Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China.
Arch Orthop Trauma Surg. 2012 Jun;132(6):897-903. doi: 10.1007/s00402-012-1490-y. Epub 2012 Feb 29.
Implant-related infections are disastrous complications in the clinic, and there are no effective therapies. In this preliminary study, gentamicin-loaded coating on titanium implants was prepared using the electrospinning technique, and some properties of the coating titanium implants were studied.
We adopted the electrospinning technique to prepare gentamicin-coated titanium implants. The surface structure of the coating implants was observed using scanning electron microscope. An elution study was performed to determine the release behavior of the gentamicin from the coating. The antibacterial efficacy and quantitative analysis of the bacterial adhesion of Staphylococcus aureus were evaluated in vitro, and the cytotoxicity of the coated titanium implants on osteoblasts was investigated in vitro.
The morphology of the gentamicin-coated titanium implants exhibited nanofibers, and the release of gentamicin showed an initial gentamicin burst followed by a slow release. The gentamicin-coated titanium implants had a persistent antibacterial efficacy for 1 week and significantly reduced the adhesion of the Staphylococcus aureus compared with bare titanium implants in vitro. There was no cytotoxicity observed in vitro for the gentamicin-coated implants.
The gentamicin-coated titanium implants, which were prepared using an electrospinning technique, present many advantages and may be considered to prevent and treat the implant-related infections.
植入物相关感染是临床中的灾难性并发症,目前尚无有效的治疗方法。在这项初步研究中,我们采用静电纺丝技术制备了载庆大霉素的钛植入物涂层,并研究了涂层钛植入物的一些性能。
我们采用静电纺丝技术制备了载庆大霉素的钛植入物涂层。通过扫描电子显微镜观察涂层植入物的表面结构。进行洗脱研究以确定庆大霉素从涂层中的释放行为。体外评估了金黄色葡萄球菌的抗菌效果和定量分析细菌黏附,以及体外研究涂层钛植入物对成骨细胞的细胞毒性。
庆大霉素涂层钛植入物的形态呈现出纳米纤维,庆大霉素的释放表现出初始庆大霉素突释,随后是缓慢释放。与裸钛植入物相比,庆大霉素涂层钛植入物在体外具有持续 1 周的抗菌功效,并显著减少了金黄色葡萄球菌的黏附。体外研究未观察到庆大霉素涂层植入物的细胞毒性。
采用静电纺丝技术制备的载庆大霉素钛植入物具有许多优点,可考虑用于预防和治疗植入物相关感染。