Osteoblast attachment to hydroxyapatite micro-tube scaffolds

Tissue engineering offers a novel route for repairing damaged or diseased tissue by incorporating the patient's own healthy cells or donated cells into temporary scaffolds that act as a matrix for cell cultivation. Tissue scaffolds that are biocompatible and are porous with interconnected porous channels for cell ingrowth with a suitable degradation rate would be advantageous. In this study hydroxyapatite micro-tubes produced using the biomimetic coating technique will be pressed into a tissue scaffold. A compaction and sintering study will be done to observe appropriate pressure and heat treatment to produce a mechanically stable scaffold material. The ideal pressure was found to be 2.5 MPa where the tube-like structure was maintained, high porosity was achieved and suitable strength was possible. Sintering between 1,000 and 1,100°C was found to produce good results. The average porosity for the chosen pressure of 2.5 MPa was 68 %. The scaffold was observed with SEM, micro tomography (micro-CT), chemical analysis and degradation testing. Porous channels were established using micro-CT where the porous channels were roughly 100 μm. Chemical analysis showed constant release of calcium and phosphorous, and far below toxic levels of heavy metals from the die. Degradation testing showed high degradation compared to tested commercially available materials. Cell culturing was done on the scaffold to characterise the biological performance of the scaffolds. Cell culturing was done in a 7 and 24 day cell culture to examine cell morphology and cell ingrowth. The results showed cell ingrowth into a micro-tube and cell orientation in a longitudinal direction. SEM, confocal microscopy and histology were employed as characterisation tools for observing cell ingrowth

Biomimetic coating on porous alumina for tissue engineering : characterisation by cell culture and confocal microscopy

In this study porous alumina samples were prepared and then coated using the biomimetic coating technique using a five times Simulated Body Fluid (5.0SBF) as the growth solution. A coating was achieved after pre-treatment with concentrated acid. From elemental analysis, the coating contained calcium and phosphorous, but also sodium and chlorine. Halite was identified by XRD, a sodium chloride phase. Sintering was done to remove the halite phase. Once halite was burnt off, the calcium phosphate crystals were not covered with halite and, therefore, the apatite phases can be clearly observed. Cell culturing showed sufficient cell attachment to the less porous alumina, Sample B, that has more calcium phosphate growth, while the porous alumina, Sample A, with minimal calcium phosphate growth attained very little cell attachment. This is likely due to the contribution that calcium phosphate plays in the attachment of bone-like cells to a bioinert ceramic such as alumina. These results were repeated on both SEM and confocal microscopy analysis. Confocal microscopy was a novel characterisation approach which gave useful information and was a visual aid

Foamed high porosity alumina for use as a bone tissue scaffold

Porous alumina can be used as a synthetic bone scaffold in tissue engineering. Using a direct foaming method a foamed alumina was produced using in situ evolution of gases by calcining blends of ammonium sulphate and aluminium sulphate with varying ammonium mole fraction (AMF). The effect of foaming heating rate was observed by varying the foaming heating rate from 100 C/h to 600 C/h. The effect of sintering temperature was also observed by varying the sintering temperature from 1500 C to 1600 C. The resulting porous structure exhibited high mechanical strength with high levels of porosity and high average pore size. Foamed alumina with the optimal conditions was fabricated using 0.33 AMF with a foaming heating rate of 100 C/h followed by sintering at 1600 C. The porous alumina produced attained a high porosity value of 94.39%, an average pore size of 300 mm and the highest strength amongst all samples of 384.3 kPa. Interconnected porosity was observed using micro-CT

Cellular response to doping of high porosity foamed alumina with Ca, P, Mg, and Si

Foamed alumina was previously synthesised by direct foaming of sulphate salt blends varying ammonium mole fraction (AMF), foaming heating rate and sintering temperature. The optimal product was produced with 0.33AMF, foaming at 100 °C/h and sintering at 1600 °C. This product attained high porosity of 94.39%, large average pore size of 300 μm and the highest compressive strength of 384 kPa. To improve bioactivity, doping of porous alumina by soaking in dilute or saturated solutions of Ca, P, Mg, CaP or CaP + Mg was done. Saturated solutions of Ca, P, Mg, CaP and CaP + Mg were made with excess salt in distilled water and decanted. Dilute solutions were made by diluting the 100% solution to 10% concentration. Doping with Si was done using the sol gel method at 100% concentration only. Cell culture was carried out with MG63 osteosarcoma cells. Cellular response to the Si and P doped samples was positive with high cell populations and cell layer formation. The impact of doping with phosphate produced a result not previously reported. The cellular response showed that both Si and P doping improved the biocompatibility of the foamed alumina

Processing and properties of zirconia-toughened alumina prepared by gelcasting

Zirconia-toughened alumina (ZTA) using yttria-stabilised zirconia is a good option for ceramic-ceramic bearing couples for hip joint replacement. Gelcasting is a colloidal processing technique capable of producing complex products with a range of dimensions and materials by a relatively low-cost production process. Using gelcasting, ZTA samples were prepared, optimising the stages of fabrication, including slurry preparation with varying solid loadings, moulding and de-moulding, drying and sintering. Density, hardness, fracture toughness, flexural strength and grain size were observed relative to slurry solid loadings between 58 and 62 vol. %, as well as sintering temperatures of 1550 °C and 1650 °C. Optimal conditions found were plastic mould, 4000 g/mol PEG with 30 vol. % concentration, 61% solid loading and Ts = 1550 °C. ZTA samples of high density (maximum 99.1%), high hardness (maximum 1902 HV), high fracture toughness (maximum 5.43 MPa m1/2) and high flexural strength (maximum 618 MPa) were successfully prepared by gelcasting and pressureless sintering

