Materials based o tricalcium phosphate as bone defects substitute (literature review)

Authors

  • Mykola Korzh Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0002-0489-3104
  • Volodymyr Filipenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0001-5698-2726
  • Karolina Poplavska Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
  • Nataliya Ashukina Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0003-0597-4472

DOI:

https://doi.org/10.15674/0030-598720212100-107

Keywords:

Bioceramics, β-tricalcium phosphate, calcium phosphate cement, orthopedic surgeries, bone regeneration

Abstract

The objective of the study is to determine the current tendencies in the use of osteoplastic materials based on tricalcium phosphate (TCP) in orthopedics and traumatology. Methods. The search of the scientific information for the analysis was carried out in the PubMed, Google Scholar, World Digital Library, ScienceDirect. Results. The development of biomaterials for reconstructive surgery on the skeleton remains an urgent issue of biomaterial engineering, biology and current traumatology and orthopedics. Calcium-phosphate ceramics have the excellent properties of biocompatibility, affinity with bone tissue, biodegradability as well as perfect osteoconductive and osteointegrative properties. They are used in orthopaedics and traumatology as a coating for endoprosthesis components in order to achieve a strong bond with the bone as well as a filling material for bone defects in the form of blocks, granules or powder. The optimal structure of ceramic materials in order to achieve the necessary hardness and control of the dissolution rate is still undetermined. The interest of researchers in the creation of osteoplastic materials containing TCP is explained by the advanced osteoinductive properties and the ability to quickly degrade with the formation of bone tissue. Due to different configurations and sizes of the bone defects, the creation of a material with osteoinductive and osteoconductive properties that could be inserted into the cavity in a liquid state and which would quickly harden and acquire the properties similar to those of the bone has been of great current interest. The material should be biodegradable while having sufficient time for bone formation at the implantation site. In view of the above, the creation of cements based on calcium phosphates has become more attractive. Unfortunately, this material is limited in use due to its brittleness and insufficient hardness. Certain reinforcing additives are expected to significantly improve the mechanical properties of the cement. It is desirable that these particles should have bioactive properties analogous to those of cement. A slight modification of the material can significantly change its properties, which makes it imperative to investigate experimentally the biological properties of the investigated material.

Author Biographies

Mykola Korzh, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopaedics

Volodymyr Filipenko, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Traumatology and Orthopаedics

