Laser Sintered Porous Ti–6Al–4V Implants Stimulate Vertical Bone Growth

Alice Cheng, David J. Cohen, Adrian Kahn, Ryan M. Clohessy, Kaan Sahingur, Joseph B. Newton, Sharon L. Hyzy, Barbara D. Boyan, Zvi Schwartz

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

The objective of this study was to examine the ability of 3D implants with trabecular-bone-inspired porosity and micro-/nano-rough surfaces to enhance vertical bone ingrowth. Porous Ti–6Al–4V constructs were fabricated via laser-sintering and processed to obtain micro-/nano-rough surfaces. Male and female human osteoblasts were seeded on constructs to analyze cell morphology and response. Implants were then placed on rat calvaria for 10 weeks to assess vertical bone ingrowth, mechanical stability and osseointegration. All osteoblasts showed higher levels of osteocalcin, osteoprotegerin, vascular endothelial growth factor and bone morphogenetic protein 2 on porous constructs compared to solid laser-sintered controls. Porous implants placed in vivo resulted in an average of 3.1 ± 0.6 mm3 vertical bone growth and osseointegration within implant pores and had significantly higher pull-out strength values than solid implants. New bone formation and pull-out strength was not improved with the addition of demineralized bone matrix putty. Scanning electron images and histological results corroborated vertical bone growth. This study indicates that Ti–6Al–4V implants fabricated by additive manufacturing to have porosity based on trabecular bone and post-build processing to have micro-/nano-surface roughness can support vertical bone growth in vivo, and suggests that these implants may be used clinically to increase osseointegration in challenging patient cases.

Original languageEnglish (US)
Pages (from-to)2025-2035
Number of pages11
JournalAnnals of Biomedical Engineering
Volume45
Issue number8
DOIs
StatePublished - Aug 1 2017

Keywords

  • Biomaterials
  • Gender differences
  • Guided tissue regeneration
  • Osseointegration
  • Osteoblasts
  • Surface properties

ASJC Scopus subject areas

  • Biomedical Engineering

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