A mixture of hyaluronic acid and calcium carbonate could soon heal complicated bone fractures.
A paradigm shift is underway in medicine where biomimetic materials support the body's natural healing power.
Biomimetics, or learning solutions from nature, is at the center of this materials revolution. Instead of implanting metallic or ceramic foreign bodies that often remain in the body for life, researchers are now focusing on biodegradable materials that stimulate the bone to heal itself .
The Vision: An implant that remains stable exactly until the body has replaced it with its own bone tissue and then dissolves without residue.
This approach is particularly relevant for the growing number of bone defects caused by cysts, tumors, comminuted fractures, or implant loosening . Conventional treatment with bone materials of animal origin not only requires elaborate processing procedures but also places a burden on the patient.
A groundbreaking research project at INNOVENT e.V. in Jena shows what the future of bone regeneration could look like. The team led by Dr. Bernd Grünler developed a novel composite material made of hyaluronic acid and calcium carbonate that is precisely tailored to the needs of bone healing .
Production of composite materials through chemical cross-linking of hyaluronic acid with various calcium carbonate modifications.
Investigation of different forms of calcium carbonate particles - both rods and spheres, some with special surface coatings.
Precise adjustment of degradation behavior by varying the filler content, molecular mass, and concentration of hyaluronic acid.
Soaking of the dried hyaluronic acid test specimens with antibacterial substances to prevent infections .
Creating stable composite structures through molecular bonding
Testing different particle shapes for optimal performance
Incorporating infection-preventing substances
The experiments delivered promising results: The researchers were able to control the degradation behavior of the composites so that they disappeared after about six months - exactly the period that bone cells need to gradually replace the implant and completely fill the defect .
Remarkable finding: Biological investigations showed that the composite materials actually support the mineralization of osteoblasts and thus actively promote natural bone formation .
| Year | Market Volume (in billion USD) | Growth Rate (annual) |
|---|---|---|
| 2021 | 3.33 | - |
| 2029 | 5.70 | 6.1% |
Source:
The development of biomimetic materials requires a precise selection of components that are both biocompatible and functional.
| Material | Function | Biomimetic Aspect |
|---|---|---|
| Hyaluronic Acid | Biodegradable scaffold material, forms the basic matrix | Occurs naturally in the human body |
| Calcium Carbonate | Mineral component, controls mechanical properties and degradation behavior | Contains carbonate ions like in natural bone |
| Various Calcium Carbonate Modifications (Rods/Spheres) | Influence mechanical stability and degradation speed | Imitates the complex structure of natural bone matrix |
| Antibacterial Substances | Prevent infections at the implantation site | Mimics natural defense mechanisms |
Hyaluronic acid is a naturally occurring polysaccharide in the human body, particularly in connective tissues, skin, and eyes. Its biocompatibility and biodegradability make it an ideal scaffold material for tissue engineering.
Calcium carbonate provides the mineral component that mimics the inorganic part of natural bone. Different crystalline forms (calcite, aragonite, vaterite) offer varying degradation rates and mechanical properties.
The potential applications of these biomimetic materials are diverse. They range from the restoration of bony structure in periodontal bone defects or after tooth extractions to the treatment of bone defects after accidents or the removal of cysts .
| Application Area | Specific Use Cases | Special Benefit |
|---|---|---|
| Oral and Maxillofacial Surgery | Periodontal bone defects, after tooth extractions | Restoration of chewing function and aesthetics |
| Orthopedics | Bone defects after accidents, comminuted fractures | Restoration of load-bearing capacity |
| Tumor Surgery | Bone reconstruction after tumor removal | Complete rehabilitation |
| General Surgery | Cyst removal, implant loosening | Minimization of follow-up interventions |
Restoring bone structure after tooth loss or periodontal disease, enabling successful dental implant placement.
Treating complex fractures and bone defects resulting from trauma, restoring mobility and function.
Reconstructing bone after tumor removal or treating bone cysts, minimizing the need for additional surgeries.
Demographic development towards an older population and the increase in diseases related to bones and teeth are meeting a growing market that, according to forecasts, will rise from 3.33 billion USD in 2021 to over 5.7 billion USD by 2029 .
The development of the HYA-calcium carbonate composites exemplarily shows how the integration of biological principles into materials science enables novel therapies. The targeted release of active substances, the control of degradation behavior, and the adaptation to specific tissue properties are just the beginning.
Future materials will respond to biological signals and adapt their properties to the healing stage.
Injectable formulations that harden in situ will reduce surgical trauma and improve patient outcomes.
The researchers at INNOVENT emphasize that while the developed composite materials offer very great potential, they also raise further research questions . The path to clinical application will still take several years, but the direction is set: Medical implants are increasingly becoming temporary helpers that the body breaks down after completing their work and replaces with its own tissue.
This brings closer a future in which bone fractures are no longer treated with foreign metal implants but with intelligent, body-accepted and degradable materials that optimally support the natural healing process.