WorldWideScience

Sample records for bone cement additives

  1. Investigation of an effervescent additive as porogenic agent for bone cement macroporosity.

    Science.gov (United States)

    Hesaraki, Saeed; Sharifi, Davood

    2007-01-01

    Calcium phosphate cements (CPCs) are biocompatible and osteoconductive materials used in dental, craniofacial and orthopaedic applications. One of the most important advantages of these materials is their replacement with bone followed by resorption. Already several attempts have been made to improve the resorption behaviour of calcium phosphate cements by increasing the porosity of the material. In this investigation a mixture of NaHCO(3) and citric acid monohydrate was added to the apatite cement component as an effervescent additive for producing interconnected macropores into the cement matrix. Mercury intrusion porosimetry was employed to determine pore volume and pore size distribution in the calcium phosphate cement (CPC) samples. Results showed that addition of only 10 wt % of the effervescent additive (based on the cement powder) to the CPC components lead to producing about 20 V % macropores (with the size of 10 to 1000 mum) into the cement structure. The setting time was measured in an incubator at 37 degrees C and decreased from 40 min for additive-free CPC to about 14 min for CPC containing effervescent additive. Other properties of the CPCs such as compressive strength, phase composition, microstructure morphology and dissolution behavior were evaluated after immersing them in a simulated body fluid solution. The results showed that the rate of formation of poor crystalline apatite phase have been improved by production of macroporosity into the cement matrix. PMID:17264385

  2. Investigating calcium polyphosphate addition to a conventional calcium phosphate cement for bone-interfacing applications

    Science.gov (United States)

    Krausher, Jennifer Lynn

    Calcium phosphate cements (CPCs) are of great interest in bone regeneration applications because of their biocompatibility and osteoconductivity, and as delivery vehicles for therapeutics; however, delivery applications have been limited by adverse interactions between therapeutics and the cement setting reaction. Amorphous calcium polyphosphate (CPP) yields a biodegradable material with a demonstrated drug delivery capacity following appropriate processing. The incorporation of drug-loaded CPP into a CPC is under consideration as a method of minimizing adverse interactions and extending drug release. This thesis represents the first investigation into the effects of CPP addition on the properties, setting and antibiotic release profile of a conventional apatitic calcium phosphate cement. As-made, gelled and vancomycin-loaded CPP particulate were added to the powder component of a conventional dicalcium phosphate/tetracalcium phosphate CPC. The setting behaviour, set properties and microstructure of the resulting CPP-CPCs were evaluated with setting time testing (Gilmore needle method), pH testing, mechanical testing, SEM imaging, XRD and FTIR analysis. In vitro degradation and elution behaviour were evaluated by monitoring calcium release (atomic absorbance spectroscopy), mechanical strength and vancomycin release (UV-visual spectrophotometry). CPP addition was found to increase the setting time, reduce the mechanical strength and inhibit the conversion of the CPC starting powders to the set apatitic phase. The most likely mechanism for the observed effect of CPP addition was the adsorption of polyphosphate chains on the particle surfaces, which would inhibit the dissolution of the starting powders and the conversion of apatite precursor phases to apatite, leading to reduced mechanical properties. The detrimental effects of CPP were reduced by limiting the CPP fraction to less than a few weight per cent and increasing the size of the CPP particulate. CPP

  3. Formation of interconnected macropores in apatitic calcium phosphate bone cement with the use of an effervescent additive.

    Science.gov (United States)

    Hesaraki, S; Moztarzadeh, F; Sharifi, D

    2007-10-01

    Calcium phosphate cements (CPCs) can be considered as good candidate for bone tissue engineering because they can be resorbed and take part in the bone remodeling process. Several efforts have been made into improve the resorption rate of the calcium phosphate cement by introducing macropores to the cement matrix. In this investigation a simple and effective method has been presented based on the addition of various amounts of an effervescent agent to the calcium phosphate cement components. The effervescent agent was a mixture of sodium hydrogen carbonate, NaHCO(3) (that was added to the powder phase), and citric acid monohydrate, C(6)H(8)O(7).H(2)O (that was dissolved in the liquid phase). The obtained macroporous samples were characterized by Fourier transform infrared spectrometer, X-ray diffraction, and scanning electron microscopy techniques at 4 h after setting and 3 days after soaking in a special simulated body fluid solution named Hank's balanced salt solution. Mercury intrusion porosimetry was also employed for characterizing the pore volume and pore size distribution in the cement structure. Results showed that the rate of conversion of staring reactant to the apatite phase and the apatite chemistry were significantly changed by using the additive in the cement components. Also both the pore volume and pore size were changed by varying both the amount of effervescent additive and the powder to liquid ratio. PMID:17380498

  4. Calcium phosphate holmium-166 ceramic to addition in bone cement: synthesis and characterization

    Energy Technology Data Exchange (ETDEWEB)

    Donanzam, Blanda A.; Campos, Tarcisio P.R., E-mail: campos@nuclear.ufmg.b [Universidade do Federal de Minas Gerais (DEN/UFMG), Belo Horizonte, MG (Brazil). Escola de Engenharia. Dept. de Engenharia Nuclear; Dalmazio, Ilza; Valente, Eduardo S., E-mail: id@cdtn.b, E-mail: valente@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2011-07-01

    Spine metastases are a common and painful complication of cancer. The treatment often consists of bone cement injection (vertebroplasty or kyphoplasty) within vertebral body for vertebrae stabilization, followed by external beam radiation therapy. Recently, researchers introduced the concept of radioactive bone cement for spine tumors therapy. Then, investigations about bioactive and radioactive materials became interesting. In this study, we present the synthesis of calcium phosphate incorporated holmium (CaP-Ho) via sol-gel technique, and its characterization by XRD, FT-IR, NA and SEM. Results showed a multiphasic bioceramic composed mainly of hydroxyapatite, {beta}-tricalcium phosphate, holmium phosphate and traces of calcium pyrophosphate. Furthermore, the nuclide Ho-166 was the major radioisotope produced. Despite that, the radioactive bioceramic CaP-{sup 166}Ho must be investigated in clinical trials to assure its efficacy and safety on spine tumors treatment (author)

  5. Osteotransductive bone cements.

    Science.gov (United States)

    Driessens, F C; Planell, J A; Boltong, M G; Khairoun, I; Ginebra, M P

    1998-01-01

    Calcium phosphate bone cements (CPBCs) are osteotransductive, i.e. after implantation in bone they are transformed into new bone tissue. Furthermore, due to the fact that they are mouldable, their osteointegration is immediate. Their chemistry has been established previously. Some CPBCs contain amorphous calcium phosphate (ACP) and set by a sol-gel transition. The others are crystalline and can give as the reaction product dicalcium phosphate dihydrate (DCPD), calcium-deficient hydroxyapatite (CDHA), carbonated apatite (CA) or hydroxyapatite (HA). Mixed-type gypsum-DCPD cements are also described. In vivo rates of osteotransduction vary as follows: gypsum-DCPD > DCPD > CDHA approximately CA > HA. The osteotransduction of CDHA-type cements may be increased by adding dicalcium phosphate anhydrous (DCP) and/or CaCO3 to the cement powder. CPBCs can be used for healing of bone defects, bone augmentation and bone reconstruction. Incorporation of drugs like antibiotics and bone morphogenetic protein is envisaged. Load-bearing applications are allowed for CHDA-type, CA-type and HA-type CPBCs as they have a higher compressive strength than human trabecular bone (10 MPa).

  6. Porous surface modified bioactive bone cement for enhanced bone bonding.

    Directory of Open Access Journals (Sweden)

    Qiang He

    Full Text Available BACKGROUND: Polymethylmethacrylate bone cement cannot provide an adhesive chemical bonding to form a stable cement-bone interface. Bioactive bone cements show bone bonding ability, but their clinical application is limited because bone resorption is observed after implantation. Porous polymethylmethacrylate can be achieved with the addition of carboxymethylcellulose, alginate and gelatin microparticles to promote bone ingrowth, but the mechanical properties are too low to be used in orthopedic applications. Bone ingrowth into cement could decrease the possibility of bone resorption and promote the formation of a stable interface. However, scarce literature is reported on bioactive bone cements that allow bone ingrowth. In this paper, we reported a porous surface modified bioactive bone cement with desired mechanical properties, which could allow for bone ingrowth. MATERIALS AND METHODS: The porous surface modified bioactive bone cement was evaluated to determine its handling characteristics, mechanical properties and behavior in a simulated body fluid. The in vitro cellular responses of the samples were also investigated in terms of cell attachment, proliferation, and osteoblastic differentiation. Furthermore, bone ingrowth was examined in a rabbit femoral condyle defect model by using micro-CT imaging and histological analysis. The strength of the implant-bone interface was also investigated by push-out tests. RESULTS: The modified bone cement with a low content of bioactive fillers resulted in proper handling characteristics and adequate mechanical properties, but slightly affected its bioactivity. Moreover, the degree of attachment, proliferation and osteogenic differentiation of preosteoblast cells was also increased. The results of the push-out test revealed that higher interfacial bonding strength was achieved with the modified bone cement because of the formation of the apatite layer and the osseointegration after implantation in the bony

  7. Calcium phosphate cements properties with polymers addition

    International Nuclear Information System (INIS)

    Calcium phosphate cements (CPC) have attracted great interest to use in orthopedics and dentistry as replacements for damaged parts of the skeletal system, showing good biocompatibility and osseointegration, allowing its use as bone graft. Several studies have shown that the addition of polymer additives have a strong influence on the cement properties. The low mechanical strength is the main obstacle to greater use of CPC as an implant material. The objective of this study was to evaluate properties of a cement based on α-tricalcium phosphate (α-TCP), added polymers. PVA (10%, 8%, 6%), sodium alginate (2%) and polyacrylate ammonia (3%), all in weight, were added to the synthesized α-TCP powder. The samples were molded and evaluated for density, porosity in vitro test (Simulated Body Fluid), crystalline phases and mechanical strength. The results show increased the mechanical properties of the cement when added these polymers

  8. 21 CFR 888.3027 - Polymethylmethacrylate (PMMA) bone cement.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Polymethylmethacrylate (PMMA) bone cement. 888... Polymethylmethacrylate (PMMA) bone cement. (a) Identification. Polymethylmethacrylate (PMMA) bone cement is a device...: Polymethylmethacrylate (PMMA) Bone Cement.”...

