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Erschienen in: Aesthetic Plastic Surgery 5/2009

01.09.2009 | Original Article

Mechanical and Biological Evaluations of β-Tricalcium Phosphate/Silicone Rubber Composite as a Novel Soft-Tissue Implant

verfasst von: Yi-ming Zhang, Shao-liang Wang, Ze-yuan Lei, Dong-li Fan

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 5/2009

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Abstract

Background

Although silicone rubber (SR) implants are most commonly used and effective for soft-tissue augmentation, they still have been implicated in many adverse reactions. To overcome this problem, a novel composite β-tricalcium phosphate/silicone rubber (β-TCP/SR) was prepared by adding β-TCP into a SR matrix. This study was to evaluate its application potential by investigating the mechanical properties and biocompatibility of β-TCP/SR.

Methods

Mechanical properties, including Shore A hardness and tensile strength, were evaluated with 3-mm-thick samples and a universal testing machine. Cytocompatibility tests were conducted in vitro using 0.2-mm-thick β-TCP/SR samples by seeding fibroblasts onto different samples. Soft-tissue response to β-TCP/SR and pull-out measurements were investigated 4 weeks and 24 weeks after implantation.

Results

The main mechanical properties were all significantly changed after mixing β-TCP into the SR matrix, except for tearing strength. The cytocompatibility test showed enhanced adhesion and proliferation of fibroblasts onto β-TCP/SR. Fibrous tissue ingrowth after resorption of β-TCP was observed by in vivo histologic analysis. The peri-implant capsules in the β-TCP/SR group were thinner than in the SR group 24 weeks after implantation. In a 24-week test, the maximum force required to pull out the β-TCP/SR sheet was about six times greater than that needed for SR.

