Bacterial Adherence to Titanium, Poly-L-Lactic Acid, and Composite Hydroxyapatite and Poly-L-Lactic Acid Interference Screws

Autor: Daniel J. Stinner, Tad L. Gerlinger, Brendan D. Masini, Scott M. Waterman, Joseph C. Wenke
Rok vydání: 2012
Předmět:
Zdroj: Journal of Surgical Orthopaedic Advances. 21:237-241
ISSN: 1548-825X
DOI: 10.3113/jsoa.2012.0237
Popis: This study investigates a potential site of bacterial adherence, the implant surface, comparing titanium, poly-L-lactic acid (PLLA), and composite hydroxyapatite and poly-L-lactic acid (PLLA-HA) interference screws using a bioluminescent in vitro model. Interference screws of three materials, titanium (Arthrex, Naples, FL), bioabsorbable poly-L-lactic acid (BIORCI, Smith & Nephew, Andover, MA), and bioabsorbable composite hydroxyapatite and poly-L-lactic acid (BIORCI-HA, Smith & Nephew, Andover, MA) were immersed in a broth of bioluminescent Staphylococcus aureus. The screws were irrigated and then imaged with a photon-capturing camera system yielding a total photon count correlating with residual adherent bacteria. The titanium screws had the lowest mean total bacterial counts followed by the PLLA-HA screws and with the PLLA screws having the highest mean total counts. The difference in means between the titanium group and the PLLA group was statistically significant (p < .001). Titanium interference screws have less bacterial adherence than comparable bioabsorbable PLLA screws.
Databáze: OpenAIRE