Department of Orthopedics, Division of Engineering, Brown University, Providence, Rhode Island 02912, USA.
J Biomed Mater Res A. 2010 Mar 1;92(3):1190-201. doi: 10.1002/jbm.a.32433.
The development of new materials through novel surface modification techniques to enhance orthopedic implant lifetimes (hence, decreasing the need for revision surgery) is of great interest to the medical community. The purpose of this in vitro study was to treat common metallic implant materials [such as titanium (Ti) and a titanium alloy (Ti6Al4V)] and traditional polymeric materials (like polyethylene terephthalate, polyvinyl chloride, polyurethane, polytetrafluoroethylene, ultra-high molecular weight polyethylene (UHMWPE) and nylon) with either nanoparticulate alumina or titanium using novel (i) ionic plasma deposition (IPD) and (ii) nitrogen ion immersion plasma deposition (NIIPD) techniques. The treated surfaces were characterized by scanning electron microscopy, atomic force microscopy and surface energy, demonstrating greater nanoscale roughness on the modified surfaces regardless of the underlying material or coating applied. These surface-modified substrates were also tested for cytocompatibility properties with osteoblasts (or bone-forming cells). Results showed increased osteoblast adhesion on modified compared to control (traditional or untreated) materials. Since the adhesion of osteoblasts is the first crucial step for new bone synthesis, these results are very promising and suggest that the plasma deposition processes used in this study should be further investigated to improve the longevity of orthopedic implants.
通过新颖的表面改性技术开发新材料,以延长骨科植入物的使用寿命(从而减少翻修手术的需求),这引起了医学界的极大兴趣。本体外研究的目的是用新型(i)离子体离子沉积(IPD)和(ii)氮离子浸没等离子体沉积(NIIPD)技术处理常见的金属植入材料(如钛(Ti)和钛合金(Ti6Al4V))和传统聚合物材料(如聚对苯二甲酸乙二醇酯、聚氯乙烯、聚氨酯、聚四氟乙烯、超高分子量聚乙烯(UHMWPE)和尼龙),用纳米氧化铝或钛进行处理。用扫描电子显微镜、原子力显微镜和表面能对处理后的表面进行了表征,结果表明,无论底层材料或应用的涂层如何,改性表面的纳米级粗糙度都更大。这些表面改性的基底还与成骨细胞(或骨形成细胞)进行了细胞相容性测试。结果表明,与对照(传统或未经处理)材料相比,改性后的成骨细胞粘附性增加。由于成骨细胞的粘附是新骨合成的第一步,因此这些结果非常有希望,表明本研究中使用的等离子体沉积工艺应进一步研究,以提高骨科植入物的使用寿命。