Material
composition and porous structure are important factors in the formation
and maturation of newly formed bone and replacement of materials by
new bone. Conventional bone graft materials often lack suitability
for bone generation because of the complexity of their macroporous
structures, which can interfere with the penetration of cells related
to bone remodeling and angiogenesis in the materials. In the present
study, carbonate apatite (CO3Ap), hydroxyapatite (HAp),
and β-tricalcium phosphate (TCP) honeycomb granules (HCGs) with
uniformly sized macropores (∼115 μm) were fabricated.
These HCG macropores were arranged in a regular fashion and penetrated
straight into the granules. They were implanted into a rabbit femur
defect for further evaluation. In the CO3Ap HCG implantation
group, mature bone formed within CO3Ap HCG macropores by
4 weeks after grafting, and a large portion of CO3Ap HCGs
was replaced by new bone at 12 weeks. By contrast, in the β-TCP
HCG implantation group, new bone was not always formed in the regions
after β-TCP HCG disappearance, and immature bone was present
within β-TCP HCG macropores even after 12 weeks. HAp HCGs were
not resorbed, and their macropores were filled with immature bone.
The area of mature bone in the CO3Ap HCG implantation group
was 3.3 and 1.6 times higher at 4 weeks and 2.2 and 1.7 times higher
at 12 weeks compared with the HAp and β-TCP HCG implantation
groups, respectively. Furthermore, the degrees of bone maturation
for CO3Ap, HAp, and β-TCP HCGs were 100, 34, and
64% at 4 weeks, and 100, 54, and 69% at 12 weeks, respectively. Thus,
the composition of the HCGs affected bone formation and maturation.