  9. Stiffness and strength of composite acrylic bone cements

    Directory of Open Access Journals (Sweden)

    I. Knets

    2007-01-01

    Full Text Available Purpose: Different acrylic bone cements based upon PMMA-MMA system are applicable for implant fixation inbone tissue. The aim of present study is the optimisation of the structure of some new bone acrylic cements madeon the basis of PMMA-ethylmethacrylate-triethyleneglycoldimethacrylate and bone cements having additives (HAand radio pacifier, and the finding of the effect of these modifications on the flexural strength and stiffness.Design/methodology/approach: Different new bone cements on the basis of PMMA-EMA-TEGDMA system(ABC were developed experimentally. The stiffness and strength of the samples of these modified cements weredetermined in the special three point bending equipment.Findings: A comparison of the flexural properties of new PMMA-EMA-TEGDMA cements and commercialavailable PMMA-MMA cement showed that commercial bone cement had larger values of ultimate strengthand modulus of elasticity, but the difference is not very important. As concerns the polymerisation peaktemperature, then there is a significant difference between commercial PMMA-MMA cement (~ 800C andPMMA-EMA-TEGDMA modified cements (50 – 600C. The introduction of 10% and 18% of HA into solidphase does not influence essentially strength and modulus of elasticity of the PMMA-EMA-TEGDMA bonecements. The introduction of radio pacifier BaSO4 into bone cement leads to flexural strength diminishing.Low polymerisation peak temperature and appropriate mechanical properties of bone cements developed allowsregarding new 3-D structure acrylic bone cements as promising biomaterials.Research limitations/implications: It is supposed to carry out animal testing to learn more about reaction ofmodified implanted material on the biological environment.Practical implications: The new materials could be efficiently used as bone cements because they will notdamage surrounding biological tissue during curing.Originality/value: Paper is providing the new information about possibilities to

  10. Pressurization of bioactive bone cement in vitro.

    Science.gov (United States)

    Fujita, H; Iida, H; Kawanabe, K; Okada, Y; Oka, M; Masuda, T; Kitamura, Y; Nakamura, T

    1999-01-01

    We have developed a bioactive bone cement consisting of MgO-CaO-SiO2-P2O5-CaF2 glass-ceramic powder (AW glass-ceramic powder), silica glass powder as an inorganic filler, and bisphenol-a-glycidyl methacrylate (bis-GMA) based resin as an organic matrix. The efficacy of this bioactive bone cement was investigated by evaluating its pressurization in a 5-mm hole and small pores using a simulated acetabular cavity. Two types of acetabular components were used (flanged and unflanged sockets) and a commercially available polymethylmethacrylate (PMMA) bone cement (CMW 1 Radiopaque Bone Cement) was selected as a comparative control. Bioactive bone cement exerted greater intrusion volume in 5-mm holes than PMMA bone cement in both the flanged and unflanged sockets 10 minutes after pressurization (p anchor holes than PMMA bone cement.

  11. The effect of cement creep and cement fatigue damage on the micromechanics of the cement-bone interface.

    NARCIS (Netherlands)

    Waanders, D.; Janssen, D.; Mann, K.A.; Verdonschot, N.J.J.

    2010-01-01

    The cement-bone interface provides fixation for the cement mantle within the bone. The cement-bone interface is affected by fatigue loading in terms of fatigue damage or microcracks and creep, both mostly in the cement. This study investigates how fatigue damage and cement creep separately affect th

  12. Preliminary study using pulsating water jet for bone cement demolition

    OpenAIRE

    S. Hloch; Kloc, J.; Foldyna, J.; Pude, F.; Smolko, I.; M. Zeleňák; Sitek, L. (Libor); Hvizdoš, P.; Monka, P.; Monková, K.; Kozak, D.; A. Stoić; A. Sedmak; Milosevic, M; Lehocká, D.

    2015-01-01

    The paper deals with the study of using the selective property of ultrasonic pulsating water jet for the disintegration of bone cement which creates the interface between femoral stem and trabecular bone tissue. For investigation, commercial bone cements were used. Bone cements were tested by nanoindentation in order to review their mechanical properties. A representative sample Palacos R+G was selected for disintegration of bone cement. Bone cements samples fixed between two plexiglass...

  13. Acrylic Bone Cements Modified with Starch

    OpenAIRE

    Krilova, V; Vītiņš, V

    2010-01-01

    The successful result of restorative and replacement surgical operation depends significantly on properties of used bone cement. Acrylic bone cements are usually based on methylmethacrylate polymer, while monomer polymerization begins after mixing of components in mixing device and terminates in living tissue. Polymerization of methylmethacrylate is exothermic process, and temperature increase might cause tissue necrosis with concomitant implant aseptic loosening. Developed non-ionogenic and ...

  14. Characterization of cement composites with mineral additives

    OpenAIRE

    Korat, Lidija

    2015-01-01

    Doctoral dissertation is aimed at characterizing cement composites with mineral additives representing the industrial waste material (fly ash, granulated blast furnace slag and biomass fly ash). Their usage can replace high cement shares in individual cases and is, however, favourable due to the production costs reduction and environment burden decrease, including the decreased emission of greenhouse gases as well as lower energy use. Cement composites (in fresh or hardened state)...

  15. Antimicrobial activity of bone cements embedded with organic nanoparticles

    Directory of Open Access Journals (Sweden)

    Perni S

    2015-10-01

    Full Text Available Stefano Perni,1,2 Victorien Thenault,1 Pauline Abdo,1 Katrin Margulis,3 Shlomo Magdassi,3 Polina Prokopovich1,2 1School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK; 2Center for Biomedical Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA; 3Casali Institute, Institute of Chemistry, The Center for Nanoscience and Nanotechnology, The Hebrew University of Jerusalem, Jerusalem, IsraelAbstract: Infections after orthopedic surgery are a very unwelcome outcome; despite the widespread use of antibiotics, their incidence can be as high as 10%. This risk is likely to increase as antibiotics are gradually losing efficacy as a result of bacterial resistance; therefore, novel antimicrobial approaches are required. Parabens are a class of compounds whose antimicrobial activity is employed in many cosmetic and pharmaceutical products. We developed propylparaben nanoparticles that are hydrophilic, thus expanding the applicability of parabens to aqueous systems. In this paper we assess the possibility of employing paraben nanoparticles as antimicrobial compound in bone cements. The nanoparticles were embedded in various types of bone cement (poly(methyl methacrylate [PMMA], hydroxyapatite, and brushite and the antimicrobial activity was determined against common causes of postorthopedic surgery infections such as: Staphylococcus aureus, methicillin-resistant S. aureus, Staphylococcus epidermidis, and Acinetobacter baumannii. Nanoparticles at concentrations as low as 1% w/w in brushite bone cement were capable of preventing pathogens growth, 5% w/w was needed for hydroxyapatite bone cement, while 7% w/w was required for PMMA bone cement. No ­detrimental effect was determined by the addition of paraben nanoparticles on bone cement compression strength and cytocompatibility. Our results demonstrate that paraben nanoparticles can be encapsulated in bone cement, providing concentration-dependent antimicrobial

  16. Mechanical properties of femoral cortical bone following cemented hip replacement.

    Science.gov (United States)

    Ni, G X; Lu, W W; Chiu, P K Y; Wang, Y; Li, Z Y; Zhang, Y G; Xu, B; Deng, L F; Luk, K D K

    2007-11-01

    Femoral bone remodeling following total hip replacement is a big concern and has never been examined mechanically. In this study, six goats underwent unilateral cemented hip hemiarthroplasty with polymethyl methacrylate (PMMA) bone cement. Nine months later animals were sacrificed, and the femoral cortical bone slices at different levels were analysed using microhardness testing and microcomputed tomography (micro-CT) scanning. Implanted femurs were compared to contralateral nonimplanted femurs. Extensive bone remodeling was demonstrated at both the proximal and middle levels, but not at the distal level. Compared with the nonimplanted side, significant decreases were found in the implanted femur in cortical bone area, bone mineral density, and cortical bone hardness at the proximal level, as well as in bone mineral density and bone hardness at the middle level. However, no significant difference was observed in either variable for the distal level. In addition, similar proximal-to-distal gradient changes were revealed both in cortical bone microhardness and bone mineral density. From the mechanical point of view, the results of the present study suggested that stress shielding is an important mechanical factor associated with bone adaptation following total hip replacement. PMID:17506504

  17. Regulatory perspective on characterization and testing of orthopedic bone cements.

    Science.gov (United States)

    Demian, H W; McDermott, K

    1998-09-01

    This paper provides a general regulatory background of acrylic bone cements, chemical composition information on several commercially available bone cements, physical and chemical methods of analyses, mechanical test methods, and risks and failure mechanisms of acrylic bone cements. Suggestions and recommendations presented in Tables 2 and 3 are not mandatory requirements but reflect data and methodologies which the FDA's Orthopedic Devices Branch (ORDB) believes to be acceptable to evaluate most pre-clinical data. FDA may require information in addition to that contained in this paper. In some instances, a sponsor may be able to sufficiently justify the omission of some tests. Although this paper describes certain administrative requirements, it does not take the place of the requirements contained in Title 21 of the Code of Federal Regulations (21 CFR) Parts 801, 807, 812, and 814 or those found in the statute. PMID:9830987

  18. Regulatory perspective on characterization and testing of orthopedic bone cements.

    Science.gov (United States)

    Demian, H W; McDermott, K

    1998-09-01

    This paper provides a general regulatory background of acrylic bone cements, chemical composition information on several commercially available bone cements, physical and chemical methods of analyses, mechanical test methods, and risks and failure mechanisms of acrylic bone cements. Suggestions and recommendations presented in Tables 2 and 3 are not mandatory requirements but reflect data and methodologies which the FDA's Orthopedic Devices Branch (ORDB) believes to be acceptable to evaluate most pre-clinical data. FDA may require information in addition to that contained in this paper. In some instances, a sponsor may be able to sufficiently justify the omission of some tests. Although this paper describes certain administrative requirements, it does not take the place of the requirements contained in Title 21 of the Code of Federal Regulations (21 CFR) Parts 801, 807, 812, and 814 or those found in the statute.

  19. Acrylic bone cement in total joint arthroplasty: A review.

    Science.gov (United States)

    Saleh, Khaled J; El Othmani, Mouhanad M; Tzeng, Tony H; Mihalko, William M; Chambers, Monique C; Grupp, Thomas M

    2016-05-01

    Acrylic bone cement has a variety of applications in orthopedic surgery. Primary uses in total arthroplasties are limited to prostheses fixation and antibiotic delivery. With the large number of total joint arthroplasties expected to continue to rise, understanding the role bone cement plays in the success of total joint arthroplasty can have a significant impact on daily practice. The literature is inconclusive on whether cemented or cementless fixation technique is superior, and choice of fixation type is mainly determined by surgeon preference and experience. Surgeons should understand that if poor techniques exist, short-term outcomes of the replaced joint may be at risk. Statement of clinical significance: This article attempts to clarify some points of bone cement use through a review of the mechanical properties related to bone cement, a comparison to alternative materials, influence of additives, and the effects on surgical outcomes. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:737-744, 2016. PMID:26852143

  20. Pulmonary bone cement embolism: CT angiographic evaluation with material decomposition using gemstone special imaging

    Energy Technology Data Exchange (ETDEWEB)

    Huh, Sun; Lee, Heon [Dept. of Radiology, Soonchunhyang University Hospital Bucheon, Bucheon (Korea, Republic of)

    2014-08-15

    We report a case of pulmonary bone cement embolism in a female who presented with dyspnea following multiple sessions of vertebroplasty. She underwent spectral CT pulmonary angiography and the diagnosis was made based on enhanced visualization of radiopaque cement material in the pulmonary arteries and a corresponding decrease in the parenchymal iodine content. Here, we describe the CT angiography findings of bone cement embolism with special emphasis on the potential benefits of spectral imaging, providing additional information on the material composition.

