Hydroxyapatite implants with designed internal architecture

Porous hydroxyapatite (HA) has been used as a bone graft material in the clinics for decades. Traditionally, the pores in these HAs are either obtained from the coralline exoskeletal patterns or from the embedded organic particles in the starting HA powder. Both processes offer very limited control on the pore structure. A new method for manufacturing porous HA with designed pore channels has been developed. This method is essentially a lost-mold technique with negative molds made with Stereolithography and a highly loaded curable HA suspension as the ceramic carrier. Implants with designed channels and connection patterns were first generated from a Computer-Aided-Design (CAD) software and Computer Tomography (CT) data. The negative images of the designs were used to build the molds on a stereolithography apparatus with epoxy resins. A 40 vol% HA suspension in propoxylated neopentyl glycol diacrylate (PNPGDA) and iso-bornyl acrylate (IBA) was formulated. HA suspension was cast into the epoxy molds and cured into solid at 85 °C. The molds and acrylate binders were removed by pyrolysis, followed by HA green body sintering. With this method, implants with six different channel designs were built successfully and the designed channels were reproduced in the sintered HA implants. The channels created in the sintered HA implants were between 366 μm and 968 μm in diameter with standard deviations of 50 μm or less. The porosity created by the channels were between 26% and 52%. The results show that HA implants with designed connection pattern and well controled channel size can be built with the technique developed in this study. © 2001 Kluwer Academic Publishers

[1]  B. O. Fowler Infrared studies of apatites. I. Vibrational assignments for calcium, strontium, and barium hydroxyapatites utilizing isotopic substitution , 1974 .

[2]  A. Reddi,et al.  The critical role of geometry of porous hydroxyapatite delivery system in induction of bone by osteogenin, a bone morphogenetic protein. , 1992, Matrix.

[3]  Dean‐Mo Liu Influence of porosity and pore size on the compressive strength of porous hydroxyapatite ceramic , 1997 .

[4]  D. Roy,et al.  Hydroxyapatite formed from Coral Skeletal Carbonate by Hydrothermal Exchange , 1974, Nature.

[5]  G. Daculsi,et al.  Effect of the macroporosity for osseous substitution of calcium phosphate ceramics. , 1990, Biomaterials.

[6]  V. Jansson,et al.  Bone formation in coralline hydroxyapatite. Effects of pore size studied in rabbits. , 1994, Acta orthopaedica Scandinavica.

[7]  G. Daculsi,et al.  Macroporous biphasic calcium phosphate ceramics: influence of macropore diameter and macroporosity percentage on bone ingrowth. , 1998, Biomaterials.

[8]  S. Simske,et al.  Long-term bone ingrowth and residual microhardness of porous block hydroxyapatite implants in humans. , 1998, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[9]  H. Takita,et al.  Pore size of porous hydroxyapatite as the cell-substratum controls BMP-induced osteogenesis. , 1997, Journal of biochemistry.

[10]  Michael Jarcho,et al.  Calcium phosphate ceramics as hard tissue prosthetics. , 1981, Clinical orthopaedics and related research.

[11]  R. Holmes,et al.  A coralline hydroxyapatite bone graft substitute. Preliminary report. , 1984, Clinical orthopaedics and related research.

[12]  S. Radin,et al.  The effect of calcium phosphate ceramic composition and structure on in vitro behavior. I. Dissolution. , 1993, Journal of biomedical materials research.

[13]  R. Holmes,et al.  Bone Regeneration Within a Coralline Hydroxyapatite Implant , 1979, Plastic and reconstructive surgery.

[14]  G. Daculsi,et al.  Macroporous biphasic calcium phosphate ceramics: influence of five synthesis parameters on compressive strength. , 1996, Journal of biomedical materials research.

[15]  Dean‐Mo Liu Control of pore geometry on influencing the mechanical property of porous hydroxyapatite bioceramic , 1996, Journal of Materials Science Letters.

[16]  R. Holmes,et al.  Tissue response to facial contour augmentation with dense and porous hydroxylapatite in rhesus monkeys. , 1989, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[17]  M. Janney,et al.  Gelcasting of Alumina , 1991 .

[18]  J. J. Grote,et al.  Macropore tissue ingrowth: a quantitative and qualitative study on hydroxyapatite ceramic. , 1986, Biomaterials.

[19]  T. Kijima,et al.  Preparation and Thermal Properties of Dense Polycrystalline Oxyhydroxyapatite , 1979 .

[20]  R Knapp,et al.  CT-guided stereolithography as a new tool in craniofacial surgery. , 1994, British journal of plastic surgery.

[21]  T M Barker,et al.  Integration of 3-D medical imaging and rapid prototyping to create stereolithographic models. , 1993, Australasian physical & engineering sciences in medicine.

[22]  A. Brandwood,et al.  Hydroxyapatite sintering characteristics: correlation with powder morphology bv high-resolution microscopy , 1995 .

[23]  A. Ruys,et al.  Sintering effects on the strength of hydroxyapatite. , 1995, Biomaterials.