Tissue compatibility of polylactic acids in the skeletal site

This study was undertaken to examine the osseous tissue compatibility of polylactic acid (PLA) with properties of bioabsorbability and plasticity. Two kinds of granular PLA with different molecular weight (PLA-H: 28 000 MW, PLA-L: 10 600 MW) were implanted into rat tibiae and light microscopic sections were prepared at 1, 2, 4, 8, 16, and 24 weeks following surgery. The tissue compatibility of the PLAs was compared with that of hydroxyapatite (HAP) which is a non-absorbable biocompatible material. After implantation, both PLAs were gradually absorbed and replaced by marrow tissue at 24 weeks. PLA-H degraded slower than PLA-L. New bone formation was observed around each PLA by 4 weeks, and a vast amount of bone deposited on PLA-H at 16 weeks. Phagocytic reactions to the PLAs were noted, however, severe inflammation was not seen. HAP was not absorbed and bone surrounded it throughout the experiment. These results indicate good tissue compatibility of PLA as a bioabsorbable material at the skeletal site.