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Daculsi G.,University of Nantes | Daculsi G.,Bordeaux University Hospital Center | Goyenvalle E.,National Veterinary School of Alfort | Cognet R.,National Veterinary School of Alfort | And 2 more authors.
Biomaterials | Year: 2011

The objective of this study was to determine the effect of calcium phosphate mineral content on the bone in-growth at the expense of composite of co-polylactide polymer charged with 2 different ratios of β-TCP granules (10 and 24 w-% of β-TCP). The evaluation was realized in a long term rabbit bone model. After 24, 48 and 76 weeks, the implants were examined by micro CT, scanning electron microscopy (SEM) using backscattered electron (BSE) and light microscopy (polarized and blue light microscopy). No foreign body reaction was detected during the 76 weeks follow-up in any of the test samples. Polymer hydrolysis began at approximately 24 weeks, by 76 weeks, the pure polymer implant had begun to release P(96L/4D)LA particles and show signs of peripheral localized bone resorption. A decrease in the amount of CaP was noticed between 24 and 76 weeks in both 10 wt-% and 24 wt-% β-TCP/P(96L/4D)LA composites. The study showed that the highest bone in-growth was with 24 wt-% β-TCP/P(96L/4D)LA composite. Bone in-growth and mineralization were evident for the composites associated with specific peripheral bone architecture. Fluorescent labelling demonstrated high bone in-growth and remodeling at the interface, while for pure co-polymer no bone remodeling or bone activity was maintained after 48 weeks. The study demonstrated the positive effect of calcium phosphate content into P(96L/4D)LA. This kind of composite is a suitable resorbable osteoconductive matrix, which provides long term stability required for ligament fixation device. © 2011 Elsevier Ltd. Source


Kulkova J.,University of Turku | Moritz N.,University of Turku | Suokas E.O.,ConMed Linvatec Biomaterials Ltd. | Strandberg N.,University of Turku | And 3 more authors.
Journal of the Mechanical Behavior of Biomedical Materials | Year: 2014

Bioresorbable suture anchors and interference screws have certain benefits over equivalent titanium-alloy implants. However, there is a need for compositional improvement of currently used bioresorbable implants. We hypothesized that implants made of poly(. l-lactide-co-glycolide) (PLGA) compounded with nanostructured particles of beta-tricalcium phosphate (β-TCP) would induce stronger osteointegration than implants made of PLGA compounded with microsized β-TCP particles. The experimental nanostructured self-reinforced PLGA (85L:15G)/β-TCP composite was made by high-energy ball-milling. Self-reinforced microsized PLGA (95L:5G)/β-TCP composite was prepared by melt-compounding. The composites were characterized by gas chromatography, Ubbelohde viscometry, scanning electron microscopy, laser diffractometry, and standard mechanical tests. Four groups of implants were prepared for the controlled laboratory study employing a minipig animal model. Implants in the first two groups were prepared from nanostructured and microsized PLGA/β-TCP composites respectively. Microroughened titanium-alloy (Ti6Al4V) implants served as positive intra-animal control, and pure PLGA implants as negative control. Cone-shaped implants were inserted in a random order unilaterally in the anterior cortex of the femoral shaft. Eight weeks after surgery, the mechanical strength of osteointegration of the implants was measured by a push-out test. The quality of new bone surrounding the implant was assessed by microcomputed tomography and histology. Implants made of nanostructured PLGA/β-TCP composite did not show improved mechanical osteointegration compared with the implants made of microsized PLGA/β-TCP composite. In the intra-animal comparison, the push-out force of two PLGA/β-TCP composites was 35-60% of that obtained with Ti6Al4V implants. The implant materials did not result in distinct differences in quality of new bone surrounding the implant. © 2014 Elsevier Ltd. Source


Wimpenny I.,Keele University | Lahteenkorva K.,ConMed Linvatec Biomaterials Ltd. | Suokas E.,ConMed Linvatec Biomaterials Ltd. | Ashammakhi N.,Keele University | And 3 more authors.
Journal of Biomaterials Science, Polymer Edition | Year: 2012

Intensive research has demonstrated the clear biological potential of electrospun nanofibers for tissue regeneration and repair. However, nanofibers alone have limited mechanical properties. In this study we took poly(L-lactide-co-D-lactide) (PLDLA)-based 3D objects, one existing medical device (interference screws) and one medical device model (discs) as examples to form composites through coating their surface with electrospun PLDLA nanofibers. We specifically investigated the effects of electrospinning parameters on the improvement of adhesion of the electrospun nanofibers to the PLDLA-based substrates. To reveal the adhesion mechanisms, a novel peel test protocol was developed for the characterization of the adhesion and delamination phenomenon of the nanofibers deposited to substrates. The effect of incubation of the composites under physiological conditions on the adhesion of the nanofibers has also been studied. It was revealed that reduction of the working distance to 10 cm resulted in deposition of residual solvent during electrospin-ning of nanofibers onto the substrate, causing fiber-fiber bonding. Delamination of this coating occurred between the whole nanofiber layer and substrate, at low stress. Fibers deposited at 15 cm working distance were of smaller diameter and no residual solvent was observed during deposition. Delamination occurred between nanofiber layers, which peeled off under greater stress. This study represents a novel method for the alteration of nanofiber adhesion to substrates, and quantification of the change in the adhesion state, which has potential applications to develop better medical devices for orthopedic tissue repair and regeneration. © 2011 Koninklijke Brill NV, Leiden. Source

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