Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycin

Infected bone defects (IBDs) remains a challenging problem for orthopedists. Clinically, routine management for IBDs has two stages: debridement and systematic antibiotics administration to control infection, and secondary grafting to repair bone defects. Whereas the efficacy is not satisfactory, be...

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Main Authors: Hu Qian, Ting Lei, Long Hua, Yu Zhang, Dongyu Wang, Jiangyu Nan, Wenbin Liu, Yan Sun, Yihe Hu, Pengfei Lei
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2023-06-01
Series:Bioactive Materials
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452199X22005011
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author Hu Qian
Ting Lei
Long Hua
Yu Zhang
Dongyu Wang
Jiangyu Nan
Wenbin Liu
Yan Sun
Yihe Hu
Pengfei Lei
author_facet Hu Qian
Ting Lei
Long Hua
Yu Zhang
Dongyu Wang
Jiangyu Nan
Wenbin Liu
Yan Sun
Yihe Hu
Pengfei Lei
author_sort Hu Qian
collection DOAJ
description Infected bone defects (IBDs) remains a challenging problem for orthopedists. Clinically, routine management for IBDs has two stages: debridement and systematic antibiotics administration to control infection, and secondary grafting to repair bone defects. Whereas the efficacy is not satisfactory, because the overuse of antibiotics may lead to systemic toxicity, and the emergence of drug-resistant bacteria, as well as the secondary surgery would cause additional trauma and economic burden to the patients. Therefore, it is imperative to develop a novel scaffold for one-stage repair of IBDs. In this study, vancomycin (Van) was encapsulated into poly(lactic co-glycolic acid) (PLGA) microspheres through the double emulsion method, which were then loaded into the additively-manufactured porous tantalum (AM-Ta) through gelatin methacryloyl (GelMA) hydrogel to produce the composite Ta/GelMA hydrogel (Gel)/PLGA/vancomycin(Van) scaffolds for repairing IBDs. Physiochemical characterization of the newly-developed scaffold indicated that the releasing duration of Van was over 2 weeks. Biological experiments indicated good biocompatibility of the composite scaffold, as well as bacteriostasis and osteointegration properties, which showed great potential for clinical application. The construction of this novel scaffold would provide new sight into the development of orthopaedic implants, shedding a novel light on the treatment of IBDs.
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spelling doaj.art-ad0dade4c578482b803a6aba8e12a9d72023-03-22T04:37:31ZengKeAi Communications Co., Ltd.Bioactive Materials2452-199X2023-06-0124450462Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycinHu Qian0Ting Lei1Long Hua2Yu Zhang3Dongyu Wang4Jiangyu Nan5Wenbin Liu6Yan Sun7Yihe Hu8Pengfei Lei9Department of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China; Department of Orthopaedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China; Xiangya School of Medicine, Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, ChinaDepartment of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China; Department of Orthopedic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, China; Corresponding author. Department of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China.Department of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China; Department of Orthopedic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, China; Corresponding author. Department of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China.Infected bone defects (IBDs) remains a challenging problem for orthopedists. Clinically, routine management for IBDs has two stages: debridement and systematic antibiotics administration to control infection, and secondary grafting to repair bone defects. Whereas the efficacy is not satisfactory, because the overuse of antibiotics may lead to systemic toxicity, and the emergence of drug-resistant bacteria, as well as the secondary surgery would cause additional trauma and economic burden to the patients. Therefore, it is imperative to develop a novel scaffold for one-stage repair of IBDs. In this study, vancomycin (Van) was encapsulated into poly(lactic co-glycolic acid) (PLGA) microspheres through the double emulsion method, which were then loaded into the additively-manufactured porous tantalum (AM-Ta) through gelatin methacryloyl (GelMA) hydrogel to produce the composite Ta/GelMA hydrogel (Gel)/PLGA/vancomycin(Van) scaffolds for repairing IBDs. Physiochemical characterization of the newly-developed scaffold indicated that the releasing duration of Van was over 2 weeks. Biological experiments indicated good biocompatibility of the composite scaffold, as well as bacteriostasis and osteointegration properties, which showed great potential for clinical application. The construction of this novel scaffold would provide new sight into the development of orthopaedic implants, shedding a novel light on the treatment of IBDs.http://www.sciencedirect.com/science/article/pii/S2452199X22005011Infected bone defectsPorous tantalumPLGA microspheresVancomycin
spellingShingle Hu Qian
Ting Lei
Long Hua
Yu Zhang
Dongyu Wang
Jiangyu Nan
Wenbin Liu
Yan Sun
Yihe Hu
Pengfei Lei
Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycin
Bioactive Materials
Infected bone defects
Porous tantalum
PLGA microspheres
Vancomycin
title Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycin
title_full Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycin
title_fullStr Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycin
title_full_unstemmed Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycin
title_short Fabrication, bacteriostasis and osteointegration properties researches of the additively-manufactured porous tantalum scaffolds loading vancomycin
title_sort fabrication bacteriostasis and osteointegration properties researches of the additively manufactured porous tantalum scaffolds loading vancomycin
topic Infected bone defects
Porous tantalum
PLGA microspheres
Vancomycin
url http://www.sciencedirect.com/science/article/pii/S2452199X22005011
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