TY - JOUR
T1 - Fabrication and evaluation of interconnected porous carbonate apatite from alpha tricalcium phosphate spheres
AU - Ishikawa, Kunio
AU - Arifta, Tya Indah
AU - Hayashi, Koichiro
AU - Tsuru, Kanji
N1 - Publisher Copyright:
© 2018 Wiley Periodicals, Inc.
PY - 2019/2
Y1 - 2019/2
N2 - Carbonate apatite (CO3Ap) blocks have attracted considerable attention as an artificial bone substitute material because CO3Ap is a component of and shares properties with bone, including high osteoconductivity and replacement by bone similar to autografts. In this study, we fabricated an interconnected porous CO3Ap block using α-tricalcium phosphate (TCP) spheres and evaluated the tissue response to this material in a rabbit tibial bone defect model. Interconnected porous α-TCP, the precursor of interconnected porous CO3Ap, could not be fabricated directly by sintering α-TCP spheres. It was therefore made via a setting reaction with α-TCP spheres, yielding interconnected porous calcium-deficient hydroxyapatite that was subjected to heat treatment. Immersing the interconnected porous α-TCP in Na–CO3–PO4 solution produced CO3Ap, which retained the interconnected porous structure after the dissolution–precipitation reaction. The diametral tensile strength and porosity of the porous CO3Ap were 1.8 ± 0.4 MPa and 55% ± 3.2%, respectively. Both porous and dense (control) CO3Ap showed excellent tissue response and good osteoconductivity. At 4 weeks after surgery, approximately 15% ± 4.9% of the tibial bone defect was filled with new bone when reconstruction was performed using porous CO3Ap; this amount was five times greater than that obtained with dense CO3Ap. At 12 weeks after surgery, for porous CO3Ap, approximately 47% of the defect was filled with new bone as compared to 16% for dense CO3Ap. Thus, the interconnected porous CO3Ap block is a promising artificial bone substitute material for the treatment of bone defects caused by large fractures or bone tumor resection.
AB - Carbonate apatite (CO3Ap) blocks have attracted considerable attention as an artificial bone substitute material because CO3Ap is a component of and shares properties with bone, including high osteoconductivity and replacement by bone similar to autografts. In this study, we fabricated an interconnected porous CO3Ap block using α-tricalcium phosphate (TCP) spheres and evaluated the tissue response to this material in a rabbit tibial bone defect model. Interconnected porous α-TCP, the precursor of interconnected porous CO3Ap, could not be fabricated directly by sintering α-TCP spheres. It was therefore made via a setting reaction with α-TCP spheres, yielding interconnected porous calcium-deficient hydroxyapatite that was subjected to heat treatment. Immersing the interconnected porous α-TCP in Na–CO3–PO4 solution produced CO3Ap, which retained the interconnected porous structure after the dissolution–precipitation reaction. The diametral tensile strength and porosity of the porous CO3Ap were 1.8 ± 0.4 MPa and 55% ± 3.2%, respectively. Both porous and dense (control) CO3Ap showed excellent tissue response and good osteoconductivity. At 4 weeks after surgery, approximately 15% ± 4.9% of the tibial bone defect was filled with new bone when reconstruction was performed using porous CO3Ap; this amount was five times greater than that obtained with dense CO3Ap. At 12 weeks after surgery, for porous CO3Ap, approximately 47% of the defect was filled with new bone as compared to 16% for dense CO3Ap. Thus, the interconnected porous CO3Ap block is a promising artificial bone substitute material for the treatment of bone defects caused by large fractures or bone tumor resection.
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U2 - 10.1002/jbm.b.34117
DO - 10.1002/jbm.b.34117
M3 - Article
C2 - 29577584
AN - SCOPUS:85057940102
VL - 107
SP - 269
EP - 277
JO - Journal of Biomedical Materials Research - Part B Applied Biomaterials
JF - Journal of Biomedical Materials Research - Part B Applied Biomaterials
SN - 1552-4973
IS - 2
ER -