Camilo Claudia C, Silveira Celey A E, Faeda Rafael S, de Almeida Rollo João M D, Purquerio Benedito de Moraes, Fortulan Carlos Alberto
Department of Mechanical Engineering, University of São Paulo, São Carlos, SP - Brazil.
Rheumatology Division, FMU, University of São Paulo, São Paulo, SP - Brazil.
J Appl Biomater Funct Mater. 2017 Jul 27;15(3):e223-e235. doi: 10.5301/jabfm.5000347.
Implants or implantable devices should integrate into the host tissue faster than fibrous capsule formation, in which the design of the interface is one of the biggest challenges. Generally, bioactive materials are not viable for load-bearing applications, so inert biomaterials are proposed. However, the surface must be modified through techniques such as coating with bioactive materials, roughness and sized pores. The aim of this research was to validate an approach for the evaluation of the tissue growth on implants of porous alumina coated with bioactive materials.
Porous alumina implants were coated with 45S5 Bioglass® (BG) and hydroxyapatite (HA) and implanted in rat tibiae for a period of 28 days. Ex vivo resections were performed to analyze osseointegration, along with histological analysis, Scanning Electron Microscopy with Energy Dispersive X-Ray spectroscopy (SEM-EDX) line scanning, radiography and biomechanical testing.
Given that the process of implant integration needs with the bone tissue to be accelerated, it was then seen that BG acted to start the rapid integration, and HA acted to sustaining the process.
Inert materials coated with bioglass and HA present a potential for application as bone substitutes, preferably with pores of diameters between 100 μm and 400 μm and, restrict for smaller than 100 μm, because it prevents pores without organized tissue formation or vacant. Designed as functional gradient material, stand out for applications in bone tissue under load, where, being the porous surface responsible for the osseointegration and the inner material to bear and to transmit the loads.
植入物或可植入装置应比纤维囊形成更快地融入宿主组织,其中界面设计是最大的挑战之一。一般来说,生物活性材料不适用于承重应用,因此提出了惰性生物材料。然而,必须通过用生物活性材料涂层、粗糙度和孔隙尺寸等技术对表面进行改性。本研究的目的是验证一种评估生物活性材料涂层多孔氧化铝植入物上组织生长的方法。
将多孔氧化铝植入物用45S5生物活性玻璃(BG)和羟基磷灰石(HA)涂层,并植入大鼠胫骨28天。进行离体切除以分析骨整合,同时进行组织学分析、带能谱的扫描电子显微镜(SEM-EDX)线扫描、放射摄影和生物力学测试。
鉴于植入物与骨组织的整合过程需要加速,随后发现BG起到启动快速整合的作用,而HA起到维持这一过程的作用。
涂有生物玻璃和HA的惰性材料具有作为骨替代物的应用潜力,最好具有直径在100μm至400μm之间的孔隙,小于100μm的孔隙受限,因为它会阻止无组织的组织形成或孔隙空置。设计为功能梯度材料,在承受负荷的骨组织应用中表现突出,其中多孔表面负责骨整合,内部材料承受和传递负荷。