How Does the Biocompatibility of Molybdenum Compare to the Gold Standard Titanium?—An In Vivo Rat Model
Source abstract
Abstract
Molybdenum is an essential trace element, considered in recent work to be a promising 3D-printable biodegradable material for medical applications. Specifically, in our recent in vitro work, we were able to show that molybdenum is a material of high biocompatibility, sufficient stability, and uniform degradation. Thus, it seems to fulfill the optimal requirements for a resorbable osteosynthesis material. To confirm these results in a complex organism, we tested molybdenum against the gold standard titanium. For this purpose, we implanted either molybdenum or titanium implants into the nuchal folds of 48 Wistar rats. We examined all animals daily for clinical inflammatory parameters and euthanized one-third of the cohort after 12, 24, and 52 weeks, respectively. Subsequently, the tissues surrounding the samples, as well as the spleens, livers, and kidneys of all animals, were pathologically processed and examined. Subsequently, selected samples were examined metallographically. No significant increased inflammatory reaction of the material molybdenum versus titanium could be detected, either clinically or pathologically. The animals did not show any significant differences regarding their general condition or weight development. However, the introduced molybdenum platelets showed significantly less degradation than previously in the in vitro model. This is most likely due to the capsule formation, which has already been described for other implants.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Magnesium Alloys: Properties and Applications · Hydrogen Storage and Materials · Orthopaedic implants and arthroplasty
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Oral-, Maxillofacial and Facial Plastic Surgery, University Hospital Düsseldorf, 40225 Düsseldorf, Germany
Fraunhofer Institute for Manufacturing Technology and Advanced Materials IFAM, Branch Lab Dresden, 01277 Dresden, Germany
Karl Leibinger Medizintechnik GmbH & Co. KG, 78570 Mühlheim, Germany
Institute of Pathology, Heinrich Heine University and University Hospital Düsseldorf, 40225 Düsseldorf, Germany
Funding
Bundesministerium für Bildung und Forschung (BMBF), Germany
References (40)
Show source-provided references
1. Haerle, F., and Champy, M. (2011). Atlas of Craniomaxillofacial Osteosynthesis: Microplates, Miniplates, and Screws, Thieme.
2. A systematic review and meta-analysis of endoscopic versus open treatment of craniosynostosis. Part 1: The sagittal suture10.3171/2018.4.PEDS17729 ↗
3. A systematic review of endoscopic versus open treatment of craniosynostosis. Part 2: The nonsagittal single sutures10.3171/2018.4.PEDS17730 ↗
4. Comparison of the mechanical properties of biodegradable and titanium osteosynthesis systems used in oral and maxillofacial surgery10.1038/s41598-020-75299-9 ↗
5. A systematic review of the use of titanium versus stainless steel implants for fracture fixation10.1097/OI9.0000000000000138 ↗
6. Allergies to Titanium Dental Implants: What Do We Really Know about Them? A Scoping Review10.3390/biology9110404 ↗
7. Widespread dissemination of metal debris from implants10.1302/0301-620X.76B5.8083255 ↗
8. Efficacy and safety of biodegradable osteofixation devices in oral and maxillofacial surgery: A systematic review10.1177/154405910608501102 ↗
9. Gareb, B., Van Bakelen, N., Buijs, G., Jansma, J., De Visscher, J., Hoppenreijs, T.J., Bergsma, J., van Minnen, B., Stegenga, B., and Bos, R. (2017). Comparison of the long-term clinical performance of a biodegradable and a titanium fixation system in maxillofacial surgery: A multicenter randomized controlled trial. PLoS ONE, 12.10.1371/journal.pone.0177152 ↗