Conclusion

Although some mechanical properties were significantly changed, the results of the cytocompatibility test and in vivo animal study still suggest that β-TCP/SR may be more suitable as a soft-tissue implant than SR and has the potential to be used in plastic surgery.
Literatur
1.
Zurück zum Zitat Martin Granizo R, Diaz FJ (1997) Fixation of alloplastic facial implants with lag screws. Plast Reconstr Surg 99:2100–2101PubMedCrossRef Martin Granizo R, Diaz FJ (1997) Fixation of alloplastic facial implants with lag screws. Plast Reconstr Surg 99:2100–2101PubMedCrossRef
2.
Zurück zum Zitat Neu BR (2000) Segmental bone and cartilage reconstruction of major nasal dorsal defects. Plast Reconstr Surg 106:160–170PubMedCrossRef Neu BR (2000) Segmental bone and cartilage reconstruction of major nasal dorsal defects. Plast Reconstr Surg 106:160–170PubMedCrossRef
3.
4.
Zurück zum Zitat Aziz T, Waters M, Jagger R (2003) Analysis of the properties of silicone rubber maxillofacial prosthetic materials. J Dent 31:67–74PubMedCrossRef Aziz T, Waters M, Jagger R (2003) Analysis of the properties of silicone rubber maxillofacial prosthetic materials. J Dent 31:67–74PubMedCrossRef
5.
Zurück zum Zitat Keyf F (2002) Change in a maxillo-facial prosthesis material effecting from environmental factors: a clinical report. J Biomater Appl 16:259–266PubMedCrossRef Keyf F (2002) Change in a maxillo-facial prosthesis material effecting from environmental factors: a clinical report. J Biomater Appl 16:259–266PubMedCrossRef
6.
Zurück zum Zitat Starch MS, Fiori JE, Lin ZC (2003) Beyond rheology modification: hydrophilically modified silicone elastomers provide new benefits. J Cosmet Sci 54:193–205PubMed Starch MS, Fiori JE, Lin ZC (2003) Beyond rheology modification: hydrophilically modified silicone elastomers provide new benefits. J Cosmet Sci 54:193–205PubMed
7.
Zurück zum Zitat Leichter I, Bloch B (1992) Evaluation of the calcium-phosphate ceramic implant by noninvasive techniques. Biomaterials 13:478–482PubMedCrossRef Leichter I, Bloch B (1992) Evaluation of the calcium-phosphate ceramic implant by noninvasive techniques. Biomaterials 13:478–482PubMedCrossRef
8.
Zurück zum Zitat Catanese J, Cooke D, Maas C, Pruitt L (1999) Mechanical properties of medical grade expanded polytetrafluoroethylene: the effects of internodal distance, density, and displacement rate. J Biomed Mater Res 48:187–192PubMedCrossRef Catanese J, Cooke D, Maas C, Pruitt L (1999) Mechanical properties of medical grade expanded polytetrafluoroethylene: the effects of internodal distance, density, and displacement rate. J Biomed Mater Res 48:187–192PubMedCrossRef
9.
Zurück zum Zitat Wang JH, Lee BJ, Jang YJ (2007) Use of silicone sheets for dorsal augmentation in rhinoplasty for Asian noses. Acta Otolaryngol 127:115–120CrossRef Wang JH, Lee BJ, Jang YJ (2007) Use of silicone sheets for dorsal augmentation in rhinoplasty for Asian noses. Acta Otolaryngol 127:115–120CrossRef
10.
Zurück zum Zitat Tham C, Lai YL, Weng CJ, Chen YR (2005) Silicone augmentation rhinoplasty in an Oriental population. Ann Plast Surg 54:1–5PubMedCrossRef Tham C, Lai YL, Weng CJ, Chen YR (2005) Silicone augmentation rhinoplasty in an Oriental population. Ann Plast Surg 54:1–5PubMedCrossRef
11.
Zurück zum Zitat Unlu RE, Yilmaz AD, Orbay H, Can B, Tekdemir I, Sensoz O (2007) Influence of rifampin on capsule formation around silicone implants in a rat model. Aesthetic Plast Surg 31:358–364PubMedCrossRef Unlu RE, Yilmaz AD, Orbay H, Can B, Tekdemir I, Sensoz O (2007) Influence of rifampin on capsule formation around silicone implants in a rat model. Aesthetic Plast Surg 31:358–364PubMedCrossRef
12.
Zurück zum Zitat Juri J, Juri C, Colnago A (1980) Implants and grafts in secondary rhinodeformities. Aesthetic Plast Surg 4:135–145CrossRef Juri J, Juri C, Colnago A (1980) Implants and grafts in secondary rhinodeformities. Aesthetic Plast Surg 4:135–145CrossRef
13.