Karolina Poplavska, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD

Nataliya Ashukina, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

PhD in Biol. Sci

References

  1. Tankut, O. V., & Dudko, O. G. (2019). Substitution of bone defects during total knee arthroplasty (literature review). Orthopedics, Traumatology and Prosthetics, 3, 97–103. https://doi.org/10.15674/0030-59872019397-103. [in Ukrainian]
  2. Filipenko, V. A., Vorontsov, P. M., & Gusak, V. S. (2020). Bone alloplasty in the case of revision hip arthroplasty under conditions of aseptic instability of the acetabular component. Orthopedics, Traumatology and Prosthetics, 4, 5–11. https://doi.org/10.15674/0030-5987202045-11. [in Ukrainian]
  3. Grand View Research. (2018). Bone Grafts and Substitutes Market Size, Share & Trends Analysis Report By Material Type (Natural, Synthetic), By Application Type (Spinal Fusion, Craniomaxillofacial, Long Bone), By Region, And Segment Forecasts, 2018–2025. https://www.grandviewresearch.com/industry-analysis/bone-grafts-substitutes-market
  4. Sohn, H., & Oh, J. (2019). Review of bone Graft and bone substitutes with an emphasis on fracture surgeries. Biomaterials Research, 23(1). https://doi.org/10.1186/s40824-019-0157-y
  5. Laurencin, C., Khan, Y., & El-Amin, S. F. (2006). Bone Graft substitutes. Expert Review of Medical Devices, 3(1), 49-57. https://doi.org/10.1586/17434440.3.1.49
  6. Germanov, V. G., Kovalersky, G. M., & Cherkashena, Z. A. (2006). Osteoplastic surgery: from bone graft to modern biocomposite materials. Medical care, 4, 16–19. [in Russian]
  7. Pankratov, A. S., Lekishvili, M. V., & Kopeckiy, I. S. (2011). Bone grafting in dentistry and maxillofacial surgery. Osteoplastic materials: a guide for doctors. M.: BINOM. [in Russian]
  8. Ziman, Z. Z. (2018). Calcium-phosphate biomaterials. Textbook. Kharkiv. [in Ukrainian]
  9. Fillingham, Y., & Jacobs, J. (2016). Bone grafts and their substitutes. The Bone & Joint Journal, 98-B(1_Supple_A), 6-9. https://doi.org/10.1302/0301-620x.98b.36350
  10. Filippenko, V. A., Bondarenko, S. E., Mezentsev, V. A., & Ashukina, N. A. (2012). The use of modern biomaterials for the plasty of bone defects of the acetabulum in hip arthroplasty. Orthopedics, Traumatology and Prosthetics, 4, 24–28. https://doi.org/10.15674/0030-59872011424-28. [in Russian]
  11. Buser, Z., Brodke, D. S., Youssef, J. A., Meisel, H., Myhre, S. L., Hashimoto, R., ... & Wang, J. C. (2016). Synthetic bone Graft versus autograft or allograft for spinal fusion: A systematic review. Journal of Neurosurgery: Spine, 25(4), 509-516. https://doi.org/10.3171/2016.1.spine151005
  12. Eliaz, N., & Metoki, N. (2017). Calcium phosphate Bioceramics: A review of their history, structure, properties, coating technologies and biomedical applications. Materials, 10(4), 334. https://doi.org/10.3390/ma10040334
  13. Korzh, N. A., Vyrva, O. E., Dedukh, N. V., & Malyshkina, S. V. (2007). Ceramic materials in orthopedics and traumatology (from laboratory research to practical medicine - achievements of the institute). Orthopedics, Traumatology and Prosthetics, 3, 20–30. [in Russian]
  14. Zyman, Z., Glushko, V., Dedukh, N., Malyshkina, S., & Ashukina, N. (2007). Porous calcium phosphate ceramic granules and their behaviour in differently loaded areas of skeleton. Journal of Materials Science: Materials in Medicine, 19(5), 2197-2205. https://doi.org/10.1007/s10856-007-3311-3
  15. Samavedi, S., Whittington, A. R., & Goldstein, A. S. (2013). Calcium phosphate ceramics in bone tissue engineering: A review of properties and their influence on cell behavior. Acta Biomaterialia, 9(9), 8037-8045. https://doi.org/10.1016/j.actbio.2013.06.014
  16. Bohner, M., Santoni, B. L., & Döbelin, N. (2020). β-tricalcium phosphate for bone substitution: Synthesis and properties. Acta Biomaterialia, 113, 23-41. https://doi.org/10.1016/j.actbio.2020.06.022
  17. Chen, X., Wang, M., Chen, F., Wang, J., Li, X., Liang, J., ... & Zhang, X. (2020). Correlations between macrophage polarization and osteoinduction of porous calcium phosphate ceramics. Acta Biomaterialia, 103, 318-332. https://doi.org/10.1016/j.actbio.2019.12.019
