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research article

Prediction of bone density around orthopedic implants delivering bisphosphonate

Stadelmann, Vincent A.
•
Terrier, Alexandre  
•
Gauthier, Olivier
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2009
Journal of Biomechanicsanics

The fixation of an orthopedic implant depends strongly upon its initial stability. Peri-implant bone may resorb shortly after the surgery. This resorbtion is directly followed by new bone formation and implants fixation strengthening, the so-called secondary fixation. If the initial stability is not reached, the resorbtion continues and the implant fixation weakens, which leads to implant loosening. Studies with rats and dogs have shown that a solution to prevent peri-implant resorbtion is to deliver bisphosphonate from the implant surface. The aims of the study were, first, to develop a model of bone remodeling around an implant delivering bisphosphonate, second, to predict the bisphosphonate dose that would induce the maximal peri- implant bone density, and third to verify in vivo that peri-implant bone density is maximal with the calculated dose. The model consists of a bone remodeling equation and a drug diffusion equation. The change in bone density is driven by a mechanical stimulus and a drug stimulus. The drug stimulus function and the other numerical parameters were identified from experimental data. The model predicted that a dose of 0.3µg of zolderonate on the implant would induce a maximal bone density. Implants with 0.3µg of zoledronate were then implanted in rat femurs for 3, 6 and 9 weeks. We measured that peri-implant bone density was 4% greater with the calculated dose compared to the dose empirically described as best. The approach presented in this paper could be used in the design and analysis processes of experiments in local delivery of drug such as bisphosphonate.

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Type
research article
DOI
10.1016/j.jbiomech.2009.03.024
Web of Science ID

WOS:000267814600005

Author(s)
Stadelmann, Vincent A.
Terrier, Alexandre  
Gauthier, Olivier
Bouler, Jean-Michel
Pioletti, Dominique P.  
Date Issued

2009

Published in
Journal of Biomechanicsanics
Volume

42

Start page

1206

End page

1211

Subjects

Mathematical model

•

bone remodeling

•

bisphosphonate

•

drug delivery

•

orthopedic implant

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LBO  
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/36087
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