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Chitosan and hydroxyapatite based biomaterials to circumvent periprosthetic joint infections

dc.contributor.authorCosta-Pinto, Ana Rita
dc.contributor.authorLemos, Ana Luísa
dc.contributor.authorTavaria, Freni Kekhasharú
dc.contributor.authorPintado, Manuela
dc.date.accessioned2021-03-29T16:36:37Z
dc.date.available2021-03-29T16:36:37Z
dc.date.issued2021-02-08
dc.description.abstractEvery year, worldwide, millions of people suffering from joint pain undergo joint replace-ment. For most patients, joint arthroplasty reduces pain and improve function, though a small fraction will experience implant failure. One of the main reasons includes prosthetic joint infection (PJI), involving the prosthesis and adjacent tissues. Few microorganisms (MO) are required to inocu-late the implant, resulting in the formation of a biofilm on its surface. Standard treatment includes not only removal of the infected prosthesis but also the elimination of necrotic bone fragments, local and/or systemic administration of antibiotics, and revision arthroplasty with a new prosthesis, immediately after the infection is cleared. Therefore, an alternative to the conventional therapeutics would be the incorporation of natural antimicrobial compounds into the prosthesis. Chitosan (Ch) is a potential valuable biomaterial presenting properties such as biocompatibility, biodegradability, low immunogenicity, wound healing ability, antimicrobial activity, and anti-inflammatory potential. Regarding its antimicrobial activity, Gram-negative and Gram-positive bacteria, as well as fungi are highly susceptible to chitosan. Calcium phosphate (CaP)-based materials are commonly utilized in orthopedic and dentistry for their excellent biocompatibility and bioactivity, particularly in the establishment of cohesive bone bonding that yields effective and rapid osteointegration. At present, the majority of CaP-based materials are synthetic, which conducts to the depletion of the natural resources of phosphorous in the future due to the extensive use of phosphate. CaP in the form of hydroxyapatite (HAp) may be extracted from natural sources as fish bones or scales, which are by-products of the fish food industry. Thus, this review aims to enlighten the fundamental characteristics of Ch and HAp biomaterials which makes them attractive to PJI prevention and bone regeneration, summarizing relevant studies with these biomaterials to the field.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/ma14040804pt_PT
dc.identifier.eid85100716228
dc.identifier.issn1996-1944
dc.identifier.pmcPMC7914941
dc.identifier.pmid33567675
dc.identifier.urihttp://hdl.handle.net/10400.14/32358
dc.identifier.wos000624086200001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAntimicrobialpt_PT
dc.subjectBiomaterialspt_PT
dc.subjectChitosanpt_PT
dc.subjectHydroxyapatitept_PT
dc.subjectOste-oregenerationpt_PT
dc.subjectPeriprosthetic joint infectionpt_PT
dc.titleChitosan and hydroxyapatite based biomaterials to circumvent periprosthetic joint infectionspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage20pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleMaterialspt_PT
oaire.citation.volume14pt_PT
person.familyNameCosta-Pinto
person.familyNameKekhasharú Tavaria
person.familyNamePintado
person.givenNameAna Rita
person.givenNameFreni
person.givenNameMaria Manuela
person.identifier456608
person.identifier.ciencia-id1313-66B7-2A1E
person.identifier.ciencia-id1B15-5DAD-7B27
person.identifier.ciencia-id2F13-AAE0-3405
person.identifier.orcid0000-0002-4764-8539
person.identifier.orcid0000-0002-6273-6668
person.identifier.orcid0000-0002-0760-3184
person.identifier.ridI-7483-2013
person.identifier.ridF-5696-2013
person.identifier.scopus-author-id24390737500
person.identifier.scopus-author-id6602645613
person.identifier.scopus-author-id7004483898
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication01f178ed-80a7-468a-8cd4-a96e2f4af148
relation.isAuthorOfPublicatione42f563a-5b1e-4586-b302-efabe7ce07da
relation.isAuthorOfPublicationba387c7d-27c9-4016-895c-b35597e91ebc
relation.isAuthorOfPublication.latestForDiscoveryba387c7d-27c9-4016-895c-b35597e91ebc

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