Evidence map›Paper›PMID 33641411›Full record

ArticleThe bone & joint journal2021

The antimicrobial activity and biocompatibility of a controlled gentamicin-releasing single-layer sol-gel coating on hydroxyapatite-coated titanium.

Tim Nichol, Jill Callaghan, Robert Townsend, Ian Stockley, Paul V Hatton, Christine Le Maitre, Thomas John Smith, Robert Akid

Abstract read
In one paragraph

Article in The bone & joint journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
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  7. [Progress in antibacterial/osteogenesis dual-functional surface modification strategy of titanium-based implants].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tim NicholBiomolecular Sciences Research Centre, Sheffield Hallam University, Sheffield, UK.ORCID https://orcid.org/0000-0002-0115-957X
Jill CallaghanSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0002-5147-7218
Robert TownsendSheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Sheffield, UK.
Ian StockleySheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Sheffield, UK.
Paul V HattonSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK.ORCID https://orcid.org/0000-0001-5234-1104
Christine Le MaitreBiomolecular Sciences Research Centre, Sheffield Hallam University, Sheffield, UK.ORCID https://orcid.org/0000-0003-4489-7107
Thomas John SmithBiomolecular Sciences Research Centre, Sheffield Hallam University, Sheffield, UK.ORCID https://orcid.org/0000-0002-4246-5020
Robert AkidDepartment of Materials, University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0003-0337-9768

Funding

Medical Research Council MR/J014656/1
6 · The paper itself

Abstract

aimsThe aim of this study was to develop a single-layer hybrid organic-inorganic sol-gel coating that is capable of a controlled antibiotic release for cementless hydroxyapatite (HA)-coated titanium orthopaedic prostheses.

methodsCoatings containing gentamicin at a concentration of 1.25% weight/volume (wt/vol), similar to that found in commercially available antibiotic-loaded bone cement, were prepared and tested in the laboratory for: kinetics of antibiotic release; activity against planktonic and biofilm bacterial cultures; biocompatibility with cultured mammalian cells; and physical bonding to the material (n = 3 in all tests). The sol-gel coatings and controls were then tested in vivo in a small animal healing model (four materials tested; n = 6 per material), and applied to the surface of commercially pure HA-coated titanium rods.

resultsThe coating released gentamicin at > 10 × minimum inhibitory concentration (MIC) for sensitive staphylococcal strains within one hour thereby potentially giving effective prophylaxis for arthroplasty surgery, and showed > 99% elution of the antibiotic within the coating after 48 hours. There was total eradication of both planktonic bacteria and established bacterial biofilms of a panel of clinically relevant staphylococci. Mesenchymal stem cells adhered to the coated surfaces and differentiated towards osteoblasts, depositing calcium and expressing the bone marker protein, osteopontin. In the in vivo small animal bone healing model, the antibiotic sol-gel coated titanium (Ti)/HA rod led to osseointegration equivalent to that of the conventional HA-coated surface.

conclusionIn this study we report a new sol-gel technology that can release gentamicin from a bioceramic-coated cementless arthroplasty material. In vitro, local gentamicin levels are in excess of what can be achieved by antibiotic-loaded bone cement. In vivo

Indexed as

AnimalsBiofilmsCoated Materials, BiocompatibleDurapatiteGentamicinsMaterials TestingProsthesis-Related InfectionsRatsStaphylococcal InfectionsTitaniumCoated Materials, BiocompatibleDurapatiteGentamicinsTitaniumAntimicrobialControlled releaseMicro-CTOsseointegrationSol-gel coatingUncemented prosthesis

Identifiers

PMID33641411
PMCPMC7954144

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.