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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 1, 142-147.
doi: 10.1302/0301-620X.85B1.13414  
Copyright © 2003 by British Editorial Society of Bone and Joint Surgery
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Cell-mediated bioresorption of sintered carbonate apatite in rabbits

M. Hasegawa, MD, PhD, Orthopaedic Surgeon1; Y Doi, PhD, Professor2; and A. Uchida, MD, PhD, Professor and Chairman1

1 Department of Orthopaedic Surgery, Mie University Faculty of Medicine, 2-174 Edobashi, Tsu City, Mie 514-8507, Japan.
2 Department of Dental Materials and Technology, School of Dentistry, Asahi University, 1851 Hozumi, Hozumi-cho, Motosu-gun, Gifu 501-0296, Japan.

Correspondence should be sent to Dr M. Hasegawa.

Bone apatite contains carbonate and is therefore not pure hydroxyapatite. We have successfully developed sintered carbonate apatite (CA) with a concentration of carbonate of 6 weight% and have evaluated its osteoconductive and bioresorption characteristics. Cylindrical porous sintered CA and sintered hydroxyapatite (HA) measuring 4 x 4 mm with a porosity of 20% were implanted into surgically-created bone defects in the knees of rabbits. The animals were killed after 1, 3, 6 and 12 months. The defects were evaluated by microfocus CT and histology.

Bone growth into and around both materials increased. Newly-formed bone was placed in direct contact with both. Osteoclast-like cells resorbed only CA, and were coupled with osteoblasts. The porosity of sintered CA increased, indicating bioresorption, whereas that of sintered HA did not increase. Our findings indicate that sintered CA may be useful as a bioresorbable bone substitute.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General