Relative effects of wound healing and mechanical stimulus on early bone response to porous-coated implants

J Orthop Res. 1996 Jul;14(4):654-62. doi: 10.1002/jor.1100140422.

Abstract

We hypothesized that early bone adaptation to well fixed porous-coated implants is influenced more by wound healing than by mechanical loading. To test this hypothesis, two groups of dogs with identical, hydraulically controlled porous-coated implants interference fit within distal femoral trabecular bone were used. One group had no load: the other had 35 N of load applied to the implants. At 5 weeks after surgery, the resulting adaptation of bone around the implants was quantified on a cellular basis by cytochemical analysis of type-I procollagen synthesis and on a structural basis using three-dimensional micro-computed tomography imaging. The percentage of trabecular surfaces covered by osteoblasts expressing type-I procollagen was significantly increased in bone surrounding the implant in both groups compared with contralateral control bone tissue. There was no difference between the groups with no load or 35 N of load. In addition, measures of trabecular bone structure did not differ significantly between the load and no-load groups. Taken together, these results suggest that wound healing plays a much greater role in the early response of bone to well fixed porous-coated implants than does mechanical stimulus.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Bone Plates*
  • Bone and Bones / cytology
  • Bone and Bones / surgery*
  • Dogs
  • Male
  • Osteoblasts / chemistry
  • Procollagen / analysis
  • Stress, Mechanical
  • Weight-Bearing / physiology
  • Wound Healing / physiology*

Substances

  • Procollagen