  1. The mechanical effects of different levels of cement penetration at the cement-bone interface.

    NARCIS (Netherlands)

    Waanders, D.; Janssen, D.; Mann, K.A.; Verdonschot, N.J.J.

    2010-01-01

    The mechanical effects of varying the depth of cement penetration in the cement-bone interface were investigated using finite element analysis (FEA) and validated using companion experimental data. Two FEA models of the cement-bone interface were created from micro-computed tomography data and the p

  2. Disintegration of Bone Cement by Continuous and Pulsating Water Jet

    OpenAIRE

    S. Hloch; Foldyna, J.; Sitek, L. (Libor); M. Zeleňák; Hlaváček, P.; Hvizdoš, P.; Kloc, J.; Monka, P.; Monková, K.; Kozak, D.; Magurová, D.

    2013-01-01

    The paper deals with the study of using continuous water jet and ultrasonic pulsating water jet for bone cement disintegration. Bone-cement Pallacos R+G (manually mixed) was disintegrated ex-vivo. Mechanical properties of the bone cement were determined by nano-indentation. Factors employed in evaluation were pressure (40, 80, 120) MPa and traverse speed for continuous water jet, pressure (8, 10, 12, 14, 16, 20) MPa and orifice type (flat, circular) for ultrasonic pulsating water jet. Depth p...

  3. Preparation and Characterization of Injectable Brushite Filled-Poly (Methyl Methacrylate Bone Cement

    Directory of Open Access Journals (Sweden)

    Lucas C. Rodriguez

    2014-09-01

    Full Text Available Powder-liquid poly (methyl methacrylate (PMMA bone cements are widely utilized for augmentation of bone fractures and fixation of orthopedic implants. These cements typically have an abundance of beneficial qualities, however their lack of bioactivity allows for continued development. To enhance osseointegration and bioactivity, calcium phosphate cements prepared with hydroxyapatite, brushite or tricalcium phosphates have been introduced with rather unsuccessful results due to increased cement viscosity, poor handling and reduced mechanical performance. This has limited the use of such cements in applications requiring delivery through small cannulas and in load bearing. The goal of this study is to design an alternative cement system that can better accommodate calcium-phosphate additives while preserving cement rheological properties and performance. In the present work, a number of brushite-filled two-solution bone cements were prepared and characterized by studying their complex viscosity-versus-test frequency, extrusion stress, clumping tendency during injection through a syringe, extent of fill of a machined void in cortical bone analog specimens, and compressive strength. The addition of brushite into the two-solution cement formulations investigated did not affect the pseudoplastic behavior and handling properties of the materials as demonstrated by rheological experiments. Extrusion stress was observed to vary with brushite concentration with values lower or in the range of control PMMA-based cements. The materials were observed to completely fill pre-formed voids in bone analog specimens. Cement compressive strength was observed to decrease with increasing concentration of fillers; however, the materials exhibited high enough strength for consideration in load bearing applications. The results indicated that partially substituting the PMMA phase of the two-solution cement with brushite at a 40% by mass concentration provided the best

  4. Development and clinical trial of a novel bioactive bone cement

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Strontium(Sr)and related compounds have become more attractive in the prevention and treatment of osteoporosis.Previously,we developed a novel bioactive bone cement which is mainly composed of strontium-containing hydroxyapatite(Sr-HA)filler and bisphenol A diglycidylether dimethacrylate(Bis-GMA)resin.This bone cement is superior to conventional polymethylmethacrylate (PMMA)bone cement in bioactivity,biocompatibility,and osseointegration.It also has shown sufficient mechanical strength properties for its use in percutaneous vertebroplasty(PVP)and total hip replacement(THR).In this paper,we review the in vitro,in vivo and clinical evidence for the effectiveness of this bioactive bone cement.

  5. Chemical and physical properties of bone cement for vertebroplasty

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    Po-Liang Lai

    2013-08-01

    Full Text Available Vertebral compression fracture is the most common complication of osteoporosis. It may result in persistent severe pain and limited mobility, and significantly impacts the quality of life. Vertebroplasty involves a percutaneous injection of bone cement into the collapsed vertebrae by fluorescent guide. The most commonly used bone cement in percutaneous vertebroplasty is based on the polymerization of methylmethacrylate monomers to polymethylmethacrylate (PMMA polymers. However, information on the properties of bone cement is mostly published in the biomaterial sciences literature, a source with which the clinical community is generally unfamiliar. This review focuses on the chemistry of bone cement polymerization and the physical properties of PMMA. The effects of altering the portions and contents of monomer liquid and polymer powders on the setting time, polymerization temperature, and compressive strength of the cement are also discussed. This information will allow spine surgeons to manipulate bone cement characteristics for specific clinical applications and improve safety.

  6. Experimental micromechanics of the cement-bone interface.

    NARCIS (Netherlands)

    Mann, K.A.; Miller, M.A.; Cleary, R.J.; Janssen, D.; Verdonschot, N.J.J.

    2008-01-01

    Despite the widespread use of cement as a means of fixation of implants to bone, surprisingly little is known about the micromechanical behavior in terms of the local interfacial motion. In this work, we utilized digital image correlation techniques to quantify the micromechanics of the cement-bone

  7. A modified PMMA cement (Sub-cement) for accelerated fatigue testing of cemented implant constructs using cadaveric bone.

    Science.gov (United States)

    Race, Amos; Miller, Mark A; Mann, Kenneth A

    2008-10-20

    Pre-clinical screening of cemented implant systems could be improved by modeling the longer-term response of the implant/cement/bone construct to cyclic loading. We formulated bone cement with degraded fatigue fracture properties (Sub-cement) such that long-term fatigue could be simulated in short-term cadaver tests. Sub-cement was made by adding a chain-transfer agent to standard polymethylmethacrylate (PMMA) cement. This reduced the molecular weight of the inter-bead matrix without changing reaction-rate or handling characteristics. Static mechanical properties were approximately equivalent to normal cement. Over a physiologically reasonable range of stress-intensity factor, fatigue crack propagation rates for Sub-cement were higher by a factor of 25+/-19. When tested in a simplified 2 1/2-D physical model of a stem-cement-bone system, crack growth from the stem was accelerated by a factor of 100. Sub-cement accelerated both crack initiation and growth rate. Sub-cement is now being evaluated in full stem/cement/femur models. PMID:18774136

  8. The effect of mixing on gentamicin release from polymethylmethacrylate bone cements

    NARCIS (Netherlands)

    Neut, D; van de Belt, H; van Horn, [No Value; van der Mei, HC; Busscher, HJ

    2003-01-01

    We compared the release of gentamicin from 6 different commercially available, antibiotic-loaded PMMA bone cements used for vacuum- and hand-mixed cement using a Cemvac vacuum mixing system. We also measured the release of gentamicin after manual addition of the antibiotic to different commercial, u

  9. Low-modulus PMMA bone cement modified with castor oil

    OpenAIRE

    López, Alejandro; Hoess, Andreas; Thersleff, Thomas; Ott, Marjam; Engqvist, Håkan; Persson, Cecilia

    2011-01-01

    Some of the current clinical and biomechanical data suggest that vertebroplasty causes the development of adjacent vertebral fractures shortly after augmentation. These findings have been attributed to high injection volumes as well as high Young’s moduli of PMMA bone cements compared to that of the osteoporotic cancellous bone. The aim of this study was to evaluate the use of castor oil as a plasticizer for PMMA bone cements. The Young’s modulus, yield strength, maximum polymerization temper...

  10. The behavior of the micro-mechanical cement-bone interface affects the cement failure in total hip replacement

    NARCIS (Netherlands)

    Waanders, D.; Janssen, D.; Mann, K.A.; Verdonschot, N.J.J.

    2011-01-01

    In the current study, the effects of different ways to implement the complex micro-mechanical behavior of the cement-bone interface on the fatigue failure of the cement mantle were investigated. In an FEA-model of a cemented hip reconstruction the cement-bone interface was modeled and numerically im

  11. Microbial analyses of cement and grouting additives

    Energy Technology Data Exchange (ETDEWEB)

    Hallbeck, L.; Jaegevall, S.; Paeaejaervi, A.; Rabe, L.; Edlund, J.; Eriksson, S. [Microbial Analytics Sweden AB, Moelnlycke (Sweden)

    2012-01-15

    During sampling in the ONKALO tunnel in 2006, heavy growth of a slimy material was observed in connection with grouting. It was suggested to be microbial growth on organic additives leaching from the grout. Two sampling campaigns resulted in the isolation of several aerobic bacterial strains. Some of these strains were used in biodegradation studies of three solid cement powders, eight liquid grout additives, and six plastic drainage materials. Degradation was also studied using ONKALO groundwaters as inoculums. The isolated strains were most closely related to hydrocarbon-degrading microorganisms. The biodegradation of seven of the products was tested using microorganisms isolated from the ONKALO slime in 2006; none of these strains could degrade the tested products. When ONKALO drillhole groundwaters were used as inoculums in the degradation studies, it was demonstrated that Structuro 111X, Mighty 150, and Super-Parmix supported growth of the groundwater microorganisms. Structuro 111X is a polycarboxylate condensate while Mighty 150 and Super-Parmix are condensates with formaldehyde and naphthalene. Some of the isolated microorganisms belonged to the genus Pseudomonas, many strains of which can degrade organic molecules. None of the plastic drainage materials supported growth during the degradation studies. Microorganisms were present in two of the liquid products when delivered, GroutAid and Super-Parmix. The potential of the organic compounds in grout additives to be degraded by microorganisms, increasing the risk of biofilm formation and complexing compound production, must be considered. Microbial growth will also increase the possibility of hydrogen sulphide formation. (orig.)

  12. Contamination effects of drilling fluid additives on cement slurry

    Directory of Open Access Journals (Sweden)

    Youzhi Zheng

    2015-10-01

    Full Text Available During the cementation of deep wells, contamination at the contact surface between cement slurry and drilling fluid will present a technical challenge, which may threaten operation safety. To deal with the problem, lab tests and analysis were performed specifically on the compatibility of fluids during cementation in Sichuan and Chongqing gas fields. Impacts of commonly used additives for drilling fluids were determined on fluidity and thickening time of conventional cement slurry. Through the infrared spectrum analysis, SEM and XRD, infrared spectrum data of kalium polyacrylamide (KPAM and bio-viscosifier were obtained, together with infrared spectrum, SEM and XRD data of cement slurry with additives. Contamination mechanisms of the cement slurry by conventional additives for drilling fluid were reviewed. Test results show that both KPAM and bio-viscosifier are such high-molecular materials that the long chains in these materials may easily absorb cement particles in the slurry to form mixed network structures; as a result, cement particles were prone to agglomeration and eventually lost their pumpability. Finally, assessment of and testing methods for the contamination effects of drilling fluid additives on cement slurry were further improved to form standards and codes that may help solve the said problems. This study will provide technological supports for the preparation of drilling fluids with desirable properties prior to cementation, the selection of optimal drilling fluids additives, and the development of innovative drilling fluids additives.

