PMID- 22661990 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20211021 IS - 1896-9151 (Electronic) IS - 1734-1922 (Print) IS - 1734-1922 (Linking) VI - 8 IP - 2 DP - 2012 May 9 TI - The effect of adhesive strength of hydroxyapatite coating on the stability of hydroxyapatite-coated prostheses in vivo at the early stage of implantation. PG - 199-208 LID - 10.5114/aoms.2012.28545 [doi] AB - INTRODUCTION: With the increase in joint revision surgery after arthroplasty, defects of hydroxyapatite (HA)-coated prostheses have been observed increasingly often. These defects adversely affect the prosthetic stability in vivo. This study has analyzed the potential effect of the adhesive strength of HA coating on the stability of HA-coated prostheses in vivo after its implantation. MATERIAL AND METHODS: Sixty experimental rabbits were divided into HA- and Ti-coated groups. HA-coated prostheses were implanted into the bilateral epicondyle of rabbits femurs. Ti-coated prostheses were implanted as control. At different time points(4, 9, and 15 weeks) after implantation, bone tissue samples were fetched out respectively for histomorphometric analysis. Push-out testing was used to detect the ultimate shear strength at the bone-prosthesis interface. Scanning electron microscope (SEM) observation and energy-dispersive X-ray spectroscopy (EDX) analysis were used to observe the changes in surface composition of the prostheses after the ultimate shear strength testing. The coating adhesive strength of two kinds of coatings were also examined by scratch testing. RESULTS: Hydroxyapatite coating has an obvious advantage in facilitating osteogenesis and its plays a critical role in the stability of prostheses. However, the ultimate shear strength of HA-coated prostheses is much lower than that of Ti-coated implants (p < 0.01). Further study has demonstrated that the stability of HA-coated prostheses in vivo is affected by the relatively low adhesive strength between coating and substrate. CONCLUSIONS: Obvious advantage in facilitating osteogenesis around HA-coated prostheses is not the only factor that determines the stability of prostheses in vivo. FAU - Duan, Yonghong AU - Duan Y AD - Orthopedic Institute of Chinese People's Liberation Army, Xijing Hospital, Fourth Military Medical University, Xi'an, Shanxi, China. FAU - Zhu, Shu AU - Zhu S FAU - Guo, Fei AU - Guo F FAU - Zhu, Jinyu AU - Zhu J FAU - Li, Mao AU - Li M FAU - Ma, Jie AU - Ma J FAU - Zhu, Qingsheng AU - Zhu Q LA - eng PT - Journal Article PL - Poland TA - Arch Med Sci JT - Archives of medical science : AMS JID - 101258257 PMC - PMC3361030 OTO - NOTNLM OT - adhesive strength OT - artificial joints OT - biomechanical OT - hydroxyapatite coating OT - stability EDAT- 2012/06/05 06:00 MHDA- 2012/06/05 06:01 PMCR- 2012/05/09 CRDT- 2012/06/05 06:00 PHST- 2011/01/12 00:00 [received] PHST- 2011/03/22 00:00 [revised] PHST- 2011/06/11 00:00 [accepted] PHST- 2012/06/05 06:00 [entrez] PHST- 2012/06/05 06:00 [pubmed] PHST- 2012/06/05 06:01 [medline] PHST- 2012/05/09 00:00 [pmc-release] AID - 18544 [pii] AID - 10.5114/aoms.2012.28545 [doi] PST - ppublish SO - Arch Med Sci. 2012 May 9;8(2):199-208. doi: 10.5114/aoms.2012.28545.