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不同种植体宏观几何形状和表面处理对早期生物力学固定的影响:一项犬的实验研究。

The effect of different implant macrogeometries and surface treatment in early biomechanical fixation: an experimental study in dogs.

机构信息

Department of Biomaterials and Biomimetics, New York University, 345 E 24th Street, New York, NY 10010, USA.

出版信息

J Mech Behav Biomed Mater. 2011 Nov;4(8):1974-81. doi: 10.1016/j.jmbbm.2011.06.016. Epub 2011 Jul 3.

Abstract

Implant surface characterization and biomechanical testing were made to evaluate the effect of different surface treatments along with different implant bulk configurations expressed as biomechanical fixation at early implantation times. Three implant surfaces, namely bioactive ceramic electrodeposition (ED), alumina-blasted/acid etched (AB/AE), and resorbable blasting media (RBM) were fabricated in three implant macrogeometries (cylindrical, small chamber, and large chamber). All combinations between surface and bulk configurations were placed in the radii of beagle dogs (n=18), which were euthanized 14 and 40 days after surgery (n=9 animals per time in vivo). The implants were subjected to torque to interface fracture. Effects of time, surface, and macrogeometry on torque to interface fracture were evaluated by a GLM at 95% level of significance. The results showed a significant increase in torque as time elapsed in vivo (p<0.001), and that the ED surface presented significantly higher values compared to AB/AE and RBM (p<0.001) at both times. The small chamber only presented a significantly higher biomechanical fixation compared to other geometries at 40 days in vivo (p=0.02). Biomechanical fixation at 14 and 40 days was affected by implant surface treatment, whereas implant design only affected results at 40 days in vivo.

摘要

对不同表面处理和不同植入体本体构型的影响进行了植入体表面特性和生物力学测试,其表现为早期植入时的生物力学固定。制造了三种植入体表面,即生物活性陶瓷电沉积(ED)、氧化铝喷砂/酸蚀(AB/AE)和可吸收喷砂介质(RBM),并采用三种植入体宏观构型(圆柱形、小腔室和大腔室)。将表面和本体构型的所有组合分别植入比格犬(n=18)的桡骨,在术后 14 天和 40 天处死(n=9 只/时间,体内)。对植入物施加扭矩以使其界面断裂。通过 95%置信水平的 GLM 评估时间、表面和宏观构型对界面断裂扭矩的影响。结果表明,体内时间的延长显著增加了扭矩(p<0.001),并且 ED 表面在两个时间点均显著高于 AB/AE 和 RBM(p<0.001)。小腔室仅在体内 40 天与其他几何形状相比具有显著更高的生物力学固定(p=0.02)。植入体表面处理影响 14 天和 40 天的生物力学固定,而植入体设计仅影响体内 40 天的结果。

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