Regeneration of Bone Mass and Bone Quality around Implant with Grooves for Aligning Bone Cells in Rabbit Hindlimb Bones

Abstract

It was reported that one-dimensionally elongated pores in implants promote the production of new bone tissue possessing both high bone density and the preferential alignment of biological apatite (BAp) c-axis/collagen as a bone quality parameter. This finding indicates that the anisotropic orientation and/or migration of osteoblasts guided by the grooved-pore surface affected the establishment of the anisotropic microstructure of bone tissue. In this study, a grooved polytetrafluoroethylene (Teflon) implant, which may have a role in regulating osteoblast arrangement, was prepared to investigate the relationship between cell behavior and bone microstructure. A cylindrical Teflon implant with 8 grooves on its side was prepared. The width and depth of the groove cross-section were 0.5 and 0.75 mm, respectively. Each implant was inserted in a drill-hole defect created on a rabbit femur such that the groove direction was parallel or perpendicular to the long bone axis in which the BAp c-axis aligns one-dimensionally. The Young’s modulus of Teflon is approximately 0.5 GPa, much lower than that of bone; therefore, the effects of applied stress can be eliminated in this model. The oriented new bone was preferentially produced along the grooved surface. The alignment direction of the BAp c-axis was almost parallel to the grooved surface even near the surface vertically aligned to the long bone axis. The geometry of the implant surface can control the organization of BAp alignment through the arrangement of osteoblasts to orient and subsequently to migrate along the surface direction; hence, implant geometry, particularly the groove, is considered an important factor controlling the BAp orientation of regenerated bone tissues.