Bone formation around bioactive glass implants (S56.5P4) in the trabec
ulous subchondral bone in the distal femur of rabbits was studied by h
istology and scanning electron microscopy. Three types of tissue: bone
, connective and hematopoetic tissue developed around the implants res
ulting in lamellar new bone covering 76 % of the surface of the implan
ts at twelve weeks. Bone formation around implants began as woven bone
changing mainly to lamellar, osteon like new bone in contact with the
S56.5P4 surface. Endochondral ossification was absent. In the area of
bone containing hematopoetic tissue, new bone grew often as a thin la
yer along the implant surface. However, bone seemed to form adjacent t
o the implant surface through osteoconduction. Only 21 % of the implan
t surface was covered by loose connective tissue. Some proteoglycan co
ntaining thin fluid filled spaces were seen ten days after implantatio
n. In few areas with apparent breakdown of the implant surface decreas
ed amount or no bone formation was observed. Von Kossa method stained
the reaction layer as two parallel dark brown lines, toluidine blue as
two blue stripes, whereas van Gieson did not stain the rection layer
at all. In conclusion, the present histological results indicate bone
bonding, which is a physico-chemical process observed between S56.5P4
implant and host bone.