L. Savarino et al., X-RAY-DIFFRACTION OF NEWLY FORMED BONE CLOSE TO ALUMINA-COATED OR HYDROXYAPATITE-COATED FEMORAL STEM, Biomaterials, 14(12), 1993, pp. 900-905
The study was focused on the bone tissue response to two types of cera
mic coating [alumina and hydroxyapatite (HA)] obtained with a plasma-s
pray technique. The HA coating was performed on titanium stems, while
the alumina coating was on chromium-cobalt-molybdenum stems. The inves
tigation was carried out by means of micro-area X-ray diffractometric
analyses and microdiffractometric analyses at the bone-implant interfa
ce. Moreover, the coating before and after implantation was analysed b
y means of the conventional powder X-ray diffractometric technique. Th
is study demonstrated that 1 yr after implantation in animals the newl
y formed bone adjacent to the HA-coated hip prosthesis stems was miner
alized as much as the pre-existing bone, while 24-64 months after surg
ery in humans the newly formed bone close to the alumina-coated hip pr
osthesis stems showed a lamellar and Haversian structure strongly demi
neralized, probably due to the release of aluminium ions from the alum
ina covering. The authors conclude that the X-ray diffraction allows t
he evaluation of the structural modifications of the ceramic coating,
the bone formation rate close to the coating and the chemical nature o
f the particles released from the coating.