Belen Begines1, Cristina Arevalo2, Carlos Romero2,3, Zoya Hadzhieva4, Aldo R Boccaccini4, Yadir Torres2. 1. Departamento de Química Orgánica y Farmacéutica, Facultad de Farmacia, Universidad de Sevilla, c/ Profesor García González 2, Seville 41012, Spain. 2. Departamento de Ingeniería y Ciencia de los Materiales y del Transporte, Escuela Politécnica Superior, c/ Virgen de África 7, Seville 41011, Spain. 3. Department of Materials Science and Engineering and Chemical Engineering, Universidad Carlos III de Madrid, Av. de la Universidad 30, Leganés, Madrid 28911, Spain. 4. Institute of Biomaterials, Department of Materials Science and Engineering, University of Erlangen-Nuremberg, Cauerstraße 6, Erlangen 91058, Germany.
Abstract
In this research work, the fabrication of biphasic composite implants has been investigated. Porous, commercially available pure Ti (50 vol % porosity and pore distributions of 100-200, 250-355, and 355-500 μm) has been used as a cortical bone replacement, while different composites based on a polymer blend (gelatin and alginate) and bioactive glass (BG) 45S5 have been applied as a soft layer for cartilage tissues. The microstructure, degradation rates, biofunctionality, and wear behavior of the different composites were analyzed to find the best possible coating. Experiments demonstrated the best micromechanical balance for the substrate containing 200-355 μm size range distribution. In addition, although the coating prepared from alginate presented a lower mass loss, the composite containing 50% alginate and 50% gelatin showed a higher elastic recovery, which entails that this type of coating could replicate the functions of the soft tissue in areas of the joints. Therefore, results revealed that the combinations of porous commercially pure Ti and composites prepared from alginate/gelatin/45S5 BG are candidates for the fabrication of biphasic implants not only for the treatment of osteochondral defects but also potentially for any other diseases affecting simultaneously hard and soft tissues.
In this research work, the fabrication of biphasic composite implants has been investigated. Porous, commercially available pure Ti (50 vol % porosity and pore distributions of 100-200, 250-355, and 355-500 μm) has been used as a cortical bone replacement, while different composites based on a polymer blend (gelatin and alginate) and bioactive glass (BG) 45S5 have been applied as a soft layer for cartilage tissues. The microstructure, degradation rates, biofunctionality, and wear behavior of the different composites were analyzed to find the best possible coating. Experiments demonstrated the best micromechanical balance for the substrate containing 200-355 μm size range distribution. In addition, although the coating prepared from alginate presented a lower mass loss, the composite containing 50% alginate and 50% gelatin showed a higher elastic recovery, which entails that this type of coating could replicate the functions of the soft tissue in areas of the joints. Therefore, results revealed that the combinations of porous commercially pure Ti and composites prepared from alginate/gelatin/45S5 BG are candidates for the fabrication of biphasic implants not only for the treatment of osteochondral defects but also potentially for any other diseases affecting simultaneously hard and soft tissues.
According to the World
Health Organization (WHO), musculoskeletal
disorders consist of a group of more than 150 conditions affecting
the locomotor system of approximately 1.71 billion people all over
the world.[1] The increment in the global
population and the life expectancy is leading to a rapid increase
of this type of disease that affects all ages and entails different
grades of disability,[2−4] from short-lived to chronic conditions. Among the
disorders that may affect the musculoskeletal system, the most numerous
ones are those affecting bones and joints, such as osteoporosis, osteochondral
defects, osteoarthritis, or rheumatoid arthritis, obviously in addition
to accident-derived injuries. Independently of the disorder origin,
the need for implants as bone and/or articular replacements is becoming
a public health issue nowadays. For example, only in the United States,
more than 1 million arthroplasties are performed every year for the
total replacement of the knee or the hip, and the number of such interventions
is expected to increase to 4 million by 2030.[5,6] In
particular, diseases affecting both the bone and the cartilage, such
as osteochondral defects, require the development of therapies based
on the replacement of both tissues.[7−10] In fact, different treatments based on autograft
or allograft transplantations or bioengineered tissues have been already
applied, but they only address the articular cartilage.[11] Therefore, the use of multiphasic implants has
been investigated in the past years to substitute the bone and cartilage
tissues in one single surgery.[12,13] Such implants are usually
constituted of a rigid section to replace the bone and a soft coating
mimicking the cartilage tissue,[14−18] although in some cases, a third layer is added as the interface
between the rigid and the soft zones.[19−22]Nowadays, independently
of their fabrication method, most of the
biphasic implants proposed for the treatment of osteochondral defects
are based on polymeric materials. Thus, polymers such as collagen
