Summary
It has been reported that bioactive glass-ceramics containing crystalline oxy- and fluoroapatite [Ca10(PO4)6(O,F2) and wollastonite (CaSiO3), chemical composition: MgO 4.6, CaO 44.9, SiO2 34.2, P2O5 16.3, CaF2 0.5 in weight ratio] bond to bone tissue through the formation of an apatite (a calcium and phosphorus-rich layer) on the ceramic surface. In this study, the influence of disodium (1-hydroxythylidene) diphosphonate (DHTD) on the bonding between bone and glass-ceramics containing apatite and wollastonite was investigated. Rectangular ceramic plates (15 mm x 10 mm x 2 mm, abraded with #2000 alumina powder) were implanted into the tibial bone of mature male rabbits. DHTD was administered daily by subcutaneous injection to groups 1–5: group 1–4 at doses of 20, 5.0, 1.0, and 0.1 mg/kg body wt/day for 8 weeks; and group 5 at a dose of 5 mg/kg body wt/day for 4 weeks. Group 6 was given injections of saline as a control. At 8 weeks after implantation, the rabbits were killed. The tibiae containing the ceramics were dissected out and used for a detachment test. The failure load, when an implant became detached from the bone, or when the bone itself broke, was measured. The failure loads for groups 1–6 were 0 kg, 0 kg, 8.08±2.43 kg, 7.28±2.07 kg, 5.56±1.63 kg, and 6.38±1.30 kg, respectively. Ceramic bonding to bone tissue was inhibited by a higher dose of DHTD (groups 1 and 2). In groups 3–6, SEM-EPMA showed a calcium-phosphorus-rich layer (Ca-P-rich layer) at the interface between the ceramic and bone tissue. However, at higher doses (5 and 20 mg), the Ca-P-rich layer was not observed on the surface of the glass-ceramic. DHTD suppressed both the formation of the Ca-P-rich layer on the surface of galss-ceramics and also apatite formation by bone. Thus, bonding between the Ca-P-rich layer of glass-ceramics and the apatite of bone tissue did not occur. This study verified that the apatite crystals in bone tissue bonded chemically to the Ca-P-rich layer on the surface glass-ceramics. The organic matrix (osteoid) did not participate in the bonding between bone and glass-ceramics.
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Kokubo T, Shigematsu M, Nagashima Y, Tashiro M, Nakamura T, Yamamuro T, and Higashi S (1982) Apatite- and wollastonite-containing glass-ceramic for prosthetic application. Bull Inst Chem Res, Kyoto Univ, 60:260–268
Nakamura T, Yamamuro T, Higashi S, Kokubo T, Itoo S (1985) A new glass-ceramic for bone replacement: evaluation of its bonding ability to bone tissue. J Biomed Mater Res 19:685–698
Kitsugi T, Yamamuro T, Nakamura T, Higashi S, Kakutani Y, Hyakuna K, Ito S, Kokuko T, Takagi M, Shibuya T (1986) Bone bonding behavior of three kinds of apatite-containing glassceramics. J Biomed Mater Res 20:1295–1307
Kitsugi T, Yamamuro T, Nakamura T, Kokubo T, Shibuya T, Takagi M (1987) SEM-EPMA observation of three types of apatite-containing glass-ceramics implanted in bone: the variance of a Ca-P rich layer. J Biomed Mater Res 21:1255–1271
Kokubo T, Kushitani H, Sakka S, Kitsugi T, Yamamuro T (1990) Solutions able to reproduce in vivo surface-structure changes in bioactive glass-ceramic A-W3. J Biomed Mater Res 24:721–734
Kokubo T, Ito S, Huang ZT, Hayashi T, Sakka S, Kitsugi T, Yamamuro T (1990) Ca, P-rich layer formed on high-strength bioactive glass-ceramic A-W. J Biomed Mater Res 24:331–343
Kokubo T (1990) Surface chemistry of bioactive glass-ceramics. J Noncrystalline Solids 120:138–151
Yamamuro T, Nakamura T, Higashi S, Kasai R, Kakutani Y, Kitsugi T, Kokubo T (1984) an artificial bone for use as a bone prosthesis. In Atumi K, Maekawa M, Ota K (eds) Progress in artificial organs-1983, vol. 2. ISAO Press No. 204, Cleveland, pp 810–814
Yamamuro T, Shikata T, Okumura H, Kitsugi T, Kakutani Y, Matsui T, Kokubo T (1990) Replacement of the lumbar vertebrae of sheep with ceramic prostheses. J Bone Joint Surg 72-B: 889–893
Rosenblum IY (1974) The effects of disodium ethane-1-hydroxy-1,1-diphosphonate (EHDP) on bone and serum chemistry in rabbits. Calcif Tissue Res 16:145–152
