论文部分内容阅读
Half of altogether 60 cylindrical implant devices mode of titanium-aluminum-vanadium alloy( Ti-6Al-4 V) were plasma-sprayed with a hydroxyapatite-coating and the other half had a corundum blasted porous surface. 15 implants of each group of the titanium test implants were coated with 230μgporcine, high-purified BMP- 3-precipitate per implant. In each case a BMP- 3-coated and an uncoated control-device were implanted into the femoral part of the patellofemoral joint of the right and left leg of 30 adult giant rabbits. Histomorphological and histomorphometrical we found in both groups with BMP- 3-coated test devices an improved osteointegration. Statistical evaluation using the t-test for matched samples showed 5 weeks after surgery a significant higher volume of new formed bone of the BMP- 3-coated corundum-blasted or hydroxyapatite-coated Ti-6Al-4 V test devices compared to the non-coated controls of the same type (p < 0.01, t-test for matched samples). In both implatt groups with BMP-coating a synergetic effect was verifiable although the bone ongrowth in the hydroxyapatite coated implants was more extensive than in the corundum blasted implants. Light microscopy demonstrated osteointegration without connective tissue membrane around the surface of the implants. Our results indicate that composite metal implants, as used in endoprosthetics and implantology , are suitable carriers for BMP- 3 and improved fixation of the implants can be achieved. The hydroxyapatite surface is superior to the corundum-blasted surface with regards to the observed parameters because of its pronounced bioactivity and its osteoconductive characteristics.