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降解镁螺钉 ZEK100:生物力学测试、降解分析及在兔模型中的软组织相容性。

Degrading magnesium screws ZEK100: biomechanical testing, degradation analysis and soft-tissue biocompatibility in a rabbit model.

机构信息

Small Animal Clinic, University of Veterinary Medicine Hannover, Hannover, Germany.

出版信息

Biomed Mater. 2013 Aug;8(4):045012. doi: 10.1088/1748-6041/8/4/045012. Epub 2013 Jul 1.

DOI:10.1088/1748-6041/8/4/045012
PMID:23813445
Abstract

Magnesium alloys are promising implant materials for use in orthopaedic applications. In the present study, screws made of the Mg-alloy ZEK100 (n = 12) were implanted in rabbit tibiae for four and six weeks, respectively. For degradation analysis, in vivo µ-computed tomography (µCT), a determination of the weight changes and SEM/EDX examinations of the screws were performed. Screw retention forces were verified by uniaxial pull-out tests. Additionally, soft-tissue biocompatibility was estimated using routine histological methods (H&E staining) and the immunohistological characterization of B- and T-cells. After six weeks, a 7.5% weight reduction occurred and, in dependence of the implant surrounding, the volume loss (µCT) reached 9.6% (screw head) and 5.0% for the part of the thread in the marrow cavity. Pull-out forces significantly decreased to 44.4% in comparison with the origin value directly after implantation. Soft tissue reactions were characterized by macrophage and lymphocyte infiltration, whereas T-cells as well as B-cells could be observed. In comparison to MgCa0.8-screws, the degradation rate and inflammatory tissue response were increased and the screw holding power was decreased after six weeks. In conclusion, ZEK100-screws seem to be inferior to MgCa0.8-screws, although their initial strength was more appropriate.

摘要

镁合金是一种有前途的植入物材料,可用于骨科应用。在本研究中,分别将 ZEK100 镁合金制成的螺钉植入兔胫骨中 4 周和 6 周。为了进行降解分析,进行了体内微计算机断层扫描(µCT)、螺钉重量变化的测定以及 SEM/EDX 检查。通过单轴拔出试验验证了螺钉的保留力。此外,还使用常规组织学方法(H&E 染色)和 B 细胞和 T 细胞的免疫组织化学特征来评估软组织相容性。6 周后,螺钉重量减轻了 7.5%,并且根据植入物周围环境的不同,骨腔中螺纹部分的体积损失(µCT)达到 9.6%(螺钉头部)和 5.0%。与植入后直接获得的原始值相比,拔出力显著降低至 44.4%。组织反应的特征是巨噬细胞和淋巴细胞浸润,同时也观察到 T 细胞和 B 细胞。与 MgCa0.8 螺钉相比,6 周后降解速率和炎症组织反应增加,螺钉固定力降低。总之,尽管 ZEK100 螺钉的初始强度更合适,但它们的性能似乎不如 MgCa0.8 螺钉。

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