  13. Low-modulus PMMA bone cement modified with castor oil.

    Science.gov (United States)

    López, Alejandro; Hoess, Andreas; Thersleff, Thomas; Ott, Marjam; Engqvist, Håkan; Persson, Cecilia

    2011-01-01

    Some of the current clinical and biomechanical data suggest that vertebroplasty causes the development of adjacent vertebral fractures shortly after augmentation. These findings have been attributed to high injection volumes as well as high Young's moduli of PMMA bone cements compared to that of the osteoporotic cancellous bone. The aim of this study was to evaluate the use of castor oil as a plasticizer for PMMA bone cements. The Young's modulus, yield strength, maximum polymerization temperature, doughing time, setting time and the complex viscosity curves during curing, were determined. The cytotoxicity of the materials extracts was assessed on cells of an osteoblast-like cell line. The addition of up to 12 wt% castor oil decreased yield strength from 88 to 15 MPa, Young's modulus from 1500 to 446 MPa and maximum polymerization temperature from 41.3 to 25.6°C, without affecting the setting time. However, castor oil seemed to interfere with the polymerization reaction, giving a negative effect on cell viability in a worst-case scenario.

  14. Synthesis of Chitosan-Hydroxyapatite Composites and Its Effect on the Properties of Bioglass Bone Cement

    Institute of Scientific and Technical Information of China (English)

    Jingxiao Liu; Fei Shi; Ling Yu; Liting Niu; Shanshan Gao

    2009-01-01

    Chitosan-hydroxyapatite (CS-HA) composite powders were synthesized via in situ co-precipitation method, through the reaction of Ca(NO3)2 and H3PO4 in the simulated body fluid (SBF) containing appropriate amount of chitosan. The thermal evolution, microstructure and morphology were studied by TG-DTA (thermogravimetry-differential thermal analysis), XRD (X-ray diffraction), FTIR (Fourier transform infrared spectroscopy) and TEM (transmission electron microscopy). The in vitro bioactivity test showed that the obtained CS-HA composites had higher capability of inducing calcium ions deposition. Effects of CS-HA composites on the bioactivity and compressive strength of bioglass bone cement were investigated. The results indicated that the bioactivity of bioglass bone cement could be improved further when CS-HA composite powders were added into the cement, and appropriate amount of CS-HA additive was favorable for compressive strength improvement of bioglass bone cement.

  15. Influence of Nano-HA Coated Bone Collagen to Acrylic (Polymethylmethacrylate Bone Cement on Mechanical Properties and Bioactivity.

    Directory of Open Access Journals (Sweden)

    Tao Li

    Full Text Available This research investigated the mechanical properties and bioactivity of polymethylmethacrylate (PMMA bone cement after addition of the nano-hydroxyapatite(HA coated bone collagen (mineralized collagen, MC.The MC in different proportions were added to the PMMA bone cement to detect the compressive strength, compression modulus, coagulation properties and biosafety. The MC-PMMA was embedded into rabbits and co-cultured with MG 63 cells to exam bone tissue compatibility and gene expression of osteogenesis.15.0%(wt impregnated MC-PMMA significantly lowered compressive modulus while little affected compressive strength and solidification. MC-PMMA bone cement was biologically safe and indicated excellent bone tissue compatibility. The bone-cement interface crosslinking was significantly higher in MC-PMMA than control after 6 months implantation in the femur of rabbits. The genes of osteogenesis exhibited significantly higher expression level in MC-PMMA.MC-PMMA presented perfect mechanical properties, good biosafety and excellent biocompatibility with bone tissues, which has profoundly clinical values.

  16. The Use of Micro and Nano Particulate Fillers to Modify the Mechanical and Material Properties of Acrylic Bone Cement

    Science.gov (United States)

    Slane, Joshua A.

    Acrylic bone cement (polymethyl methacrylate) is widely used in total joint replacements to provide long-term fixation of implants. In essence, bone cement acts as a grout by filling in the voids left between the implant and the patient's bone, forming a mechanical interlock. While bone cement is considered the `gold standard' for implant fixation, issues such as mechanical failure of the cement mantle (aseptic loosening) and the development of prosthetic joint infection (PJI) still plague joint replacement procedures and often necessitate revision arthroplasty. In an effort to address these failures, various modifications are commonly made to bone cement such as mechanical reinforcement with particles/fibers and the addition of antibiotics to mitigate PJI. Despite these attempts, issues such as poor particle interfacial adhesion, inadequate drug release, and the development of multidrug resistant bacteria limit the effectiveness of bone cement modifications. Therefore, the overall goal of this work was to use micro and nanoparticles to enhance the properties of acrylic bone cement, with particular emphasis placed on improving the mechanical properties, cumulative antibiotic release, and antimicrobial properties. An acrylic bone cement (Palacos R) was modified with three types of particles in various loading ratios: mesoporous silica nanoparticles (for mechanical reinforcement), xylitol microparticles (for increased antibiotic release), and silver nanoparticles (as an antimicrobial agent). These particles were used as sole modifications, not in tandem with one another. The resulting cement composites were characterized using a variety of mechanical (macro to nano, fatigue, fracture, and dynamic), imaging, chemical, thermal, biological, and antimicrobial testing techniques. The primary outcomes of this dissertation demonstrate that: (1) mesoporous silica, as used in this work, is a poor reinforcement phase for acrylic bone cement, (2) xylitol can significantly

  17. Bone-Cement: The new medical quick fix

    Directory of Open Access Journals (Sweden)

    Dinesh Bhatia

    2010-01-01

    Full Text Available Bone Cement is being widely used in vertebroplasty, a minimally invasive surgical procedure to treat spinal frac-tures and collapsed vertebrae. It is being labeled as a concrete success in medical field. It is being used to treat fractures due to osteoporosis, menopause, steroids, hyperthyroidism and chronic obstructive pulmonary diseases. In this technique a needle with bone cement (PMMA, polymethylmethacrylate is injected into the collapsed verte-bra after administering local anesthesia to patient. It solidifies within few minutes and provides support to damaged bone resulting in relief to the patient. It also prevents the movement between different parts of the broken bone. Hence it requires a short hospital stay for the patient and the procedure can be performed with much ease and at significant lower costs. Patient can resume normal activity within a day or so. Bone cement is now being referred to as the quick medical fix material for early repair of fractures.

  18. Experimental in-vitro bone cements disintegration with ultrasonic pulsating water jet for revision arthroplasty

    OpenAIRE

    S. Hloch; Foldyna, J.; Pude, F.; Kloc, J.; M. Zeleňák; Hvizdoš, P.; Monka, P.; Smolko, I.; Ščučka, J. (Jiří); Kozak, D.; A. Sedmak; Mihalčinová, E.

    2015-01-01

    The paper deals with the study of using the selective property of ultrasonic pulsating water jet for the disintegration of the interface created by bone cement between cemented femoral stem and trabecular bone tissue as a potential technique for revision arthroplasty. Six types of commercial bone cements based on Polymethyl Methacrylate were used for investigation. The cements were mixed using the DePuy - SmartMix® CTS / vacuum mixing bowl. Mechanical properties of hardened bone cements were ...

  19. Production of bone cement composites: effect of fillers, co-monomer and particles properties

    Energy Technology Data Exchange (ETDEWEB)

    Santos Junior, J.G.F.; Melo, P.A.; Pinto, J.C., E-mail: jjunior@peq.coppe.ufrj.b, E-mail: melo@peq.coppe.ufrj.b, E-mail: pinto@peq.coppe.ufrj.b [Coordenacao dos Programas de Pos-Graduacao de Engenharia. (PEQ/COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Quimica; Pita, V.J.R.R., E-mail: vjpita@ima.ufrj.b [Universidade Federal do Rio de Janeiro (IMA/UFRJ), RJ (Brazil). Inst. de Macromoleculas Eloisa Mano; Nele, M. [Universidade Federal do Rio de Janeiro (EQ/UFRJ), RJ (Brazil). Escola de Quimica

    2011-04-15

    Artificial bone cements (BCs) based on poly(methyl methacrylate) (PMMA) powders and methyl methacrylate (MMA) liquid monomer also present in their formulation small amounts of other substances, including a chemical initiator compound and radiopaque agents. Because inadequate mixing of the recipe components during the manufacture of the bone cement may compromise the mechanical properties of the final pieces, new techniques to incorporate the fillers into the BC and their effect upon the mechanical properties of BC pieces were investigated in the present study. PMMA powder composites were produced in situ in the reaction vessel by addition of X-ray contrasts to the reacting MMA mixture. It is shown that this can lead to much better mechanical properties of test pieces, when compared to standard bone cement formulations, because enhanced dispersion of the radiopaque agents can be achieved. Moreover, it is shown that the addition of hydroxyapatite (HA) and acrylic acid (AA) to the bone cement recipe can be beneficial for the mechanical performance of the final material. It is also shown that particle morphology can exert a tremendous effect upon the performance of test pieces, indicating that the suspension polymerization step should be carefully controlled when optimization of the bone cement formulation is desired. (author)

  20. Cement line staining in undecalcified thin sections of cortical bone

    Science.gov (United States)

    Bain, S. D.; Impeduglia, T. M.; Rubin, C. T.

    1990-01-01

    A technique for demonstrating cement lines in thin, undecalcified, transverse sections of cortical bone has been developed. Cortical bone samples are processed and embedded undecalcified in methyl methacrylate plastic. After sectioning at 3-5 microns, cross-sections are transferred to a glass slide and flattened for 10 min. Sections of cortical bone are stained for 20 sec free-floating in a fresh solution of 1% toluidine blue dissolved in 0.1% formic acid. The section is dehydrated in t-butyl alcohol, cleared in xylene, and mounted with Eukitt's medium. Reversal lines appear as thin, scalloped, dark blue lines against a light blue matrix, whereas bone formation arrest lines are thicker with a smooth contour. With this technique cellular detail, osteoid differentiation, and fluorochrome labels are retained. Results demonstrate the applicability of a one-step staining method for cement lines which will facilitate the assessment of bone remodeling activity in thin sections of undecalcified cortical bone.

  1. Osteoplasty: Percutaneous Bone Cement Injection beyond the Spine

    OpenAIRE

    Anselmetti, Giovanni Carlo

    2010-01-01

    Percutaneous osteoplasty, the injection of bone cement into a painful bone lesion refractory to conventional therapy (radiotherapy, chemotherapy, and narcotic analgesia), is performed to allow for immediate bone structure consolidation, reduce the risk of a pathological fracture, achieve pain regression, and improve mobility. In this article, the technique of this procedure and a review of the current literature including the author's personal large series will be described.

