The effect on implant fixation of soaking tricalcium phosphate granules in bisphosphonate

Thomas Jakobsen, Jørgen Baas, Joan E Bechtold, Brian Elmengaard, Kjeld Søballe

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Abstrakt

The use of bone grafting is a well-established way to enhance initial implant fixation in situations with reduced bone stock. Ceramic bone substitutes are inferior alternatives to autogenous or allogeneic bone graft. Improvement of bone graft substitutes is needed. We investigated whether biomechanical implant fixation and osseointegration of experimental implant grafted with β-TCP granules (Conduit) could be improved by soaking the β-TCP granules in bisphosphonate (zoledronate). In 10 dogs, a pair of titanium coated implants surrounded by a 2.5 mm gap was inserted into the proximal part of each tibia. The gap was grafted with β-TCP granules either soaked with zoledronate or saline. At 12 weeks, the implants were evaluated with biomechanical push-out test and histomorphometrical analysis. We found that bisphosphonate increased one of the three biomechanical parameters, but found no difference in the amount of new bone or β-TCP granules between the two treatment groups. This study indicates that local treatment of β-TCP granules with zoledronate not only has the potential to increase implant fixation but also calls for further experimental research in order to optimize the dose of zoledronate.
OriginalsprogEngelsk
TidsskriftThe Open Orthopaedics Journal
Vol/bind6
Sider (fra-til)371-5
Antal sider5
ISSN1874-3250
DOI
StatusUdgivet - 2012
Udgivet eksterntJa

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