Bone sialoprotein-coated femoral implants are osteoinductive but mechanically compromised

Aseptic loosening of femoral implants in total hip replacement remains an unsolved orthopaedic problem. This paper investigates the potential role of bone sialoprotein (BSP) in enhancing bone-implant adherence. As BSP is osteoinductive in rat calvarial models, we investigated whether BSP is similarl...

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Published in:Journal of orthopaedic research Vol. 22; no. 3; pp. 641 - 646
Main Authors: O'Toole, Gary C, Salih, E, Gallagher, C, FitzPatrick, D, O'Higgins, N, O'Rourke, S.K
Format: Journal Article
Language:English
Published: Hoboken Elsevier Ltd 01-05-2004
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Abstract Aseptic loosening of femoral implants in total hip replacement remains an unsolved orthopaedic problem. This paper investigates the potential role of bone sialoprotein (BSP) in enhancing bone-implant adherence. As BSP is osteoinductive in rat calvarial models, we investigated whether BSP is similarly osteoinductive when coated onto intramedullary femoral implants. BSP-coated titanium implants were implanted into the femur of female `Wistar' rats (average weight 215 g) that were sacrificed at days 10, 20 and 30. Harvested femoral implants were subjected to pullout testing and then examined histologically. BSP-coated implants demonstrate osteoinduction when examined histologically. Plugging the femoral canal with BSP prior to inserting the implant neither increased implant pullout strengths nor further increased osteoblastic activity. This study has demonstrated for the first time that BSP is osteoinductive when coated onto femoral implants and inserted into bones subjected to mechanical loading. However, we found that pullout strengths are a function of implant surface topographical characteristics and are not affected by BSP coating or histological osteoinduction.
AbstractList Aseptic loosening of femoral implants in total hip replacement remains an unsolved orthopaedic problem. This paper investigates the potential role of bone sialoprotein (BSP) in enhancing bone‐implant adherence. As BSP is osteoinductive in rat calvarial models, we investigated whether BSP is similarly osteoinductive when coated onto intramedullary femoral implants. BSP‐coated titanium implants were implanted into the femur of female “Wistar” rats (average weight 215 g) that were sacrificed at days 10, 20 and 30. Harvested femoral implants were subjected to pullout testing and then examined histologically. BSP‐coated implants demonstrate osteoinduction when examined histologically. Plugging the femoral canal with BSP prior to inserting the implant neither increased implant pullout strengths nor further increased osteoblastic activity. This study has demonstrated for the first time that BSP is osteoinductive when coated onto femoral implants and inserted into bones subjected to mechanical loading. However, we found that pullout strengths are a function of implant surface topographical characteristics and are not affected by BSP coating or histological osteoinduction. © 2003 Orthopaedic Research Society. Published by Elsevier Ltd. All rights reserved.
Aseptic loosening of femoral implants in total hip replacement remains an unsolved orthopaedic problem. This paper investigates the potential role of bone sialoprotein (BSP) in enhancing bone-implant adherence. As BSP is osteoinductive in rat calvarial models, we investigated whether BSP is similarly osteoinductive when coated onto intramedullary femoral implants. BSP-coated titanium implants were implanted into the femur of female 'Wistar' rats (average weight 215 g) that were sacrificed at days 10, 20 and 30. Harvested femoral implants were subjected to pullout testing and then examined histologically. BSP-coated implants demonstrate osteoinduction when examined histologically. Plugging the femoral canal with BSP prior to inserting the implant neither increased implant pullout strengths nor further increased osteoblastic activity. This study has demonstrated for the first time that BSP is osteoinductive when coated onto femoral implants and inserted into bones subjected to mechanical loading. However, we found that pullout strengths are a function of implant surface topographical characteristics and are not affected by BSP coating or histological osteoinduction.
Aseptic loosening of femoral implants in total hip replacement remains an unsolved orthopaedic problem. This paper investigates the potential role of bone sialoprotein (BSP) in enhancing bone-implant adherence. As BSP is osteoinductive in rat calvarial models, we investigated whether BSP is similarly osteoinductive when coated onto intramedullary femoral implants. BSP-coated titanium implants were implanted into the femur of female `Wistar' rats (average weight 215 g) that were sacrificed at days 10, 20 and 30. Harvested femoral implants were subjected to pullout testing and then examined histologically. BSP-coated implants demonstrate osteoinduction when examined histologically. Plugging the femoral canal with BSP prior to inserting the implant neither increased implant pullout strengths nor further increased osteoblastic activity. This study has demonstrated for the first time that BSP is osteoinductive when coated onto femoral implants and inserted into bones subjected to mechanical loading. However, we found that pullout strengths are a function of implant surface topographical characteristics and are not affected by BSP coating or histological osteoinduction.
Author O'Toole, Gary C.
Gallagher, C.
O'Rourke, S. K.
O'Higgins, N.
Salih, E.
FitzPatrick, D.
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  surname: Salih
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  organization: Department of Surgery, St. Vincent's University Hospital, Dublin 4, Ireland
BackLink https://www.ncbi.nlm.nih.gov/pubmed/15099646$$D View this record in MEDLINE/PubMed
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Snippet Aseptic loosening of femoral implants in total hip replacement remains an unsolved orthopaedic problem. This paper investigates the potential role of bone...
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StartPage 641
SubjectTerms Animals
Arthroplasty, Replacement, Hip
Biomechanical Phenomena
Bone sialoprotein
Coated Materials, Biocompatible - pharmacology
Female
Femur - physiology
Femur - surgery
Integrin-Binding Sialoprotein
Osteogenesis - drug effects
Osteoinduction
Rats
Rats, Wistar
Sialoglycoproteins - pharmacology
Title Bone sialoprotein-coated femoral implants are osteoinductive but mechanically compromised
URI https://dx.doi.org/10.1016/j.orthres.2003.09.005
https://api.istex.fr/ark:/67375/WNG-KKJ8B62Q-7/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1016%2Fj.orthres.2003.09.005
https://www.ncbi.nlm.nih.gov/pubmed/15099646
https://www.proquest.com/docview/235109620
https://search.proquest.com/docview/17943969
https://search.proquest.com/docview/71854532
Volume 22
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