I,[22] gelatin,[17] silk fibroin,[16] polyglycolide,[18] or polycaprolactone[23] have been already investigated as bone substitutes. However, just
a very reduced number of research works have considered the application
of metals as the rigid section of the implant,[11,24,25] considering their suitable mechanical properties
for bone tissue replacement. One of the most commonly used metals
in prosthesic applications is Ti, and its corresponding alloys, due
to its exceptional biocompatibility, mechanical characteristics, and
excellent corrosion resistance.[26−28] However, the high Young’s
modulus of Ti and Ti alloys is an important limitation, causing a
stress shielding phenomenon,[29] with consequent
reduction in the surrounding bone density. To reduce the difference
in the Young’s modulus between the implant and the bone and
to modulate the substrate stiffness, the introduction of porosity
in the construct has been attempted. Although generation of pores
in metallic implants has been investigated by means of additive manufacturing,
powder metallurgy, or foaming techniques,[30−33] the space holder fabrication
procedure, based on powder metallurgy, has gained high relevance due
to its versatility, reliability, and low cost.[34−38]On the other hand, different approaches have
been tested to develop
new biomaterials as cartilage tissue replacement,[12,39−42] in particular, and tissue engineering, in general.[43−45] Polymers and polymeric composites are the most commonly used materials
considered for this application[46−48] due to their biocompatibility
and tunable properties,[49−51] which enable development of their
chemical structure or composition according to the final aim. In this
sense, among naturally occurring polymers, gelatin and alginate stand
out for the possibility of tuning their mechanical properties thanks
to the degree of cross-linking.[52,53] Their biocompatibility
have been widely investigated in different in vitro and in vivo experiments for diverse tissues,[54−57] including the bone and the cartilage.[58−62] In addition, they form hydrogels that allow the easy
preparation of composites,[63−65] for example, bioactive glasses,[45,66] for the improvement of their osseointegration capacity.[67,68]To our knowledge, apart from the authors of this manuscript,
the
only research work proposing a biphasic implant based on porous Ti
was carried out by Duan et al.[11] Thus,
the main objective of the present research work is the development
of biphasic implants intended for the treatment of osteochondral defects.
The use of porous Ti to substitute the cortical bone tissue is proposed
to reduce the stress shielding phenomenon. On the other hand, based
on our previous work,[25] a combination of
gelatin and alginate incorporating 45S5 BG is presented as the material
layer facing the cartilage tissue. Finally, the influence of the substrate
porosity and the chemical composition of the polymeric composites
on the tribomechanical and biofunctional behavior of the biphasic
partial implants will be evaluated.
Materials and Methods
The protocols to obtain
the porous titanium substrates and the
bioactive gelatin–alginate–BG composite coatings are
summarized in Figure , while the fabrication and the characterization details are described
in the next sections.
Figure 1
Schematic of the fabrication
process of biphasic coated substrates.
Schematic of the fabrication
process of biphasic coated substrates.
Processing of Porous Substrates and Polymeric
Coatings
Commercially pure (c.p.) titanium powder, grade
IV (SE-JONG Materials Co., Ltd.), was mixed with 50 vol % ammonium
bicarbonate (NH4HCO3) with different particle
size ranges (100–200, 200–355, and 355–500 μm)
(Cymit Química S.L.). The mixtures were pressed at 800 MPa,
and the spacer was removed using two thermal cycles, both applying
a low vacuum (10–2 mbar): the first one at 60 °C
for 10 h followed by another treatment at 110 °C for 12 h. Afterward,
the porous green samples were sintered in a molybdenum chamber furnace,
at 1250 °C for 2 h and high vacuum conditions (∼10–5 mbar). Finally, before depositing the coatings, the
surface of the titanium substrates (discs of 12 mm diameter and 3
mm height) was carefully ground and polished with magnesium oxide
and hydrogen peroxide, to preserve the porosity fraction, size, and
morphology of the pores inherent to the spacer.In this work,
different biopolymers were deposited, combining gelatin powder from
porcine skin and sodium alginate (both purchased from Sigma-Aldrich),
after considering the degradability, bioactivity, and processing conditions.
After selecting the polymers, a route for the preparation of the solutions
and the cross-linking of the polymers was fixed, as they need to have
a longer degradation time. Figure shows the sequence for obtaining polymeric coatings
and composite materials.For the preparation of the gelatin
soft phase, an aqueous solution
of 0.03 g/mL gelatin was assembled by stirring at 60 °C for 1
h, until it was completely dissolved. The cross-linking solution consisted
of 0.5 vol % (v/v) glutaraldehyde solution, prepared from a concentrated
solution (50 vol % glutaraldehyde). The cross-linking agent was added
to the gelatin solution in a proportion of 0.05 mL of glutaraldehyde
solution per milliliter of gelatin solution. Concerning the alginate
phase, an aqueous solution was prepared with 0.03 g/mL sodium alginate
under stirring at room temperature for 1.5 h until full dissolution.
