Successful bone defect repair requires understanding both the role of micropores smaller than 10 μm and that of macropores. Although the effects of micropore volume have previously been reported, the influence of micropore size distribution remains unclear owing to the difficulty of independently varying the distribution of the total micropore volume. In this study, carbonate apatite (CAp) granules were synthesized from calcium sulfate (CS) and calcium hydroxide (CH) precursors, yielding distinct micropore size distributions while maintaining an equivalent overall micropore volume among the materials. The granules exhibited a honeycomb (HC) macrostructure that facilitated cellular and tissue infiltration. CS- and CH-derived CAp HC granules (CS-CAp and CH-CAp) exhibited identical carbonate content (12%), micropore volume (0.2 cm3/g), and macropore size (135 μm), differing only in their micropore size distribution. Specifically, CS-CAp exhibited three distinct modes in pore size distribution, with the first, second, and third most abundant peaks at ≈350, 900, and 7 nm, respectively, whereas CH-CAp showed peaks at ≈100, 200, and 20 nm. When implanted into critical-sized defects in rabbit femurs, CS-CAp induced more than fourfold greater new bone formation than CH-CAp at both 4 and 12 weeks. Although no significant difference in material resorption was observed at 4 weeks, CS-CAp showed significantly less residual material at 12 weeks. Moreover, CS-CAp was replaced predominantly by bone, whereas CH-CAp was primarily replaced by adipose tissue. These findings demonstrate that micropore size distribution determines the type and extent of tissue regeneration and the rate of material replacement, providing valuable insight for the micropore design of synthetic bone grafts.
{"title":"Effects of Micropore Size Distribution in Carbonate Apatite Honeycomb Granules on Bone Replacement","authors":"Koichiro Hayashi, Ryo Kishida, Kunio Ishikawa","doi":"10.1002/jbma.70033","DOIUrl":"10.1002/jbma.70033","url":null,"abstract":"<p>Successful bone defect repair requires understanding both the role of micropores smaller than 10 μm and that of macropores. Although the effects of micropore volume have previously been reported, the influence of micropore size distribution remains unclear owing to the difficulty of independently varying the distribution of the total micropore volume. In this study, carbonate apatite (CAp) granules were synthesized from calcium sulfate (CS) and calcium hydroxide (CH) precursors, yielding distinct micropore size distributions while maintaining an equivalent overall micropore volume among the materials. The granules exhibited a honeycomb (HC) macrostructure that facilitated cellular and tissue infiltration. CS- and CH-derived CAp HC granules (CS-CAp and CH-CAp) exhibited identical carbonate content (12%), micropore volume (0.2 cm<sup>3</sup>/g), and macropore size (135 μm), differing only in their micropore size distribution. Specifically, CS-CAp exhibited three distinct modes in pore size distribution, with the first, second, and third most abundant peaks at ≈350, 900, and 7 nm, respectively, whereas CH-CAp showed peaks at ≈100, 200, and 20 nm. When implanted into critical-sized defects in rabbit femurs, CS-CAp induced more than fourfold greater new bone formation than CH-CAp at both 4 and 12 weeks. Although no significant difference in material resorption was observed at 4 weeks, CS-CAp showed significantly less residual material at 12 weeks. Moreover, CS-CAp was replaced predominantly by bone, whereas CH-CAp was primarily replaced by adipose tissue. These findings demonstrate that micropore size distribution determines the type and extent of tissue regeneration and the rate of material replacement, providing valuable insight for the micropore design of synthetic bone grafts.</p>","PeriodicalId":15142,"journal":{"name":"Journal of biomedical materials research. Part A","volume":"114 2","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbma.70033","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohsen Karshenas, Peter W. Kurtz, Amandine Impergre, Jeremy L. Gilbert
Despite the high success rates of total joint arthroplasty procedures, including total knee and hip replacements, implant failures still occur. This study investigated a potential, yet underrecognized, cause of implant failure: unintentional damage from the contact of electrosurgical blades with metal implant alloys. To understand this phenomenon, electrocautery damage (ECD) was induced to Ti-6Al-4V discs to evaluate microstructural changes to the surface and subsurface using digital optical microscopy, scanning electron microscopy, energy-dispersive spectroscopy, and atomic force microscopy. We assessed local depth-dependent single-asperity hardness of the cross-sectioned samples through the ECD site. ECD caused permanent changes in the microstructure up to 300 μm beneath the surface, transforming the grain structure in a depth-dependent manner into a predominantly martensitic form and a concurrent modification of the β-phase morphology. Within the top 50 μm, surface melting and the formation of oxide and nitride phases was seen. Transferred silicon, carbon, and iron particles from the electrosurgical blade were detected in the melted and oxidized surface layer. Melt-resolidified particles and evidence of alloy mixing between the blade and substrate was documented. Surface cracking penetrating tens of microns into the surface was observed. Hardness measurements revealed a substantial increase in the ECD-affected zone, reaching up to 8.5 GPa at 130 μm depth, compared to a bulk hardness of 2.7 GPa (p = 0.001). These findings systematically characterize electrocautery-induced subsurface transformations in Ti-6Al-4V, highlighting a previously underrecognized mechanism of implant surface embrittlement that may have significant implications for long-term arthroplasty performance and surgical technique.
{"title":"Electrocautery Alters the Near-Surface Microstructure, Phases, Composition, and Hardness of Ti-6Al-4V","authors":"Mohsen Karshenas, Peter W. Kurtz, Amandine Impergre, Jeremy L. Gilbert","doi":"10.1002/jbma.70030","DOIUrl":"10.1002/jbma.70030","url":null,"abstract":"<p>Despite the high success rates of total joint arthroplasty procedures, including total knee and hip replacements, implant failures still occur. This study investigated a potential, yet underrecognized, cause of implant failure: unintentional damage from the contact of electrosurgical blades with metal implant alloys. To understand this phenomenon, electrocautery damage (ECD) was induced to Ti-6Al-4V discs to evaluate microstructural changes to the surface and subsurface using digital optical microscopy, scanning electron microscopy, energy-dispersive spectroscopy, and atomic force microscopy. We assessed local depth-dependent single-asperity hardness of the cross-sectioned samples through the ECD site. ECD caused permanent changes in the microstructure up to 300 μm beneath the surface, transforming the grain structure in a depth-dependent manner into a predominantly martensitic form and a concurrent modification of the β-phase morphology. Within the top 50 μm, surface melting and the formation of oxide and nitride phases was seen. Transferred silicon, carbon, and iron particles from the electrosurgical blade were detected in the melted and oxidized surface layer. Melt-resolidified particles and evidence of alloy mixing between the blade and substrate was documented. Surface cracking penetrating tens of microns into the surface was observed. Hardness measurements revealed a substantial increase in the ECD-affected zone, reaching up to 8.5 GPa at 130 μm depth, compared to a bulk hardness of 2.7 GPa (<i>p</i> = 0.001). These findings systematically characterize electrocautery-induced subsurface transformations in Ti-6Al-4V, highlighting a previously underrecognized mechanism of implant surface embrittlement that may have significant implications for long-term arthroplasty performance and surgical technique.</p>","PeriodicalId":15142,"journal":{"name":"Journal of biomedical materials research. Part A","volume":"114 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jbma.70030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}