目的:研究明胶微粒(GP)粒径及明胶与磷酸钙骨水泥(CPC)质量配比这两大因素对GP/CPC复合人工骨材料修复骨缺损的效果。方法:将不同GP粒径(100-200μm、200-300μm)及不同GP与CPC配比(5%GP、10%GP)两两配对后制备GP/CPC复合材料,比较GP/CPC复合材料的孔隙率、抗压强度、表面超微结构、体外生物相容性四大理化特性;构建新西兰兔颅骨缺损模型,在相同质控条件下将上述4组GP/CPC复合人工骨材料进行骨缺损填充,观察并比较其骨修复组织学差异及新骨形成率差异。结果:与粒径100-200μm的GP和5%GP配比组比较,粒径200-300μm的GP和10%GP配比制备的GP/CPC复合材料具有较大的孔径和较高的孔隙率( P<0.05),且在兔颅骨缺损修复中有更高的新骨形成量( P<0.05);而100-200μm粒径、5%GP配比组则具有较强的抗压强度( P<0.05)。结论:不同GP粒径和含量的GP/CPC复合材料理化特性和修复骨缺损的效果不同,其中GP 200-300μm粒径和10%质量比的GP/CPC复合新型材料更具成骨效果。
Objective:To investigate the influence of gelatin particle ( GP) size and gelatin/calcium phosphate cement ( GP/CPC) ratio on repairing potency of comparison artificial bone material .Methods:Composite GP/CPC materials with different GP size (100 -200 μm vs.200 -300 μm ) and ratio ( 5% vs.10%) were prepared . Physiochemical and biological properties , including porosity , resistance to compression , ultrastructure and biocompatibility were compared among 4 groups of GP/CPC materials.Different GP/CPC materials were used to repair the critical-size cranial bone defect in rabbit model , and the histology and newly formed bone inside scaffolds ( nBIS) were examined and compared among different groups .Results: GP/CPC with GP of 200 -300 μm possessed larger micropores than that with GP of 100 -200μm ( P〈0 .05 ) .The GP/CPC containing 10%GP had higher porosity than that containing 5%GP(P〈0.05).The animal model study showed that more new bone formed in those defects filled with GP/CPC containing 10% GP with 200 -300 μm in size compared with GP/CPC containing 5% GP with 100 -200 μm in size ( P 〈0.05 ) . While GP/CPC containing 5%GP with 100-200 μm in size showed a higher level of resistance to compression .Conclusion:Both the particle size of GP and its ratio in the GP/CPC affect the properties of the composite biomaterials and their role in bone repairing .In particular , the GP/CPC containing 10%GP with 200-300 μm in size is most suitable for repairing critical-size cranial bone defect in animal model .