The cross-linking process of the alginate was done after freeze-drying;
the sample was immersed for 4 h in a 0.5 M CaCl2·2H2O aqueous solution and freeze-dried again.Then, different
compositions of the polymeric soft phase were prepared,
always maintaining the concentration of the polymer in the solution
at 0.03 g/mL, to produce biphasic coatings. When preparing the polymer
blend solutions, first, the alginate solution was added dropwise in
a beaker and next, the uncross-linked gelatin solution. Both solutions
were produced in the proportions shown in Table . After stirring for 10 min for homogenization,
the cross-linking solution was added according to the content of gelatin.
Once the solution was assembled, it was placed dropwise onto a plate
and left gelling at room temperature overnight. Subsequently, the
samples were put in a freezer at −20 °C. After the freezing
process, they were put into a freeze-dryer for 24 h. Later, the samples
containing alginate were cross-linked according to the process described
above.
Table 1
Polymeric Compositions Used
alginate (%)
100
75
50
25
0
gelatin (%)
0
25
50
75
100
blend name
A
3A1G
1A1G
1A3G
G
Finally, as the intention was also to increase the bioactivity
of the soft phase, bioactive glass (45S5 BG, composition: 24.5 wt
% Na2O, 24.5 wt % CaO, 45 wt % SiO2, and 6 wt
% P2O5) was added to the polymer blend. The
BG powder presented a d50 of 4.5 μm,
and it was received in an amorphous (noncrystalline) form. Several
proportions of the polymer/BG were studied, using only alginate and
only gelatin as polymers. The goal was to reach a uniform distribution
with no sedimentation of BG particles. This was achieved just when
alginate was employed at a concentration of 30 mg/mL and the BG content
was 5% of the total weight (w/w) (1.58 mg/mL) of the final composite.
Two aqueous solutions, one of gelatin and the other of alginate, were
prepared, with a polymer concentration of 30 mg/mL. The gelatin solution
was stirred at 60 °C for 1 h and the alginate one at room temperature
for 1.5 h. Then, they were mixed in the proportions shown in Figure , and BG powder was
added at a concentration of 1.58 mg/mL, all under constant stirring.
After that, the cross-linking solution (0.5 vol % glutaraldehyde in
distilled water) was added in a proportion of 0.05 relative to the
gelatin solution content by volume. The solution was placed in well
plates and left gelling overnight. In the case of preparing the biphasic
implants, the composite suspension was poured onto the substrate that
was previously put into a heat shrink tube to avoid leaking of the
suspension. Then, the samples were inserted in a freezer at −20
°C and completely frozen and freeze-dried for 24 h. To cross-link
the alginate, the samples were immersed in 0.5 M CaCl2·2H2O aqueous solution for 4 h and then freeze-dried again.
Microstructural, Biofunctional, and Tribomechanical
Characterization of the Coated Porous Substrates
The density
and total and interconnected porosity of the titanium substrates and
polymeric coatings were determined by the Archimedes’ method,
carefully cutting small cubes of approximately 27 mm3 in
the case of the gelatinous composites. The morphology, size, and mean
diameter of the pores of the substrates and the coatings were evaluated,
using optical images (Nikon Epiphot microscope and Image-Pro Plus
6.2 software) and scanning electron microscopy (SEM) (Jeol JSM 6330F
microscope). In particular, SEM images obtained on the cross sections
of the studied materials allowed us to evaluate the homogeneity of
the pore distribution, the degree of infiltration, and the adherence
of gelatinous composites to the porous titanium discs.On the
other hand, the macromechanical behavior of the porous titanium substrates
was evaluated in terms of yield strength (σy) and
dynamic Young’s modulus (Ed), implementing
the uniaxial compression test according to ASTM E9-09 (Instron 5505
universal testing machine)[69] and an ultrasound
technique (KRAUTKRAMER USM 35), respectively.Then, a study
of the swelling, degradation, and bioactivity of
the biopolymeric composites was carried out. Swelling results were
obtained by introducing the samples to phosphate-buffered solution
(PBS) for 15 min, 30 min, 1 h, and 24 h and measuring their weight
after the predetermined time points of immersion (W). Samples were also weighted in the dry state (W0). The swelling (Sw) percentage was calculated
according to eq .In order to study the degradation behavior, the immersion
of the
samples in PBS was continued for up to 14 days to evaluate if the
composites remained undissolved and stable. Also, the samples were
immersed in a simulated body fluid (SBF) for 3, 7, and 14 days to
assess their bioactive behavior. After these periods, the samples
were removed from the buffer solution, washed in distilled water for
1 or 2 min, and freeze-dried. The samples were then characterized
by SEM imaging, energy-dispersive X-ray spectrometry (EDX), and Fourier
transform infrared spectroscopy (FTIR) to look for hydroxyapatite
formation (Ca/P ratio, elemental composition, and typical hydroxyapatite
bonds).Finally, since the polymeric samples were not completely
flat,
their surface (top view) was prepared by carefully cutting a thin
sheet of the outer layer—removing only the material required
to obtain a flat and homogeneous area, just to ensure a completely
flat surface—and/or carefully polishing it by hand, to avoid
damage of the surface or interfering in its microstructure and simultaneously
to obtain a flat area that would allow a correct evaluation of the