  18. Hernigou, P., Dubory, A., Pariat, J., Potage, D., Roubineau, F., Jammal, S., & Flouzat Lachaniette, C. (2017). Beta-tricalcium phosphate for orthopedic reconstructions as an alternative to autogenous bone Graft. Morphologie, 101(334), 173-179. https://doi.org/10.1016/j.morpho.2017.03.005
  19. LeGeros, R. Z. (1993). Biodegradation and bioresorption of calcium phosphate ceramics. Clinical Materials, 14(1), 65-88. https://doi.org/10.1016/0267-6605(93)90049-d
  20. Leon, B., & Jansen, J. (2009). Thin calcium phosphate coatings for medical implants. New York : Springer-Verlag. https://doi.org/10.1007/978-0-387-77718-4
  21. Bhaskar, S. N., Brady, J. M., Getter, L., Grower, M. F., & Driskell, T. (1971). Biodegradable ceramic implants in bone. Oral Surgery, Oral Medicine, Oral Pathology, 32(2), 336-346. https://doi.org/10.1016/0030-4220(71)90238-6
  22. Roberts, S. C., & Brilliant, J. D. (1975). Tricalcium phosphate as an adjunct to apical closure in pulpless permanent teeth. Journal of Endodontics, 1(8), 263-269. https://doi.org/10.1016/s0099-2399(75)80038-0
  23. Yamada, M., Shiota, M., Yamashita, Y., & Kasugai, S. (2007). Histological and histomorphometrical comparative study of the degradation and osteoconductive characteristics of α- and β-tricalcium phosphate in block grafts. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 82B(1), 139-148. https://doi.org/10.1002/jbm.b.30715
  24. Jack, V., Buchanan, F. J., & Dunne, N. J. (2008). Particle attrition of α-tricalcium phosphate: Effect on mechanical, handling, and injectability properties of calcium phosphate cements. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 222(1), 19-28. https://doi.org/10.1243/09544119jeim312
  25. Zhang, J., Liu, W., Schnitzler, V., Tancret, F., & Bouler, J. (2014). Calcium phosphate cements for bone substitution: Chemistry, handling and mechanical properties. Acta Biomaterialia, 10(3), 1035-1049. https://doi.org/10.1016/j.actbio.2013.11.001
  26. Dorozhkin, S. (2015). Calcium orthophosphate-containing Biocomposites and hybrid biomaterials for biomedical applications. Journal of Functional Biomaterials, 6(3), 708-832. https://doi.org/10.3390/jfb6030708
  27. Ambard, A. J., & Mueninghoff, L. (2006). Calcium phosphate cement: Review of mechanical and biological properties. Journal of Prosthodontics, 15(5), 321-328. https://doi.org/10.1111/j.1532-849x.2006.00129.x
  28. Xu, H. H., Wang, P., Wang, L., Bao, C., Chen, Q., Weir, M. D., ... & Reynolds, M. A. (2017). Calcium phosphate cements for bone engineering and their biological properties. Bone Research, 5(1). https://doi.org/10.1038/boneres.2017.56
  29. Ginebra, M., Canal, C., Espanol, M., Pastorino, D., & Montufar, E. B. (2012). Calcium phosphate cements as drug delivery materials. Advanced Drug Delivery Reviews, 64(12), 1090-1110. https://doi.org/10.1016/j.addr.2012.01.008
  30. Yousefi, A. (2019). A review of calcium phosphate cements and acrylic bone cements as injectable materials for bone repair and implant fixation. Journal of Applied Biomaterials & Functional Materials, 17(4), 228080001987259. https://doi.org/10.1177/2280800019872594
  31. Dorozhkin, S. (2009). Calcium orthophosphate cements and concretes. Materials, 2(1), 221-291. https://doi.org/10.3390/ma2010221
  32. Beruto, D. T., Mezzasalma, S. A., Capurro, M., Botter, R., & Cirillo, P. (2000). Use of alpha-tricalcium phosphate (TCP) as powders and as an aqueous dispersion to modify processing, microstructure, and mechanical properties of polymethylmethacrylate (PMMA) bone cements and to produce bone-substitute compounds. Journal of Biomedical Materials Research, 49(4), 498-505. https://doi.org/10.1002/(sici)1097-4636(20000315)49:4<498::aid-jbm8>3.0.co;2-1
  33. https://pdf.medicalexpo.com/pdf/tecres/cal-cemex/84989-110325.html
  34. Vyrva, O. E., Goncharuk, O. V., & Lysenko, N. S. (2021). Comparative evaluation of polymethyl methacrylate and composite bone cement. Review of the results of experimental research. Orthopedics, Traumatology and Prosthetics, 1, 86–91. https://doi.org/10.15674/0030-59872021186-91. [in Ukrainian]
