Early tissue response to titanium implants inserted in rabbit cortical bone

The tissue response to screw-shaped implants of commercially pure titanium was studied by light microscopy 3–180 days after insertion in the rabbit tibia. The implant site in the tibial metaphysis consisted mainly of cortical bone. Three days after implantation, osteoblasts, producing osteoid, were observed at the endosteal surface and elongated mesenchymal cells were present in the injury area. Some macrophages but rather few other inflammatory cells were identified. Multinuclear giant cells were in direct contact with the implant and formed an almost continuous layer along the surface from the 7th day. The number of giant cells decreased with time and with increased bone-titanium contact. Bone formation was never seen direct on the implant surface but was first observed at day 7 as a woven trabecular bone formed at the endosteal surface and extending towards the implant and as a solitary formation of woven bone close to the implant. The solitary bone matrix served as a base for surface osteoblasts which produced osteoid in a lamellar arrangement. With time the two types of newly formed bone fused and more bone filled the threads and became remodelled by bone remodelling units. Light microscopic morphometry in ground sections demonstrated that the bone/titanium contact and bone area in the threads increased with time up to 6 months after implantation