Abstract

BackgroundTreating a titanium or titanium alloy implant with ultraviolet (UV) light is known to improve its associated cell growth and osseointegration. However, little is known about the effect of UV irradiation on hydroxyapatite (HA), which is also used frequently in orthopaedic and dental surgery. Here we examined the effect of UV irradiation on the hydrophilicity of HA, and on its osteoconduction ability in rats.MethodsHA implants of low and high porosity were treated with UV light, and photofunctionalisation was assessed by the contact angle of a water drop on the surface. HA implants were also inserted into rat femurs, and the rats were killed 2 or 4 weeks later. The bone volume and bone area ratio were calculated from microcomputed tomography and histological data.ResultsThe contact angle of a water drop on HA implants of both porosities was significantly reduced after UV irradiation. In the rat femurs, there was no significant difference in the bone volume between the UV light-treated and control implants at 2 or 4 weeks. The bone area ratio for the UV light-treated versus control implants was significantly increased at 2 weeks, but there was no significant difference at 4 weeks.ConclusionsThe surface of UV-irradiated HA disks was hydrophilic, in contrast to that of non-irradiated HA disks. Photofunctionalisation accelerated the increase in the bone area ratio in the early healing stage. This technology can be applied to surgical cases requiring the early fusion of bone and HA.

Highlights

  • Treating a titanium or titanium alloy implant with ultraviolet (UV) light is known to improve its associated cell growth and osseointegration

  • It was recently shown that irradiating implants with ultraviolet (UV) light improves their associated cell growth and bone binding ability [1, 2]

  • An increase in bone volume was observed over time in each group; it was not statistically significant difference (p = 0.421, p = 0.754)

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Summary

Introduction

Treating a titanium or titanium alloy implant with ultraviolet (UV) light is known to improve its associated cell growth and osseointegration. Little is known about the effect of UV irradiation on hydroxyapatite (HA), which is used frequently in orthopaedic and dental surgery. It was recently shown that irradiating implants with ultraviolet (UV) light improves their associated cell growth and bone binding ability (osseointegration) [1, 2]. HA is used in spinous process-splitting laminoplasty In this procedure, the spines are split sagittally, and trapezoid-shaped HA spacers are inserted between the Kaneko et al Journal of Orthopaedic Surgery and Research (2020) 15:425 two halves to maintain an enlarged spinal canal [5]. It was reported that porous HA was a better material for osteoinduction [6], cases were reported in which bone fusion is insufficient or in which complications like dislocation occur, which were related to HA’s osteogenesis ability [7]

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