  2. Biological Evaluation of α-TCP/TTCP Composite Bone Cement

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    α-tricalcium phosphate(α-TCP)/tetracalcium phosphate(TTCP) composite bone cement had good hydration characteristic.In our system,α-TCP/TTCP powder mixture was mixed with water at a powder/liquid (P/L) ratio of 1.50g*mL-1.The setting time could be adjusted,the maximum compressive strength was 45.36MPa,and the hydration product was hydroxyapatite (HAP).In vitro biological simulated experiments indicate that α-TCP/TTCP bone cement has α certain dissolubility.The hardened product is mainly HAP after soaking in simulated body fluid (SBF) for 10 weeks.The results of in vitro test and animal experiments and SEM analyses show that no local or general toxicity response,no muscle stimulation,no haemolysis,no cruor,no inflammatory reaction and no exclusion response are caused by α-TCP/TTCP cement, which can be contributed to bone tissue spreading and impinging.α-TCP/TTCP cement hydrated and hardened continually in vivo.The materials fused with host bone together with implanting time prolonging.Therefore,it is believed that α-TCP/TTCP composite bone cement has a high biocompatibility and bioactivity,a certain biodegradation and good osteogenesis as well.

  3. Benefits and drawbacks of zinc in glass ionomer bone cements

    Energy Technology Data Exchange (ETDEWEB)

    Brauer, Delia S; Hill, Robert G [Unit of Dental Physical Sciences, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS (United Kingdom); Gentleman, Eileen; Stevens, Molly M [Department of Materials, Imperial College London, Exhibition Road, London SW7 2AZ (United Kingdom); Farrar, David F, E-mail: d.brauer@qmul.ac.uk [Smith and Nephew Research Centre, York Science Park, Heslington YO10 5DF (United Kingdom)

    2011-08-15

    Glass polyalkenoate (ionomer) cements (GPCs) based on poly(acrylic acid) and fluoro-alumino-silicate glasses are successfully used in a variety of orthopaedic and dental applications; however, they release small amounts of aluminium, which is a neurotoxin and inhibits bone mineralization in vivo. Therefore there has been significant interest in developing aluminium-free glasses containing zinc for forming GPCs because zinc can play a similar structural role in the glass, allowing for glass degradation and subsequent cement setting, and is reported to have beneficial effects on bone formation. We created zinc-containing GPCs and characterized their mechanical properties and biocompatibility. Zinc-containing cements showed adhesion to bone close to 1 MPa, which was significantly greater than that of zinc-free cements (<0.05 MPa) and other currently approved biological adhesives. However, zinc-containing cements produced significantly lower metabolic activity in mouse osteoblasts exposed to cell culture medium conditioned with the cements than controls. Results show that although low levels of zinc may be beneficial to cells, zinc concentrations of 400 {mu}M Zn{sup 2+} or more resulted in cell death. In summary, we demonstrate that while zinc-containing GPCs possess excellent mechanical properties, they fail basic biocompatibility tests, produce an acute cytotoxic response in vitro, which may preclude their use in vivo.

  4. Nanomaterials: the next step in injectable bone cements.

    Science.gov (United States)

    No, Young Jung; Roohani-Esfahani, Seyed-Iman; Zreiqat, Hala

    2014-08-01

    Injectable bone cements (IBCs) are biocompatible materials that can be used as bone defect fillers in maxillofacial surgeries and in orthopedic fracture treatment in order to augment weakened bone due to osteoporosis. Current clinically available IBCs, such as polymethylmethacrylate and calcium phosphate cement, have certain advantages; however, they possess several drawbacks that prevent them from gaining universal acceptance. New gel-based injectable materials have also been developed, but these are too mechanically weak for load-bearing applications. Recent research has focused on improving various injectable materials using nanomaterials in order to render them suitable for bone tissue regeneration. This article outlines the requirements of IBCs, the advantages and limitations of currently available IBCs and the state-of-the-art developments that have demonstrated the effects of nanomaterials within injectable systems. PMID:25321173

  5. Preparation and in vitro evaluation of strontium-doped calcium silicate/gypsum bioactive bone cement

    International Nuclear Information System (INIS)

    The combination of two or more bioactive components with different biodegradability could cooperatively improve the physicochemical and biological performances of the biomaterials. Here we explore the use of α-calcium sulfate hemihydrate (α-CSH) and calcium silicate with and without strontium doping (Sr-CSi, CSi) to fabricate new bioactive cements with appropriate biodegradability as bone implants. The cements were fabricated by adding different amounts (0–35 wt%) of Sr-CSi (or CSi) into the α-CSH-based pastes at a liquid-to-solid ratio of 0.4. The addition of Sr-CSi into α-CSH cements not only led to a pH rise in the immersion medium, but also changed the surface reactivity of cements, making them more bioactive and therefore promoting apatite mineralization in simulated body fluid (SBF). The impact of additives on long-term in vitro degradation was evaluated by soaking the cements in Tris buffer, SBF, and α-minimal essential medium (α-MEM) for a period of five weeks. An addition of 20% Sr-CSi to α-CSH cement retarded the weight loss of the samples to 36% (in Tris buffer), 43% (in SBF) and 54% (in α-MEM) as compared with the pure α-CSH cement. However, the addition of CSi resulted in a slightly faster degradation in comparison with Sr-CSi in these media. Finally, the in vitro cell-ion dissolution products interaction study using human fetal osteoblast cells demonstrated that the addition of Sr-CSi improved cell viability and proliferation. These results indicate that tailorable bioactivity and biodegradation behavior can be achieved in gypsum cement by adding Sr-CSi, and such biocements will be of benefit for enhancing bone defect repair. (paper)

  6. In Vitro and In Vivo Response to Low-Modulus PMMA-Based Bone Cement

    Directory of Open Access Journals (Sweden)

    Elin Carlsson

    2015-01-01

    Full Text Available The high stiffness of acrylic bone cements has been hypothesized to contribute to the increased number of fractures encountered after vertebroplasty, which has led to the development of low-modulus cements. However, there is no data available on the in vivo biocompatibility of any low-modulus cement. In this study, the in vitro cytotoxicity and in vivo biocompatibility of two types of low-modulus acrylic cements, one modified with castor oil and one with linoleic acid, were evaluated using human osteoblast-like cells and a rodent model, respectively. While the in vitro cytotoxicity appeared somewhat affected by the castor oil and linoleic acid additions, no difference could be found in the in vivo response to these cements in comparison to the base, commercially available cement, in terms of histology and flow cytometry analysis of the presence of immune cells. Furthermore, the in vivo radiopacity of the cements appeared unaltered. While these results are promising, the mechanical behavior of these cements in vivo remains to be investigated.

  7. Prediction of the Setting Properties of Calcium Phosphate Bone Cement

    Directory of Open Access Journals (Sweden)

    Seyed Mahmud Rabiee

    2012-01-01

    Full Text Available Setting properties of bone substitutes are improved using an injectable system. The injectable bone graft substitutes can be molded to the shape of the bone cavity and set in situ when injected. Such system is useful for surgical operation. The powder part of the injectable bone cement is included of β-tricalcium phosphate, calcium carbonate, and dicalcium phosphate and the liquid part contains poly ethylene glycol solution with different concentrations. In this way, prediction of the mechanical properties, setting times, and injectability helps to optimize the calcium phosphate bone cement properties. The objective of this study is development of three different adaptive neurofuzzy inference systems (ANFISs for estimation of compression strength, setting time, and injectability using the data generated based on experimental observations. The input parameters of models are polyethylene glycol percent and liquid/powder ratio. Comparison of the predicted values and measured data indicates that the ANFIS model has an acceptable performance to the estimation of calcium phosphate bone cement properties.

  8. Prediction of the setting properties of calcium phosphate bone cement.

    Science.gov (United States)

    Rabiee, Seyed Mahmud; Baseri, Hamid

    2012-01-01

    Setting properties of bone substitutes are improved using an injectable system. The injectable bone graft substitutes can be molded to the shape of the bone cavity and set in situ when injected. Such system is useful for surgical operation. The powder part of the injectable bone cement is included of β-tricalcium phosphate, calcium carbonate, and dicalcium phosphate and the liquid part contains poly ethylene glycol solution with different concentrations. In this way, prediction of the mechanical properties, setting times, and injectability helps to optimize the calcium phosphate bone cement properties. The objective of this study is development of three different adaptive neurofuzzy inference systems (ANFISs) for estimation of compression strength, setting time, and injectability using the data generated based on experimental observations. The input parameters of models are polyethylene glycol percent and liquid/powder ratio. Comparison of the predicted values and measured data indicates that the ANFIS model has an acceptable performance to the estimation of calcium phosphate bone cement properties. PMID:22919372

  9. Chemical and Physical Reactions of Wellbore Cement under CO2 Storage Conditions: Effects of Cement Additives

    Science.gov (United States)

    Kutchko, B. G.; Strazisar, B. R.; Huerta, N.; Lowry, G. V.; Dzombak, D. A.; Thaulow, N.

    2008-12-01

    Sequestration of CO2 into geologic formations requires long-term storage and low leakage rates to be effective. Active and abandoned wells in candidate storage formations must be evaluated as potential leakage points. Wellbore integrity is an important part of an overall integrated assessment program being developed at NETL to assess potential risks at CO2 storage sites. Such a program is needed for ongoing policy and regulatory decisions for geologic carbon sequestration. The permeability and integrity of the cement in the well is a primary factor affecting its ability to prevent leakage. Cement must be able to maintain low permeability over lengthy exposure to reservoir conditions in a CO2 injection and storage scenario. Although it is known that cement may be altered by exposure to CO2, the results of ongoing research indicate that cement curing conditions, fluid properties, and cement additives play a significant role in the rate of alteration and reaction. The objective of this study is to improve understanding of the factors affecting wellbore cement integrity for large-scale geologic carbon sequestration projects. Due to the high frequency use of additives (pozzolan) in wellbore cement, it is also essential to understand the reaction of these cement-pozzolan systems upon exposure to CO2 under sequestration conditions (15.5 MPa and 50°C). Laboratory experiments were performed to determine the physical and chemical changes, as well as the rate of alteration of commonly used pozzolan-cement systems under simulated sequestration reservoir conditions, including both supercritical CO2 and CO2-saturated brine. The rate of alteration of the cement-pozzolan systems is considerably faster than with neat cement. However, the alteration of physical properties is much less significant with the pozzolanic blends. Permeability of a carbonated pozzolanic cement paste remains sufficiently small to block significant vertical migration of CO2 in a wellbore. All of the

  10. Anterior spinal column augmentation with injectable bone cements.

    Science.gov (United States)

