Effects of NSAIDs and hydroxyapatite coating on osseointegration

J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499016684410. doi: 10.1177/2309499016684410.

Abstract

Purpose: The aim of our study is to investigate the bone ongrowth of two different alternative surfaces and the effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on osseointegration.

Methods: Hips of 40 New Zealand white rabbits were operated bilaterally. Hydroxyapatite (HA)-coated titanium rods were implanted into the right femur, and grit-blasted titanium rods were implanted into the left femur. They were divided into three groups. At the end of 8 weeks, both femora of the rabbits were removed and investigated biomechanically and histologically.

Results: HA-coated implants had a significantly better failure load and "percentage of bone-implant contact" than grit-blasted implants. There was no significant difference between the medication groups as a result of the biomechanical and histologic investigations.

Conclusions: Our results indicate that NSAIDs did not have any negative effect on the osseointegration. HA-coated implants may provide more tensile strength and greater bone-implant contact rate in comparison with grit-blasted implants.

Keywords: HA coating; celecoxib; diclofenac; grit blasted; osseointegration.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Arthroplasty, Replacement, Hip / instrumentation*
  • Coated Materials, Biocompatible*
  • Durapatite / pharmacology*
  • Femur / surgery
  • Hip Prosthesis*
  • Male
  • Osseointegration / drug effects*
  • Rabbits
  • Tensile Strength
  • Titanium

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Coated Materials, Biocompatible
  • Durapatite
  • Titanium