The nature of the multinucleated cells involved in the resorption proc
esses occurring inside macroporous calcium-phosphate biomaterials graf
ted into rabbit bone was studied using light microscopy, histomorphome
tric analysis, enzymatic detection of tartrate-resistant acid phosphat
ase (TRAP) activity, scanning, and electron microscopy. Samples were t
aken at days 7, 14, and 21 after implantation. As early as day 7, oste
ogenesis and resorption were observed at the surface of the biomateria
ls, inside the macropores. Resorption of both newly formed bone and ca
lcium-phosphate biomaterials was associated with two types of multinuc
leated cells. Giant multinucleated cells were found only at the surfac
e of the biomaterials; they showed a large number of nuclei, were TRAP
negative, developed no ruffled border, and contained numerous vacuole
s with large accumulation of mineral crystals from the biomaterials. O
steoclasts exhibited TRAP positivity and well-defined ruffled border.
They were observed at the surface of both newly formed bone and biomat
erials, around the implant, and inside the macropores. In contact with
the biomaterials, infoldings of their ruffled border were observed be
tween the mineral crystals, deeply inside the microporosity. The micro
porosity of the biomaterials (i.e., the noncrystalline spaces inside t
he biomaterials) increased underneath this type of cell as compared wi
th underneath giant cells or to the depth of the biomaterials. These o
bservations demonstrate that macroporous calcium-phosphate biomaterial
s implanted in bone elicit osteogenesis and the recruitment of a doubl
e multinucleated cell population having resorbing activity: giant mult
inucleated cells that resorb biomaterials and osteoclasts that resorb
newly formed bone and biomaterials.