Yi Huang

The beneficial effect of a porous structure on the biological functions of calcium phosphate bulk ceramic or scaffold has been well documented. Nevertheless, the effect of a porous structure on the in vivo performance of hydroxyapatite (HA) coatings has been rarely reported, partly due to the difficulty in synthesizing porous HA coatings suitable for commercial applications. In this study, we have carried out a systematic in vivo study of porous HA-coated Ti implants (with and without surface modification) prepared by the liquid precursor plasma spraying process, in terms of its osteoconductivity and osteoinductivity. The results suggest the clear advantage of the porous structure over the dense structure, despite the pore structure (about 48% porosity and less than 100 μm average pore size) being far from the ideal pore structure reported for bulk ceramic. The porous HA-coated implant significantly promotes early bone ingrowth at the pre-generated defective region, and early fixation at the bone-implant interface, especially at early implantation time (one month), showing about 120% and 40% increases respectively over those of the dense HA-coated implants prepared by the conventional atmospheric plasma spraying process. Moreover, the porous structure can be readily used to incorporate collagen/rh-BMP2, which demonstrates clear ectopic bone formation. Overall, the results suggest the augmentation of bone ingrowth is significant for HA coatings with a porous structure, which is critical for the early fixation and long-term stability of medical implants.

Hydroxyapatite coatings were deposited on Ti-6Al-4V substrates by a novel plasma spraying process, the liquid precursor plasma spraying (LPPS) process. X-ray diffraction results showed that the coatings obtained by the LPPS process were mainly composed of hydroxyapatite. The LPPS process also showed excellent control on the coating microstructure, and both nearly fully dense and highly porous hydroxyapatite coatings were obtained by simply adjusting the solid content of the hydroxyapatite liquid precursor. Scanning electron microscope observations indicated that the porous hydroxyapatite coatings had pore size in the range of 10-200 µm and an average porosity of 48.26 ± 0.10%. The osteoblastic cell responses to the dense and porous hydroxyapatite coatings were evaluated with human osteoblastic cell MG-63, in respect of the cell morphology, proliferation and differentiation, with the hydroxyapatite coatings deposited by the atmospheric plasma spraying (APS) process as control. The cell experiment results indicated that the heat-treated LPPS coatings with a porous structure showed the best cell proliferation and differentiation among all the hydroxyapatite coatings. Our results suggest that the LPPS process is a promising plasma spraying technique for fabricating hydroxyapatite coatings with a controllable microstructure, which has great potential in bone repair and replacement applications.