Levorova Jitka, Duskova Jaroslava, Drahos Milan, Vrbova Radka, Vojtech D, Kubasek Jiri, Bartos Martin, Dugova Lenka, Ulmann Dan, Foltan Rene
1st Medicine Faculty, Charles University and General Faculty Hospital U Nemocnice, Prague, Czech Republic.
J Biomater Appl. 2018 Feb;32(7):886-895. doi: 10.1177/0885328217743321. Epub 2017 Dec 1.
Introduction A standard osteosynthetic material for maxillofacial skeleton is titanium and its alloys. The convenience of degradable material is avoiding of second surgery in cases, where removal of the material is necessary. Magnesium biodegradable alloys have similar mechanic properties as cortical bone - reasonable corrosion and sufficient biologic properties. They might be used in facial skeleton fixation. Materials and methods The study included a total of 16 rabbits, and they were randomly divided into two groups. Each group received two screws (WE4 and titanium as a standard material) in artificially drilled defect into right tibia. Animals were euthanized at four-week intervals. Bone samples with implants underwent microfocus CT scans and were histologically examined. Results WE43 alloys showed fragmentation of the material on the 16th week - statistically significant volume loss was found between weeks 12 and 16. Bone healing around the WE43 screws was of similar quality as around titanium screws, and no adverse effect was noticed. Conclusion The study showed good quality of bone healing around WE43 implants. From this point of view, the WE43 alloy meets the requirements of osteosynthetic material for maxillofacial skeleton.
引言 用于颌面骨骼的标准骨合成材料是钛及其合金。可降解材料的便利性在于,在需要取出材料的情况下可避免二次手术。镁生物可降解合金具有与皮质骨相似的力学性能——合理的腐蚀性和足够的生物学性能。它们可用于面部骨骼固定。
材料与方法 该研究共纳入16只兔子,将它们随机分为两组。每组在右胫骨人工钻孔缺损处植入两枚螺钉(WE4和作为标准材料的钛)。每隔四周对动物实施安乐死。对带有植入物的骨样本进行微焦点CT扫描并进行组织学检查。
结果 在第16周时,WE43合金出现材料碎裂——在第12周和第16周之间发现有统计学意义的体积损失。WE43螺钉周围的骨愈合质量与钛螺钉周围的相似,且未观察到不良反应。
结论 该研究表明WE43植入物周围的骨愈合质量良好。从这一角度来看,WE43合金符合颌面骨骼骨合成材料的要求。