Zurück zum Zitat Kokubo T, Kushitani H, Ohtsuki C, Sakka S, Yamamuro T (1992) Chemical reaction of bioactive glass and glass–ceramics with a simulated body-fluid. J Mater Sci Mater Med 3:79–83CrossRef Kokubo T, Kushitani H, Ohtsuki C, Sakka S, Yamamuro T (1992) Chemical reaction of bioactive glass and glass–ceramics with a simulated body-fluid. J Mater Sci Mater Med 3:79–83CrossRef
14.
Zurück zum Zitat Wyrwalski F, Lamonier JF, Siffert S, Zhilinskaya EA, Gengembre L, Aboukais A (2005) Bulk and surface structures of iron doped zirconium oxide systems: influence of preparation method. J Mater Sci 40:933–942CrossRef Wyrwalski F, Lamonier JF, Siffert S, Zhilinskaya EA, Gengembre L, Aboukais A (2005) Bulk and surface structures of iron doped zirconium oxide systems: influence of preparation method. J Mater Sci 40:933–942CrossRef
15.
Zurück zum Zitat Evans SL, Gregson PJ (1993) The effect of a plasma-sprayed hydroxyapatite coating on the fatigue properties of Ti-6al-4v. Mater Lett 16:270–274CrossRef Evans SL, Gregson PJ (1993) The effect of a plasma-sprayed hydroxyapatite coating on the fatigue properties of Ti-6al-4v. Mater Lett 16:270–274CrossRef
16.
Zurück zum Zitat Taguchi T, Kishida A, Sakamoto N, Akashi M (1998) Preparation of a novel functional hydrogel consisting of sulfated glucoside-bearing polymer: activation of basic fibroblast growth factor. J Biomed Mater Res 41:386–391PubMedCrossRef Taguchi T, Kishida A, Sakamoto N, Akashi M (1998) Preparation of a novel functional hydrogel consisting of sulfated glucoside-bearing polymer: activation of basic fibroblast growth factor. J Biomed Mater Res 41:386–391PubMedCrossRef
17.
Zurück zum Zitat Furuzono T, Sonoda K, Tanaka J (2001) A hydroxyapatite coating covalently linked onto a silicone implant material. J Biomed Mater Res 56:9–16PubMedCrossRef Furuzono T, Sonoda K, Tanaka J (2001) A hydroxyapatite coating covalently linked onto a silicone implant material. J Biomed Mater Res 56:9–16PubMedCrossRef
18.
Zurück zum Zitat Rangavittal N, Landa-Canovas AR, Gonzalez-Calbet JM, Vallet-Regi M (2000) Structural study and stability of hydroxyapatite and beta-tricalcium phosphate: two important bioceramics. J Biomed Mater Res 51:660–668PubMedCrossRef Rangavittal N, Landa-Canovas AR, Gonzalez-Calbet JM, Vallet-Regi M (2000) Structural study and stability of hydroxyapatite and beta-tricalcium phosphate: two important bioceramics. J Biomed Mater Res 51:660–668PubMedCrossRef
19.
Zurück zum Zitat Erbe EM, Marx JG, Clineff TD, Bellincampi LD (2001) Potential of an ultraporous beta-tricalcium phosphate synthetic cancellous bone void filler and bone marrow aspirate composite graft. Eur Spine J 10:S141–S146PubMedCrossRef Erbe EM, Marx JG, Clineff TD, Bellincampi LD (2001) Potential of an ultraporous beta-tricalcium phosphate synthetic cancellous bone void filler and bone marrow aspirate composite graft. Eur Spine J 10:S141–S146PubMedCrossRef
20.
Zurück zum Zitat Zijderveld SA, Zerbo IR, van den Bergh JPA, Schulten E, ten Bruggenkate CM (2005) Maxillary sinus floor augmentation using a beta-tricalcium phosphate (Cerasorb) alone compared to autogenous bone grafts. Int J Oral Maxillofac Implants 20:432–440PubMed Zijderveld SA, Zerbo IR, van den Bergh JPA, Schulten E, ten Bruggenkate CM (2005) Maxillary sinus floor augmentation using a beta-tricalcium phosphate (Cerasorb) alone compared to autogenous bone grafts. Int J Oral Maxillofac Implants 20:432–440PubMed
21.
Zurück zum Zitat Hench LL (1998) Bioceramics. J Am Ceram Soc 81:1705–1728 Hench LL (1998) Bioceramics. J Am Ceram Soc 81:1705–1728
22.
Zurück zum Zitat Ramakrishna S, Mayer J, Wintermantel E, Leong KW (2001) Biomedical applications of polymer-composite materials: a review. Compos Sci Technol 61:1189–1224CrossRef Ramakrishna S, Mayer J, Wintermantel E, Leong KW (2001) Biomedical applications of polymer-composite materials: a review. Compos Sci Technol 61:1189–1224CrossRef
23.
