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Electrical stimulation to promote osseointegration of bone anchoring implants: a topical review.

作者信息

Pettersen Emily, Anderson Jenna, Ortiz-Catalan Max

机构信息

Center for Bionics and Pain Research, Mölndal, Sweden.

Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, Sweden.

出版信息

J Neuroeng Rehabil. 2022 Mar 21;19(1):31. doi: 10.1186/s12984-022-01005-7.


DOI:10.1186/s12984-022-01005-7
PMID:35313892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8939223/
Abstract

Electrical stimulation has shown to be a promising approach for promoting osseointegration in bone anchoring implants, where osseointegration defines the biological bonding between the implant surface and bone tissue. Bone-anchored implants are used in the rehabilitation of hearing and limb loss, and extensively in edentulous patients. Inadequate osseointegration is one of the major factors of implant failure that could be prevented by accelerating or enhancing the osseointegration process by artificial means. In this article, we reviewed the efforts to enhance the biofunctionality at the bone-implant interface with electrical stimulation using the implant as an electrode. We reviewed articles describing different electrode configurations, power sources, and waveform-dependent stimulation parameters tested in various in vitro and in vivo models. In total 55 English-language and peer-reviewed publications were identified until April 2020 using PubMed, Google Scholar, and the Chalmers University of Technology Library discovery system using the keywords: osseointegration, electrical stimulation, direct current and titanium implant. Thirteen of those publications were within the scope of this review. We reviewed and compared studies from the last 45 years and found nonuniform protocols with disparities in cell type and animal model, implant location, experimental timeline, implant material, evaluation assays, and type of electrical stimulation. The reporting of stimulation parameters was also found to be inconsistent and incomplete throughout the literature. Studies using in vitro models showed that osteoblasts were sensitive to the magnitude of the electric field and duration of exposure, and such variables similarly affected bone quantity around implants in in vivo investigations. Most studies showed benefits of electrical stimulation in the underlying processes leading to osseointegration, and therefore we found the idea of promoting osseointegration by using electric fields to be supported by the available evidence. However, such an effect has not been demonstrated conclusively nor optimally in humans. We found that optimal stimulation parameters have not been thoroughly investigated and this remains an important step towards the clinical translation of this concept. In addition, there is a need for reporting standards to enable meta-analysis for evidence-based treatments.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2375/8939223/51402baa3080/12984_2022_1005_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2375/8939223/c472078f83ba/12984_2022_1005_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2375/8939223/4c3d9faaa03f/12984_2022_1005_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2375/8939223/51402baa3080/12984_2022_1005_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2375/8939223/c472078f83ba/12984_2022_1005_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2375/8939223/4c3d9faaa03f/12984_2022_1005_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2375/8939223/51402baa3080/12984_2022_1005_Fig3_HTML.jpg

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Electrical stimulation to promote osseointegration of bone anchoring implants: a topical review.

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[9]
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[10]
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本文引用的文献

[1]
Enhancing osteoblast survival through pulsed electrical stimulation and implications for osseointegration.

Sci Rep. 2021-11-17

[2]
Preliminary Minimum Reporting Requirements for In-Vivo Neural Interface Research: I. Implantable Neural Interfaces.

IEEE Open J Eng Med Biol. 2021

[3]
Neural feedback strategies to improve grasping coordination in neuromusculoskeletal prostheses.

Sci Rep. 2020-7-16

[4]
Self-Contained Neuromusculoskeletal Arm Prostheses.

N Engl J Med. 2020-4-30

[5]
Quantitative assessment of compress-type osseointegrated prosthetic implants in human bone using electromechanical impedance spectroscopic methods.

Biomed Eng Lett. 2019-11-17

[6]
Electrochemical methods to enhance osseointegrated prostheses.

Biomed Eng Lett. 2019-11-19

[7]
Direct electrical stimulation enhances osteogenesis by inducing Bmp2 and Spp1 expressions from macrophages and preosteoblasts.

Biotechnol Bioeng. 2019-9-23

[8]
Development and validation of UPLC method for WST-1 cell viability assay and its application to MCTT HCE™ eye irritation test for colorful substances.

Toxicol In Vitro. 2019-6-24

[9]
Safety of long-term electrical peripheral nerve stimulation: review of the state of the art.

J Neuroeng Rehabil. 2019-1-18

[10]
Biophysical stimulation of bone and cartilage: state of the art and future perspectives.

Int Orthop. 2019-1-15

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