Abstract
The effect of a low-rigidity titanium alloy plate on bone formation during the early stage of fracture healing was investigated in this work. An artificial defect was created on rabbit femurs, and fixations of Ti–6Al–4V ELI (Ti-64) and Ti–29Nb–13Ta–4.6Zr (TNTZ) implant plates were attached to the defect with two screws at both ends of the implant plate. After 3 weeks, the rabbits were euthanized, and cross-sections of the femurs were evaluated by scanning electron microscopy, image analysis, hematoxylin–eosin staining, and Vickers hardness tests. Both fixations showed similar patterns of new bone formation in the defect area but differences in average callus area. The use of the TNTZ implant plate led to a smaller area (8.316 mm2) and harder (20 HV) callus when compared with the results of the Ti-64 implant plate (area: 18.394 mm2; callus hardness: 13 HV). We conclude that low-rigidity titanium alloys could improve bone formation during the early stages of fracture healing.
Graphical abstract
Similar content being viewed by others
Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
Code availability
Not applicable.
References
D.R. Epari, G.N. Duda, M.S. Thompson, J. Eng. Med. 224, 1543 (2010)
R. Marshell, T.A. Einhorn, Injury 42, 551 (2010)
S. Ghimire, S. Miramini, G. Edwards, R. Rotne, J. Xu, P. Ebeling, L. Zhanga, Bone Rep. 14, 100740 (2021)
A. Vetter, Y. Liu, F. Witt, I. Manjubala, O. Sander, D.R. Epari, P. Fratzl, G.N. Duda, R. Weinkamer, J. Biomech. 44, 517 (2011)
D.C. Betts, R. Müller, Front. Endocrinol. 5, 211 (2014)
S. Miramini, L. Zhang, M. Richardson, M. Pirpiris, P. Mendis, K. Oloyede, G. Edwards, Methods Biomech. Biomed. Eng. 118, 900 (2015)
A.D. Richard, H.F. Ellen, Drug Discov. Today 8, 59 (2003)
A. Schindeler, M.M. Mcdonald, P. Bokko, D.G. Little, Semin. Cell Dev. Biol. 19, 459 (2008)
J. Sonderegger, K.R. Grob, M.S. Kuster, Orthop. Rev. 2, 4 (2010)
D.R. Epari, W.R. Taylor, M.O. Heller, G.N. Duda, Clin. Biomech. 21, 646 (2006)
P. Kostenuik, F.M. Mirza, J. Orthop. Res. 35, 213 (2017)
C.E. Baker, N.M.L. Stephanie, A.H. Alexander, S.L. Posey, J.P. Robinette, D.M. Blum, M.A. Benvenuti, H.A. Cole, S. Egawa, A. Okawa, M. Saito, J.R. McCarthy, J.S. Nyman, M. Yuasa, J.G. Schoenecker, Clin. Rev. Bone Miner. Metab. 16, 142 (2018)
S. Ghimire, S. Miramini, M. Richardson, P. Mendis, L. Zhang, J. Mech. Behav. Biomed. Mater. 94, 74 (2019)
S. Wolf, A. Janousek, J. Pfeil, W. Veith, F. Haas, G. Duda, L. Claes, Clin. Biomech. 13, 4 (1998)
S. Miramini, L. Zhang, M. Richardson, P. Mendis, A. Oloyede, P. Ebeling, Australas. Phys. Eng. Sci. Med. 39, 123 (2016)
N. Bartnikowski, L.E. Claes, L. Koval, V. Glatt, R. Bindl, R. Steck, A. Ignatius, M.A. Schuetz, D.R. Epari, Acta Ortjop. 88, 217 (2017)
D.R. Epari, J.P. Kassi, H. Schell, G.N. Duda, J. Bone Joint Surg. Am. 89, 1575 (2007)
M. Niinomi, Y. Liu, M. Nakai, H. Liu, H. Li, Regener. Biomater. 3, 173 (2016)
M. Niinomi, M. Nakai, Int. J. Biomater. 2011, 836587 (2011)
H.K. Uthoff, P. Poitras, D.S. Backman, J. Orthop. Sci. 11, 118 (2006)
