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Monday, September 24, 2007

The Osseointegration of Porous Materials Using a Rabbit Femoral Defect Model

C. G. Ngo, R. Zhang, G. Kulesha, Stryker Orthopaedics, Mahwah, NJ; Y. An, Medical University of South Carolina, South Carolina, SC; Y. Jiang, University of California, San Francisco, CA; C. Sutcliffe, R. Stamp, University of Liverpool, Liverpool, United Kingdom

INTRODUCTION:
Different technologies continue to be developed for the fabrication of porous titanium materials for orthopaedic applications. These technologies aim at developing materials that allow faster osseointegration and provide overall better biologic fixation. A new porous ingrowth surfaces made of titanium has been recently developed called Selective Laser Melting (SLM). The purpose of this study was to assess bone ingrowth into different pore sizes of a new porous material using rabbit femoral defect model.

MATERIALS AND METHODS:

Four structures of porous titanium shown in Table 1 with 71-74% porosity were manufactured into cylinders 5 mm in diameter and 8 mm in length.

Sample ID

Manufacture defined cell size
Pillar
μCT determined pore size
A
800 μm
No
360 μm
B
800 μm
Yes
350 μm
C
1000 μm
No
450 μm
D
1000 μm
Yes
430 μm
Table 1: Four structures of porous titanium
Animal model:
Forty New Zealand white rabbits were utilized in this study which was approved by the institutional animal care and use committee of the Medical University of South Carolina. A defect of 5 mm in diameter and 8 mm deep was created in the cancellous bone of the distal femur bilaterally. All femurs were randomly assigned to 2 different time points and 4 implant types. They were sacrificed at 6 and 10 weeks postoperatively.

DISCUSSIONS AND CONCLUSIONS:
MicroCT measured the 3-D structural parameters of the porous materials and the bone inside the porous materials effectively. The structural parameters measured by microCT are highly correlated with bone ingrowth. Manufacturer defined cell size affects the bone ingrowth, i.e., specimens with smaller cell size and smaller strut separation demonstrate more bone ingrowth than specimens with large cell size.

This study showed bone ingrowth into four different pore sizes of new porous materials in a rabbit femoral defect model. The SLM technology offers potential for orthopaedic applications.


Summary: Different technologies continue to be developed for the fabrication of porous titanium materials for orthopaedic applications. These technologies aim at developing materials that allow faster osseointegration and provide overall better biologic fixation. A new porous ingrowth surfaces made of titanium has been recently developed called Selective Laser Melting (SLM). The purpose of this study was to assess bone ingrowth into different pore sizes of a new porous material using rabbit femoral defect model. MicroCT measured the 3-D structural parameters of the porous materials and the bone inside the porous materials effectively. This study showed good bone ingrowth into porous titanium specimens made using the SLM method. The extend of bone ingrowth demonstrated is consistent with the data reported for another porous metal which found from 17-24%; although there is a statistically significant differences between groups. The structural parameters measured by microCT are highly correlated with bone ingrowth. This study showed bone ingrowth into four different pore sizes of new porous materials in a rabbit femoral defect model. The SLM technology offers potential for orthopaedic applications.