    Verlaan, Jorrit-Jan; Oner, F Cumhur; Dhert, Wouter J A

    2006-01-01

    A vertebral fracture, whether originating from osteoporosis or trauma, can be the cause of pain, disability, deformation and neurological deficit. The treatment of vertebral compression fractures has, for many years until the advent of vertebroplasty, consisted of bedrest and analgesics. Vertebroplasty is a percutaneous technique during which bone cement is injected in a vertebral body to provide immediate pain relief by stabilization. Inflatable bone tamps can, prior to the injection of cement, be used to create a void in the vertebral body, in which case the technique is known as balloon vertebroplasty (or kyphoplasty). The chance of extracorporal cement leakage is smaller for balloon vertebroplasty than for vertebroplasty. Some authors also claim to have gained some correction in vertebral body height or angulation. Both interventions can be used for several indications, including osteoporotic compression fractures and osteolytic lesions of the vertebral body such as myeloma, hemangioma or metastasis, and also for traumatic burst fractures in combination with pedicle screw instrumentation. Polymethyl methacrylate cement is the bone void filler that is used most frequently, although the application of calcium phosphate cements has been studied widely in vitro, in vivo and also in small-scale clinical series. The clinical results of (balloon-) vertebroplasty are favorable with 85-95% of all patients experiencing immediate and long-lasting relief of pain. Serious complications are relatively rare but include neurological deficit and pulmonary embolism. In this paper, both vertebroplasty and balloon vertebroplasty and their respective indications, techniques and results are described in relation with the application and limitations of permanent and resorbable injectable bone cements. PMID:16102818

  11. A Study of Metal-Cement Composites with Additives

    Directory of Open Access Journals (Sweden)

    Mironov Victor

    2014-12-01

    Full Text Available The application of small-sized metal fillers (SMF provides a combination of high bulk density, increased durability and ferromagnetic properties of composite materials on the cement basis. However, the total strength of the composite can be compromised by poor adhesion of metal particles with the cement matrix. The use of versatile additives like microsilica and metakaolin is able to improve the structural integrity and mechanical properties of heavy concretes. The paper considers the results of a study using specimens of heavy concretes with SMF aiming to estimate its strength, structural features and ultrasonic parameters. It was found that the contact of SMF particles with the cement was not perfect, since the voids appeared between them and the cement matrix during the cement hydration process (exothermal reaction. Due to the border porosity, the specimens with the metal fillers have lower compressive strength, lower ultrasound velocity and increased frequency slope of attenuation. Microsilica and metakaolin additives facilitate better contact zone between the cement matrix and metal fillers.

  12. Silver-Doped Calcium Phosphate Bone Cements with Antibacterial Properties

    Science.gov (United States)

    Rau, J. V.; Fosca, M.; Graziani, V.; Egorov, A. A.; Zobkov, Yu. V.; Fedotov, A. Yu.; Ortenzi, M.; Caminiti, R.; Baranchikov, A. E.; Komlev, V. S.

    2016-01-01

    Calcium phosphate bone cements (CPCs) with antibacterial properties are demanded for clinical applications. In this study, we demonstrated the use of a relatively simple processing route based on preparation of silver-doped CPCs (CPCs-Ag) through the preparation of solid dispersed active powder phase. Real-time monitoring of structural transformations and kinetics of several CPCs-Ag formulations (Ag = 0 wt %, 0.6 wt % and 1.0 wt %) was performed by the Energy Dispersive X-ray Diffraction technique. The partial conversion of β-tricalcium phosphate (TCP) phase into the dicalcium phosphate dihydrate (DCPD) took place in all the investigated cement systems. In the pristine cement powders, Ag in its metallic form was found, whereas for CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, CaAg(PO3)3 was detected and Ag (met.) was no longer present. The CPC-Ag 0 wt % cement exhibited a compressive strength of 6.5 ± 1.0 MPa, whereas for the doped cements (CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt %) the reduced values of the compressive strength 4.0 ± 1.0 and 1.5 ± 1.0 MPa, respectively, were detected. Silver-ion release from CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, measured by the Atomic Emission Spectroscopy, corresponds to the average values of 25 µg/L and 43 µg/L, respectively, rising a plateau after 15 days. The results of the antibacterial test proved the inhibitory effect towards pathogenic Escherichia coli for both CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, better performances being observed for the cement with a higher Ag-content. PMID:27096874

  13. Bone-Cement: The New Medical Quick Fix

    Directory of Open Access Journals (Sweden)

    Dinesh Bhatia

    2010-01-01

    Full Text Available

    Bone Cement is being widely used in vertebroplasty, a minimally invasive surgical procedure to treat spinal fractures and collapsed vertebrae. It is being labeled as a concrete success in medical field. It is being used to treat fractures due to osteoporosis, menopause, steroids, hyperthyroidism and chronic obstructive pulmonary diseases.  In this technique a needle with bone cement (PMMA, polymethylmethacrylate is injected into the collapsed vertebra after administering local anesthesia to patient. It solidifies within few minutes and provides support to damaged bone resulting in relief to the patient. It also prevents the movement between different parts of the broken bone. Hence it requires a short hospital stay for the patient and the procedure can be performed with much ease and at significant lower costs. Patient can resume normal activity within a day or so. Bone cement is now being referred to as the quick medical fix material for early repair of fractures.

  14. The effect of the antimicrobial peptide, Dhvar-5, on gentamicin release from a polymethyl methacrylate bone cement.

    Science.gov (United States)

    Faber, C; Hoogendoorn, R J W; Lyaruu, D M; Stallmann, H P; van Marle, J; van Nieuw Amerongen, A; Smit, T H; Wuisman, P I J M

    2005-10-01

    The objective of this study was to investigate the release mechanism and kinetics of the antimicrobial peptide, Dhvar-5, both alone and in combination with gentamicin, from a standard commercial polymethyl methacrylate (PMMA) bone cement. Different amounts of Dhvar-5 were mixed with the bone cement powders of Osteopal and the gentamicin-containing Osteopal G bone cement and their release kinetics from the polymerized cement were investigated. Additionally, the internal structure of the bone cements were analysed by scanning electron microscopy (SEM) of the fracture surfaces. Secondly, porosity was investigated with the mercury intrusion method and related to the observed release profiles. In order to obtain an insight into the mechanical characteristics of the bone cement mixtures, the compressive strength of Osteopal and Osteopal G with Dhvar-5 was also investigated. The total Dhvar-5 release reached 96% in the 100 mg Dhvar-5/g Osteopal cement, whereas total gentamicin release from Osteopal G reached only 18%. Total gentamicin release increased significantly to 67% with the addition of 50mg Dhvar-5/g, but the Dhvar-5 release was not influenced. SEM showed an increase of dissolved gentamicin crystals with the addition of Dhvar-5. The mercury intrusion results suggested an increase of small pores (cements. We therefore conclude that the antimicrobial peptide, Dhvar-5, was released in high amounts from PMMA bone cement. When used together with gentamicin sulphate, Dhvar-5 made the gentamicin crystals accessible for the release medium presumably through increased micro-porosity (< 0.1 microm) resulting in a fourfold increase of gentamicin release. PMID:15878377

  15. Hydration of Portland cement with additions of calcium sulfoaluminates

    Energy Technology Data Exchange (ETDEWEB)

    Le Saout, Gwenn, E-mail: gwenn.le-saout@mines-ales.fr [Empa, Swiss Federal Laboratories for Materials Science and Technology, Concrete and Construction Chemistry Laboratory, Ueberlandstrasse 129, CH-8600 Duebendorf (Switzerland); Lothenbach, Barbara [Empa, Swiss Federal Laboratories for Materials Science and Technology, Concrete and Construction Chemistry Laboratory, Ueberlandstrasse 129, CH-8600 Duebendorf (Switzerland); Hori, Akihiro [DENKA Chemicals GmbH, Wehrhahn-Center, Cantadorstr. 3, D-40211 Duesseldorf (Germany); Higuchi, Takayuki [Denki Kagaku Kogyo Kabushiki Kaisha (DENKA), Omi, Itoigawa, Niigata, 949-0393 (Japan); Winnefeld, Frank [Empa, Swiss Federal Laboratories for Materials Science and Technology, Concrete and Construction Chemistry Laboratory, Ueberlandstrasse 129, CH-8600 Duebendorf (Switzerland)

    2013-01-15

    The effect of mineral additions based on calcium aluminates on the hydration mechanism of ordinary Portland cement (OPC) was investigated using isothermal calorimetry, thermal analysis, X-ray diffraction, scanning electron microscopy, solid state nuclear magnetic resonance and pore solution analysis. Results show that the addition of a calcium sulfoaluminate cement (CSA) to the OPC does not affect the hydration mechanism of alite but controls the aluminate dissolution. In the second blend investigated, a rapid setting cement, the amorphous calcium aluminate reacts very fast to ettringite. The release of aluminum ions strongly retards the hydration of alite but the C-S-H has a similar composition as in OPC with no additional Al to Si substitution. As in CSA-OPC, the aluminate hydration is controlled by the availability of sulfates. The coupling of thermodynamic modeling with the kinetic equations predicts the amount of hydrates and pore solution compositions as a function of time and validates the model in these systems.

  16. Hydration of Portland cement with additions of calcium sulfoaluminates

    International Nuclear Information System (INIS)

    The effect of mineral additions based on calcium aluminates on the hydration mechanism of ordinary Portland cement (OPC) was investigated using isothermal calorimetry, thermal analysis, X-ray diffraction, scanning electron microscopy, solid state nuclear magnetic resonance and pore solution analysis. Results show that the addition of a calcium sulfoaluminate cement (CSA) to the OPC does not affect the hydration mechanism of alite but controls the aluminate dissolution. In the second blend investigated, a rapid setting cement, the amorphous calcium aluminate reacts very fast to ettringite. The release of aluminum ions strongly retards the hydration of alite but the C–S–H has a similar composition as in OPC with no additional Al to Si substitution. As in CSA–OPC, the aluminate hydration is controlled by the availability of sulfates. The coupling of thermodynamic modeling with the kinetic equations predicts the amount of hydrates and pore solution compositions as a function of time and validates the model in these systems.

  17. Benefits and drawbacks of zinc in glass ionomer bone cements

    International Nuclear Information System (INIS)

    Glass polyalkenoate (ionomer) cements (GPCs) based on poly(acrylic acid) and fluoro-alumino-silicate glasses are successfully used in a variety of orthopaedic and dental applications; however, they release small amounts of aluminium, which is a neurotoxin and inhibits bone mineralization in vivo. Therefore there has been significant interest in developing aluminium-free glasses containing zinc for forming GPCs because zinc can play a similar structural role in the glass, allowing for glass degradation and subsequent cement setting, and is reported to have beneficial effects on bone formation. We created zinc-containing GPCs and characterized their mechanical properties and biocompatibility. Zinc-containing cements showed adhesion to bone close to 1 MPa, which was significantly greater than that of zinc-free cements (2+ or more resulted in cell death. In summary, we demonstrate that while zinc-containing GPCs possess excellent mechanical properties, they fail basic biocompatibility tests, produce an acute cytotoxic response in vitro, which may preclude their use in vivo.

