title: Bioactivity and osteointegration of hydroxyapatite-coated stainless steel and titanium wires used for intramedullary osteosynthesis.
abstract: A lot of research was conducted on the use of various biomaterials in orthopedic surgery. Our study investigated the effects of nanostructured calcium-phosphate coating on metallic implants introduced into the bone marrow canal. Stainless steel or titanium 2-mm wires (groups 1 and 2, respectively), and hydroxyapatite-coated stainless steel or titanium wires of the same diameter (groups 3 and 4, respectively) were introduced into the tibial bone marrow canal of 20 dogs (each group = 5 dogs). Hydroxyapatite coating was deposited on the wires with the method of microarc oxidation. Light microscopy to study histological diaphyseal transverse sections, scanning electron microscopy to study the bone marrow area around the implant and an X-ray electron probe analyzer to study the content of calcium and phosphorus were used to investigate bioactivity and osteointegration after a four weeks period. Osteointegration was also assessed by measuring wires' pull-off strength with a sensor dynamometer. Bone formation was observed round the wires in the bone marrow canal in all the groups. Its intensity depended upon the features of wire surfaces and implant materials. Maximum percentage volume of trabecular bone was present in the bone marrow canals of group 4 dogs that corresponded to a mean of 27.1 ± 0.14%, while it was only 6.7% in group 1. The coating in groups 3 and 4 provided better bioactivity and osteointegration. Hydroxyapatite-coated titanium wires showed the highest degree of bone formation around them and greater pull-off strength. Nanostructured hydroxyapatite coating of metallic wires induces an expressed bone formation and provides osteointegration. Hydroxyapatite-coated wires could be used along with external fixation for bone repair enhancement in diaphyseal fractures, management of osteogenesis imperfecta and correction of bone deformities in phosphate diabetes.
authors.affiliation: Laboratory for Limb Lengthening and Deformity Correction, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, 6 M. Ulianova Street, Kurgan, Russia.
authors.forename: Arnold V
authors.initials: AV
authors.lastname: Popkov
authors.affiliation: Laboratory of Morphology, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopedics, 6 M. Ulianova Street, Kurgan, Russia, 640014. gorbach.e@mail.ru.
authors.forename: Elena N
authors.initials: EN
authors.lastname: Gorbach
authors.affiliation: Laboratory for Limb Lengthening and Deformity Correction, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, 6 M. Ulianova Street, Kurgan, Russia.
authors.forename: Natalia A
authors.initials: NA
authors.lastname: Kononovich
authors.affiliation: Head of Research Laboratory for Limb Lengthening and Deformity Correction, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, 6 M. Ulianova Street, Kurgan, Russia.
authors.forename: Dmitry A
authors.initials: DA
authors.lastname: Popkov
authors.affiliation: National Research Tomsk Polytechnic University, 30 Lenin Avenue, Tomsk, Russia.
authors.forename: Sergey I
authors.initials: SI
authors.lastname: Tverdokhlebov
authors.affiliation: National Research Tomsk Polytechnic University, 30 Lenin Avenue, Tomsk, Russia.
authors.forename: Evgeniy V
authors.initials: EV
authors.lastname: Shesterikov
keywords: Bone formation; Hydroxyapatite coating; Intramedullary osteosynthesis; Osteointegration; Osteosynthesis; Wire