Frosch Stephan, Nüsse Verena, Frosch Karl-Heinz, Lehmann Wolfgang, Buchhorn Gottfried
Department of Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
Department of Trauma Surgery, Orthopedics and Plastic Surgery, University Medical Center Göttingen, Göttingen, Germany.
J Mech Behav Biomed Mater. 2021 Mar;115:104282. doi: 10.1016/j.jmbbm.2020.104282. Epub 2020 Dec 14.
Porosity in titanium alloy materials improves the bony integration and mechanical properties of implants. In certain areas of application such as vertebral spacers or trabecular bone replacement (e.g. wedge augmentation in prosthetics), surface structures are desirable that promote bone integration and have biomechanical properties that are resistant to intraosseous load transfers and at the same time resemble the stiffness of bone to possible reduce the risk of stress shielding. In the present study, we investigated the biomechanical push-out behavior of an open-porous Ti-6Al-4V material that was produced in a space-holder and sintering method creating a 3-D through-pores trabecular design that corresponds with the inhomogeneity and size relationships of trabecular bone. The short-term and mid-term effects of the material properties on osseointegration in a biomechanical push-out study were compared to those of to a conventional solid Ti-6Al-4V material. In order to raise the measurement accuracy we implemented a strict study protocol. Pairs of cylindrical implants with a porosity of 49% and an average pore diameter of 400 μm and equal sized solid, corundum blasted devices as reference were bilaterally implanted press fit in the lateral femoral condyles of 14 rabbits. After sacrifice at 4 and 12 weeks, a push-out test was performed while the test set-up was designed to ensure conformity of implant axes and direction of applied force. Maximum holding force, Young's modulus, and mode of failure were recorded. Results of maximum push-out force (F-max) revealed a significant material effect (p < 0.05) in favor of porous implants after 4 weeks of osseohealing (6.39 vs. 3.36 N/mm) as well as after 12 weeks of osseoremodeling (7.58 vs. 4.99 N/mm). Evaluation of the failure mode resulted in three different types of displacement characteristics, which revealed a different mechanism of osseous anchoring between the two types of implants and substantiate the F-max and Young's modulus results. Conclusively, the porous implant offers surface properties that significantly improve its osseous stability compared to solid material under experimental conditions. In addition, we have optimized our study protocol for biomechanical push-out tests to produce precise and comparable results.
钛合金材料中的孔隙率可改善植入物的骨整合和机械性能。在某些应用领域,如椎体间融合器或松质骨替代物(如假体中的楔形增强),需要具有促进骨整合的表面结构,且其生物力学性能能够抵抗骨内负荷传递,同时类似于骨的刚度,以降低应力遮挡的风险。在本研究中,我们研究了一种开孔多孔Ti-6Al-4V材料的生物力学推出行为,该材料采用占位器和烧结方法制备,形成了一种三维通孔小梁设计,与小梁骨的不均匀性和尺寸关系相对应。在生物力学推出研究中,将该材料性能对骨整合的短期和中期影响与传统实心Ti-6Al-4V材料的影响进行了比较。为了提高测量精度,我们实施了严格的研究方案。将孔隙率为49%、平均孔径为400μm的圆柱形植入物对与尺寸相同的实心、经刚玉喷砂处理的装置作为对照,双侧压配植入14只兔子的股骨外侧髁。在4周和12周后处死动物,进行推出试验,试验装置的设计确保植入物轴线与施加力的方向一致。记录最大保持力、杨氏模量和失效模式。最大推出力(F-max)结果显示,在骨愈合4周后(6.39对3.36N/mm)以及骨重塑12周后(7.58对4.99N/mm),有利于多孔植入物的材料效应显著(p<0.05)。对失效模式的评估产生了三种不同类型的位移特征,这揭示了两种植入物之间不同的骨锚固机制,并证实了F-max和杨氏模量结果。总之,在实验条件下,多孔植入物提供的表面特性与实心材料相比显著提高了其骨稳定性。此外,我们优化了生物力学推出试验的研究方案,以产生精确且可比的结果。
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