  35. Vyrva, O. E., Malyk, R. V., & Skoryk, I. O. (2019). The first experience of using SalCemex bone tissue substitute in orthopedics-traumatology. In the XVIII Congress of Orthopedists-Traumatologists of Ukraine (p. 198). Ministry of Health of Ukraine, National Academy of Medical Sciences of Ukraine, Ivano-Frankivsk. [in Ukrainian]
  36. Wang, X., Jia, S., & Hao, D. (2020). Advances in the modification of injectable calcium-phosphate-based bone cements for clinical application. Chinese Medical Journal, 133(21), 2610-2612. https://doi.org/10.1097/cm9.0000000000001092
  37. O'Neill, R., McCarthy, H., Montufar, E., Ginebra, M., Wilson, D., Lennon, A., & Dunne, N. (2017). Critical review: Injectability of calcium phosphate pastes and cements. Acta Biomaterialia, 50, 1-19. https://doi.org/10.1016/j.actbio.2016.11.019
  38. Mellier, C., Lefèvre, F., Fayon, F., Montouillout, V., Despas, C., Le Ferrec, M., ... & Bujoli, B. (2017). A straightforward approach to enhance the textural, mechanical and biological properties of injectable calcium phosphate apatitic cements (CPCs): CPC/blood composites, a comprehensive study. Acta Biomaterialia, 62, 328-339. https://doi.org/10.1016/j.actbio.2017.08.040
  39. An, J., Liao, H., Kucko, N. W., Herber, R., Wolke, J. G., Van den Beucken, J. J., Jansen, J. A., & Leeuwenburgh, S. C. (2016). Long-term evaluation of the degradation behavior of three apatite-forming calcium phosphate cements. Journal of Biomedical Materials Research Part A, 104(5), 1072-1081. https://doi.org/10.1002/jbm.a.35641
  40. Zhang, J., Liu, W., Gauthier, O., Sourice, S., Pilet, P., Rethore, G., ... & Weiss, P. (2016). A simple and effective approach to prepare injectable macroporous calcium phosphate cement for bone repair: Syringe-foaming using a viscous hydrophilic polymeric solution. Acta Biomaterialia, 31, 326-338. https://doi.org/10.1016/j.actbio.2015.11.055
  41. Shariff, K. A., Tsuru, K., & Ishikawa, K. (2015). Fabrication of interconnected pore forming α-tricalcium phosphate foam granules cement. Journal of Biomaterials Applications, 30(6), 838-845. https://doi.org/10.1177/0885328215601939
  42. Grosfeld, E., Smith, B. T., Santoro, M., Lodoso-Torrecilla, I., Jansen, J. A., Ulrich, D. J., ... & Van den Beucken, J. J. (2020). Fast dissolving glucose porogens for early calcium phosphate cement degradation and bone regeneration. Biomedical Materials, 15(2), 025002. https://doi.org/10.1088/1748-605x/ab5f9c
  43. Liu, H., Guan, Y., Wei, D., Gao, C., Yang, H., & Yang, L. (2015). Reinforcement of injectable calcium phosphate cement by gelatinized starches. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 104(3), 615-625. https://doi.org/10.1002/jbm.b.33434
  44. Sun, H., Liu, C., Li, X., Liu, H., Zhang, W., Yang, H., Li, C., & Yang, L. (2020). A novel calcium phosphate–based nanocomposite for the augmentation of cement-injectable cannulated pedicle screws fixation: A cadaver and biomechanical study. Journal of Orthopaedic Translation, 20, 56-66. https://doi.org/10.1016/j.jot.2019.08.001
  45. Arkin, V. H., Narendrakumar, U., Madhyastha, H., & Manjubala, I. (2021). Characterization and in vitro evaluations of injectable calcium phosphate cement doped with magnesium and strontium. ACS Omega, 6(4), 2477-2486. https://doi.org/10.1021/acsomega.0c03927
  46. Hu, M., Lee, P., Chen, W., & Hu, J. (2017). Incorporation of collagen in calcium phosphate cements for controlling Osseointegration. Materials, 10(8), 910. https://doi.org/10.3390/ma10080910
  47. Zeng, J., Lin, J., Yao, G., Kong, K., & Wang, X. (2017). Effect of modified compound calcium phosphate cement on the differentiation and osteogenesis of bone mesenchymal stem cells. Journal of Orthopaedic Surgery and Research, 12(1). https://doi.org/10.1186/s13018-017-0598-8
  48. Luo, G., Huang, Y., & Gu, F. (2017). Rhbmp2-loaded calcium phosphate cements combined with allogenic bone marrow mesenchymal stem cells for bone formation. Biomedicine & Pharmacotherapy, 92, 536-543. https://doi.org/10.1016/j.biopha.2017.05.083

How to Cite

Korzh, M., Filipenko, V., Poplavska, K., & Ashukina, N. . (2023). Materials based o tricalcium phosphate as bone defects substitute (literature review). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 100–107. https://doi.org/10.15674/0030-598720212100-107

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