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The ultrastructure of the plasma-sprayed hydroxyapatite-bone interface predisposing to bone bonding
A E Porter1, L W Hobbs, V Benezra Rosen
1Department of Materials Science & Engineering, Massachusetts Institute of Technology, Cambridge 02139, USA.
Biomaterials
|January 5, 2002
Summary
Hydroxyapatite implant crystallinity affects bone bonding. Higher crystallinity reduced initial apatite deposition, but bone mineralization mechanisms remained similar to normal ossification, suggesting adaptable bone integration strategies.
Area of Science:
- Biomaterials Science
- Orthopedic Research
- Tissue Engineering
Background:
- Bone formation on hydroxyapatite implants involves surface dissolution and biological apatite reprecipitation.
- In vitro studies indicate that increased coating crystallinity hinders dissolution and reprecipitation.
- Understanding the effect of crystallinity on bone bonding is crucial for implant design.
Purpose of the Study:
- To investigate the impact of hydroxyapatite coating crystallinity on the mechanism of bone bonding in vivo.
- To compare the mineralization process on hydroxyapatite coatings with normal ossification.
Main Methods:
- Plasma-sprayed hydroxyapatite (PSHA) coated titanium alloy implants were used, with some coatings annealed to increase crystallinity.
- Implants were surgically placed in canine femora and tibiae for 3 hours, 3 days, and 10 days.
- Transmission electron microscopy with an anhydrous embedding technique was employed to analyze bone-implant interfaces.
Main Results:
- Biological apatite crystallites precipitated on non-annealed PSHA coatings within 3 hours of implantation.
- Differences in the ultrastructure of the mineral phase were observed between non-annealed and annealed surfaces at 3 and 10 days.
- The mechanism of bone mineralization associated with hydroxyapatite coatings closely resembled normal ossification.
Conclusions:
- Coating crystallinity influences early biological apatite deposition on hydroxyapatite implants.
- Despite initial differences, hydroxyapatite coatings facilitate bone mineralization through mechanisms similar to natural bone formation.
- These findings support the use of hydroxyapatite coatings for enhanced bone integration in orthopedic implants.