Author:
Vagaská B,Bačáková L,Filová E,Balík K
Abstract
This article reviews the development of artificial bone substitutes
from their older single-phase forms to novel multi-phase
composites, mimicking the composition and architecture of
natural bone tissue. The new generation of bone implants should
be bioactive, i.e. they should induce the desired cellular
responses, leading to integration of the material into the natural
tissue and stimulating self-healing processes. Therefore, the first
part of the review explains the common principles of the cellmaterial interaction and summarizes the strategies how to
improve the biocompatibility and bioactivity of the materials by
modifying the physico-chemical properties of the material
surface, such as surface chemistry, wettability, electrical charge,
rigidity, microroughness and especially nanoroughness. The latter
has been shown to stimulate preferentially the growth of
osteoblasts in comparison with other competitive cell types, such
as fibroblasts, which could prevent fibrous tissue formation upon
implantation. The second more specialized part of the review
deals with materials suitable for bone contact and substitution,
particularly novel polymer-based composites reinforced with
fibres or inorganic particles and containing bioactive components,
such as crystals of hydroxyapatite or other calcium phosphates,
synthetic ligands for cell adhesion receptors or growth factors.
Moreover, if they are degradable, they can be gradually replaced
with a regenerating tissue.
Publisher
Institute of Physiology of the Czech Academy of Sciences
Subject
General Medicine,Physiology
Cited by
120 articles.
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