The effect of impaction and a bioceramic coating on bone ingrowth in porous titanium particles.

Background and purpose Porous titanium (Ti) particles can be impacted like cancellous allograft bone particles, and may therefore be used as bone substitute in impaction grafting. We evaluated the effect of impaction and of a thin silicated biphasic calcium phosphate coating on osteoconduction by Ti...

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Publicado en:Acta Orthopaedica Vol. 82; no. 3; pp. 372 - 378
Autores principales: Walschot, Lucas H, Schreurs, Barend W, Verdonschot, Nico, Buma, Pieter
Formato: pictorial research tables/charts Journal Article
Publicado: Medical Journals Sweden AB Jun2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2011
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      pub: Medical Journals Sweden AB
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        10.3109/17453674.2011.579515
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        atl: The effect of impaction and a bioceramic coating on bone ingrowth in porous titanium particles.
      aug:
        au:
          Walschot, Lucas H
          Schreurs, Barend W
          Verdonschot, Nico
          Buma, Pieter
      sug:
        subj:
          Bone Transplantation Methods
          Titanium
          Bone Substitutes
          Bone Regeneration Physiology
          Animal Studies
          Mammals
          Allografts
          Materials Testing
          Biocompatible Materials
          Tibia Surgery
          Microscopy Methods
          Descriptive Statistics
          Repeated Measures
          Analysis of Variance
          Friedman Test
          Post Hoc Analysis
          Particle Size
          Funding Source
      ab: Background and purpose Porous titanium (Ti) particles can be impacted like cancellous allograft bone particles, and may therefore be used as bone substitute in impaction grafting. We evaluated the effect of impaction and of a thin silicated biphasic calcium phosphate coating on osteoconduction by Ti particles. Methods The bone conduction chamber of Aspenberg was used in goats and filled with various groups of coated or uncoated small Ti particles (diameter 1.0--1.4 mm). Impacted allograft bone particles and empty chambers were used in control groups. Fluorochromes were administered at 4, 8, and 12 weeks. Maximum bone ingrowth distance was evaluated by histomorphometric analysis. Results Histology of Ti particle graft cylinders showed a dense matrix with narrow inter-particle and intra-particle pores (< 100 μμm), occluding the lumen of the bone chamber. Bone ingrowth distances gradually increased with time in all groups. Maximum bone ingrowth distance was higher in originally empty chambers than those with allograft bone particles (p == 0.01) and Ti particles (p < 0.001). Maximum bone ingrowth in allograft bone particles was higher than in all Ti groups (p ≤≤ 0.001). Impaction reduced osteoconduction and the coating partially compensated for the negative effect of impaction, but these differences were not statistically significant. No osteolytic reactions were found. Interpretation Osteoconduction in the bone conduction chamber was reduced more by the insertion of small Ti particles than by insertion of small allograft bone particles. The osteoconductive potential of porous Ti particles should be studied further with larger-sized particles, which may allow bone ingrowth after impaction through larger inter-particle pores.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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