10. Overview of innovative advances in bioresorbable plate systems for oral and maxillofacial surgery10.1016/j.jdsr.2018.03.003 ↗
11. Evaluation of the soft tissue biocompatibility of MgCa0.8 and surgical steel 316L in vivo: A comparative study in rabbits10.1186/1475-925X-9-63 ↗
12. In vivo study of a biodegradable orthopedic screw (MgYREZr-alloy) in a rabbit model for up to 12 months10.1177/0885328212472215 ↗
13. Biomechanical testing and degradation analysis of MgCa0. 8 alloy screws: A comparative in vivo study in rabbits10.1016/j.actbio.2010.10.031 ↗
14. Bioabsorbable magnesium screw versus conventional titanium screw fixation for medial malleolar fractures10.1186/s10195-020-00547-7 ↗
15. Bioabsorbable metal screws in traumatology: A promising innovation10.1016/j.tcr.2017.01.012 ↗
16. Biodegradable magnesium implants for orthopedic applications10.1007/s10853-012-6572-2 ↗
17. Early results using a biodegradable magnesium screw for modified chevron osteotomies10.1002/jor.23241 ↗
18. Biodegradable metals10.1016/j.mser.2014.01.001 ↗
19. Resorbable PLLA-PGA plate and screw fixation in pediatric craniofacial surgery: Clinical experience in 1883 patients10.1097/01.PRS.0000132856.69391.43 ↗
20. Resorbable poly(L-lactide) plates and screws for the fixation of zygomatic fractures10.1016/0278-2391(87)90194-7 ↗
21. New Resorbable Plate and Screw System in Pediatric Craniofacial Surgery10.1097/SCS.0b013e31824dbed8 ↗
22. Zygomaticomaxillary fracture repair with resorbable plates and screws10.1097/00001665-200011040-00019 ↗
23. Late degradation tissue response to poly(L-lactide) bone plates and screws10.1016/0142-9612(95)91092-D ↗
24. Molybdenum cofactors, enzymes and pathways10.1038/nature08302 ↗
25. A model for the transpassivity of molybdenum in acidic sulphate solutions based on ac impedance measurements10.1016/0013-4686(95)00468-8 ↗
26. Molybdenum—A biodegradable implant material for structural applications?10.1016/j.actbio.2019.12.031 ↗
27. In-vivo evaluation of molybdenum as bioabsorbable stent candidate10.1016/j.bioactmat.2021.11.005 ↗
28. Molybdenum as a Potential Biocompatible and Resorbable Material for Osteosynthesis in Craniomaxillofacial Surgery—An In Vitro Study10.3390/ijms232415710 ↗
29. 90-Day subchronic toxicity study of sodium molybdate dihydrate in rats10.1016/j.yrtph.2013.09.003 ↗
30. Mild renal failure induced by subchronic exposure to molybdenum: Urinary kallikrein excretion as a marker of distal tubular effect10.1016/0378-4274(90)90039-O ↗
31. Synovitis score: Discrimination between chronic low-grade and high-grade synovitis10.1111/j.1365-2559.2006.02508.x ↗
32. A dirty dozen: Twelve p-value misconceptions10.1053/j.seminhematol.2008.04.003 ↗
33. Statistical tests, P values, confidence intervals, and power: A guide to misinterpretations10.1007/s10654-016-0149-3 ↗
34. Molybdenum and tungsten manufactured by selective laser melting: Analysis of defect structure and solidification mechanisms10.1016/j.ijrmhm.2019.104999 ↗
35. Molybdenum absorption and utilization in humans from soy and kale intrinsically labeled with stable isotopes of molybdenum10.1093/ajcn/69.6.1217 ↗
36. Schauer, A., Redlich, C., Scheibler, J., Poehle, G., Barthel, P., Maennel, A., Adams, V., Weissgaerber, T., Linke, A., and Quadbeck, P. (2021). Biocompatibility and Degradation Behavior of Molybdenum in an In Vivo Rat Model. Materials, 14.10.3390/ma14247776 ↗
37. Mechanism of anodic oxidation of molybdenum in nearly-neutral electrolytes studied by electrochemical impedance spectroscopy and X-ray photoelectron spectroscopy10.1016/j.electacta.2010.12.022 ↗
38. Postoperative delirium: Perioperative assessment, risk reduction, and management10.1016/j.bja.2020.06.063 ↗
39. The Anodic Dissolution of Molybdenum10.5006/0010-9312-26.8.338 ↗
40. Applications of electrochemistry in corrosion science and in practice10.1016/S0010-938X(74)80006-5 ↗