A novel injectable borate bioactive glass cement for local delivery of vancomycin to cure osteomyelitis and regenerate bone

J Mater Sci Mater Med. 2014 Mar;25(3):733-45. doi: 10.1007/s10856-013-5122-z. Epub 2014 Jan 30.

Abstract

Osteomyelitis (bone infection) is often difficult to cure. The commonly-used treatment of surgical debridement to remove the infected bone combined with prolonged systemic and local antibiotic treatment has limitations. In the present study, an injectable borate bioactive glass cement was developed as a carrier for the antibiotic vancomycin, characterized in vitro, and evaluated for its capacity to cure osteomyelitis in a rabbit tibial model. The cement (initial setting time = 5.8 ± 0.6 min; compressive strength = 25.6 ± 0.3 MPa) released vancomycin over ~25 days in phosphate-buffered saline, during which time the borate glass converted to hydroxyapatite (HA). When implanted in rabbit tibial defects infected with methicillin-resistant Staphylococcus aureus (MRSA)-induced osteomyelitis, the vancomycin-loaded cement converted to HA and supported new bone formation in the defects within 8 weeks. Osteomyelitis was cured in 87 % of the defects implanted with the vancomycin-loaded borate glass cement, compared to 71 % for the defects implanted with vancomycin-loaded calcium sulfate cement. The injectable borate bioactive glass cement developed in this study is a promising treatment for curing osteomyelitis and for regenerating bone in the defects following cure of the infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bone Cements / chemistry
  • Bone Cements / therapeutic use*
  • Bone Regeneration / drug effects*
  • Borates / chemistry
  • Compressive Strength
  • Drug Carriers / administration & dosage*
  • Drug Carriers / chemistry
  • Female
  • Glass / chemistry*
  • Injections, Intralesional
  • Materials Testing
  • Osteomyelitis / therapy*
  • Rabbits
  • Tibia
  • Vancomycin / administration & dosage*
  • Vancomycin / chemistry*

Substances

  • Bone Cements
  • Borates
  • Drug Carriers
  • Vancomycin