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纳米羟基磷灰石对聚合物骨组织工程支架降解、骨传导性及力学性能的影响

Nanohydroxyapatite Effect on the Degradation, Osteoconduction and Mechanical Properties of Polymeric Bone Tissue Engineered Scaffolds.

作者信息

Salmasi Shima, Nayyer Leila, Seifalian Alexander M, Blunn Gordon W

机构信息

UCL Division of Surgery and Interventional Science, Centre for Nanotechnology and Regenerative Medicine, University College London, London NW3 2PF, United Kingdom.

John Scales Centre for Biomedical Engineering, Institute of Orthopaedics and Musculoskeletal Science, Division of Surgery and Interventional Science, University College London, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, United Kingdom.

出版信息

Open Orthop J. 2016 Dec 30;10:900-919. doi: 10.2174/1874325001610010900. eCollection 2016.

Abstract

BACKGROUND

Statistical reports show that every year around the world approximately 15 million bone fractures occur; of which up to 10% fail to heal completely and hence lead to complications of non-union healing. In the past, autografts or allografts were used as the "gold standard" of treating such defects. However, due to various limitations and risks associated with these sources of bone grafts, other avenues have been extensively investigated through which bone tissue engineering; in particular engineering of synthetic bone graft substitutes, has been recognised as a promising alternative to the traditional methods.

METHODS

A selective literature search was performed.

RESULTS

Bone tissue engineering offers unlimited supply, eliminated risk of disease transmission and relatively low cost. It could also lead to patient specific design and manufacture of implants, prosthesis and bone related devices. A potentially promising building block for a suitable scaffold is synthetic nanohydroxyapatite incorporated into synthetic polymers. Incorporation of nanohydroxyapatite into synthetic polymers has shown promising bioactivity, osteoconductivity, mechanical properties and degradation profile compared to other techniques previously considered.

CONCLUSION

Scientific research, through extensive physiochemical characterisation, and assessment has brought together the optimum characteristics of nanohydroxyapatite and various types of synthetic polymers in order to develop nanocomposites of suitable nature for bone tissue engineering. The aim of the present article is to review and update various aspects involved in incorporation of synthetic nanohydroxyapatite into synthetic polymers, in terms of their potentials to promote bone growth and regeneration , and consequently in clinical applications.

摘要

背景

统计报告显示,全球每年约发生1500万例骨折;其中高达10%未能完全愈合,从而导致骨不连愈合的并发症。过去,自体骨移植或异体骨移植被用作治疗此类缺损的“金标准”。然而,由于这些骨移植来源存在各种局限性和风险,人们广泛研究了其他途径,通过这些途径,骨组织工程,特别是合成骨移植替代物的工程,已被认为是传统方法的一种有前途的替代方法。

方法

进行了选择性文献检索。

结果

骨组织工程提供了无限的供应,消除了疾病传播的风险,成本相对较低。它还可以导致针对患者的植入物、假体和骨相关装置的设计和制造。一种适合支架的潜在有前途的构建块是掺入合成聚合物中的合成纳米羟基磷灰石。与先前考虑的其他技术相比,将纳米羟基磷灰石掺入合成聚合物已显示出有前途的生物活性、骨传导性、机械性能和降解特性。

结论

通过广泛的物理化学表征和评估,科学研究汇集了纳米羟基磷灰石和各种类型合成聚合物的最佳特性,以开发适合骨组织工程的纳米复合材料。本文的目的是回顾和更新将合成纳米羟基磷灰石掺入合成聚合物所涉及的各个方面,就其促进骨生长和再生的潜力以及在临床应用中的潜力而言。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/078a/5299581/841a11d0f8a7/TOORTHJ-10-900_F1.jpg

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