Authors: Dagnija Loca, Janis Locs, Juris Gulbis, Ilze Salma, Liga Berzina-Cimdina
Abstract: Local drug delivery devices especially based on osteoconductive porous calcium phosphate ceramics are of clinical importance. However, the brittleness, pore structure, porosity and pore size should be controlled for their wider applications in hard tissue implants and load bearing compartments. An approach to the fabrication of the bone graft exhibiting bone regeneration function as well as the local drug delivery was made. Hydroxyapatite (HAp)/β-tricalcium phosphate (β-TCP) porous scaffolds were prepared and mechanical properties (compression strength 20MPa), porosity (>50%), pore size (60-350µm) and structure as well as interconnectivity of pores were investigated. Porous scaffolds were impregnated with 4-5 mg of lidocaine hydrochloride (LidHCl) and drug release rate was evaluated and compared for scaffolds with and without poly lactic acid (PLA), poly(-caprolactone) (PCL) and polyvinyl alcohol (PVA) coatings. From in vitro dissolution tests it was seen that biopolymer coatings sustained the drug release up to 12h.
289
Authors: Ho Yeon Song, Young Hee Kim, Jyoti M. Anirban, In Seon Byun, Kyung A Kwak, Byong Taek Lee
Abstract: Calcium phosphate ceramics such as hydroxy apatite (HA), β-tricalcium phosphate (β-TCP) and bicalcium phosphate (BCP) have been used as a bone graft biomaterial because of their good biocompatibility and similarity of chemical composition to natural bones. To increase the mechanical and osteoconductive properties, the granules and spongy type porous bone graft substitutes were prepared by fibrous monolithic process and polyurethane foam replica methods, respectively. The pore sizes obtained using these approaches ranged between 100-600 µm. The cytotoxicity, cellular proliferation, differentiation and ECM deposition on the bone graft substitutes were observed by SEM and confocal microscopy. Moreover, the scaffolds were implanted in the rabbit femur. New bone formation and biodegradation of bone graft were observed through follow-up X-ray, micro-CT analysis and histological findings. After several months (2, 3, 6, 12 and 24 months) of implantation, new bone formation and ingrowths were observed in defect sites of the animal by CaP ceramics and 2 to 3 times higher bone ingrowths were confirmed than that of the normal trabecular bones in terms of total bone volume (BV).
2065
Authors: Elise Verron, Jean Michel Bouler
Abstract: The use of bone grafts is constantly increasing, their employ is principally linked to bone trauma, prosthesis revision surgery, and arthrodesis applications. In the case of biological bone grafts and depending on the origin of the graft, these grafts are classified as autografts, allografts, or xenografts. The autograft is the most commonly used and corresponds to a fresh bone graft harvesting taken from a second operating site, i.e. iliac crest, parietal bone, tibial plateaux or the fibula. The autograft has many advantages in terms of biotolerance and osteogenic potential, which justify its widespread utilization in reconstructive surgery[1]. From a practical point of view, sampling and grafting take place during the same surgical session. However, the longer exposure to the anesthetic and the surgical operation per se increases the risk of complications. For example, this procedure results in sever post-operation pain, iliac hernias, or even haemorrhages[2]. Furthermore, the volume of the bone graft taken is generally limited to 20 cm3. In the case of allografts, it generally leads to an acute inflammatory reaction which participates to the resorption/substitution process. Xenografts are less used since it involves a donor and a recipient from different species.
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Authors: Elena Mavropoulos, Nilce C.C. da Rocha, Maria Helena M. Rocha-Leão, Marcelo Henrique Prado da Silva, Antonella M. Rossi
Abstract: Micrometric sphere beads of HA-alginate composite were produced to remove Pb2+ and
Cd2+ from contaminated gastric fluid. It was shown that the composite was effective in Pb2+ and
Cd2+ immobilization from high-contaminated simulated gastric fluid. X-ray diffraction and
scanning electron microscope analyses performed on HA-alginate beads after the Pb2+ uptake
showed that lead phosphate, (Pb10-x Cax (PO4)6Cl2), was precipitated on beads surface. X-ray
diffraction patterns of HA powder after Cd2+ sorption experiments showed no evidence of other
phases, however, dispersive energy spectrometer analyses of the HA-alginate confirmed the
presence of Cd2+ on the composite surface. Desorption experiments in simulated enteric fluid
showed that composite beads containing Pb2+ and Cd2+ remained stables for one hour in simulated
gastrointestinal fluid. The results reinforce the hypothesis that HA-alginate composite can be a very
efficient system for Pb2+ and Cd2+ uptake from contaminated gastrointestinal fluid preventing
systemic contamination by bloody stream uptake.
467
Authors: Borhane H. Fellah, Said Kimakhe, Guy Daculsi, Pierre Layrolle
Abstract: This study aims at evaluating bone growth in critical-sized femoral defects of rats filled
with macro micro porous biphasic calcium phosphate ceramic (MBCP) cylinders surrounded or not
by a resorbable collagen membrane. Femoral defects left empty (control) exhibited partial bone
ingrowths after 3 and 6 weeks and were completely healed at 12 weeks. The defects filled with the
collagen membranes appeared partially healed suggesting that the membranes constraint bone
ingrowth. Bone formation occurred around the collagen membrane which partially degraded over
time. In the MBCP/membrane group, bone has grown inside the macro pores of the MBCP
cylinders. Bone ingrowth was more rapid and abundant in the defects filled with MBCP alone. The
combination MBCP/collagen membrane may be beneficial for the reconstruction of large bone
defects without using repetitive surgeries and autologous bone grafting.
