Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in Rabbits

SUMMARY: Porous titanium alloy scaffold was widely used in treating bone defect caused by traumatic injury and osteomyelitis, which was incapable of self-healing. The implantation of scaffold produced stress shielding thereby forming osteolysis. The objective of this study was to analysis trabecular...

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Autores principales: Lyu,Linwei, Jing,Ye, Wang,Jikun, Zhang,Chunqiu
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2020
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000400909
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spelling oai:scielo:S0717-950220200004009092020-09-08Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in RabbitsLyu,LinweiJing,YeWang,JikunZhang,Chunqiu Osseointegration 3D printed porous titanium alloy scaffold preload micro-CT rabbit femoral condyle defect SUMMARY: Porous titanium alloy scaffold was widely used in treating bone defect caused by traumatic injury and osteomyelitis, which was incapable of self-healing. The implantation of scaffold produced stress shielding thereby forming osteolysis. The objective of this study was to analysis trabecular morphological features of osseointegrated bone. 14 New Zealand rabbits were divided into two groups, surgery group and healthy control group. 7 rabbits in surgery group were selected to perform 3D printed porous titanium alloy scaffold implantation surgery with preload at the defect of femoral condyle for osseointegration. The other 7 rabbits in control group were feed free. After 90 days healing, femoral condyles were extracted to perform micro-CT scanning with hydroxyapatite calibration phantom. Mean bone mineral density (BMD), bone volume fraction (BV/TV), BS/TV (bone surface area ratio), Tb.Th (thickness of trabeculae), Tb.N (number of trabeculae), Tb.Sp (trabecular separation) and DA (degree of anisotropy) were calculated from micro-CT images. The results revealed that osseointegration inside and at the surface of scaffolds worked well from grey values of micro-CT images. After 12 weeks healing, mean bone mineral densities (BMD) in surgery group and healthy control group were calculated as 800±20mg/cm3 and 980±90mg/cm3, respectively. This revealed that the strength of trabeculae in surgery group might lower than that in the healthy group. Trabecular morphological parameters test showed that trabecular morphological parameters at the surface of scaffolds in the surgery group deteriorated significantly. It was found from micro-CT images that ingrowth bone was filled with pores of scaffold. Overall, the effect of osseointegration was promoted through the change of mechanical micro-environment in the scaffold region. Overall, preload could improve osseointegration effect in the long-term after surgery. However, the trabecular morphology in the surgery group was deteriorated, which might bring secondary fracture risk again.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.38 n.4 20202020-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000400909en10.4067/S0717-95022020000400909
institution Scielo Chile
collection Scielo Chile
language English
topic Osseointegration
3D printed porous titanium alloy scaffold
preload
micro-CT
rabbit femoral condyle defect
spellingShingle Osseointegration
3D printed porous titanium alloy scaffold
preload
micro-CT
rabbit femoral condyle defect
Lyu,Linwei
Jing,Ye
Wang,Jikun
Zhang,Chunqiu
Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in Rabbits
description SUMMARY: Porous titanium alloy scaffold was widely used in treating bone defect caused by traumatic injury and osteomyelitis, which was incapable of self-healing. The implantation of scaffold produced stress shielding thereby forming osteolysis. The objective of this study was to analysis trabecular morphological features of osseointegrated bone. 14 New Zealand rabbits were divided into two groups, surgery group and healthy control group. 7 rabbits in surgery group were selected to perform 3D printed porous titanium alloy scaffold implantation surgery with preload at the defect of femoral condyle for osseointegration. The other 7 rabbits in control group were feed free. After 90 days healing, femoral condyles were extracted to perform micro-CT scanning with hydroxyapatite calibration phantom. Mean bone mineral density (BMD), bone volume fraction (BV/TV), BS/TV (bone surface area ratio), Tb.Th (thickness of trabeculae), Tb.N (number of trabeculae), Tb.Sp (trabecular separation) and DA (degree of anisotropy) were calculated from micro-CT images. The results revealed that osseointegration inside and at the surface of scaffolds worked well from grey values of micro-CT images. After 12 weeks healing, mean bone mineral densities (BMD) in surgery group and healthy control group were calculated as 800±20mg/cm3 and 980±90mg/cm3, respectively. This revealed that the strength of trabeculae in surgery group might lower than that in the healthy group. Trabecular morphological parameters test showed that trabecular morphological parameters at the surface of scaffolds in the surgery group deteriorated significantly. It was found from micro-CT images that ingrowth bone was filled with pores of scaffold. Overall, the effect of osseointegration was promoted through the change of mechanical micro-environment in the scaffold region. Overall, preload could improve osseointegration effect in the long-term after surgery. However, the trabecular morphology in the surgery group was deteriorated, which might bring secondary fracture risk again.
author Lyu,Linwei
Jing,Ye
Wang,Jikun
Zhang,Chunqiu
author_facet Lyu,Linwei
Jing,Ye
Wang,Jikun
Zhang,Chunqiu
author_sort Lyu,Linwei
title Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in Rabbits
title_short Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in Rabbits
title_full Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in Rabbits
title_fullStr Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in Rabbits
title_full_unstemmed Enhanced Osseointegration of Porous Titanium Scaffold Implanted with Preload: An Experiment Study in Rabbits
title_sort enhanced osseointegration of porous titanium scaffold implanted with preload: an experiment study in rabbits
publisher Sociedad Chilena de Anatomía
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000400909
work_keys_str_mv AT lyulinwei enhancedosseointegrationofporoustitaniumscaffoldimplantedwithpreloadanexperimentstudyinrabbits
AT jingye enhancedosseointegrationofporoustitaniumscaffoldimplantedwithpreloadanexperimentstudyinrabbits
AT wangjikun enhancedosseointegrationofporoustitaniumscaffoldimplantedwithpreloadanexperimentstudyinrabbits
AT zhangchunqiu enhancedosseointegrationofporoustitaniumscaffoldimplantedwithpreloadanexperimentstudyinrabbits
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