tribological behavior. In this context, although the wear resistance
results could be affected by the presence of the substrate depending
on the elastic deformation, the thickness of the composite layer will
be high enough to simulate the cartilage tissue and avoid the substrate
effect. The wear resistance of the coatings was studied by a ball-on-disc
test (Microtest MT/30/NI tribometer). The studies were carried out
at room temperature, with a radius of 1 mm and with 6 mm diameter
alumina balls. A dead load of 1 N and a rotation speed of 300 rpm
(31.4 mm/s) were applied, and the distance traveled was between 5
and 15 m. Some additional experiments using more critical wear conditions
(greater load and distance) were also carried out. These experiments
allowed us to rule out some of the studied coatings (excessive wear
was observed). During the wear tests, the penetration depth was continuously
recorded (LVDT vs distance). The results were analyzed in terms of
the mass loss, wear kinetics (threshold and slope of the curve) of
the biopolymers, and the sliding contact response that was
given in terms of the coefficient of friction (COF). It was computed
through the normal and tangential force, both measured by a strain
gauge-type dynamometer. Also, absolute wear rates were calculated
as follows (eq ):where V is
the volume of the worn material, estimated from the mass loss and
the density of the composites measured via the Archimedes’
method, and d is the distance traveled during the
test.
Results and Discussion
Fabrication
and Characterization of Ti Substrates
Details related to
the protocols of characterization of the porosity
and the mechanical behavior of the porous titanium substrates can
be consulted in other previous works published by the authors of this
investigation.[25,70,71] In general, c.p. Ti substrates were produced following the space
holder technique as depicted in Figure , considering a 50% spacer with three different particle
size ranges: 100–200, 200–355, and 355–500 μm.
The as-fabricated samples were characterized in terms of density and
porosity (total and interconnected). As shown in Figure a, the density was very similar
in all cases, ranging from 2.18 to 2.25 g/cm3. The total
porosity of all discs ranged from 50 to 51.6%, close to the initial
50% space holder volume content. In addition, most of the pores were
interconnected, showing an interconnected porosity from 45.6 to 50.1%,
which is favorable for biopolymer infiltration. The equivalent diameter
(Figure b), obtained
by image analysis, showed values of 132, 250, and 395 μm for
the three pore size distributions, respectively, with shape factors
of 0.67, 0.82, and 0.78. Therefore, it could be concluded that the
space holder technique is a very adequate technique to fabricate porous
Ti substrates with elevated controlled porosity. Results depicted
in Figure indicate,
in general terms, that (1) the total and interconnected porosity followed
the same trend and (2) the values of interconnected porosity were
relatively high; this fact, as well as pore sizes greater than 100
μm, favors the infiltration and adherence of the composites.
In this context, the substrate with intermediate size distribution
is the one that showed better adhesion of the coating, as it will
be discussed later. (3) If the extreme particle size ranges are compared
(100–200 vs 355–500 μm), for the same pore content
(approx. 50 vol %), the pores were more isolated as the pore size
increased. On the other hand, biomechanical characterization of substrates
was conducted measuring their dynamic Young’s modulus (Ed) and yield strength (σy)
(Figure c). In general,
an inverse relationship was found between porosity and pore size and
mechanical resistance of substrates: the higher the porosity, the
lower the stiffness and therefore the lower the mechanical resistance.
Figure 2
Microstructural
characterization of porous c.p. Ti substrates:
(a) density and total and interconnected porosity and (b) equivalent
diameter and shape factor as well as mechanical behavior: (c) dynamic
Young’s modulus (Ed) and yield
strength (σy).
Microstructural
characterization of porous c.p. Ti substrates:
(a) density and total and interconnected porosity and (b) equivalent
diameter and shape factor as well as mechanical behavior: (c) dynamic
Young’s modulus (Ed) and yield
strength (σy).
Synthesis and Characterization of Polymeric
Coatings
As mentioned above, in a previous research work
published by our group,[25] gelatin was tested
as a potential cartilage tissue substitute in a biphasic implant.
The main aim of this type of polymeric coating is the substitution
of the cartilage functions in articulate joints. For these applications,
the cartilage tissue must possess a good capacity for elastic deformation
(pseudo-damping) during tribological solicitations, when damage caused
by the applied wear conditions should be minimized. In addition, the
coating porosity would allow its vascularization, while the presence
of a BG would enhance the material’s bioactivity and therefore
osseointegration. In this sense, polymeric blends of porcine gelatin
and sodium alginate including BG 45S5 were investigated, using glutaraldehyde
and Ca2+ ions as cross-linkers, respectively. Five different
compositions were proposed, according to Table . They were named considering the proportion
of each polymer in the final material. In this sense, the polymeric
blend obtained from the use of 100% alginate was called A; the one
prepared from 75% alginate and 25% gelatin was named 3A1G; the one
synthetized from 50% alginate and 50% gelatin was 1A1G and so on.
