Kemikte defekt iyileşmesine stronsiyum içeren silisyum-hidroapatit seramiklerinin etkisi.

Hydroxyapatite (HA) based bioceramics have been developed to treat bone defects for the last 30 years. Doping HA with elements is a common approach to increase mechanical strength, biocompatibility and osteointegrity. Bone morphogenetic protein (BMP)-containing bioceramic composites enhance osteointegrity and induce bone formation. Strontium (Sr) is currently used to treat osteoporosis clinically as this element inhibits bone resorption and stimulates bone formation. In this study, HA was doped with silicon (Si), Sr, BMP-2 and evaluated in cortical bone defect healing. Ceramics were produced and tested mechanically after characterization. Sr release from ceramics was assessed. Ceramics were further evaluated in in vitro and in vivo conditions. X-ray diffraction analysis results of HA were in line with the literature and Sr-Si-HA ceramics showed similar intensities with HA. Ceramics had 36.9 to 41.6% porosity. Compression strength of Sr1000-Si-HA ceramics was 117.5 MPa which was more than that of the other groups. Consistent Sr release was observed in the Sr1000-Si-HA and the Sr250-Si-HA groups. Sr1000-Si-HA and Sr250-Si-HA ceramics showed higher cellular proliferation rates than the other groups in vitro. BMP addition increased alkaline phosphatase activities and DNA amounts. BMP-Sr-Si-HA group presented higher (0.304±0.02 g/cm2) bone mineral density values than the other groups 4 weeks after implantation however differences between groups were not significant in vivo. Sr-Si-HA and BMP-Sr-Si-HA composites stimulated new bone formation at cortical bone defects of tibia according to micro computerized-tomography and histological results. Findings of this study promote future research on Sr containing bioceramics in treatment of orthopedic problems.Ph.D. - Doctoral Progra