Department of Maxillofacial Orthognathics, Graduate School of Tokyo Medical and Dental University, Tokyo, Japan.
J Biomed Mater Res B Appl Biomater. 2013 Aug;101(6):1031-8. doi: 10.1002/jbm.b.32913. Epub 2013 Apr 2.
This article proposes less-invasive subperiosteal bone-bonding devices capable of realizing rapid osseointegration and the acquisition of fundamental knowledge required for their development. Three candidates were prepared: titanium rod specimens with a machined surface (Bare), hydroxyapatite (HAp) coating, and hydroxyapatite/collagen (HAp/Col) nanocomposite coating. To investigate bone formation around these rods, each specimen was placed under the periosteum of a male Sprague-Dawley rat calvarium. Four weeks after surgery, the samples were evaluated via histomorphometrical analyses and bonding strength tests. All the Bare specimens and more than half of the HAp specimens were encapsulated with fibrous tissue, whereas all the HAp/Col specimens were almost completely surrounded by new bone tissue without encapsulation. Histomorphometrical analyses showed that the HAp/Col group had the greatest bone contact ratio among all candidates (p < 0.05). Further, a bonding strength test indicated that the HAp/Col group exhibited the greatest bonding strength to bone (p < 0.05). Thus, HAp/Col-coated rods are considered as the best candidate materials for achieving rapid osseointegration onto a bone surface.
本文提出了几种微创的骨膜下骨结合装置,这些装置能够实现快速骨整合,并为其开发提供必要的基础知识。准备了三种候选材料:表面经过机械加工的钛棒标本(裸钛)、羟基磷灰石(HAp)涂层和羟基磷灰石/胶原蛋白(HAp/Col)纳米复合材料涂层。为了研究这些棒周围的骨形成,将每个标本放置在雄性 Sprague-Dawley 大鼠颅骨的骨膜下。手术后 4 周,通过组织形态计量学分析和结合强度测试对样品进行评估。所有裸钛标本和一半以上的 HAp 标本都被纤维组织包裹,而所有 HAp/Col 标本几乎都完全被新骨组织包围,没有包裹。组织形态计量学分析表明,所有候选物中 HAp/Col 组的骨接触比最大(p < 0.05)。此外,结合强度测试表明,HAp/Col 组与骨的结合强度最大(p < 0.05)。因此,HAp/Col 涂层棒被认为是实现骨表面快速骨整合的最佳候选材料。