Superior In Vitro Osteo-Supportive Properties of Trabecular Titanium vs. Chromium–Cobalt Scaffolds.

Background: Degenerative joint diseases are a major cause of disability and drive the increasing demand for joint arthroplasty. Long-term prosthesis success depends on rapid and stable bone–implant integration, which is influenced by the osteo-inductive and osteo-conductive properties of implant mat...

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Publicado en:Prosthesis (2673-1592) Vol. 8; no. 7; pp. 70 - 92
Autores principales: Nebuloni, Andrea Massimiliano, Lauro, Roberta, Taiana, Michela Maria, Sorano, Gaetano, Costa, Piero, Ragni, Enrico, de Girolamo, Laura
Formato: pictorial research tables/charts Journal Article
Publicado: MDPI Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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      pub: MDPI
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        atl: Superior In Vitro Osteo-Supportive Properties of Trabecular Titanium vs. Chromium–Cobalt Scaffolds.
      aug:
        au:
          Nebuloni, Andrea Massimiliano
          Lauro, Roberta
          Taiana, Michela Maria
          Sorano, Gaetano
          Costa, Piero
          Ragni, Enrico
          de Girolamo, Laura
        affil: Laboratorio di Biotecnologie Applicate all'Ortopedia, IRCCS Ospedale Galeazzi–Sant'Ambrogio, Via Crisitina Belgioioso 173, 20157 Milano, Italy
      sug:
        subj:
          Titanium Pharmacodynamics
          Chromium Compounds Pharmacodynamics
          Biocompatible Materials
          Osteogenesis
          Tissue Scaffolds
          Human
          In Vitro Studies
          Comparative Studies
          Titanium Analysis
          Chromium Compounds Analysis
          Mesenchymal Stem Cells
          Cell Differentiation
          Bone Regeneration
          Cell Proliferation
          Cell Viability
          Alkaline Phosphatase
          Calcium
          Gene Expression
          Flow Cytometry
          Reverse Transcriptase Polymerase Chain Reaction
          Multivariate Analysis
          One-Way Analysis of Variance
          Post Hoc Analysis
          Kruskal-Wallis Test
          Paired T-Tests
          Mann-Whitney U Test
          Data Analysis Software
          Descriptive Statistics
          Funding Source
      ab: Background: Degenerative joint diseases are a major cause of disability and drive the increasing demand for joint arthroplasty. Long-term prosthesis success depends on rapid and stable bone–implant integration, which is influenced by the osteo-inductive and osteo-conductive properties of implant materials. Chromium–cobalt (CrCo) and titanium (Ti) alloys are widely used in reconstructive orthopedics, but direct comparative data on their biological performance, particularly for trabecular titanium (T-Ti), remain limited. This study aimed to directly compare the biocompatibility and osteogenic potential of CrCo and T-Ti using human mesenchymal stromal cells (MSCs). Methods: Human MSCs were characterized by immunophenotyping and cultured on CrCo and T-Ti scaffolds under control and osteogenic conditions for up to 28 days. Cell adhesion and morphology were assessed by scanning electron microscopy. Proliferation and viability were quantified, and osteogenic differentiation was evaluated using alkaline phosphatase activity, calcium deposition assays, and gene expression profiling of osteogenic markers. Results: Both materials supported MSC adhesion and proliferation, confirming cytocompatibility. Under control conditions, T-Ti significantly increased alkaline phosphatase activity and osteogenic gene expression. Under osteogenic stimulation, T-Ti accelerated differentiation and mineralized matrix deposition. CrCo exhibited limited stimulation of the osteogenic-supportive microenvironment and delayed differentiation responses. Conclusions: Trabecular titanium, in terms of morphology and topology, provides a biologically active scaffold that both induces and conducts osteogenic differentiation of human MSCs, whereas CrCo acts primarily as a mechanically optimized but biologically passive material. These findings support the use of trabecular titanium at bone-contact interfaces in joint prostheses to enhance osteointegration and potentially improve long-term implant stability.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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