Zurück zum Zitat Link DP, van den Dolder J, van den Beucken J, Cuijpers VM, Wolke JGC, Mikos AG, Jansen JA (2008) Evaluation of the biocompatibility of calcium phosphate cement/PLGA microparticle composites. J Biomed Mater Res A 87:760–769PubMed Link DP, van den Dolder J, van den Beucken J, Cuijpers VM, Wolke JGC, Mikos AG, Jansen JA (2008) Evaluation of the biocompatibility of calcium phosphate cement/PLGA microparticle composites. J Biomed Mater Res A 87:760–769PubMed
24.
Zurück zum Zitat Hacking SA, Bobyn JD, Toh KK, Tanzer M, Krygier JJ (2000) Fibrous tissue ingrowth and attachment to porous tantalum. J Biomed Mater Res 52:631–638PubMedCrossRef Hacking SA, Bobyn JD, Toh KK, Tanzer M, Krygier JJ (2000) Fibrous tissue ingrowth and attachment to porous tantalum. J Biomed Mater Res 52:631–638PubMedCrossRef
25.
Zurück zum Zitat Soballe K, Hansen ES, Rasmussen HB, Jorgensen PH, Bunger C (1992) Tissue ingrowth into titanium and hydroxyapatite-coated implants during stable and unstable mechanical conditions. J Orthop Res 10:285–299PubMedCrossRef Soballe K, Hansen ES, Rasmussen HB, Jorgensen PH, Bunger C (1992) Tissue ingrowth into titanium and hydroxyapatite-coated implants during stable and unstable mechanical conditions. J Orthop Res 10:285–299PubMedCrossRef
26.
Zurück zum Zitat Prantl L, Schreml S, Fichtner-Feigl S, Poppl N, Eisenmann-Klein M, Schwarze H, Fuchtmeier B (2007) Clinical and morphological conditions in capsular contracture formed around silicone breast implants. Plast Reconstr Surg 120:275–284PubMedCrossRef Prantl L, Schreml S, Fichtner-Feigl S, Poppl N, Eisenmann-Klein M, Schwarze H, Fuchtmeier B (2007) Clinical and morphological conditions in capsular contracture formed around silicone breast implants. Plast Reconstr Surg 120:275–284PubMedCrossRef
27.
Zurück zum Zitat Dootz ER, Koran A, Craig RG (1994) Physical properties of 3 maxillofacial materials as a function of accelerated aging. J Prosthet Dent 71:379–383PubMedCrossRef Dootz ER, Koran A, Craig RG (1994) Physical properties of 3 maxillofacial materials as a function of accelerated aging. J Prosthet Dent 71:379–383PubMedCrossRef
28.
Zurück zum Zitat Lewis DH, Castleberry DJ (1980) An assessment of recent advances in external maxillofacial materials. J Prosthet Dent 43:426–432PubMedCrossRef Lewis DH, Castleberry DJ (1980) An assessment of recent advances in external maxillofacial materials. J Prosthet Dent 43:426–432PubMedCrossRef
30.
Zurück zum Zitat Sailaja GS, Ramesh P, Varma HK (2007) Hydroxyapatite moldable formulation using natural rubber latex as binder. J Biomed Mater Res Part B 82B:231–238CrossRef Sailaja GS, Ramesh P, Varma HK (2007) Hydroxyapatite moldable formulation using natural rubber latex as binder. J Biomed Mater Res Part B 82B:231–238CrossRef
31.
Zurück zum Zitat Chu CC, Fischer TE (1979) Evaluation of sunlight stability of polyurethane elastomers for maxillofacial use.2. J Biomed Mater Res 13:965–974PubMedCrossRef Chu CC, Fischer TE (1979) Evaluation of sunlight stability of polyurethane elastomers for maxillofacial use.2. J Biomed Mater Res 13:965–974PubMedCrossRef
32.
Zurück zum Zitat Homaeigohar SS, Sadi AY, Javadpour J, Khavandi A (2006) The effect of reinforcement volume fraction and particle size on the mechanical properties of beta-tricalcium phosphate-high density polyethylene composites. J Eur Ceram Soc 26:273–278CrossRef Homaeigohar SS, Sadi AY, Javadpour J, Khavandi A (2006) The effect of reinforcement volume fraction and particle size on the mechanical properties of beta-tricalcium phosphate-high density polyethylene composites. J Eur Ceram Soc 26:273–278CrossRef
33.
Zurück zum Zitat Osman MA, Atallah A (2007) Surfactant chain length and tensile properties of calcium carbonate-polyethylene composites. Macromol Chem Phys 208:87–93CrossRef Osman MA, Atallah A (2007) Surfactant chain length and tensile properties of calcium carbonate-polyethylene composites. Macromol Chem Phys 208:87–93CrossRef
34.
Zurück zum Zitat Suzuki T, Hukkanen M, Ohashi R, Yokogawa Y, Nishizawa K, Nagata F, Buttery L, Polak J (2000) Growth and adhesion of osteoblast-like cells derived from neonatal rat calvaria on calcium phosphate ceramics. J Biosci Bioeng 89:18–26PubMedCrossRef Suzuki T, Hukkanen M, Ohashi R, Yokogawa Y, Nishizawa K, Nagata F, Buttery L, Polak J (2000) Growth and adhesion of osteoblast-like cells derived from neonatal rat calvaria on calcium phosphate ceramics. J Biosci Bioeng 89:18–26PubMedCrossRef