D.J. Lin, C.C. Chuang, J.H.C. Lin, J.W. Lee, C.P. Ju, H.S. Yin, Biomater. 28, 2582 (2007)
N. Sumitomo, K. Noritake, T. Hattori, K. Morikawa, S. Niwa, K. Sato, M. Niinomi, J. Mater. Sci. Mater. Med. 19, 1581 (2008)
L. Shi, L. Shi, L. Wang, Y. Duan, W. Lei, Z. Wang, J. Li, X. Fan, X. Li, S. Li, Z. Guo, PLoS ONE 8, 55015 (2013)
W.H. Akeson, S.L.Y. Woo, L. Rutherford, R.D. Coutts, M. Gonsalves, D. Amiel, Acta Orthop. Scand. 47, 241 (1976)
Y. Noyama, T. Miura, T. Ishimoto, T. Itaya, M. Niinomi, T. Nakano, Mater. Trans. 53, 565 (2012)
S.S. Sidhu, H. Singh, M.A.H. Gepreel, J. Mater. Sci. Eng. C 121, 111661 (2021)
S.D. Rogers, D.W. Howie, S.E. Graves, M.J. Pearcy, D.R. Haynes, Br. Editor. Soc. Bone Joint Surg. 79B, 311 (1997)
M.A.H. Gepreel, M. Niinomi, J. Mech. Behav. Biomed. Mater. 20, 407 (2013)
J.L. Domingo, Biol. Trace Elem. Res. 88, 97 (2002)
I. Manjubala, Y. Liu, D.R. Epari, P. Roschger, H. Schell, P. Fratzl, G.N. Duda, Bone 45, 185 (2009)
Y. Liu, I. Manjubala, H. Schell, D.R. Epari, P. Roschger, G.N. Duda, P. Fratzl, J. Bone Miner. Res. 25, 2029 (2010)
L. Claes, J. Orthop. Trauma 25, S4 (2011)
T. Yamaji, K. Ando, S. Wolf, P. Augat, L. Claes, J. Orthop. Sci. 6, 571 (2001)
T.J. Lujan, C.E. Henderson, S.M. Madey, D.C. Fitzpatrick, J.L. Marsh, M. Bottlang, J. Orthop, Trauma 24, 156 (2010)
R.M. Hoerth, M. Kerschnitzki, M. Aido, I. Schmidt, M. Burghammer, G.N. Duda, P. Fratzl, B.M. Willie, W. Wagermaier, J. Mech. Behav. Biomed. Mater. 77, 258 (2018)
P.L. Leong, E.F. Morgan, Acta Biomater. 4, 1569 (2008)
M.L. Angelescu, A. Dan, E. Ungureanu, N.Z. Ivan, B.M. Galbinasu, Metals 12, 248 (2022)
D. Kent, G. Wang, M. Dargusch, J. Mech. Behav. Biomed. Mater. 28, 15 (2013)
Acknowledgments
We thank Mr. Katsumi Okumoto from the Life Science Research Center of Kindai University for his assistance in the sample preparation procedures and H&E staining experiments.
Funding
This work was supported by JSPS KAKENHI Grant No. JP20H02036.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Ethical approval
All animal experimental procedures were approved by the Animal Experiment Committee of the Faculty of Biology-Oriented Science and Technology, Kindai University.
Consent to participate
All authors voluntarily agree to participate in this work.
Consent for publication
The authors consent to the publication of this work in any and all JMR publications.
Additional information
Mathias Goeken and Benoit Merle were editors of this journal during the review and decision stage. For the JMR policy on review and publication of manuscripts authored by editors, please refer to http://www.mrs.org/editor-manuscripts/
Rights and permissions
About this article
Cite this article
Abdullah, N.B., Miyazaki, D., Yamamoto, E. et al. Effect of low modulus titanium plate fixation on rabbit femur bone healing. Journal of Materials Research 37, 2536–2545 (2022). https://doi.org/10.1557/s43578-022-00616-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1557/s43578-022-00616-z