Aihara H, Zider J, Fanton G, Duerig T
PorOsteon Spine Inc., Menlo Park, California, USA.
Department of Orthopedic Surgery, Sports Medicine Division, Stanford University Medical Center, Palo, Alto, California, USA.
Int J Biomater. 2019 Apr 3;2019:4307461. doi: 10.1155/2019/4307461. eCollection 2019.
Porous Nitinol with a three-dimensional anisotropic interconnective open pore structure has been successfully produced by the combustion synthesis (CS) of elemental Ni and Ti powders. The resulting product can be tailored to closely match the stiffness of cancellous bone to minimize stress shielding. The average elastic modulus was approximately 1 GPa for a porosity of 60 vol% and the average pore size of 100-500 m. The low elastic modulus meets the basic demand for orthopedic bone ingrowth applications. Furthermore, porous Nitinol was composed of cubic (austenitic) and monoclinic (martensitic) NiTi compounds without the presence of Ni metal or Ni-rich phases. The resulting product exhibits excellent corrosion resistance with breakdown potentials above 750mV. An ovine study in cortical sites of the tibia demonstrated rapid osseointegration into the porous strucutre as early as two weeks and complete bone growth across the implant at six weeks. A separate ovine study showed complete through-growth of bone at four months using a lumbar interbody fusion model, substantiating the use of porous Nitinol as an implant material for applications in the spine. Porous Nitinol is thus a promising biomaterial with proven biocompatibility and exceptional osseointegration performance which may enhance the healing process and promote long-term fixation, making it a strong candidate for a wide range of orthopedic implant applications.
通过元素镍粉和钛粉的燃烧合成(CS)成功制备出具有三维各向异性互连开孔结构的多孔镍钛诺。所得产品可进行定制,以紧密匹配松质骨的刚度,从而使应力屏蔽最小化。对于孔隙率为60体积%且平均孔径为100 - 500微米的情况,平均弹性模量约为1吉帕。低弹性模量满足了骨科骨长入应用的基本要求。此外,多孔镍钛诺由立方(奥氏体)和单斜(马氏体)镍钛化合物组成,不存在镍金属或富镍相。所得产品具有优异的耐腐蚀性,击穿电位高于750毫伏。一项在绵羊胫骨皮质部位进行的研究表明,早在两周时骨就迅速骨整合到多孔结构中,六周时植入物上完全有骨生长。另一项绵羊研究表明,使用腰椎椎间融合模型,四个月时骨完全长入,证实了多孔镍钛诺作为脊柱应用植入材料的用途。因此,多孔镍钛诺是一种有前景的生物材料,具有已证实的生物相容性和出色的骨整合性能,这可能会加速愈合过程并促进长期固定,使其成为广泛骨科植入应用的有力候选材料。