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[刚玉喷砂处理的BMP-3涂层钛测试种植体(Ti6Al4V)在巨型兔原位骨整合的组织学和组织形态计量学随访观察]

[Histologic and histomorphometric follow-up observations of osseointegration of corundum-blasted BMP-3 coated titanium test implants (Ti6Al4V) at orthotopic site in the giant rabbit].

作者信息

Esenwein S A, Esenwein S, Herr G, Muhr G, Küsswetter W, Hartwig C H

机构信息

Berufsgenossenschaftliche Kliniken Bergmannsheil, Chirurgische Klinik mit Poliklinik, Universitätsklinik der Ruhr-Universität Bochum.

出版信息

Biomed Tech (Berl). 2003 Jul-Aug;48(7-8):217-24. doi: 10.1515/bmte.2003.48.7-8.217.

Abstract

AIM

To establish whether the additional coating of titanium implants with Bone Morphogenetic Protein-3 (BMP-3) might enhance osseous integration.

METHOD

Each of 15 cylindrical titanium test implants (Ti-6AI-4V) was coated using 230 micrograms porcine BMP-3. A further 15 implants with identical (corundium-blasted) surface served as negative controls. An uncoated and a BMP-3-coated test object were implanted into the femurs of 15 adult giant rabbits. New formation of bone around the implants was examined microscopically and histomorphometrically on postoperative days 14, 35 and 56.

RESULTS

Coated implants revealed superior osseointegration with statistical evaluation using the t-test for matched samples showing a significantly higher volume of new bone 5 weeks after surgery. Microscopic examination revealed osseointegration with no connective tissue membrane around the surface of the implants.

CONCLUSIONS

Our results indicate that composite metal implants are suitable carriers for BMP-3 and that improved fixation of the implants can be achieved.

摘要

目的

确定用骨形态发生蛋白-3(BMP-3)对钛植入物进行额外涂层是否能增强骨整合。

方法

15个圆柱形钛测试植入物(Ti-6AI-4V)每个都用230微克猪BMP-3进行涂层。另外15个具有相同(刚玉喷砂)表面的植入物作为阴性对照。将一个未涂层和一个BMP-3涂层的测试物体植入15只成年大型兔的股骨中。在术后第14、35和56天,通过显微镜和组织形态计量学检查植入物周围新骨的形成情况。

结果

使用配对样本t检验进行统计评估,结果显示涂层植入物具有更好的骨整合,术后5周新骨体积显著更高。显微镜检查显示骨整合,植入物表面周围无结缔组织膜。

结论

我们的结果表明复合金属植入物是BMP-3的合适载体,并且可以实现植入物更好的固定。

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