In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis

Hydroxyapatite (HA) coatings have been widely used for improving the bone-implant interface (BII) bonding of the artificial joint prostheses. However, the incidence of prosthetic revisions due to aseptic loosening remains high. Porous materials, including three-dimensional (3D) printing, can reduce...

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Main Authors: Xiaowei Bai, Ji Li, Zhidong Zhao, Qi Wang, Ningyu Lv, Yuxing Wang, Huayi Gao, Zheng Guo, Zhongli Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2022.928216/full
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author Xiaowei Bai
Xiaowei Bai
Xiaowei Bai
Ji Li
Zhidong Zhao
Zhidong Zhao
Qi Wang
Qi Wang
Ningyu Lv
Ningyu Lv
Yuxing Wang
Huayi Gao
Huayi Gao
Zheng Guo
Zheng Guo
Zhongli Li
Zhongli Li
author_facet Xiaowei Bai
Xiaowei Bai
Xiaowei Bai
Ji Li
Zhidong Zhao
Zhidong Zhao
Qi Wang
Qi Wang
Ningyu Lv
Ningyu Lv
Yuxing Wang
Huayi Gao
Huayi Gao
Zheng Guo
Zheng Guo
Zhongli Li
Zhongli Li
author_sort Xiaowei Bai
collection DOAJ
description Hydroxyapatite (HA) coatings have been widely used for improving the bone-implant interface (BII) bonding of the artificial joint prostheses. However, the incidence of prosthetic revisions due to aseptic loosening remains high. Porous materials, including three-dimensional (3D) printing, can reduce the elastic modulus and improve osseointegration at the BII. In our previous study, we identified a porous material with a sintered bionic trabecular structure with in vitro and in vivo bio-safety as well as in vivo mechanical safety. This study aimed to compare the difference in osseointegration ability of the different porous materials and HA-coated titanium alloy in the BII. We fabricated sintered bionic trabecular porous titanium acetabular cups, 3D-printed porous titanium acetabular cups, and HA-coated titanium alloy acetabular cups for producing a hip prosthesis suitable for beagle dogs. Subsequently, the imaging and histomorphological analysis of the three materials under mechanical loading in animals was performed (at months 1, 3, and 6). The results suggested that both sintered bionic porous titanium alloy and 3D-printed titanium alloy exhibited superior performances in promoting osseointegration at the BII than the HA-coated titanium alloy. In particular, the sintered bionic porous titanium alloy exhibited a favorable bone ingrowth performance at an early stage (month 1). A comparison of the two porous titanium alloys suggested that the sintered bionic porous titanium alloys exhibit superior bone in growth properties and osseointegration ability. Overall, our findings provide an experimental basis for the clinical application of sintered bionic trabecular porous titanium alloys.
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spelling doaj.art-0c2e691d849648eb9af3521df10883482022-12-22T03:16:18ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852022-09-011010.3389/fbioe.2022.928216928216In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesisXiaowei Bai0Xiaowei Bai1Xiaowei Bai2Ji Li3Zhidong Zhao4Zhidong Zhao5Qi Wang6Qi Wang7Ningyu Lv8Ningyu Lv9Yuxing Wang10Huayi Gao11Huayi Gao12Zheng Guo13Zheng Guo14Zhongli Li15Zhongli Li16Medical School of Chinese PLA, Beijing, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Orthopaedics, The 987th Hospital of Logistics Support Force of Chinese PLA, Baoji, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaMedical School of Chinese PLA, Beijing, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaMedical School of Chinese PLA, Beijing, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaMedical School of Chinese PLA, Beijing, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaMedical School of Chinese PLA, Beijing, ChinaMedical School of Chinese PLA, Beijing, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaMedical School of Chinese PLA, Beijing, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaMedical School of Chinese PLA, Beijing, ChinaDepartment of Orthopaedics, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaHydroxyapatite (HA) coatings have been widely used for improving the bone-implant interface (BII) bonding of the artificial joint prostheses. However, the incidence of prosthetic revisions due to aseptic loosening remains high. Porous materials, including three-dimensional (3D) printing, can reduce the elastic modulus and improve osseointegration at the BII. In our previous study, we identified a porous material with a sintered bionic trabecular structure with in vitro and in vivo bio-safety as well as in vivo mechanical safety. This study aimed to compare the difference in osseointegration ability of the different porous materials and HA-coated titanium alloy in the BII. We fabricated sintered bionic trabecular porous titanium acetabular cups, 3D-printed porous titanium acetabular cups, and HA-coated titanium alloy acetabular cups for producing a hip prosthesis suitable for beagle dogs. Subsequently, the imaging and histomorphological analysis of the three materials under mechanical loading in animals was performed (at months 1, 3, and 6). The results suggested that both sintered bionic porous titanium alloy and 3D-printed titanium alloy exhibited superior performances in promoting osseointegration at the BII than the HA-coated titanium alloy. In particular, the sintered bionic porous titanium alloy exhibited a favorable bone ingrowth performance at an early stage (month 1). A comparison of the two porous titanium alloys suggested that the sintered bionic porous titanium alloys exhibit superior bone in growth properties and osseointegration ability. Overall, our findings provide an experimental basis for the clinical application of sintered bionic trabecular porous titanium alloys.https://www.frontiersin.org/articles/10.3389/fbioe.2022.928216/fullartificial jointaseptic looseningporous Ti6Al4Vbionic trabecular structureosseointergrationstress shielding
spellingShingle Xiaowei Bai
Xiaowei Bai
Xiaowei Bai
Ji Li
Zhidong Zhao
Zhidong Zhao
Qi Wang
Qi Wang
Ningyu Lv
Ningyu Lv
Yuxing Wang
Huayi Gao
Huayi Gao
Zheng Guo
Zheng Guo
Zhongli Li
Zhongli Li
In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis
Frontiers in Bioengineering and Biotechnology
artificial joint
aseptic loosening
porous Ti6Al4V
bionic trabecular structure
osseointergration
stress shielding
title In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis
title_full In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis
title_fullStr In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis
title_full_unstemmed In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis
title_short In vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis
title_sort in vivo evaluation of osseointegration ability of sintered bionic trabecular porous titanium alloy as artificial hip prosthesis
topic artificial joint
aseptic loosening
porous Ti6Al4V
bionic trabecular structure
osseointergration
stress shielding
url https://www.frontiersin.org/articles/10.3389/fbioe.2022.928216/full
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