Tadashi Taga1, Tamon Kabata2, Yoshitomo Kajino3, Daisuke Inoue4, Takaaki Ohmori5, Takashi Yamamoto6, Tomoharu Takagi7, Hiroyuki Tsuchiya8. 1. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: tagatadasi@yahoo.co.jp. 2. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: tamonkabata@yahoo.co.jp. 3. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: kajino@leaf.ocn.ne.jp. 4. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: daisuke_i_0909@yahoo.co.jp. 5. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: takaaki3530@gmail.com. 6. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: t_y_410@yahoo.co.jp. 7. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: tpuyan@gmail.com. 8. Department of Orthopaedics Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan. Electronic address: tsuchi@med.kanazawa-u.ac.jp.
Abstract
BACKGROUND: One of the serious postoperative complications associated with joint replacement is bacterial infection. In our recent investigations, iodine supported titanium implants demonstrated antibacterial activity in both in vitro and in vivo studies. The surfaces of the implants have porous anodic oxide layer with the antiseptic properties of iodine. According to the literature the titanium with porous anodic oxide have good osteoconductivity. But it is not clear whether the properties of iodine influence bone bonding of implants. OBJECTIVES: The aim of this study is to evaluate the influence of the properties of iodine and porous anodic oxide layer in the bone bonding ability of titanium implants. STUDY DESIGN & METHODS: Titanium rods were implanted in intramedullary rabbit femur models, in regard to the cementless hip stem. The implant rods were 5 mm in diameter and 25 mm in length. Three types of titanium rods were implanted.One was untreated titanium (control group (CL)), another was titanium with oxide layer without iodine (oxide layer group (OL)), and the other was Iodine treated Titanium (iodine group (ID)). The rods were inserted into the distal femur. We assessed the bonding strength by a measuring pull-out test at 4, 8, and 12 weeks after implantation. The bone-implant interfaces were evaluated at 4 weeks after implantation. RESULTS: Pull-out test results of the ID implants were 202, 355, and 344 N, and those of the OL implants were 220, 310, 329 N at 4, 8, and 12 weeks, significantly higher than those of the CL implants (102, 216, and 227 N). But there were no significant difference in ID implants and OL implants. Histological examination revealed that new bone formed on the surface of each types of implants, but significantly more bone made direct contact with the surfaces of the ID implants and OL implants. CONCLUSIONS: This research showed that new type of coating, iodine coated titanium has low toxicity and good osteoconductivity.
BACKGROUND: One of the serious postoperative complications associated with joint replacement is bacterial infection. In our recent investigations, iodine supported titanium implants demonstrated antibacterial activity in both in vitro and in vivo studies. The surfaces of the implants have porousanodic oxide layer with the antiseptic properties of iodine. According to the literature the titanium with porousanodic oxide have good osteoconductivity. But it is not clear whether the properties of iodine influence bone bonding of implants. OBJECTIVES: The aim of this study is to evaluate the influence of the properties of iodine and porousanodic oxide layer in the bone bonding ability of titanium implants. STUDY DESIGN & METHODS:Titanium rods were implanted in intramedullary rabbit femur models, in regard to the cementless hip stem. The implant rods were 5 mm in diameter and 25 mm in length. Three types of titanium rods were implanted.One was untreated titanium (control group (CL)), another was titanium with oxide layer without iodine (oxide layer group (OL)), and the other was Iodine treated Titanium (iodine group (ID)). The rods were inserted into the distal femur. We assessed the bonding strength by a measuring pull-out test at 4, 8, and 12 weeks after implantation. The bone-implant interfaces were evaluated at 4 weeks after implantation. RESULTS: Pull-out test results of the ID implants were 202, 355, and 344 N, and those of the OL implants were 220, 310, 329 N at 4, 8, and 12 weeks, significantly higher than those of the CL implants (102, 216, and 227 N). But there were no significant difference in ID implants and OL implants. Histological examination revealed that new bone formed on the surface of each types of implants, but significantly more bone made direct contact with the surfaces of the ID implants and OL implants. CONCLUSIONS: This research showed that new type of coating, iodine coated titanium has low toxicity and good osteoconductivity.