Plasmans CMT, Kuypers W, Slooff TJJ (1978) The effect of ethane-1-hydroxy-1, 1-diphosphonic acid (EHDP) on matrix-induced ectopic bone formation. Clin Orthop Rel Res 132:233–243
Schenk R, Merz WA, Mühlbauer R, Russell RGG, Fleisch H (1973) Effect of ethane-1-hydroxy-1,1-diphosphonate (EHDP) and dichloromethylene diphosphonate (Cl2MDP) on the calcification and resorption of cartilage and bone in the tibial epiphysis and metaphysis of rats. Calcif Tissue Res 11:196–214
Kokubo T, Ito S, Sakka S, Yamamuro T (1985) Mechanical properties of a new type of apatite-containing glass-ceramic for prosthetic application. J Mat Sci 20:2001–2004
Gross UM, Strunz V (1977) Surface staining of sawed sections of undecalcified bone containing alloplastic implant. Stain Technol 52:217–219
Russell RGG, Kislig A-M, Casey PA, Fleisch H, Thornton J, Schenk R, Williams DA (1973) Effects of diphosphonates and calcitonin on the chemistry and quantitative histology of rat bone. Calcif Tissue Res 11:179–195
Russell RGG, Fleisch H (1975) Pyrophosphate and diphosphonates in skeletal metabolism. Physiological, clinical, and therapeutic aspects. Clin Orthop Rel Res 108:241–263
Thomas BJ, Amstutz HC (1985) Results of the administration of diphosphonate for theprevention of heterotopic ossification after total hip arthroplasty. J Bone Joint Surg 67-A:400–403
King WR, Francis MD, Michael WR (1971) Effect of disodium ethane-1-hydroxy-1,1-diphosphonate on bone formation. Clin Orthop Rel Res 78:251–270
Graham R, Russell G, Smith R (1973) Diphosphonates. Experimental and clinical aspects. J Bone Joint Surg 55B:66–86
Kitsugi T, Yamamuro T, Nakamura T, Kokubo T, Takagi M, Shibuya T, Takeuchi H, Ono M (1987) Bonding behavior between two bioactive ceramics in vivo. J Biomed Mater Res 21:1109–1123
Kitsugi T, Yamamuro T, Kokubo T (1990) Analysis of AW glass-ceramic surface by micro-beam x-ray diffraction. J Biomed Mater Res 24:259–273
Neo M, Kotani S, Fujita Y, Nakamura T, Tamamuro T, Bando Y, Ohtsuki C, Kokubo T (1992) Differences in ceramic-bone interface between surface-active ceramics and resorbable ceramics; a study by scanning and transmission electron microscopy. J Biomed Mater Res 26:255–267
Kitsugi T, Yamamuro T, Neo M, Nakamura T, Oka M, Kokubo T (1992) Influence of EHDP on bonding between calcium phosphate ceramics and mature male rabbit bone. J Jpn Orthop Asson 66:S-1119 (in Japanese)
Nilles JL, Coletti JM, Wilson C (1973) Biomechanical evaluation of bone-porous material interface. J Biomed Mater Res 7:231–252
Colella SM, Miller AG, Stang RG, Stoebe TG, Spengler DM (1981) Fixation of porous titanium implants in cortical bone enhanced by electrical stimulation. J Biomed Mater Res 15:37–46
Miller GT, Greenspan DC, Piotrowski G, Hench LL (1977) Mechanical evaluation of bone-bioglass bonding, in an investigation of bonding mechanisms of the interface of a prosthetic material. U.S. Army Medical Research and Development Command, Contract No DAMD 17-76-C-6033, Report No. 7:24–39
Kitsugi T, Yamamuro T, Kokubo T (1989) Bonding behavior of a glass-ceramic-containing apatite and wollastonite in segmental replacement of the rabbit tibia under load-bearing conditions. J Bone Joint Surg 71-A:264–272
Fleisch H, Russell RGG, Francis MD (1969) Diphosphonates inhibit hydroxyapatite dissolution in vitro and bone resorption in tissue culture in vivo. Science 165:1262–1264
Michael MR, King WR, Francis MD (1971) Effectiveness of diphosphonates in preventing “osteoporosis” of disuse in the rat. Clin Orthop Rel Res 78:271–276
Bijvoet OLM, Nollen AJG, Slooff TJJH, Feith R (1974) Effect of a diphosphonate on para-articular ossification after total hip replacement. Act Orthop Scand 45:926–934
Nollen AdJG (1986) Effects of ethylhydroxydiphosphonate (EHDP) on heterotopic ossification. Acta Orthop Scand 57:358–361
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Kitsugi, T., Yamamuro, T., Nakamura, T. et al. Influence of disodium (1-hydroxythylidene) diphosphonate on bonding between glass-ceramics containing apatite and wollastonite and mature male rabbit bone. Calcif Tissue Int 52, 378–385 (1993). https://doi.org/10.1007/BF00310203
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DOI: https://doi.org/10.1007/BF00310203