  18. Magnesium substitution in brushite cements for enhanced bone tissue regeneration

    Energy Technology Data Exchange (ETDEWEB)

    Cabrejos-Azama, Jatsue, E-mail: jacaza@farm.ucm.es [Departamento de Química-Física II, Facultad de Farmacia, UCM, Madrid (Spain); Departamento de Estomatología III, Facultad de Odontología UCM, Madrid (Spain); Alkhraisat, Mohammad Hamdan; Rueda, Carmen [Departamento de Química-Física II, Facultad de Farmacia, UCM, Madrid (Spain); Torres, Jesús [Facultad de Ciencias de la salud URJC, Alcorcón, Madrid (Spain); Blanco, Luis [Departamento de Estomatología III, Facultad de Odontología UCM, Madrid (Spain); López-Cabarcos, Enrique [Departamento de Química-Física II, Facultad de Farmacia, UCM, Madrid (Spain)

    2014-10-01

    We have synthesized calcium phosphate cements doped with different amounts of magnesium (Mg-CPC) with a twofold purpose: i) to evaluate in vitro the osteoblast cell response to this material, and ii) to compare the bone regeneration capacity of the doped material with a calcium cement prepared without magnesium (CPC). Cell proliferation and in vivo response increased in the Mg-CPCs in comparison with CPC. The Mg-CPCs have promoted higher new bone formation than the CPC (p < 0.05). The cytocompatibility and histomorfometric analysis performed in the rabbit calvaria showed that the incorporation of magnesium ions in CPC improves osteoblasts proliferation and provides higher new bone formation. The development of a bone substitute with controllable biodegradable properties and improved bone regeneration can be considered a step toward personalized therapy that can adapt to patient needs and clinical situations. - Highlights: • The Mg-CPCs promote higher new bone formation than the CPC. • The incorporation of magnesium ions in CPC improves osteoblasts proliferation. • Mg-CPC is a bone substitute with controllable biodegradable properties. • We suggest that the use of Mg ions could improve the clinical efficiency of CPCs.

  19. On the development of an apatitic calcium phosphate bone cement

    Indian Academy of Sciences (India)

    Manoj Komath; H K Varma; R Sivakumar

    2000-04-01

    Development of an apatitic calcium phosphate bone cement is reported. 100 Particles of tetracalcium phosphate (TTCP) and dicalcium phosphate dihydrate (DCPD) were mixed in equimolar ratio to form the cement powder. The wetting medium used was distilled water with Na2HPO4 as accelerator to manipulate the setting time. The cement powder, on wetting with the medium, formed a workable putty. The setting times of the putty were measured using a Vicat type apparatus and the compressive strength was determined with a Universal Testing Machine. The nature of the precipitated cement was analyzed through X-ray diffraction (XRD), fourier transform infrared spectrometry (FTIR) and energy dispersive electron microprobe (EDAX). The results showed the phase to be apatitic with a calcium–to–phosphorous ratio close to that of hydroxyapatite. The microstructure analysis using scanning electron microscopy (SEM) showed hydroxyapatite nanocrystallite growth over particulate matrix surface. The structure has an apparent porosity of ∼ 52%. There were no appreciable dimensional or thermal changes during setting. The cement passed the in vitro toxicological screening (cytotoxicity and haemolysis) tests. Optimization of the cement was done by manipulating the accelerator concentration so that the setting time, hardening time and the compressive strength had clinically relevant values.

  20. Effect on Hydration and Hardening of Tricalcium Phosphate Bone Cement

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    The bioactive α-Ca3 (PO4)2 bone cement was studied by XRD , SEM and isothermal calorimetric measurements. The results showed that a mixed pattern of TCP and hydroxylapatite were obtained after hydration and hardening. The mechanism of hydration and hardening of the α-Ca3 ( PO4 )2 was dissolution-precipitation,(NH4) H2 PO4 was the best set accelerator to the α-Ca3 ( PO4 )2 cement, and the HAP powers and the(NH4) H2 PO4 concentration had a great effect on the hydration rate of α-Ca3 ( PO4 )2.

  1. Cardiovascular effects of acrylic bone cement in rabbits and cats.

    Science.gov (United States)

    Pelling, D; Butterworth, K R

    1973-06-16

    The cardiovascular responses to forcing acrylic bone cement, Plasticine, or soft paraffin wax into the medullary cavity of the femur have been studied in rabbits and cats. An acute fall in blood pressure, occurring within a few seconds of insertion, was demonstrated with each substance. In a few of the animals the blood pressure response had a second more protracted component and it is suggested that more than one mechanism is involved. The cardiovascular effects that have been observed in man when acrylic cement is used in prosthetic hip surgery also may be due to more than one mechanism. PMID:4714847

  2. Modelling and simulation of acrylic bone cement injection and curing within the framework of vertebroplasty

    CERN Document Server

    Landgraf, Ralf; Kolmeder, Sebastian; Lion, Alexander; Lebsack, Helena; Kober, Cornelia

    2013-01-01

    The minimal invasive procedure of vertebroplasty is a surgical technique to treat compression fractures of vertebral bodies. During the treatment liquid bone cement gets injected into the affected vertebral body and therein cures to a solid. In order to investigate the treatment and the impact of injected bone cement on the vertebra, an integrated modelling and simulation framework has been developed. The framework includes (i) the generation of computer models based on microCT images of human cancellous bone, (ii) CFD simulations of bone cement injection into the trabecular structure of a vertebral body as well as (iii) non-linear FEM simulations of the bone cement curing. Thereby, microstructural models of trabecular bone structures are employed. Furthermore, a detailed description of the material behaviour of acrylic bone cements is provided. More precisely, a non-linear fluid flow model is chosen for the representation of the bone cement behaviour during injection and a non-linear viscoelastic material mo...

  3. Utilization of gold tailings as an additive in Portland cement.

    Science.gov (United States)

    Celik, Ozlem; Elbeyli, Iffet Yakar; Piskin, Sabriye

    2006-06-01

    Mine tailings are formed as an industrial waste during coal and ore mining and processing. In the investigated process, following the extraction of gold from the ore, the remaining tailings are subjected to a two-stage chemical treatment in order to destroy the free cyanide and to stabilize and coagulate heavy metals prior to discharge into the tailings pond. The aim of this study was the investigation of the feasibility of utilization of the tailings as an additive material in Portland cement production. For this purpose, the effects of the tailings on the compressive strength properties of the ordinary Portland cement were investigated. Chemical and physical properties, mineralogical composition, particle size distribution and microstructure of the tailings were determined by Fourier transform infrared spectroscopy (FTIR), X-ray diffractometry (XRD), particle size analyzer (Mastersizer) and scanning electron microscope (SEM). Following the characterization of the tailings, cement mortars were prepared by intergrinding Portland cement with dried tailings. Composition of the cement clinkers were adjusted to contain 5, 15, 25% (wt/wt) dried tailings and also silica fume and fly ash samples (C and F type) were added to clinker in different ratios. The mortars produced with different amounts of tailings, silica fume, fly ashes and also mixtures of them were tested for compressive strength values after 2, 7, 28 and 56 days according to the European Standard (EN 196-1). The results indicated that gold tailings up to 25% in clinker could be beneficially used as an additive in Portland cement production. It is suggested that the gold tailings used in the cement are blended with silica fume and C-type fly ash to obtain higher compressive strength values. PMID:16784164

  4. Use of red mud as addition for portland cement mortars

    International Nuclear Information System (INIS)

    The aim of the present research work was to investigate the possibility of adding red mud, an alkaline leaching waste that is obtained from bauxite during the Bayer process for alumina production, in the raw meal of Portland cement mortars. The red mud is classified as dangerous, according to NBR 10004/2004, and world while generation reached over 117 million tons/year. This huge production requires high consuming products to be used as incorporation matrix and we studied the influence of red mud addition on the characteristics of cement mortars and concrete. In this paper the properties of Portland cement mortars incorporating high amounts of red mud was evaluated: pH variation, fresh (setting time, workability or normal consistency and water retention), and hardened state (mechanical strength, capillary water absorption, density and apparent porosity). Results seem promising for red mud additions up to 20 wt%. (author)

  5. Bone cement with a modified polyphosphate network structure stimulates hard tissue regeneration.

    Science.gov (United States)

    Lee, Byung-Hyun; Hong, Min-Ho; Kim, Min-Chul; Kwon, Jae-Sung; Ko, Yeong-Mu; Choi, Heon-Jin; Lee, Yong-Keun

    2016-09-01

    In this study, a calcium polyphosphate cement (CpPC) consisting of basic components was investigated to assess its potential for hard tissue regeneration. The added basic components for improving the structural stability, which controlled the setting time, where the setting reaction resulted in the formation of amorphous structure with a re-constructed polyphosphate. Moreover, the characteristics were controlled by the composition, which determined the polyphosphate structure. CpPC exhibited outstanding dissolution rate compared with the common biodegradable cement, brushite cement (2.5 times). Despite high amounts of dissolution products, no significant cytotoxicity ensued. Induction of calcification in MG-63 cells treated with CpPC, the level of calcification increased with increasing CpPC dissolution rate. Induced calcification was observed also in CpPC-treated ST2 cells, in contrast with MG-63 and ST2 treated with brushite cement, for which no calcification was observed. In vivo tests using a rat calvarial defect model showed that resorbed CpPC resulted in favorable host responses and promoted bone formation. Additionally, there was a significant increase in defect closure, and new bone formation progressed from CpPC mid-sites as well as defect margins. From these results, CpPC exhibits significant potential as biodegradable bone substitute for bone regeneration. PMID:27511981

  6. Bone cements for percutaneous vertebroplasty and balloon kyphoplasty: Current status and future developments

    Directory of Open Access Journals (Sweden)

    Zhiwei He

    2015-01-01

    Full Text Available Osteoporotic vertebral compression fractures (OVCFs have gradually evolved into a serious health care problem globally. In order to reduce the morbidity of OVCF patients and improve their life quality, two minimally invasive surgery procedures, vertebroplasty (VP and balloon kyphoplasty (BKP, have been developed. Both VP and BKP require the injection of bone cement into the vertebrae of patients to stabilize fractured vertebra. As such, bone cement as the filling material plays an essential role in the effectiveness of these treatments. In this review article, we summarize the bone cements that are currently available in the market and those still under development. Two major categories of bone cements, nondegradable acrylic bone cements (ABCs and degradable calcium phosphate cements (CPCs, are introduced in detail. We also provide our perspectives on the future development of bone cements for VP and BKP.

  7. Extraoral Cementation Technique to Minimize Cement-Associated Peri-implant Marginal Bone Loss: Can a Thin Layer of Zinc Oxide Cement Provide Sufficient Retention?