439
Authors: Marion Quiquerez, Marianna Peroglio, Laurent Gremillard, Jérôme Chevalier, Laurent Chazeau, Catherine Gauthier, Thierry Hamaide, Aurélien Bignon
Abstract: In this study we show that mechanical properties of bioceramic scaffolds can be
significantly improved by repeated infiltration with a low-viscosity polycaprolactone solution.
Biphasic calcium phosphate (BCP: 70% hydroxyapatite, 30% β-tricalcium phosphate) scaffolds
characterized by a bimodal pore size distribution and a global porosity of 70% have been chosen as
starting materials. Polymer content in the ceramic scaffold was varied so that an inorganic/organic
ratio close to that of bone may be achieved. Work of fracture at maximum stress was 36 J/m2 for the
ceramic scaffold alone and reached 127 J/m2 for the 8-times infiltrated samples. These results are
superior to the ones previously obtained with polycaprolactone infiltrated alumina due to higher
micropore content. We show that during bending tests, polycaprolactone phase formed fibrils while
the crack propagated. Crack bridging by polycaprolactone ensured the integrity of the composite
once the ceramic scaffold was broken and directly involved in the composite toughening. Because
of its composition, microstructure and mechanical behavior of this kind composite can be an
interesting candidate for bone substitution.
403
Authors: Aline P. Oliveira, M. Motisuke, Claudinete V. Leal, Marisa Masumi Beppu
Abstract: It is well known that calcium phosphate compounds are widely used as bone substitute due to their
biocompatibility and bioactivity. Furthermore, recent studies have shown that slight changes in morphology
or crystal structure can lead to several in vivo behaviours. Therefore, the purpose of this study was to
investigate two different β-TCP synthesis routes (solid state reaction and aqueous solution precipitation) and
their consequences on the final cement properties. It was found out that both routes are equivalent as there
were no significant differences on their cement properties, except for mechanical resistance. The latter
difference can also be attributed to the difference on the particle size distributions of the obtained β-TCP.
These facts indicate that solid state reaction route is more interesting given its simplicity and yield.
355
Authors: Ulrike Deisinger, Sabine Hamisch, Matthias Schumacher, Franzika Uhl, Rainer Detsch, Günter Ziegler
Abstract: In the last few years new fabrication methods, called rapid prototyping (RP) techniques,
have been developed for the fabrication of hydroxyapatite scaffolds for bone substitutes or tissue
engineering applications. With this generative fabrication technology an individual tailoring of the
scaffold characteristics can be realised. In this work two RP techniques, a direct (dispense-plotting)
and an indirect one (negative mould technique), are described by means of fabricating
hydroxyapatite (HA) scaffolds for bone substitutes or bone tissue engineering. The produced
scaffolds were characterised, mainly regarding their pore and strut characteristics. By these data the
performance of the two fabrication techniques was compared. Dispense-plotting turned out to be the
faster technique while the negative mould method was better suited for the fabrication of exact pore
and strut geometries.
915
Authors: Rainer Detsch, Franzika Uhl, Ulrike Deisinger, Günter Ziegler
Abstract: The aim of this study is to analyse the influence of differently fabricated HA-scaffolds on
bone marrow stromal cells. Therefore, three methods were used (a polyurethane (PU)-replica
technique, the dispense-plotting and a negative mould technique) to produce porous hydroxyapatite
(HA) ceramics. The different HA-scaffolds were then cultivated with an osteoblastic precursor cell
line. In our study, highest cell proliferation and differentiation was achieved by using (PU)-replica
technique. However, this study shows also that all three types of scaffolds are suitable for tissue
engineering applications and as bone substitute material. The knowledge about the influence of pore
size and geometry on the cell behaviour will help to tailor scaffolds, by different 3D fabrication
methods, for the needs of tissue engineering laboratories or patients.
1181
Authors: Sun Young Lee, Min Jung Son, Gil Son Khang, Young Suk Son, Chang Kuk You, Suk Young Kim, Hong In Shin, Eui Kyun Park, Shin Yoon Kim
Abstract: Recently, nanomaterials have received considerable attention because of their potential
applications in the biomedical field. In the present study, we investigated the effects of nano-sized
calcium metaphosphate (CMP) particles (50 nm) compared with micro-sized CMP particles (200-500
nm and 10 μm) on the proliferation and osteoblastic differentiation of human bone marrow stem cells
(BMSCs). BMSCs were challenged with CMP particles with different sizes for 3, 5, and 7 days. An
analysis of the proliferation revealed that the nano-sized CMP particles (50 nm) stimulated the
proliferation of BMSCs up to 27.79% compared to the untreated control. This stimulatory effect of
the nano-sized CMP particle was dose-dependent. CMP particles appeared to adhere on the surface of
BMSCs but this did not cause distinguishable morphological changes. Moreover, all CMP particles
(50 nm to 10 μm) were capable of stimulating an osteoblastic differentiation of BMSCs as accessed
by alkaline phosphatase (ALP) and von Kossa stainings. Further molecular analysis revealed that all
the CMP particles induced an expression of osteoblast-related genes such as osteocalcin (OC) and
collagen I (Col I). Taken together, our data demonstrate that nano-sized CMP particles have the
potential to stimulate the proliferation and osteoblastic differentiation of BMSCs.
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