Although the use of glutaraldehyde has been defined as cytotoxic above
certain levels, a previous study conducted by Lai demonstrated that
concentrations lower than 0.03 mmol of glutaraldehyde per mg of polymer
are well-tolerated by the human epithelial cells.[72] In this research, the concentration of glutaraldehyde applied
to the polymeric material was 10–4 mmol per mg of
gelatin. In the case of the material prepared only with gelatin, the
glutaraldehyde concentration is much lower than the limit established
by Lai. In the rest of the polymer blends, the concentration is even
lower. Therefore, the glutaraldehyde concentration used will not produce
cytotoxicity.To find the best candidate for the final aim among
the five possibilities, a swelling test in PBS was conducted in the
polymeric blends through the measurement of the weight gain in 24
h. The swelling behavior in the first 24 h of the different blends
is depicted in Figure a. In general, all polymeric materials exhibited a significant capacity
to swell in PBS, with weight gains ranging from approximately 15 to
23.5 times the weight of the original sample. It was noticeable that
the gelatin showed a stronger hydrophilic behavior and swelled very
fast but reached a plateau sooner, probably due to the beginning of
its degradation. Moreover, there was no significant difference in
the behavior of pure gelatin and a high gelatin content blend. This
effect was not present in the blends containing a high percentage
of alginate. This behavior could be explained by the nondegradability
of alginate if the right enzyme, i.e., alginase, is not present in
the medium,[52] which maintains the structural
integrity of the polymeric material.
On the other hand, the presence of alginate reduced the swelling capacity
of the blends, probably owing to the less hydrophilic character compared
to gelatin and the different cross-linking type in each polymer. The
polymeric chains of alginate remained closer after the ionic cross-linking,
which hindered the PBS intake. Knowing these results, it was expected
that the degradation of polymers with a high content of gelatin was
more pronounced in PBS, as displayed in Figure b, since they were in contact with higher
amounts of water, therefore improving the probability to suffer hydrolytic
degradation. In fact, gelatin was almost completely degraded after
7 days of immersion in PBS. In addition and as previously mentioned,
the alginate is not hydrolytically degradable[52] under physiological conditions.
Figure 3
Characterization of polymeric coatings:
(a,c) weight gain and (b,d)
degradation rates of the different polymeric blends and composites.
Characterization of polymeric coatings:
(a,c) weight gain and (b,d)
degradation rates of the different polymeric blends and composites.In light of these results, first, screening and
selection of materials
were conducted. In this sense, blends G and 1A3G, the ones with a
higher content of gelatin, were dismissed for their fast degradation,
mainly in the first hours of use. Therefore, the following experiments
were continued with the polymeric materials A, 3A1G, and 1A1G.To increase the bioactivity of the final material, by promoting
the generation of hydroxyapatite, the addition of 45S5 BG was investigated.
Thus, new polymer–ceramic composites were attempted by a homogeneous
mixture of 95% (w/w) polymer (or polymeric blend) and 5% (w/w) bioactive
glass, which was the maximum concentration of BG that avoided its
sedimentation. In Figure , SEM micrographs of the three composites are displayed. They
demonstrated that the microstructure of A presented a laminar form
(Figure a), generating
pores’ anisotropy, while the microstructure observed in 3A1G
(Figure b) was more
disordered and compact in the three directions of space. This effect
was more pronounced in 1A1G (Figure c), presenting pore isotropy. This result indicates
that the addition of alginate in the composite leads to a laminar
structure and pore anisotropy that was sequentially modified to achieve
pore isotropy with the addition of gelatin.
Figure 4
SEM micrographs of composites
prepared from (a) A, (b) 3A1G, and
(c) 1A1G, showing different pore structures. Insets: higher-magnification
images.
SEM micrographs of composites
prepared from (a) A, (b) 3A1G, and
(c) 1A1G, showing different pore structures. Insets: higher-magnification
images.Using the microstructural characterization
of the composites, another
selection was carried out to reduce the number of samples for the
final characterization. In this case, composites A and 1A1G were selected
since they possessed a more differentiated pore structure, which could
allow the investigation of the influence of the polymeric composite
microstructure on its biofunctional and biomechanical behavior.The deposition of the selected composites on top of the different
substrates was carried out, as depicted in Figure , generating a homogeneous coating as a soft
foam, of white color in the case of the 100% alginate polymer and
yellowish for the composite containing the polymeric blend. The faint
yellow color shown by the gelatin-containing sample was due to the
presence of glutaraldehyde applied as a cross-linker of this polymer.[25] On the other hand, SEM pictures of the substrates’
cross section exposed the influence of the c.p. Ti substrate on the
structure of both composites, independently of the pore size distribution.
