implants is also presented.
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Affiliation(s)
| | | | | | - Shijie Wang
- Institute of Materials Research and Engineering (IMRE), A*STAR (Agency for Science, Technology and Research), Singapore, Singapore
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4
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Chen KJ, Hung FY, Wang YT, Yen CW. Mechanical properties and biomedical application characteristics of degradable polylactic acid-Mg-Ca 3(PO 4) 2 three-phase composite. J Mech Behav Biomed Mater 2021; 125:104949. [PMID: 34736029 DOI: 10.1016/j.jmbbm.2021.104949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 10/21/2021] [Accepted: 10/25/2021] [Indexed: 11/29/2022]
Abstract
Polylactic acid (PLA), pure magnesium powder, and calcium phosphate powder were used to form a three-phase degradable biomedical composite. The effects of various powder proportions in polylactic acid-Mg-Ca3(PO4)2 composites were analyzed through mechanical and biological tests, which revealed that both the tensile and impact strength of the composite increased. Additionally, ductility presented only after a small proportion of powder was added. Hardness slightly increased because of dispersion strengthening. Furthermore, the addition of pure magnesium and calcium phosphate accelerated the degradation rate, and biocompatible salts were generated after degradation, which can improve healing and renewal in bone tissue. None of the composites exhibited cytotoxicity, meeting biological safety requirements. Overall, PLA10M10C (10 wt.% Mg, 10 wt.% Ca3(PO4)2) exhibited superior performance. Accordingly, PLA10M10C can serve as a reference for degradable biomedical material applications in orthopedic implants.
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Affiliation(s)
- Kuan-Jen Chen
- Department of Mechanical Engineering, Southern Taiwan University of Science and Technology, Tainan, 710, Taiwan.
| | - Fei-Yi Hung
- Department of Materials Science and Engineering, National Cheng Kung University, Tainan, 701, Taiwan.
| | - Yun-Ting Wang
- Department of Materials Science and Engineering, National Cheng Kung University, Tainan, 701, Taiwan
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5
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Iordachescu A, Hughes EAB, Joseph S, Hill EJ, Grover LM, Metcalfe AD. Trabecular bone organoids: a micron-scale 'humanised' prototype designed to study the effects of microgravity and degeneration. NPJ Microgravity 2021; 7:17. [PMID: 34021163 PMCID: PMC8140135 DOI: 10.1038/s41526-021-00146-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 04/25/2021] [Indexed: 11/20/2022] Open
Abstract
Bone is a highly responsive organ, which continuously adapts to the environment it is subjected to in order to withstand metabolic demands. These events are difficult to study in this particular tissue in vivo, due to its rigid, mineralised structure and inaccessibility of the cellular component located within. This manuscript presents the development of a micron-scale bone organoid prototype, a concept that can allow the study of bone processes at the cell-tissue interface. The model is constructed with a combination of primary female osteoblastic and osteoclastic cells, seeded onto femoral head micro-trabeculae, where they recapitulate relevant phenotypes and functions. Subsequently, constructs are inserted into a simulated microgravity bioreactor (NASA-Synthecon) to model a pathological state of reduced mechanical stimulation. In these constructs, we detected osteoclastic bone resorption sites, which were different in morphology in the simulated microgravity group compared to static controls. Once encapsulated in human fibrin and exposed to analogue microgravity for 5 days, masses of bone can be observed being lost from the initial structure, allowing to simulate the bone loss process further. Constructs can function as multicellular, organotypic units. Large osteocytic projections and tubular structures develop from the initial construct into the matrix at the millimetre scale. Micron-level fragments from the initial bone structure are detected travelling along these tubules and carried to sites distant from the native structure, where new matrix formation is initiated. We believe this model allows the study of fine-level physiological processes, which can shed light into pathological bone loss and imbalances in bone remodelling.
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Affiliation(s)
- Alexandra Iordachescu
- School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham, UK.