Biomimetic hydroxyapatite micro-tube tissue scaffold

The aim of this study was to fabricate a micro-tube scaffold using a biomimetic method (immersion in Simulated Body Fluid, SBF) to coat apatite on cotton fibres. The cotton fibres were first pre-treated using a phosphorylation technique and then apatite crystals were deposited on the fibres by immersing in SBF. Micro-tubes were then formed by burning out the cotton fibres at various temperatures between 950-1250°C. The scaffolds were fabricated by compaction of the micro-tubes in a mould. The compacted micro-tubes were then sintered at various temperatures between 900-1200°C. The biocompatibility and the effects of the surface morphology of scaffolds on cell coverage and proliferation were determined using osteoblast cell culture. The results showed that these scaddolds were biocompatible and able to support cell growth. Future, studies include animal studies for biomimetic tissue scaffold as a bone filler substitute material

Calcium phosphate fibres synthesized from a simulated body fluid

The biomimetic coating method was used for fabricating calcium phosphate fibres for biomedical applications such as bone defect fillers. Natural cotton substrate was pre-treated with phosphorylation and a Ca(OH)2 saturated solution. The pre-treated samples were then soaked in simulated body fluid (SBF) of two different concentrations, 1.5 times and 5.0 times the ion concentration of blood plasma. The cotton was then burnt out via sintering of the ceramic coating at 950°C, 1050°C, 1150°C, and 1250°C. The results demonstrated that osteoblastic cells were able to cover the entire surface cotton fibres, and the cell coverage appeared to be independent of surface roughness and Ca/P ratio of fibres

Biomechanical optimization of subject-specific implant positioning for femoral head resurfacing to reduce fracture risk

Peri-prosthetic femoral neck fracture after femoral head resurfacing can be either patient-related or surgical technique-related. The study aimed to develop a patient-specific finite element modelling technique that can reliably predict an optimal implant position and give minimal strain in the peri-prosthetic bone tissue, thereby reducing the risk of peri-prosthetic femoral neck fracture. The subject-specific finite element modelling was integrated with optimization techniques including design of experiments to best possibly position the implant for achieving minimal strain for femoral head resurfacing. Sample space was defined by varying the floating point to find the extremes at which the cylindrical reaming operation actually cuts into the femoral neck causing a notch during hip resurfacing surgery. The study showed that the location of the maximum strain, for all non-notching positions, was on the superior femoral neck, in the peri-prosthetic bone tissue. It demonstrated that varus positioning resulted in a higher strain, while valgus positioning reduced the strain, and further that neutral version had a lower strain

Measurement of physical activity in the pre- and early post-operative period after total knee arthroplasty for osteoarthritis using a Fitbit Flex device

Total knee arthroplasty (TKA) is a standard treatment for patients with end stage knee Osteoarthritis (OA) to reduce pain and restore function. The aim of this study was to assess pre- and early post-operative physical activity (PA) with Fitbit Flex devices for patients with OA undergoing TKA and determine any benchmarks for expected post-operative activity. Significant correlations of pre-operative step count, post-operative step count, Body Mass Index (BMI) and Short Form 12 Physical Component Summaries (SF-12 PCS) were found. Mean step counts varied by 3,203 steps per day between obese and healthy weight patients, and 3,786 steps per day between those with higher and lower SF-12 PCS scores, suggesting the need for benchmarks for recovery that vary by patient pre-operative factors. A backwards stepwise regression model developed to provide patient specific step count predictions at 6 weeks had an R2 of 0.754, providing a robust patient specific benchmark for post-operative recovery, while population means from BMI and SF-12 subgroups provide a clinically practical alternative

Physical and mechanical characterisation of 3D-printed porous titanium for biomedical applications

The elastic modulus of metallic orthopaedic implants is typically 6–12 times greater than cortical bone, causing stress shielding: over time, bone atrophies through decreased mechanical strain, which can lead to fracture at the implantation site. Introducing pores into an implant will lower the modulus significantly. Three dimensional printing (3DP) is capable of producing parts with dual porosity features: micropores by process (residual pores from binder burnout) and macropores by design via a computer aided design model. Titanium was chosen due to its excellent biocompatibility, superior corrosion resistance, durability, osteointegration capability, relatively low elastic modulus, and high strength to weight ratio. The mechanical and physical properties of 3DP titanium were studied and compared to the properties of bone. The mechanical and physical properties were tailored by varying the binder (polyvinyl alcohol) content and the sintering temperature of the titanium samples. The fabricated titanium samples had a porosity of 32.2–53.4 % and a compressive modulus of 0.86–2.48 GPa, within the range of cancellous bone modulus. Other physical and mechanical properties were investigated including fracture strength, density, fracture toughness, hardness and surface roughness. The correlation between the porous 3DP titanium-bulk modulus ratio and porosity was also quantified