Le Long-Quan R V, Lanzino Maria Carolina, Höppel Anika, Mayr Hermann O, Al-Ahmad Ali, Spitzmüller Bettina, Mayr Moritz, Baghnavi Anna, Seidenstuecker Michael
G.E.R.N. Center of Tissue Replacement, Regeneration & Neogenesis, Department of Orthopedics and Trauma Surgery, Faculty of Medicine, Albert-Ludwigs-University of Freiburg Medical Center, Hugstetter Straße 55, 79106 Freiburg, Germany.
Institute for Ceramic Materials and Technologies (IKMT), University of Stuttgart, 70569 Stuttgart, Germany.
Biomed Mater. 2025 May 28;20(4). doi: 10.1088/1748-605X/adda82.
Implant-associated infections and aseptic loosening of prosthesis due to insufficient secondary stability continue to present a challenging issue in arthroplasty. Potential solutions include bioactive coatings to promote osseointegration. With this in mind, this study aims to investigate and compare thin bioactive and bioresorbable-tricalcium phosphate (-TCP) and calcium alka-li orthophosphate (GB14) coatings, both produced via high velocity suspension flame spraying. To achieve an additional antibacterial effect and to prevent infections through aerosolized contamination, Cu-doped-TCP supraparticles (SP) are incorporated into the coatings.-TCP and GB14 coatings with 0.5 wt.% Cu-doped-TCP SP each were investigated. According to ISO EN 10993-14, a degradation test was performed in TRIS-buffer at pH 7.4 over 120 h. Biocompatibility testing was performed on human osteoblasts using live/dead staining on days 1, 3 and 7 to simultaneously visualize viable and non-viable cells, while cytotoxicity was assessed over a 3 d period with the cytotoxicity assay. To evaluate the antibacterial efficacy, safe airborne antibacterial assays usingandwere performed. Our investigations demonstrate that Cu is released from the coatings over a period of 120 h. The released Cu-amount results in a significant reduction in colony forming units across all coatings, while only negligibly imparing the behavior of the human osteoblasts. Both coatings exhibit high biocompatibility, with cell counts varying depending on the amount of Cu released. Cytotoxicity testing showed no cytotoxic effects for the samples examined.
由于二次稳定性不足导致的植入物相关感染和假体无菌性松动,仍然是关节置换术中一个具有挑战性的问题。潜在的解决方案包括促进骨整合的生物活性涂层。考虑到这一点,本研究旨在研究和比较通过高速悬浮火焰喷涂制备的薄生物活性和生物可吸收磷酸三钙(β-TCP)及碱式磷酸钙(GB14)涂层。为实现额外的抗菌效果并防止气溶胶污染导致的感染,将铜掺杂β-TCP超微粒(SP)掺入涂层中。研究了分别含有0.5 wt.%铜掺杂β-TCP SP的β-TCP和GB14涂层。根据ISO EN 10993-14标准,在pH 7.4的TRIS缓冲液中进行了120小时的降解试验。在第1、3和7天,使用活/死染色法对人成骨细胞进行生物相容性测试,以同时观察活细胞和死细胞,同时通过细胞毒性试验在3天内评估细胞毒性。为评估抗菌效果,进行了使用……的安全空气传播抗菌试验。我们的研究表明,铜在120小时内从涂层中释放出来。释放的铜量导致所有涂层中的菌落形成单位显著减少,而对人成骨细胞行为的影响微乎其微。两种涂层均表现出高生物相容性,细胞数量因铜的释放量而异。细胞毒性测试表明,所检测的样品没有细胞毒性作用。