35.
Zurück zum Zitat Homaeigohar SSH, Shokrgozar MA, Javadpour J, Khavandi A, Sadi AY (2006) Effect of reinforcement particle size on in vitro behavior of beta-tricalcium phosphate-reinforced high-density polyethylene: a novel orthopedic composite. J Biomed Mater Res Part A 78:129–138CrossRef Homaeigohar SSH, Shokrgozar MA, Javadpour J, Khavandi A, Sadi AY (2006) Effect of reinforcement particle size on in vitro behavior of beta-tricalcium phosphate-reinforced high-density polyethylene: a novel orthopedic composite. J Biomed Mater Res Part A 78:129–138CrossRef
36.
Zurück zum Zitat Poeppl N, Schreml S, Lichtenegger F, Lenich A, Eisenmann-Klein M, Prantl L (2007) Does the surface structure of implants have an impact on the formation of a capsular contracture? Aesthetic Plast Surg 31:133–139PubMedCrossRef Poeppl N, Schreml S, Lichtenegger F, Lenich A, Eisenmann-Klein M, Prantl L (2007) Does the surface structure of implants have an impact on the formation of a capsular contracture? Aesthetic Plast Surg 31:133–139PubMedCrossRef
37.
Zurück zum Zitat Spear SL, Elmaraghy M, Hess C (2000) Textured-surface saline-filled silicone breast implants for augmentation mammaplasty. Plast Reconstr Surg 105:1542–1552PubMedCrossRef Spear SL, Elmaraghy M, Hess C (2000) Textured-surface saline-filled silicone breast implants for augmentation mammaplasty. Plast Reconstr Surg 105:1542–1552PubMedCrossRef
38.
Zurück zum Zitat Yuan HP, Li YB, de Bruijn JD, de Groot K, Zhang XD (2000) Tissue responses of calcium phosphate cement: a study in dogs. Biomaterials 21:1283–1290PubMedCrossRef Yuan HP, Li YB, de Bruijn JD, de Groot K, Zhang XD (2000) Tissue responses of calcium phosphate cement: a study in dogs. Biomaterials 21:1283–1290PubMedCrossRef
39.
Zurück zum Zitat Yuan HP, De Bruijn JD, Li YB, Feng JQ, Yang ZJ, De Groot K, Zhang XD (2001) Bone formation induced by calcium phosphate ceramics in soft tissue of dogs: a comparative study between porous alpha-TCP and beta-TCP. J Mater Sci Mater Med 12:7–13PubMedCrossRef Yuan HP, De Bruijn JD, Li YB, Feng JQ, Yang ZJ, De Groot K, Zhang XD (2001) Bone formation induced by calcium phosphate ceramics in soft tissue of dogs: a comparative study between porous alpha-TCP and beta-TCP. J Mater Sci Mater Med 12:7–13PubMedCrossRef
40.
Zurück zum Zitat TenHuisen KS, Brown PW (1997) Variations in solution chemistry during calcium-deficient and stoichiometric hydroxyapatite formation from CaHPO4 center dot 2H(2)O and Ca-4(PO4)(2)O. J Biomed Mater Res 36:233–241PubMedCrossRef TenHuisen KS, Brown PW (1997) Variations in solution chemistry during calcium-deficient and stoichiometric hydroxyapatite formation from CaHPO4 center dot 2H(2)O and Ca-4(PO4)(2)O. J Biomed Mater Res 36:233–241PubMedCrossRef
41.
Zurück zum Zitat Eggli PS, Muller W, Schenk RK (1988) Porous hydroxyapatite and tricalcium phosphate cylinders with 2 different pore-size ranges implanted in the cancellous bone of rabbits—a comparative histomorphometric and histologic study of bony ingrowth and implant substitution. Clin Orthop Rel Res 232:127–138 Eggli PS, Muller W, Schenk RK (1988) Porous hydroxyapatite and tricalcium phosphate cylinders with 2 different pore-size ranges implanted in the cancellous bone of rabbits—a comparative histomorphometric and histologic study of bony ingrowth and implant substitution. Clin Orthop Rel Res 232:127–138
Metadaten
Titel
Mechanical and Biological Evaluations of β-Tricalcium Phosphate/Silicone Rubber Composite as a Novel Soft-Tissue Implant
verfasst von
Yi-ming Zhang
Shao-liang Wang
Ze-yuan Lei
Dong-li Fan
Publikationsdatum
01.09.2009
Verlag
Springer-Verlag
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 5/2009
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-009-9363-7

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