Bone ingrowth into two porous ceramics with different pore sizes :
An experimental study
Published online: Dec 27 2004
Laurent GALOIS, Didier MAINARD
From the University Hospital of Nancy, France
Abstract
Many properties of porous calcium phosphate
ceramics have been described, but how pore size
influences bony integration of various porous ceramics
remains unclear. This study was performed to
quantify the bony ingrowth and biodegradability of
two porous calcium phosphate ceramics with four
different pore size ranges (45-80 µm, 80-140 µm, 140-
200 µm, and 200-250 µm). Hydroxyapatite (HA) and
b-tricalcium phosphate (TCP) cylinders were
implanted into the femoral condyles of rabbits and
were left in situ for up to 12 months. The percentage
of bone ingrowth and the depth of ingrowth within
the pores were determined. Biodegradability of the
implants was also evaluated.
Bone ingrowth occurred at a higher rate into the
TCP than into the HA ceramics with the same pore
size ranges. The amount of newly formed bone was
statistically smaller (p < 0.05) into ceramics with 45-
80 µm pore size than with larger pore size, whatever
the implantation time for HA and until four months
for TCP. No statistical difference was noted between
the three highest pore size ranges. No implant degradation
was noted up to four months. Our results suggest
that a pore size above 80 µm improves bony
ingrowth in both HA and TCP ceramics. Bone formation
was higher in the TCP than in the HA
implants.