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载药及妥布霉素从涂覆有羟磷灰石涂层的固定钉中的释放。

Drug loading and release of Tobramycin from hydroxyapatite coated fixation pins.

机构信息

Division for Nanotechnology and Functional Materials, Department of Engineering Sciences, The Ångström Laboratory, Uppsala University, 75121 Uppsala, Sweden.

出版信息

J Mater Sci Mater Med. 2013 Sep;24(9):2265-74. doi: 10.1007/s10856-013-4979-1. Epub 2013 Jun 19.

Abstract

This paper evaluates the loading and release properties of Tobramycin incorporated by adsorptive loading from a solution into plasma sprayed and biomimetically coated Hydroxyapatite (HA) fixation pins. The aim of this study is to contribute towards designing a functional implant surface offering local release of the antibiotic agent to prevent post-surgical infections. Cathodic arc deposition is used to coat stainless steel fixation pins with a bioactive, anatase phase dominated, TiO₂ coating onto which a HA layer is grown biomimetically. The loading and release properties are evaluated by studying the subsequent release of Tobramycin using high performance liquid chromatography and correlated to the differences in HA coating microstructure and the physical conditions under loading. The results from these studies show that a dual loading strategy consisting of a solution temperature of 90 °C and a pressure of 6 bar during a loading time of 5 min release a sufficient amount of Tobramycin to guarantee the inhibition of Staphylococcus aureus up to 2 days for plasma sprayed HA coatings and for 8 days for biomimetic coatings. The present study emphasizes the advantages of the nanoporous structure of biomimetically deposited HA over the more dense structure of plasma sprayed HA coatings in terms of antibiotic incorporation and subsequent sustained release and provides a valuable outline for the design of implant surfaces aiming for a fast-loading and controlled, local drug administration.

摘要

本文评估了妥布霉素通过吸附载入从溶液进入等离子喷涂和仿生涂层的羟基磷灰石(HA)固定钉中的载入和释放性能。本研究的目的是为设计一种功能性植入物表面做出贡献,该表面能够局部释放抗生素药物以预防手术后感染。通过阴极电弧沉积在不锈钢固定钉上涂覆一层具有生物活性的、锐钛矿相占主导地位的 TiO₂涂层,然后在其上仿生生长一层 HA 层。通过使用高效液相色谱法研究随后妥布霉素的释放来评估载入和释放性能,并将其与 HA 涂层微观结构的差异和载入时的物理条件相关联。这些研究的结果表明,采用 90°C 的溶液温度和 6 巴的压力在 5 分钟的载入时间的双重载入策略,可以释放足够量的妥布霉素,以保证金黄色葡萄球菌的抑制作用长达 2 天,对于等离子喷涂 HA 涂层,长达 8 天。本研究强调了仿生沉积 HA 的纳米多孔结构在抗生素掺入和随后的持续释放方面相对于等离子喷涂 HA 涂层的更密集结构的优势,并为旨在快速载入和控制局部药物管理的植入物表面设计提供了有价值的概述。

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