Synthesis of antibiotic-loaded interporous hydroxyapatite blocks by vacuum method and in vitro drug release testing.

Interporous hydroxyapatite ceramic (Ca10(PO4)6(OH)2) has excellent bio-compatibility and interlinked pore structure, antibiotics could be loaded into pores in vacuum system. To confirm penetration of the agent to the HAb (2 cm3 cubic block), the aminoglycoside antibiotic (Isepamicin Sulfate; ISP) dissolved in eosin dye at various vacuum pressures. In ISP slow release study, the blocks were placed in 5 ml of PBS at a temperature of 37 degrees C. The PBS was replaced every 48 h and samples containing released ISP were stored until assay. All were found to release the drug maintaining a mean concentration of 0.41 microg ml(-1) even after 18 days of nine exchanges. This concentration of antibiotic exceeded the minimum inhibitory concentration against the common causative organisms of osteomyelitis. The results suggest that HAb impregnated with antibiotics using a simple vacuum system may serve as a valuable new method of administering local chemotherapy, primarily when used as a strut graft for bone defects.