Bactericidal properties and biocompatibility of a gentamicin-loaded Fe3O4/carbonated hydroxyapatite coating

Colloids Surf B Biointerfaces. 2014 Nov 1:123:403-12. doi: 10.1016/j.colsurfb.2014.09.050. Epub 2014 Oct 5.

Abstract

Postoperative implant-associated infection remains a serious complication in total joint arthroplasty (TJA) surgery. The addition of antibiotics to bone cement is used as an antimicrobial prophylaxis in cemented joint arthroplasty; however, in cementless arthroplasty, there are no comparable measures for the local delivery of antibiotics. In this study, a gentamicin-loaded Fe3O4/carbonated hydroxyapatite coating (Gent-MCHC) was fabricated according to the following steps: (i) deposition of Fe3O4/CaCO3 particles on Ti6Al4V substrates by electrophoretic deposition; (ii) conversions of MCHC from Fe3O4/CaCO3 coatings by chemical treatment; and (iii) formation of Gent-MCHC by loading gentamicin into MCHC. MCHC possessed mesoporous structure with a pore size of about 3.8 nm and magnetic property with the saturation magnetization strength of about 4.03 emu/g. Gent-MCHC had higher drug loading efficiency and drug release capacity, and superior biocompatibility and mitogenic activity than Ti6Al4V. Moreover, Gent-MCHC deterred bacterial adhesion and prevented biofilm formation. These results demonstrate that Gent-MCHC can be used as a local drug delivery system to prevent implant-associated infection in TJA surgery.

Keywords: Biocoating; Biofilm prevention; Cementless arthroplasty; Drug delivery system; Implant-associated infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / chemistry*
  • Anti-Bacterial Agents / pharmacology*
  • Biocompatible Materials / chemistry*
  • Biocompatible Materials / pharmacology*
  • Drug Delivery Systems / adverse effects
  • Durapatite / chemistry*
  • Ferric Compounds / chemistry*
  • Gentamicins / chemistry*
  • Gentamicins / pharmacology*
  • Materials Testing
  • Porosity
  • Staphylococcus aureus / drug effects

Substances

  • Anti-Bacterial Agents
  • Biocompatible Materials
  • Ferric Compounds
  • Gentamicins
  • ferric oxide
  • Durapatite