Engineering Wet‐Resistant and Osteogenic Nanocomposite Adhesive to Control Bleeding and Infection after Median Sternotomy

Median sternotomy surgery stands as one of the prevailing strategies in cardiac surgery. In this study, the cutting‐edge bone adhesive is designed, inspired by the impressive adhesive properties found in mussels and sandcastle worms. This work has created an osteogenic nanocomposite coacervate adhes...

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Veröffentlicht in:Advanced healthcare materials 2024-07, Vol.13 (19), p.e2304349-n/a
Hauptverfasser: Shokri, Mahshid, Kharaziha, Mahshid, Ahmadi Tafti, Hossein, Dalili, Faezeh, Mehdinavaz Aghdam, Rouhollah, Baghaban Eslaminejad, Mohamadreza
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container_title Advanced healthcare materials
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creator Shokri, Mahshid
Kharaziha, Mahshid
Ahmadi Tafti, Hossein
Dalili, Faezeh
Mehdinavaz Aghdam, Rouhollah
Baghaban Eslaminejad, Mohamadreza
description Median sternotomy surgery stands as one of the prevailing strategies in cardiac surgery. In this study, the cutting‐edge bone adhesive is designed, inspired by the impressive adhesive properties found in mussels and sandcastle worms. This work has created an osteogenic nanocomposite coacervate adhesive by integrating a cellulose‐polyphosphodopamide interpenetrating network, quaternized chitosan, and zinc, gallium‐doped hydroxyapatite nanoparticles. This adhesive is characterized by robust catechol–metal coordination which effectively adheres to both hard and soft tissues with a maximum adhesive strength of 900 ± 38 kPa on the sheep sternum bone, surpassing that of commercial bone adhesives. The release of zinc and gallium cations from nanocomposite adhesives and quaternized chitosan matrix imparts remarkable antibacterial properties and promotes rapid blood coagulation, in vitro and ex vivo. It is also proved that this nanocomposite adhesive exhibits significant in vitro bioactivity, stable degradability, biocompatibility, and osteogenic ability. Furthermore, the capacity of nanocomposite coacervate to adhere to bone tissue and support osteogenesis contributes to the successful healing of a sternum bone defect in a rabbit model in vivo. In summary, these nanocomposite coacervate adhesives with promising characteristics are expected to provide solutions to clinical issues faced during median sternotomy surgery. A nanocomposite coacervate adhesive based on a cellulose‐polyphosphodopamide interpenetrating network, quaternized chitosan, and zinc, gallium‐doped hydroxyapatite nanoparticles is developed. This hydrogel shows significant adhesive, antibacterial, hemostatic, and osteogenic properties for median sternotomy surgery.
doi_str_mv 10.1002/adhm.202304349
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source Wiley Online Library Journals Frontfile Complete
subjects Adhesive strength
Adhesives
Biocompatibility
Biological activity
Biomedical materials
Blood coagulation
Bone healing
Bone matrix
Bone surgery
bone tissue engineering
Catechol
Cations
Cell adhesion
Cellulose
Chitosan
coacervate complex
Cutting resistance
Degradability
Gallium
hemostatic
Hydroxyapatite
infection
Interpenetrating networks
Mussels
nanocomposite bioadhesive
Nanocomposites
Nanoparticles
Osteogenesis
Soft tissues
sternotomy
Sternum
Surgery
Zinc
title Engineering Wet‐Resistant and Osteogenic Nanocomposite Adhesive to Control Bleeding and Infection after Median Sternotomy
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