Abstract
To allow X-ray visibility, we coated a bioabsorbable bone plate in clinical use (PLT-1031, Inion, Finland) with a layer made of a composite of beta-tricalcium phosphate (β-TCP) and poly(lactic-co-glycolic acid) (PLGA) (i.e., β-TCP/PLGA plate) and assessed its in vivo acute biocompatibility for 4 months. For this, we fixed an intact Inion plate and β-TCP/PLGA plate on the left and right humeri of a New Zealand White rabbit, respectively. According to the X-ray imaging, the β-TCP/PLGA plate was observable for 2 weeks after the implantation while the intact plate was not visible during the whole tested period. To evaluate the biocompatibility of the plate, we performed a histological analysis with hematoxylin and eosin (H&E) staining on the tissues obtained at scheduled times. After being tested for 4 months, the overall biocompatibility of the β-TCP/PLGA plate was similar to that of the intact Inion plate and there was also no significant difference in bone repair process between the two plates. On the 5 day after the implantation, both plates exhibited a similar state of early reparative tissue reaction, showing tissue necrosis, abscess formation, and neutrophilic infiltration. In the 2 weeks, inflammation and granulation tissue formation around the plate extended to the skeletal muscle and fat tissue. This gradually decreased through the end of the experiment with only a few foreign body giant cells and macrophages remaining in the fibrotic tissue.
Similar content being viewed by others
References
J. H. Lee and J. H. Park, Arch. Plast. Surg., 40, 330 (2013).
D. P. Mukherjee and W. S. Pietrzak, J. Craniofac. Surg., 22, 679 (2011).
S. Li, J. Biomed. Mater. Res., 48, 342 (1999).
B. L. Eppley, A. M. Sadove, and R. J. Havlik, Plast. Reconstr. Surg., 100, 1 (1997).
V. Bhatt, P. Chhabra, and M. S. Dover, J. Oral Maxillofac. Surg., 63, 756 (2005).
C. Shasteen, S. M. Kwon, K. Y. Park, S. Y. Jung, S. H. Lee, C. G. Park, M. H. Kim, S. Kim, W. C. Son, T. H. Choi, and Y. B. Choy, J. Biomed. Mater. Res. Part B, 101, 320 (2013).
G. Daculsi, Biomaterials, 19, 1473 (1998).
J. Wiltfang, H. A. Merten, K. A. Schlegel, S. Schultze-Mosgau, F. R. Kloss, S. Rupprecht, and P. Kessler, J. Biomed. Mater. Res., 63, 115 (2002).
J. M. Anderson and M. S. Shive, Adv. Drug Deliv. Rev., 28, 5 (1997).
H. K. Makadia and S. J. Siegel, Polym. Rev., 3, 1377 (2011).
A. Göpferich, Biomaterials, 17, 103 (1996).
H. J. Sung, C. Meredith, C. Johnson, and Z. S. Galis, Biomaterials, 25, 5735 (2004).
C. M. Agrawal and R. B. Ray, J. Biomed. Mater. Res., 55, 141 (2001).
N. B. Bauer, N. Brinke, C. Heiss, A. B. Skorupa, F. Peters, R. Schnettler, and A. Moritz, J. Biomed. Mater. Res. Part B: Appl. Biomater., 90, 767 (2009).
J. Arnoldi, P. Henry, P. Procter, B. Robioneck, and A. Jönsson, J. Biomater. Sci. Polym. Ed., 23, 663 (2012).
International Organization for Standardization (ISO) Office, International Standard: Biological Evaluation of Medical Devices-Part 1: Evaluation and Testing, I S O, 2003, 10993-1: 1–14.
S. Y. Choi, W. Hur, B. K. Kim, C. Shasteen, M. H. Kim, L. M. Choi, S. H. Lee, C. G. Park, M. Park, H. S. Min, S. Kim, T. H. Choi, and Y. B. Choy, J. Biomed. Mater. Res. Part B: Appl. Biomater., 103, 596 (2015).
X. Fan, J. Chen, J. Ruan, Z. Zhou, and J. Zou, Polym. Plast. Technol. Eng., 48, 658 (2009).
Y. Tanimoto, T. Hawakawa, and K. Nemoto, J. Biomed. Mater. Res. Part B: Appl. Biomater., 73, 157 (2005).
N. T. Paragkumar, D. Edith, and J. L. Six, Appl. Surf. Sci., 253, 2758 (2006).
Y. Ma, Y. Zheng, K. Liu, G. Tian, Y. Tian, L. Xu, F. Yan, L. Huang, and L. Mei, Nanoscale Res. Lett., 5, 1161 (2010).
D. Liu, J. Zhuang, C. Shuai, and S. Peng, Biofabrication, 5, 1 (2013).
G. Daculsi, Biomaterials, 19, 1473 (1998).
H. Oonishi, L. L. Hench, J. Wilson, F. Sugihara, E. Tsuji, S. Kushitani, and H. Iwaki, J. Biomed. Mater. Res., 44, 31 (1999).
Author information
Authors and Affiliations
Corresponding authors
Additional information
These authors contributed equally as first author to this work.
The image from this article is used as the cover image of the Volume 24, Issue 5.
Rights and permissions
About this article
Cite this article
Min, H.S., Hur, W., Lee, W.S. et al. Acute Biocompatibility of X-ray Visible Bioabsorbable Bone Plate Coated with β-Tricalcium Phosphate and Poly(lactic-co-glycolic acid). Macromol. Res. 24, 471–477 (2016). https://doi.org/10.1007/s13233-016-4064-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13233-016-4064-y