A biodegradable antibiotic-impregnated scaffold to prevent osteomyelitis in a contaminatedin vivobone defect model
1 University of Nottingham, Academic Orthopaedics, Trauma and Sports Medicine, C Floor, West Block, Queen’s Medical Centre, Nottingham, NG7 2UH, UK
2 Centre for Biomolecular Sciences, University of Nottingham, University Park, Nottingham, NG7 2RD, UK
3 Locate Therapeutics Ltd, The Sir Colin Campbell Building, Innovation Park, Triumph Road, Nottingham NG7 2TU, UK
4 Institute of Orthopaedics & Musculoskeletal Science, UCL, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK
Abstract
Open fractures are at risk of serious infection and, if infected, require several surgical interventions and courses of systemic antibiotics. We investigated a new injectable formulation that simultaneously hardensin vivoto form a porous scaffold for bone repair and delivers antibiotics at high concentrations to the local site of infection. Duration of antimicrobial activity againstStaphylococcus aureuswas determined using the serial plate transfer test. Ultimate compressive strength and porosity of the material was measured with and without antibiotics. The material was evaluatedin vivoin an ovine medial femoral condyle defect model contaminated withS. aureus.Sheep were sacrificed at either 2 or 13 weeks and the defect and surrounding bone assessed using micro-computed tomography and histology. Antimicrobial activityin vitropersisted for 19-21 days. Sheep with antibiotic-free material and bacteria became infected, while those with antibiotic-containing material and bacteria did not. Similarly, new bone growth was seen in uninoculated animals with plain polymer, and in those with antibiotic polymer with bacteria, but not in sheep with plain polymer and bacteria. The antibiotic-impregnated scaffolds were effective in preventingS. aureusinfections whilst supporting bone growth and repair. If translated into clinical practice, this approach might reduce the need for systemic antibiotics.
Keywords
- PLGA
- biodegradable scaffold
- infection
- in vivo
- bone ingrowth
Cite
Share
Top
