Resorbable bioactive ceramic for treatment of bone infection

Ahmed El-Ghannam1, Kiarash Jahed, Meera Govindaswami

  • 1Department of Mechanical Engineering and Engineering Science, The University of North Carolina at Charlotte, Charlotte, North Carolina 28223, USA. arelgha@uncc.edu

Insights

A novel resorbable silica-calcium phosphate nanocomposite (SCPC75) shows promise for treating osteomyelitis by providing sustained vancomycin release for 35 days, unlike nonresorbable polymethylmethacrylate (PMMA). SCPC75 also stimulates bone formation.

Area of Science:

  • Biomaterials Science
  • Nanotechnology
  • Orthopedic Surgery

Background:

  • Polymethylmethacrylate (PMMA) beads are used for localized antibiotic delivery in bone infections but are nonresorbable and nonbioactive.
  • Limitations of PMMA include its inability to resorb or stimulate bone growth, necessitating alternative materials.

Purpose of the Study:

  • To investigate a resorbable bioactive silica-calcium phosphate nanocomposite (SCPC75) as a novel controlled-release carrier for vancomycin in osteomyelitis treatment.
  • To compare the vancomycin adsorption, release kinetics, and degradation properties of SCPC75 with PMMA.

Main Methods:

  • Vancomycin adsorption capacity of SCPC75 and PMMA was measured.
  • In vitro drug release studies were conducted over 35 days to determine release kinetics.
  • Dissolution rate and mass loss of SCPC75 were analyzed.
  • Drug retention by PMMA was quantified.

Main Results:

  • SCPC75 adsorbed significantly more vancomycin than PMMA.
  • SCPC75 demonstrated sustained release of vancomycin for up to 35 days (95.5% release, ~12 microg/mL/day).
  • PMMA provided sustained release for only 14 days and retained 32% of the drug.

Conclusions:

  • SCPC75 offers superior vancomycin delivery compared to PMMA, with sustained release and controlled degradation.
  • The SCPC-vancomycin implant has a dual function: eradicating infection and promoting bone regeneration.
  • This resorbable nanocomposite represents a promising advancement for osteomyelitis treatment.

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