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 |
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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. |
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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. |
Author_xml | – sequence: 1 givenname: Gary C surname: O'Toole fullname: O'Toole, Gary C email: garyotoole@ireland.com organization: Department of Surgery, St. Vincent's University Hospital, Dublin 4, Ireland – sequence: 2 givenname: E surname: Salih fullname: Salih, E organization: Laboratory for the Study of Skeletal Disorders, Harvard University & The Children's Hospital, Boston, MA 02115, USA – sequence: 3 givenname: C surname: Gallagher fullname: Gallagher, C organization: Department of Surgery, St. Vincent's University Hospital, Dublin 4, Ireland – sequence: 4 givenname: D surname: FitzPatrick fullname: FitzPatrick, D organization: Department of Engineering, University College Dublin, Dublin 4, Ireland – sequence: 5 givenname: N surname: O'Higgins fullname: O'Higgins, N organization: Department of Surgery, St. Vincent's University Hospital, Dublin 4, Ireland – sequence: 6 givenname: S.K surname: O'Rourke fullname: O'Rourke, S.K 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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Copyright | 2003 Orthopaedic Research Society Copyright © 2003 Orthopaedic Research Society Copyright Journal of Bone and Joint Surgery, Inc. May 2004 |
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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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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 |
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