A schematic of this effect is displayed in Figure a,b, which represents material 1A1G. A D-shape
composite area close to the polymer–metal interface (areas
I in Figure c,d) was
found, which seemed less porous than the rest of the composite (areas
C in Figure c,d) due
to the disc edge effect. Figure e,f proves the good infiltration and adherence of both
composites onto the substrates’ pores. However, for pore size
distributions of 100–200 and 355–500 μm, the polymeric
coatings suffered from a slight detachment, an effect that was more
accentuated for the composite 1A1G. The lower material adherence in
extreme pore sizes could be related to a higher difficulty of infiltration
for pores of 100–200 μm and a lower anchorage capacity
of the coating in pore sizes of 355–500 μm due to a reduced
number of anchor points. For substrates with similar pore contents,
the increment of pore size entails a reduction in their number, and
the pores are more isolated and therefore less interconnected. The
higher interconnected porosity contained in samples with a pore size
distribution of 200–355 μm resulted in a more efficient
infiltration of the composite coatings.
Figure 5
Optical images of the
polymeric coatings onto metallic substrates.
All samples contained 5 wt % BG 45S5.
Figure 6
(a) Cross
section of a substrate coated with the 1A1G composite.
(b) Schematic of the coated substrate, where a composite interface
(I) is illustrated between the composite coating (C) and the metallic
sample (M). (c,d) SEM micrographs of the different areas, at two magnifications.
1A1G composite-coated substrates with two different pore size distributions:
(e) 200–355 and (f) 355–500 μm.
Optical images of the
polymeric coatings onto metallic substrates.
All samples contained 5 wt % BG 45S5.(a) Cross
section of a substrate coated with the 1A1G composite.
(b) Schematic of the coated substrate, where a composite interface
(I) is illustrated between the composite coating (C) and the metallic
sample (M). (c,d) SEM micrographs of the different areas, at two magnifications.
1A1G composite-coated substrates with two different pore size distributions:
(e) 200–355 and (f) 355–500 μm.These composites were also characterized in terms of density
and
porosity, total and interconnected, both estimated by the Archimedes’
method. The density values (Figure a) ranged from 0.13 to 0.56 g/mL (g/cm3).
It should be noted that the density showed by the polymeric blend
was lower than the value presented by the 100% alginate composite,
probably due to the cross-linking of the gelatin, which induced a
less compact material. This effect was expected as the differences
in the cross-linkers for both polymers, glutaraldehyde for gelatin
and calcium cations for alginate, are considerable. Therefore, comparing
the results obtained from the density estimation (Figure a) and the microstructural
characterization of composites carried out by SEM (Figure ), it could be assumed that
the increment of the gelatin content in the final composite led to
the growth of pore isotropy that simultaneously entailed the decrease
in the composite density. On the other hand, although all composites
exhibited very high values of total porosity, the interconnected porosity
was more elevated for the composite A. Meanwhile, the composite A
that generated a coating with a higher interconnected porosity was
the one deposited on substrates with 200–355 μm pore
size distribution, which is in concordance with the higher values
of interconnected porosity of this Ti sample. Therefore, the influence
of the substrate’s pore size on the porosity of the coatings,
where the coating tends to mimic the substrate porosity, was confirmed.
The high total and interconnected porosity of the Ti substrates and
polymeric composites will favor vascularization of the biphasic implant.
Figure 7
(a) Density
and (b) total and interconnected porosity of the two
tested materials: A and 1A1G. Note: the relative error of the density
measurements varies between 2 and 4%.
(a) Density
and (b) total and interconnected porosity of the two
tested materials: A and 1A1G. Note: the relative error of the density
measurements varies between 2 and 4%.To check the effect of BG addition on the polymeric blends, swelling
and degradation tests were carried out in A and 1A1G composites. Swelling
tests (Figure c) showed
that the capacity of 1A1G to absorb PBS was practically not affected
by the addition of 5% BG 45S5 when compared with the counterpart blend
(Figure a). However,
composite A increases its swelling capacity, by roughly 3-fold, regarding
the corresponding polymer. This could be explained by the fact that
in 1A1G, as previously mentioned, the cross-linking of gelatin with
glutaraldehyde was conducted prior to the gelling of alginate, and
therefore, the degree of the first cross-linking governs the material
capacity to absorb PBS. However, in the case of A, the cross-linking
entirely comes from an ionic gelation with Ca2+. These
ions may be partially trapped by the negatively charged oxygens (−O−)
from the BG surfaces, which reduces the cross-linking degree of the
alginate polymer and therefore increases its swelling capacity. Regarding
the degradable behavior, in general terms, the addition of BG 45S5
to the polymers led to an enhanced biodegradability in the first hours
of experiments (Figure d), possibly due to the effect of water interactions via the formed
interfaces. The swelling/weight gain behavior of biopolymer composites
containing bioreactive fillers, in the present case BG 45S5 particles,
is complex. The different degradation mechanisms of the individual
components, the possible change of pH following BG degradation, and
the local (time-dependent) formation of hydroxyapatite (see the next
section) due to the presence of BG must be considered, which depends
on the fluid in which the test is carried out. The in-depth analysis
of the (time-dependent) mechanisms involved during the degradation
process is outside the scope of the present study and remains as a
task for future investigations. In any case, the degradation of BGs
has been demonstrated to be very low in similar systems. Thus, Zeimaran
et al.[73] showed a Ca2+ release
of 9.6 × 10–4 mg of Ca2+/mg of composite.
