Porous hydroxyapatite (Interpore 500) formed by conversion of the
Porites goniopora coral exoskeleton has pores averaging 600 micrometers and
pore interconnections averaging 260 micrometers in diameter. In the
proximal tibial metaphysis of eight dogs, a defect one cubic centimeter in
size was created unilaterally and was fitted with a block of Interpore 500.
Both proximal tibial metaphyses were retrieved at two, four, six, and
twelve months. Stained undecalcified sections were examined by light
microscopy and quantitated by histometric methods. The implant-side
specimens contained compact bone along the external surface and trabecular
bone interiorly. The interior of these specimens was composed of 51.9 +/-
1.3 per cent soft tissue, 13.0 +/- 1.2 per cent bone, and 35.1 +/- 1.2 per
cent Interpore 500 (mean and standard error). The interior of the normal
specimens was composed of 79.7 +/- 1.4 per cent soft tissue and 20.2 +/-
1.4 per cent bone. The allocation of implant pore space between bone and
soft tissue was proportional to that of bone and soft tissue in the normal
tibiae. The stereological distribution of regenerated bone in the porous
hydroxyapatite was also the same as in the normal tibiae. The appositional
process of incorporation of the implant was confirmed by the finding that
66.5 per cent of the surface of the Interpore 500 was covered with bone
ingrowth at twelve months.