Li Zhixia, Kawashita Masakazu
Graduate School of Biomedical Engineering, Tohoku University, 6-6-11-901-4 Aramaki-Aoba, Aoba-ku, Sendai, Japan.
J Artif Organs. 2011 Sep;14(3):163-70. doi: 10.1007/s10047-011-0585-5. Epub 2011 Jul 7.
In this review, recent advances in bioceramics, metallic biomaterials, and their composites are discussed in terms of their material properties and new medical applications. Porous calcium phosphate ceramics have attracted a lot attention as scaffolds for tissue-engineering purposes since the porous structure allows bone ingrowth. The addition of biodegradable polymers like chitosan, gelatin, and collagen have modified the degradability of the ceramics and their mechanical properties. Titanium (Ti) alloys are being developed for the fabrication of medical devices for the replacement of hard tissue such as artificial hip joints, bone plates, and dental implants because they are very reliable from the viewpoint of mechanical performance. Physical treatment such as grooving or setting a spatial gap on the surface of materials is applicable to improve the apatite formation on the Ti alloys. Blood-compatible polymers such as poly(ethylene glycol) have been successfully fixed on the surface of Ti via chemical bonding by an electrodeposition method. New functions have been explored in Ni-free, Co-Cr-Mo alloys and Mg alloys. In addition, yttrium-containing or phosphorus-containing glass microspheres (20-30 μm in diameter) and ferrimagnetic ceramic particles have exhibited great potential to realize minimally invasive treatment of cancer without surgical operation via in situ radiotherapy or hyperthermia of cancer, but it is still a major challenge to clarify the biological reaction between the artificial implants and living body before their application.
在本综述中,将从生物陶瓷、金属生物材料及其复合材料的材料特性和新的医学应用方面讨论其最新进展。多孔磷酸钙陶瓷作为组织工程支架引起了广泛关注,因为其多孔结构允许骨向内生长。添加壳聚糖、明胶和胶原蛋白等可生物降解聚合物改变了陶瓷的降解性及其机械性能。钛(Ti)合金正被用于制造替代硬组织的医疗设备,如人工髋关节、骨板和牙种植体,因为从机械性能的角度来看它们非常可靠。诸如在材料表面开槽或设置空间间隙等物理处理方法可用于改善钛合金上的磷灰石形成。聚(乙二醇)等血液相容性聚合物已通过电沉积法通过化学键成功固定在钛表面。在无镍、钴铬钼合金和镁合金中探索了新功能。此外,含钇或含磷的玻璃微球(直径20 - 30μm)和亚铁磁性陶瓷颗粒在通过原位放射治疗或癌症热疗实现无需手术的癌症微创治疗方面显示出巨大潜力,但在人工植入物应用前阐明其与活体之间的生物反应仍是一项重大挑战。