Thermal-sprayed Silver-containing Hydroxyapatite Coating in a Rat Femoral Model: Analysis of the Initial Fixation

نویسندگان

  • Shuichi Eto
  • Hiroshi Miyamoto
  • Iwao Noda
  • Master
  • Takayuki Akiyama
  • Masatsugu Tsukamoto
  • Masaya Ueno
  • Motoki Sonohata
  • Masaaki Mawatari
چکیده

Introduction: The degree of osseointegration determines the long-term survival and favorable outcomes of orthopedic implant use. Initial fixation is influenced by a number of factors. Hydroxyapatite (HA) coating has a good osteoconductive property and sealing effect on peri implant migration of particles that lead to osteolysis. Furthermore, HA-coated implants show desirable midterm clinical results. Infection prevention is another important factor that influences long-term results. Postoperative infections sometimes occur despite systemic prophylaxis, necessitating surgical treatment. This complication is not only difficult for patients and surgeons but also increases medical costs. Thus, the availability of an implant that has both osteoconductive and antibacterial properties is required. We previously developed an antibacterial coating with Ag-containing HA (Ag-HA) that releases Ag ions to achieve high antibacterial activity and low cytotoxicity in vitro [1]. Antibacterial activity against methicillin-resistant Staphylococcus aureus (MRSA) has been shown in vitro [2], in a subcutaneous rat model [3], and in a rat tibia model [4]. In addition, the Ag-HA coating has properties of both Ag and HA and shows good biocompatibility and osteoconductivity in rat tibiae [5]. However, a direct mechanical assessment has not been performed to date. Thus, the aim of this study is to evaluate the initial fixation of Ag-HA coating on titanium (Ti) in terms of shear strength.

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تاریخ انتشار 2014