- Healthcare Technologies Institute, University of Birmingham, Edgbaston, Birmingham, UK.
| | - Erik A B Hughes
- School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham, UK
- Healthcare Technologies Institute, University of Birmingham, Edgbaston, Birmingham, UK
| | - Stephan Joseph
- School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham, UK
- The Binding Site, Edgbaston, Birmingham, UK
| | - Eric J Hill
- School of Biosciences, College of Health and Life Sciences, Aston University, Birmingham, UK
| | - Liam M Grover
- School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham, UK
- Healthcare Technologies Institute, University of Birmingham, Edgbaston, Birmingham, UK
| | - Anthony D Metcalfe
- School of Chemical Engineering, University of Birmingham, Edgbaston, Birmingham, UK
- Healthcare Technologies Institute, University of Birmingham, Edgbaston, Birmingham, UK
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6
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Iafisco M, Varoni E, Battistella E, Pietronave S, Prat M, Roveri N, Rimondini L. The Cooperative Effect of Size and Crystallinity Degree on the Resorption of Biomimetic Hydroxyapatite for Soft Tissue Augmentation. Int J Artif Organs 2018. [DOI: 10.1177/039139881003301101] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Two kinds of hydroxyapatite (HA) crystals were studied as subcutaneous fillers in order to evaluate how their different degree of crystallinity and dimensions influence in vivo resorption. By appropriately adjusting the synthesis temperature, poorly crystalline HA (HApc) and highly crystalline HA (HAhc) were synthesized into clusters of needle-shaped crystals of about 50 nm and plate-shaped crystals of about 100 nm, respectively. The clusters of HApc had larger dimensions (30 μm) than those of HAhc (3 μm). Subcutaneous in vivo inoculations were performed in ten 6-month-old FVB female mice. HAhc underwent complete macroscopic resorption already 4 weeks after the implantation while HApc still showed agglomerates at the eighth week. This unexpected finding may be ascribed to the different size and morphology of the HAhc nanocrystals responsible for a lower aggregation and microcluster dimension than HApc nanocrystals.
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Affiliation(s)
- Michele Iafisco
- Dipartimento di Scienze Mediche, Università del Piemonte Orientale “A. Avogadro”
- Dipartimento di Chimica “G. Ciamician”, Alma Mater Studiorum, Università di Bologna, Bologna - Italy
| | - Elena Varoni
- Dipartimento di Scienze Mediche, Università del Piemonte Orientale “A. Avogadro”
| | - Elisa Battistella
- Dipartimento di Scienze Mediche, Università del Piemonte Orientale “A. Avogadro”
| | - Stefano Pietronave
- Dipartimento di Scienze Mediche, Università del Piemonte Orientale “A. Avogadro”
| | - Maria Prat
- Dipartimento di Scienze Mediche, Università del Piemonte Orientale “A. Avogadro”
| | - Norberto Roveri
- Dipartimento di Chimica “G. Ciamician”, Alma Mater Studiorum, Università di Bologna, Bologna - Italy
| | - Lia Rimondini
- Dipartimento di Scienze Mediche, Università del Piemonte Orientale “A. Avogadro”
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7
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A Review of Hydroxyapatite Coatings Manufactured by Thermal Spray. SPRINGER SERIES IN BIOMATERIALS SCIENCE AND ENGINEERING 2014. [DOI: 10.1007/978-3-642-53980-0_9] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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8
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Tredwin CJ, Young AM, Georgiou G, Shin SH, Kim HW, Knowles JC. Hydroxyapatite, fluor-hydroxyapatite and fluorapatite produced via the sol–gel method. Optimisation, characterisation and rheology. Dent Mater 2013; 29:166-73. [DOI: 10.1016/j.dental.2012.11.008] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2012] [Revised: 09/19/2012] [Accepted: 11/07/2012] [Indexed: 10/27/2022]
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9
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Tan F, Naciri M, Dowling D, Al-Rubeai M. In vitro and in vivo bioactivity of CoBlast hydroxyapatite coating and the effect of impaction on its osteoconductivity. Biotechnol Adv 2012; 30:352-62. [DOI: 10.1016/j.biotechadv.2011.07.008] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2011] [Revised: 04/26/2011] [Accepted: 07/13/2011] [Indexed: 11/26/2022]
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10
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Chung S, McCullagh A, Irinakis T. Immediate Loading in the Maxillary Arch: Evidence-Based Guidelines to Improve Success Rates: A Review. J ORAL IMPLANTOL 2011; 37:610-21. [DOI: 10.1563/aaid-d-joi-10-00058.1] [Citation(s) in RCA: 92] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The reliability of immediately loaded dental implants in the mandible has prompted many to investigate their application in the maxilla. Although the body of literature is growing, the long-term survivability of immediate loading in the maxilla is still pending. This review of literature investigates the status of immediate loading of dental implants in the maxilla to determine its predictability as a treatment option for partial and complete maxillary edentulism. Current terminology in the field is summarized first. Subsequently, the rationale and advantages of immediate loading in the maxilla are reviewed, and the relationships between immediate loading and osseointegration, primary stability, implant design, micromotion, immediate implant placement, and bone character are explored. The importance of a prosthodontically driven implant treatment plan emphasizing the role of splinting a high-precision and passively fitting implant restoration with reduced micromotion under function is summarized. The reliability and predictability of immediately loaded implants as a treatment option are proposed, and recommended guidelines for the successful delivery of immediately loaded implants in the maxilla are presented.