Therefore, the solubility of the BG could be considered as insignificant
compared to the degradation of the polymer.On the other hand,
the biocompatibility of these polymeric materials
has not been tested since, as previously mentioned, it has been widely
proven by other authors in both in vitro and in vivo experiments for different tissues,[54−57] including the bone and the cartilage.[58−62]
Bioactivity of Coated Substrates
Samples fabricated with a space holder of 100–200 μm
and coated with A and 1A1G composites were submerged in an SBF, and
their surfaces were investigated by SEM after 3 days of immersion
(Figure ). No micrograph
showed the presence of hydroxyapatite on the coatings. After 3 days
in the SBF, only crystals of NaCl covering the original material were
observed on both composites. Nevertheless, the bioactivity experiment
was carried out to check if any variation on the coatings was perceived
after longer periods of exposure to the SBF. A change in the morphology
of the surface was monitored after 7 days (Figure a), which was due to the degradation of the
composite. Beyond 14 days of immersion (Figure b), the degradation process continued, and
the porous degraded surface covered by the NaCl layer was exposed.
Figure 8
SEM micrographs
of composites (a,b) A and (c,d) 1A1G before and
after 3 days of immersion in the SBF.
Figure 9
SEM images
of composite A after (a) 7 and (b) 14 days of immersion
in the SBF.
SEM micrographs
of composites (a,b) A and (c,d) 1A1G before and
after 3 days of immersion in the SBF.SEM images
of composite A after (a) 7 and (b) 14 days of immersion
in the SBF.Figure shows
the chemical composition of two different surface areas of the composite
prepared from A after 14 days of immersion in the SBF. The Ca/P ratio
appeared to be slightly over 2 (higher than in hydroxyapatite), so
there should be some preliminary phosphate phase formation on the
surface while the calcium was also coming from the alginate cross-linking.
Moreover, EDX confirmed that the crystals were NaCl.
Figure 10
Chemical compositions,
calculated by EDX–SEM, of two different
surface areas of the coating obtained from A after 14 days in the
SBF.
Chemical compositions,
calculated by EDX–SEM, of two different
surface areas of the coating obtained from A after 14 days in the
SBF.In a final attempt to confirm
the lack of hydroxyapatite formed
on top of the composite coatings, FTIR measurements were taken to
search for typical characteristic signals of hydroxyapatite bonds.
In both materials, the composite obtained from A (Figure a) and the one prepared from
1A1G (Figure b),
no evolution of the peaks was found with increasing immersion time
in the SBF. This fact indicates that there was no ionic interaction
typical in the reaction stages to form hydroxyapatite from bioactive
glasses.
Figure 11
FTIR spectra of both composites, (a) one obtained from A and (b)
one prepared from 1A1G, at different immersion times.
FTIR spectra of both composites, (a) one obtained from A and (b)
one prepared from 1A1G, at different immersion times.Therefore, no hydroxyapatite was formed after 14 days in
the SBF,
although there was evidence of an early stage of hydroxyapatite formation.
This effect was probably due to the low content of BG particles in
the composite: the content was low, so the particles are embedded
in the matrix and have no direct contact with the SBF until the polymer
that retains them is degraded. With a longer immersion time in the
SBF, the whole mineralization process could be observed. In fact,
other experiments conducted by the authors[29,35] have demonstrated that although the Ca/P ratio was high compared
to natural hydroxyapatite after 14 days of immersion, it was reduced
and closer to the natural hydroxyapatite value after 21 days. Hydroxyapatite
formation after 21 days was proven by SEM, EDX, and XRD. These preliminary
studies indicate that after 14 days of immersion, the HA formation
could be in the third–fourth stage where a calcium phosphate
phase appears as a previous step to the HA crystallization.
Tribomechanical Characterization of the Gelatin
Coatings
In this work, the effect of the applied load (1
N vs 3 N) on wear behavior was first evaluated. The tribological characterization
presented for the composite from 1A1G + 5% BG with a space holder
of 355–500 μm (Figure ) revealed that increasing the load, a higher wear
and in turn more mass loss are produced in the gelatin composites.
