Ge Jianhua, Jia Le, Duan Ke, Li Yang, Ma Yue, Yan Jiyuan, Duan Xin, Wu Guibing
Department of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University, Sichuan Provincial Laboratory of Orthopedic Implant Device R&D and Application Technology Engineering, Luzhou Sichuan, 646000, P. R. China.
Department of Orthopedics, West China Hospital of Sichuan University, Chengdu Sichuan, 610041, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Apr 15;37(4):488-494. doi: 10.7507/1002-1892.202211097.
To study the preparation and properties of the hyaluronic acid (HA)/α-calcium sulfate hemihydrate (α-CSH)/β-tricalcium phosphate (β-TCP) material (hereinafter referred to as composite material).
Firstly, the α-CSH was prepared from calcium sulfate dihydrate by hydrothermal method, and the β-TCP was prepared by wet reaction of soluble calcium salt and phosphate. Secondly, the α-CSH and β-TCP were mixed in different proportions (10∶0, 9∶1, 8∶2, 7∶3, 5∶5, and 3∶7), and then mixed with HA solutions with concentrations of 0.1%, 0.25%, 0.5%, 1.0%, and 2.0%, respectively, at a liquid-solid ratio of 0.30 and 0.35 respectively to prepare HA/α-CSH/ β-TCP composite material. The α-CSH/β-TCP composite material prepared with α-CSH, β-TCP, and deionized water was used as the control. The composite material was analyzed by scanning electron microscope, X-ray diffraction analysis, initial/final setting time, degradation, compressive strength, dispersion, injectability, and cytotoxicity.
The HA/α-CSH/β-TCP composite material was prepared successfully. The composite material has rough surface, densely packed irregular block particles and strip particles, and microporous structures, with the pore size mainly between 5 and 15 μm. When the content of β-TCP increased, the initial/final setting time of composite material increased, the degradation rate decreased, and the compressive strength showed a trend of first increasing and then weakening; there were significant differences between the composite materials with different α-CSH/β-TCP proportion ( <0.05). Adding HA improved the injectable property of the composite material, and it showed an increasing trend with the increase of concentration ( <0.05), but it has no obvious effect on the setting time of composite material ( >0.05). The cytotoxicity level of HA/α-CSH/β-TCP composite material ranged from 0 to 1, without cytotoxicity.
The HA/α-CSH/β-TCP composite materials have good biocompatibility. Theoretically, it can meet the clinical needs of bone defect repairing, and may be a new artificial bone material with potential clinical application prospect.
研究透明质酸(HA)/半水硫酸钙(α-CSH)/β-磷酸三钙(β-TCP)材料(以下简称复合材料)的制备及性能。
首先,采用水热法由二水硫酸钙制备α-CSH,通过可溶性钙盐与磷酸盐的湿法反应制备β-TCP。其次,将α-CSH与β-TCP按不同比例(10∶0、9∶1、8∶2、7∶3、5∶5、3∶7)混合,然后分别与浓度为0.1%、0.25%、0.5%、1.0%和2.0%的HA溶液按液固比0.30和0.35混合,制备HA/α-CSH/β-TCP复合材料。以α-CSH、β-TCP和去离子水制备的α-CSH/β-TCP复合材料作为对照。通过扫描电子显微镜、X射线衍射分析、初凝/终凝时间、降解、抗压强度、分散性、可注射性和细胞毒性对复合材料进行分析。
成功制备了HA/α-CSH/β-TCP复合材料。该复合材料表面粗糙,存在紧密堆积的不规则块状颗粒和条状颗粒以及微孔结构,孔径主要在5至15μm之间。当β-TCP含量增加时,复合材料的初凝/终凝时间延长,降解速率降低,抗压强度呈先升高后减弱的趋势;不同α-CSH/β-TCP比例的复合材料之间存在显著差异(P<0.05)。添加HA改善了复合材料的可注射性能,且随浓度增加呈上升趋势(P<0.05),但对复合材料的凝结时间无明显影响(P>0.05)。HA/α-CSH/β-TCP复合材料的细胞毒性水平为0至1级,无细胞毒性。
HA/α-CSH/β-TCP复合材料具有良好的生物相容性。理论上,它能够满足骨缺损修复的临床需求,可能是一种具有潜在临床应用前景的新型人工骨材料。