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Affiliation(s)
- Sean Chung
- General Practice Residency, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia
| | - Anthony McCullagh
- Division of Prosthodontics and Dental Geriatrics, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia
| | - Tassos Irinakis
- Graduate Periodontics, Division of Periodontics and Implant Surgery, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia
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11
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ten Broeke RHM, Alves A, Baumann A, Arts JJC, Geesink RGT. Bone reaction to a biomimetic third-generation hydroxyapatite coating and new surface treatment for the Symax hip stem. ACTA ACUST UNITED AC 2011; 93:760-8. [PMID: 21586774 DOI: 10.1302/0301-620x.93b6.24986] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Four uncemented Symax hip stems were extracted at three weeks and nine, 13 and 32 months, respectively, for reasons other than loosening. The reasons for implant removal were infection in two cases, recurrent dislocation in one and acetabular fracture in one. They were analysed to assess the effect and behaviour of an electrochemically deposited, completely resorbable biomimetic BONIT-hydroxyapatite (HA) coating (proximal part) and a DOTIZE surface treatment (distal part) using qualitative histology, quantitative histomorphometry and scanning electron microscopy (SEM). Early and direct bone-implant bonding with signs of active remodelling of bone and the HA coating were demonstrated by histology and SEM. No loose BONIT-HA particles or delamination of the coating were observed, and there was no inflammation or fibrous interposition at the interface. Histomorphometry showed bone-implant contact varying between 26.5% at three weeks and 83.5% at 13 months at the HA-coated implant surface. The bone density in the area of investigation was between 24.6% at three weeks and 41.1% at 32 months. The DOTIZE surface treatment of the distal part of the stem completely prevented tissue and bone apposition in all cases, thereby optimising proximal stress transfer. The overall features of this implant, in terms of geometry and surface texture, suggest a mechanically stable design with a highly active biomimetic coating, resulting in rapid and extensive osseo-integration, exclusively in the metaphyseal part of the stem. Early remodelling of the HA coating does not seem to have a detrimental effect on short-term bone-implant coupling. There were no adverse effects identified from either the BONIT-HA coating or the DOTIZE surface treatment.
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Affiliation(s)
- R. H. M. ten Broeke
- Department of Orthopaedic Surgery, Maastricht University Medical Centre, P. O. Box 5800, 6202AZ Maastricht, The Netherlands
| | - A. Alves
- Biomatech - Namsa Company, Z. I. de L’Islon, 115 Rue Pasteur, 38670 Chasse-sur-Rhône, France
| | - A. Baumann
- DOT GmbH, Charles-Darwin-Ring 1a, D-18059 Rostock, Germany
| | - J. J. C. Arts
- Department of Orthopaedic Surgery, Maastricht University Medical Centre, P. O. Box 5800, 6202AZ Maastricht, The Netherlands
| | - R. G. T. Geesink
- Department of Orthopaedic Surgery, Maastricht University Medical Centre, P. O. Box 5800, 6202AZ Maastricht, The Netherlands
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12
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Los recubrimientos de hidroxiapatita en las prótesis articulares. Rev Esp Cir Ortop Traumatol (Engl Ed) 2008. [DOI: 10.1016/s1888-4415(08)74805-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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13
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Thian ES, Huang J, Best SM, Barber ZH, Bonfield W. Silicon-substituted hydroxyapatite thin films: Effect of annealing temperature on coating stability and bioactivity. J Biomed Mater Res A 2006; 78:121-8. [PMID: 16604532 DOI: 10.1002/jbm.a.30730] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
The effect of annealing temperature on the physicochemical and biological characteristics of magnetron cosputtered silicon-substituted hydroxyapatite (SiHA) thin coatings was studied. Annealing is required to transform as-sputtered amorphous films into crystalline coatings. A nanocrystalline, single-phase apatite structure was achieved for coatings heated to 600 or 700 degrees C and, with increasing annealing temperature, the crystallite size increased. Small crystallites were found to be more soluble in the physiological environment but, at the same time, were able to induce early formation of a new apatite layer. A human osteoblast-like (HOB) cell model was used to evaluate the performance of these annealed SiHA coatings. HOB cells attached and grew well on coatings and, after 42 days in culture, a mineralization process was observed to be taking place, with evidence of calcium phosphate minerals throughout the extracellular matrix. Our findings indicated that an annealing temperature of 600 degrees C is sufficient to achieve crystalline SiHA coatings and exhibiting good chemical stability and bioactivity.
