Gap healing enhanced by hydroxyapatite coating in dogs

K Søballe, E S Hansen, H Brockstedt-Rasmussen, V E Hjortdal, G I Juhl, C M Pedersen, I Hvid, C Bünger

Abstract

During prosthetic implantation, gaps between the implant surface and the surrounding bone may occur resulting in reduced implant stability. In these instances bone-conductive materials might augment the formation of hosting bone into the pores of the implant and insure earlier implant stabilization and fixation by bony ingrowth. Titanium-alloy cylinders with a porous-titanium-alloy plasma spray coating were implanted into the medial femoral condyles in six mature dogs. In another group of six dogs, matched in age, weight, and gender, hydroxyapatite (HA) coated implants were used. All implants were surrounded by a 1-mm gap. Unilateral osteopenia of the knee, with a 20% reduction of bone density as judged by computed tomography scanning, was induced by 12 weekly intraarticular injections of carrageenin into the right knee before surgery. Four weeks after implantation, the HA-coated implants were compared to the parent porous-titanium implants by mechanical testing and histomorphometry. A marked positive influence of HA coating on bone mineralization and the strength of the interfacial bone between the bone and implant was found. The increment in interface shear strength and shear stiffness was three- to fivefold in osteopenic bone and two-fold in control bone. Coating of an unloaded porous-titanium-coated implant with HA accelerates the rate of bone ingrowth and thereby provides relatively high, early interfacial shear strengths in the presence of an initial gap between bone and implant even in the presence of osteopenic host bone.

Original languageEnglish
JournalClinical Orthopaedics and Related Research
Issue number272
Pages (from-to)300-7
Number of pages8
ISSN0009-921X
Publication statusPublished - Nov 1991
Externally publishedYes

Keywords

  • Animals
  • Biocompatible Materials
  • Biomechanical Phenomena
  • Bone Density
  • Bone and Bones/surgery
  • Dogs
  • Durapatite
  • Elasticity
  • Femur/pathology
  • Hydroxyapatites
  • In Vitro Techniques
  • Prostheses and Implants
  • Tensile Strength
  • Titanium
  • Wound Healing/physiology

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