The morphogenesis of bone in a porous hydroxyapatite substratum was
studied after intramuscular implantation in adult primates. Replicas of
porous hydroxyapatite that had been obtained after hydrothermal conversion
of the calcium carbonate exoskeleton of coral (genus Goniopora) were
implanted intramuscularly in twenty-four adult male baboons (Papio
ursinus). Serial sections from specimens that had been harvested at three,
six, and nine months showed that initially the formation of fibrous
connective tissue was characterized by a prominent vascular component and
by condensations of collagen fibers assembled at the interface of the
hydroxyapatite. The morphogenesis of bone was intimately associated with
the differentiation of the connective-tissue condensations. Bone formed
without an intervening endochondral phase. Although the amount of bone
varied considerably, in several specimens extensive bone developed, filling
large portions of the porous spaces and culminating in total penetration by
bone within the implants. The mean volume fraction composition of the
specimens was 20.8 +/- 1.0 per cent (mean and standard error) for bone,
17.3 +/- 1.7 per cent for connective-tissue condensation, 31.9 +/- 1.0 per
cent for fibrovascular tissue, 6.4 +/- 0.6 per cent for bone marrow, and
34.6 +/- 0.5 per cent for the hydroxyapatite framework. The amount of bone
and marrow increased at each time-period, and the hydroxyapatite framework
was significantly reduced between six and nine months. This indicated a
moderate biodegradation over time, which was possibly a result of
incomplete conversion of carbonate to hydroxyapatite. Linear regression
analysis showed a negative correlation between the hydroxyapatite framework
and the magnitude of bone formation within the porosities of the
hydroxyapatite (p = 0.0001). Biochemical coating of the hydroxyapatite
substratum with an allogeneic fibrin-fibronectin protein concentrate
prepared from baboon plasma did not significantly increase the amount of
bone formation within the porous spaces. The hydroxyapatite substratum may
have functioned as a solid-phase domain for anchorage of bone morphogenetic
proteins.