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Affiliation(s)
- E S Thian
- Department of Materials Science and Metallurgy, University of Cambridge, Pembroke Street, Cambridge, CB2 3QZ, UK.
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14
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Tanzer M, Karabasz D, Krygier JJ, Cohen R, Bobyn JD. The Otto Aufranc Award: bone augmentation around and within porous implants by local bisphosphonate elution. Clin Orthop Relat Res 2005; 441:30-9. [PMID: 16330982 DOI: 10.1097/01.blo.0000194728.62996.2d] [Citation(s) in RCA: 98] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The bisphosphonate zoledronic acid chemically and physically was bound to hydroxyapatite-coated porous tantalum implants. The zoledronic acid elution characteristics in saline were determined as a function of time and the in vivo effects of elution were quantified at 12 weeks in a canine ulnar implant model. Intramedullary implants surgically were implanted bilaterally into the ulnae of a control group of five dogs and a zoledronic acid-dosed (0.05 mg zoledronic acid) group of four dogs. Computerized image analysis of undecalcified histologic sections was used to quantify the amount of peri-implant bone within the intramedullary canal, the percentage of available pore space filled with new bone, and the number and size of the individual bone islands within the implant pores. The data were analyzed using a hierarchical analysis of variance with 95% confidence intervals. The peri-implant bone occupied a mean of 13.8% of the canal space in controls and 32.2% of the canal space in zoledronic acid-dosed dogs, a relative difference of 134% (2.34-fold) that was significant. The mean extent of bone ingrowth was 12.5% for the control implants and 19.8% for the zoledronic acid-dosed dogs, a relative difference of 58% that was statistically significant. Individual islands of new bone formation with the implant pores were similar in number in both implant groups but were 71% larger on average in the ZA-dosed group. We are the first authors to show that local elution of a bisphosphonate can cause substantial bone augmentation around and within porous orthopaedic implants. The concept represents a potential tool for restoration of bone stock and enhancement of implant fixation in primary and revision cementless joint arthroplasty surgeries in the face of compromised or deficient bone.
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Affiliation(s)
- Michael Tanzer
- Department of Surgery, McGill University, Montreal, Quebec, Canada
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15
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Affiliation(s)
- Bashir A Zikria
- Department of Orthopaedic Surgery, Lenox Hill Hospital, 100 East 77th Street, New York, NY 10021, USA
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16
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Hacking SA, Tanzer M, Harvey EJ, Krygier JJ, Bobyn JD. Relative contributions of chemistry and topography to the osseointegration of hydroxyapatite coatings. Clin Orthop Relat Res 2002:24-38. [PMID: 12461353 DOI: 10.1097/00003086-200212000-00004] [Citation(s) in RCA: 81] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The purpose of the current study was to ascertain the relative contributions of surface chemistry and topography to the osseointegration of hydroxyapatite-coated implants. A canine femoral intramedullary implant model was used to compare the osseous response to commercially pure titanium implants that were either polished, grit-blasted, plasma-sprayed with hydroxyapatite, or plasma-sprayed with hydroxyapatite and masked with a very thin layer of titanium using physical vapor deposition (titanium mask). The titanium mask isolated the chemistry of the underlying hydroxyapatite layer without functionally changing its surface topography and morphologic features. At 12 weeks, the bone-implant specimens were prepared for undecalcified thin section histologic evaluation and serial transverse sections were quantified with backscattered scanning electron microscopy for the percentage of bone apposition to the implant surface. Bone apposition averaged 3% for the polished implants and 23% for the grit-blasted implants. Bone apposition to the hydroxyapatite-coated implants averaged 74% whereas bone apposition to the titanium mask implants averaged 59%. Although there was significantly greater osseointegration with the hydroxyapatite-coated implants, 80% of the maximum bone forming response to the implant surfaces developed with the titanium mask implants. This simple, controlled experiment revealed that topography is the dominant factor governing bone apposition to hydroxyapatite-coated implants.
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Affiliation(s)
- S A Hacking
- Jo Miller Orthopaedic Research Laboratory, Montreal, Canada
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