Major problems with the treatment of osteomyelitis are associated with
poor antibiotic distribution at the site of infection due to limited
blood circulation to the skeletal tissue. Improved treatment procedure
s have been used in drug delivery systems that include bioceramics and
natural and synthetic polymers. This work reports the development of
anionic collagen:hydroxyapatite composite paste for sustained antibiot
ic release. Antibiotic release by the composite was characterized by t
wo steps. In the first, 15.0 +/- 4.9% was released in the first 5 h (n
= 53) by a normal Fick diffusion mechanism. In the second step, only
16.8 +/- 2.2% was released after 7 days. In conclusion, hydroxyapatite
:anionic collagen composite can be an efficient support for sustained
antibiotic release in the treatment of osteomyelitis because most of t
he antibiotic release may be associated with composite bioresorption,
thus permitting antibiotic release throughout the healing process. Hyd
roxyapatite:anionic collagen paste showed good biocompatibility associ
ated with bone tissue growth with material still being observed after
60 days from the time of implants.