R. Branemark et P. Thomsen, BIOMECHANICAL AND MORPHOLOGICAL-STUDIES ON OSSEOINTEGRATION IN IMMUNOLOGICAL ARTHRITIS IN RABBITS, Scandinavian journal of plastic and reconstructive surgery and hand surgery, 31(3), 1997, pp. 185-195
The biomechanics and morphology of the interface between bone tissue a
nd threaded, commercially pure titanium implants were studied in an ex
perimental model of monoarticular arthritis in New Zealand white rabbi
ts (n = 8). Two of the eight rabbits died before evaluation. Immunisat
ion with bovine serum albumin (BSA) and repeated intra-articular injec
tions with BSA in one knee joint elicited an immune response and clini
cal signs of inflammation. The opposite joint was injected with saline
. Three implants were inserted intra-articularly in the lateral femora
l condyle in each joint. After a period of six weeks the stability of
two of the three implants was evaluated by pull-out and torsion tests
using a standardised biomechanical model. The rabbits were killed by p
erfusion fixation, and the implants and surrounding tissue were retrie
ved en bloc for histological analysis. The amount of bane, the degree
of bone apposition, and the biomechanical evaluation showed that the a
bsolute mechanical capacity of anchorage was not significantly reduced
on the arthritic side compared with the control knees. These results
indicate that it might be possible to obtain osseointegration in juxta
-articular bone despite local joint inflammation.