In this way, more severe wear conditions implied a higher associated
mass loss. Moreover, the effect of the coating degradation is expected
when increasing the applied load.
Figure 12
(a) Coefficient of friction and (b) LVDT
vs distance of composites,
obtained from 1A1G and a 5% BG for an initial spacer size of 355–500
μm and different applied loads of 1 and 3 N. The average COF,
mass loss after tribomechanical tests, and absolute wear rates for
composites are also presented.
(a) Coefficient of friction and (b) LVDT
vs distance of composites,
obtained from 1A1G and a 5% BG for an initial spacer size of 355–500
μm and different applied loads of 1 and 3 N. The average COF,
mass loss after tribomechanical tests, and absolute wear rates for
composites are also presented.On the other hand, in Figure , the wear resistance of the coating considering one
composition, alginate, or the blend, 50 vol % alginate/50 vol % gelatin
(both with a 5% BG), is presented for an applied load of 1 N. The
linear variable differential transducer (LVDT) versus distance plot
is presented in Figure b. Observing the slope yield of this curve of the penetration
depth as a function of the distance, the wear for the coating from
alginate is low and stable. It presents a higher wear resistance in
terms of the mass loss. The rolling stage occurs approximately over
the 5 m traveled distance (a plateau in the penetration depth is reached).
In coating 1A1G, the threshold in the LVDT can be found at around
3 m, with the wear kinetics in this case being much higher than that
in the alginate coating (higher slope yield). The wear kinetics is
proportional to the mass loss. Moreover, degradation after a 6 m distance
is observed, which suggests that the mass loss is higher for composite
coating 1A1G. Concerning this composite coating, it is also important
to note the significant degree of stress damping, expressed in a greater
elastic recovery. This behavior could be very interesting considering
the role that this material should play if it intends to replace the
functions of the tissue of a joint.
Figure 13
(a) Coefficient of friction and (b) LVDT
vs distance of composites
obtained from A and 1A1G and 5% BG for a spacer size of 100–200
μm. The average COF, mass loss after tribomechanical tests,
and absolute wear rates are also presented.
(a) Coefficient of friction and (b) LVDT
vs distance of composites
obtained from A and 1A1G and 5% BG for a spacer size of 100–200
μm. The average COF, mass loss after tribomechanical tests,
and absolute wear rates are also presented.In the previous figures, Figures and , the outcome of the applied load and the gelatin composites’
chemical composition were verified, respectively. Finally, the effect
of the type of porous titanium substrate on the wear behavior of the
blend 1A1G + 5% BG was studied (Figure ). For the intermediate size (250–355
μm), an increase in wear resistance in terms of a lower mass
loss and absolute wear coefficient can be observed, if compared with
the other types of porous titanium substrates. This fact could be
related to the better adhesion of gelatin compounds on this type of
porous substrate. A stable behavior is observed for 5 m of travel,
and the behavior changes sharply after approximately 16 m of distance
traveled. This last effect could be associated to the rupture of layers
in the gelatin coating. It is also interesting to consider that the
“spring” behavior continues to be pronounced, a fact
that could be related to the role that the proportion of gelatin plays
in this type of coating.
Figure 14
Influence of the pore size of the titanium
substrate on the wear
behavior (LVDT vs distance) of 1A1G + 5% BG. The mass loss after tribomechanical
tests and absolute wear rates of composites are also presented.
Influence of the pore size of the titanium
substrate on the wear
behavior (LVDT vs distance) of 1A1G + 5% BG. The mass loss after tribomechanical
tests and absolute wear rates of composites are also presented.
Conclusions
Porous
c.p. titanium substrates manufactured by the space holder
technique with 50 vol % NH4HCO3 and pore sizes
in the range of 250–355 μm are the most recommended in
terms of guaranteeing a biomechanical balance (Young’s modulus
and yield strength) and biofunctionality (allowing bone ingrowth as
well as infiltration and adherence of the gelatinous compound onto
the porous Ti substrate). In relation to the wear behavior of coatings,
a lower mass loss of the 95% alginate + 5% BG coating was confirmed.
However, a higher elastic recovery was observed at the end of the
wear tests of the compound incorporating gelatin. This last result
is very interesting since this type of coating could replicate the
functions of the soft tissue in areas of the joints. In this global
scenario, the proposed system (porous substrate coating) has a potential
application in the combined replacement/regeneration of hard (cortical
bone) and soft (cartilage and skin) tissues (tissue interfaces).
Authors: B Marquass; J S Somerson; P Hepp; T Aigner; S Schwan; A Bader; C Josten; M Zscharnack; R M Schulz Journal: J Orthop Res Date: 2010-12 Impact factor: 3.494
Authors: Qing Ye; Ying Zhang; Kun Dai; Xiaofeng Chen; Hannah Mae Read; Lei Zeng; Fei Hang Journal: J Mater Sci Mater Med Date: 2020-08-20 Impact factor: 3.896