IntroductionHydroxyapatite coating of orthopedic metallic implants by plasma-spray technique is presently a well assessed process. Hydroxyapatite (HA) favors the fixation of an orthopedic implant, like a hip prosthesis, by enhancing bone growth in tight apposition with the coating [1, 2]. We performed an electron microscopic analysis at the interface between newly formed bone and hydroxyapatite coating, in an experimental model in the rabbit. Samples were analyzed by scanning electron microscopy (SEM) to evaluate morphologic characteristics such as alignment of lamellae, location of haversian systems, and porosity of the hydroxyapatite coating. Then, on the same field of observation, we followed with a back-scattered electron microscopy (BSEM) analysis to evaluate the actual material distribution on the sample. With this technique, electrons are directed with a certain angle towards the surface of the sample and interact with the material so that they are reflected with a different energy; the final energy is detected and rendered graphically in gray tones [3] on a photomicrograph. BSEM is particularly suited to study the interface between bone and biomaterials because it allows the creation of a map of material distribution in which metallic substrate, hydroxyapatite coating with different densities, bone tissue in different stages of maturation, embedding media and artifactual detachments are easily discerned.
AbstractWe performed a backscattered electron microscopy analysis of the interface between newly formed bone and hydroxyapatite coating, in an experimental rabbit model. Twenty cylinders made of Ti6Al4V and coated with hydroxyapatite at different crystallinity were implanted in the distal femural canal and retrieved at 4, 8, 26 and 34 weeks. Crystallinity of the coating varied from 90% to 60% and thickness varied between 50 and 100 µm. Osteocytes were detectable a few micrometers in proximity of the coating. They produced new bone which was so tightly apposed to the coating that high magnification BSEM did not resolve any discontinuity at the interface. This was not observed in uncoated implants. Degradation of the hydroxyapatite coating is not a simple hydrolytic process because newly formed bone is remodelled in areas were a tight apposition with hydroxyapatite is present. The coating itself is likely to be attacked by the resorptive action of multinucleated giant cells and osteoclasts. In conclusion, response to coated samples is morphologically characterized by tight apposition with bone. The substitution of areas of the coating by newly formed bone is possible.