HIGHLIGHTED TOPIC Biomechanics and Mechanotransduction in Cells and Tissues Modulation of bone ingrowth of rabbit femur titanium implants by in vivo axial micromechanical loading

Clark, Paul A., Anthony Rodriguez, D. Rick Sumner, Mohammad A. Hussain, and Jeremy J. Mao. Modulation of bone ingrowth of rabbit femur titanium implants by in vivo axial micromechanical loading. J Appl Physiol 98: 1922–1929, 2005. First published January 7, 2005; doi:10.1152/japplphysiol.01080.2004.—Titanium implants commonly used in orthopedics and dentistry integrate into host bone by a complex and coordinated process. Despite increasingly well illustrated molecular healing processes, mechanical modulation of implant bone ingrowth is poorly understood. The objective of the present study was to determine whether micromechanical forces applied axially to titanium implants modulate bone ingrowth surrounding intraosseous titanium implants. We hypothesized that small doses of micromechanical forces delivered daily to the bone-implant interface enhance implant bone ingrowth. Small titanium implants were placed transcortically in the lateral aspect of the proximal femur in 15 New Zealand White rabbits under general anesthesia and allowed to integrate with the surrounding bone for 6 wk. Micromechanical forces at 200 mN and 1 Hz were delivered axially to the right femur implants for 10 min/day over 12 consecutive days, whereas the left femur implants served as controls. The average bone volume 1 mm from mechanically loaded implants (n 15) was 73 12%, which was significantly greater than the average bone volume (52 21%) of the contralateral controls (n 15) (P 0.01). The average number of osteoblast-like cells per endocortical bone surface was 55 8 cells/mm for mechanically loaded implants, which was significantly greater than the contralateral controls (35 6 cells/mm) (P 0.01). Dynamic histomorphometry showed a significant increase in mineral apposition rate and bone-formation rate of mechanically stressed implants (3.8 1.2 m/day and 2.4 1.0 m m 2 day , respectively) than contralateral controls (2.2 0.92 m/day and 1.2 0.60 m m 2 day , respectively; P 0.01). Collectively, these data suggest that micromechanical forces delivered axially on intraosseous titanium implants may have anabolic effects on implant bone ingrowth.