    Science.gov (United States)

    Frisch, Eberhard; Ratka-Krüger, Petra; Weigl, Paul; Woelber, Johan

    2016-01-01

    This report describes the use of laboratory-fabricated crown intaglio replicas for extraorally prepared cementation of fixed restorations to implants. This technique minimizes excess cement and may therefore reduce the risk of cement-related marginal peri-implant bone loss. It is unclear whether the remaining thin layer of luting agent provides sufficient retention if low-adhesive zinc oxide (ZnO) cement is used. In 85 consecutive patients, 113 single crowns were cemented to implants using extraoral cementation technique (ECT) and ZnO cement. All patients were followed for 6 months and investigated for decementation. Seven events of decementation (incidence: 6.19%) were found in 7 patients (8.24%). ECT may represent a viable cementation technique for implant-supported single crowns, even using low-adhesion cements. PMID:27479343

  8. Biological responses of brushite-forming Zn- and ZnSr- substituted beta-tricalcium phosphate bone cements

    Directory of Open Access Journals (Sweden)

    S Pina

    2010-09-01

    Full Text Available The core aim of this study was to investigate zinc (Zn- and zinc and strontium (ZnSr-containing brushite-forming beta-tricalcium phosphate (TCP cements for their effects on proliferation and differentiation of osteoblastic-like cells (MC3T3-E1 cell line as well as for their in vivo behaviour in trabecular bone cylindrical defects in a pilot study. In vitro proliferation and maturation responses of MC3T3-E1 osteoblastic-like cells to bone cements were studied at the cellular and molecular levels. The Zn- and Sr-containing brushite cements were found to stimulate pre-osteoblastic proliferation and osteoblastic maturation. Indeed, MC3T3-E1 cells exposed to the powdered cements had increased proliferative rates and higher adhesiveness capacity, in comparison to control cells. Furthermore, they exhibited higher alkaline phosphatase (ALP activity and increased Type-I collagen secretion and fibre deposition into the extracellular matrix. Proliferative and collagen deposition properties were more evident for cells grown in cements doped with Sr. The in vivo osteoconductive propertiesof the ZnCPC and ZnSrCPC cements were also pursued. Histological and histomorphometric analyses were performed at 1 and 2 months after implantation, using carbonated apatite cement (Norian SRS® as control. There was no evidence of cement-induced adverse foreign body reactions, and furthermore ZnCPC and ZnSrCPC cements revealed better in vivo performance in comparison to the control apatite cement. Additionally, the presence of both zinc and strontium resulted in the highest rate of new bone formation. These novel results indicate that the investigated ZnCPC and ZnSrCPC cements are both biocompatible and osteoconductive, being good candidate materials to use as bone substitutes.

  9. Osteogenesis Capacity of a Novel BMP/α-TCP Bioactive Composite Bone Cement

    Institute of Scientific and Technical Information of China (English)

    YANG Wei-zhong; ZHOU Da-li; YIN Shao-ya; YIN Guang-fu; GAO Li-da; ZHANG Yun

    2004-01-01

    To improve the osteogenesis ability of α-tricalcium phosphate (α-TCP) bone cement,a novel BMP/α-TCP composite bone cement was prepared.By measuring the setting time and compressive strength,the hydration characteristic of bone cement was evaluated.Animal experiments including histological observation,radiographic investigation as well as digital image analyses reveal the difference of osteogenesis ability among BMP,α-TCP bone cement and BMP/α-TCP composite bone cement.Results show that α-TCP bone cement possesses excellent hydration and setting properties as well as high mechanical property.Comparison experiments show that BMP/α-TCP composite bone cement has a stronger osteogenesis ability.The gross observation of the implant site does not exhibit any inflammation or necrosis.Histological analyses reveal that the material has good osteointegration with host bone,and new bone formation is detected within the materials,which are degrading.Strong osteogenesis ability of the composite is due to not only the excellent osteoconductive potential but also the osteoinductive potential contributed by active BMP releasing and the material degradation.Large skull defect could be well-healed by filling BMP/α-TCP composite bone cement.This novel material proves itself to be an absorbable and bioactive bone cement with an osteogenesis ability.

  10. Solid-state P-31 MR studies of bone mineral and calcium phosphate bone cements

    International Nuclear Information System (INIS)

    Calcium phosphate bone cements have recently been used to promote bone healing and remodeling, but little is known of their bioabsorption. The purpose of this paper to characterize and quantitate bone mineral and calcium phosphate bone cements with the use of solid-state P-31 NMR imaging to establish a model for bioabsorption studies. Pulverized cortical rabbit bone, octacalcium phosphate spherulites, and two synthetic apatite formulations (A and B, Norian, Mountain View, Calif) were evaluated in vitro. A 9.4-T Varian VXR-400S spectrometer operating at 161.9 MHz for P-31 was used to obtain NMR imaging spectra with the magic-angel spinning technique at a sample spin frequency of 6-7.5 kHz, utilizing an external 85% phosphoric acid reference. T1 was determined in a static 90 degrees τ 90 degrees experiment. Quantitation was attempted in mixed samples

  11. A Particle Model for Prediction of Cement Infiltration of Cancellous Bone in Osteoporotic Bone Augmentation.

    Directory of Open Access Journals (Sweden)

    Ehsan Basafa

    Full Text Available Femoroplasty is a potential preventive treatment for osteoporotic hip fractures. It involves augmenting mechanical properties of the femur by injecting Polymethylmethacrylate (PMMA bone cement. To reduce the risks involved and maximize the outcome, however, the procedure needs to be carefully planned and executed. An important part of the planning system is predicting infiltration of cement into the porous medium of cancellous bone. We used the method of Smoothed Particle Hydrodynamics (SPH to model the flow of PMMA inside porous media. We modified the standard formulation of SPH to incorporate the extreme viscosities associated with bone cement. Darcy creeping flow of fluids through isotropic porous media was simulated and the results were compared with those reported in the literature. Further validation involved injecting PMMA cement inside porous foam blocks - osteoporotic cancellous bone surrogates - and simulating the injections using our proposed SPH model. Millimeter accuracy was obtained in comparing the simulated and actual cement shapes. Also, strong correlations were found between the simulated and the experimental data of spreading distance (R(2 = 0.86 and normalized pressure (R(2 = 0.90. Results suggest that the proposed model is suitable for use in an osteoporotic femoral augmentation planning framework.

  12. Effect of cationic polyelectrolytes addition in cement cohesion

    OpenAIRE

    Edison Albert Zuluaga-Hernández; Bibian A Hoyos

    2014-01-01

    Here is studied the variation in cohesion of cement main phase (C-S-H) as a result of cationic polyelectrolytes addition (quaternary amines spermine and norspermidine). Cohesion study was carried out by molecular simulation techniques (Monte Carlo) using a primitive model in a canonical ensemble (NVT). The proposed model takes into account the influence of ionic size of each particle and the addition of polyelectrolytes with different charge number and separation. The results obtained show th...

  13. Cement mixtures containing copper tailings as an additive: durability properties

    OpenAIRE

    Obinna Onuaguluchi; Özgur Eren

    2012-01-01

    The effects of copper tailings as an additive, on some durability properties of cement mixtures were investigated. In each mixture, copper tailings addition levels by mass were 0%, 5% and 10%. Compared to the control samples, copper tailings blended pastes showed superior performance against autoclave expansion while insignificant decreases in sulfate resistance of mortars were observed. Copper tailings increased the water absorption and total permeable voids of concretes slightly. However, t...

  14. Using of borosilicate glass waste as a cement additive

    Science.gov (United States)

    Han, Weiwei; Sun, Tao; Li, Xinping; Sun, Mian; Lu, Yani

    2016-08-01

    Borosilicate glass waste is investigated as a cement additive in this paper to improve the properties of cement and concrete, such as setting time, compressive strength and radiation shielding. The results demonstrate that borosilicate glass is an effective additive, which not only improves the radiation shielding properties of cement paste, but also shows the irradiation effect on the mechanical and optical properties: borosilicate glass can increase the compressive strength and at the same time it makes a minor impact on the setting time and main mineralogical compositions of hydrated cement mixtures; and when the natural river sand in the mortar is replaced by borosilicate glass sand (in amounts from 0% to 22.2%), the compressive strength and the linear attenuation coefficient firstly increase and then decrease. When the glass waste content is 14.8%, the compressive strength is 43.2 MPa after 28 d and the linear attenuation coefficient is 0.2457 cm-1 after 28 d, which is beneficial for the preparation of radiation shielding concrete with high performances.

  15. Mechanical Properties and Cytocompatibility Improvement of Vertebroplasty PMMA Bone Cements by Incorporating Mineralized Collagen

    Directory of Open Access Journals (Sweden)

    Hong-Jiang Jiang

    2015-05-01

    Full Text Available Polymethyl methacrylate (PMMA bone cement is a commonly used bone adhesive and filling material in percutaneous vertebroplasty and percutaneous kyphoplasty surgeries. However, PMMA bone cements have been reported to cause some severe complications, such as secondary fracture of adjacent vertebral bodies, and loosening or even dislodgement of the set PMMA bone cement, due to the over-high elastic modulus and poor osteointegration ability of the PMMA. In this study, mineralized collagen (MC with biomimetic microstructure and good osteogenic activity was added to commercially available PMMA bone cement products, in order to improve both the mechanical properties and the cytocompatibility. As the compressive strength of the modified bone cements remained well, the compressive elastic modulus could be significantly down-regulated by the MC, so as to reduce the pressure on the adjacent vertebral bodies. Meanwhile, the adhesion and proliferation of pre-osteoblasts on the modified bone cements were improved compared with cells on those unmodified, such result is beneficial for a good osteointegration formation between the bone cement and the host bone tissue in clinical applications. Moreover, the modification of the PMMA bone cements by adding MC did not significantly influence the injectability and processing times of the cement.

  16. Additives for cement compositions based on modified peat

    Science.gov (United States)

    Kopanitsa, Natalya; Sarkisov, Yurij; Gorshkova, Aleksandra; Demyanenko, Olga

    2016-01-01

    High quality competitive dry building mixes require modifying additives for various purposes to be included in their composition. There is insufficient amount of quality additives having stable properties for controlling the properties of cement compositions produced in Russia. Using of foreign modifying additives leads to significant increasing of the final cost of the product. The cost of imported modifiers in the composition of the dry building mixes can be up to 90% of the material cost, depending on the composition complexity. Thus, the problem of import substitution becomes relevant, especially in recent years, due to difficult economic situation. The article discusses the possibility of using local raw materials as a basis for obtaining dry building mixtures components. The properties of organo-mineral additives for cement compositions based on thermally modified peat raw materials are studied. Studies of the structure and composition of the additives are carried out by physicochemical research methods: electron microscopy and X-ray analysis. Results of experimental research showed that the peat additives contribute to improving of cement-sand mortar strength and hydrophysical properties.

  17. Additives for cement compositions based on modified peat

    Energy Technology Data Exchange (ETDEWEB)

    Kopanitsa, Natalya, E-mail: kopanitsa@mail.ru; Sarkisov, Yurij, E-mail: sarkisov@tsuab.ru; Gorshkova, Aleksandra, E-mail: kasatkina.alexandra@gmail.com; Demyanenko, Olga, E-mail: angel-n@sibmail.com [Tomsk State University of Architecture and Building, 2, Solyanaya sq., Tomsk, 634003 (Russian Federation)

    2016-01-15

    High quality competitive dry building mixes require modifying additives for various purposes to be included in their composition. There is insufficient amount of quality additives having stable properties for controlling the properties of cement compositions produced in Russia. Using of foreign modifying additives leads to significant increasing of the final cost of the product. The cost of imported modifiers in the composition of the dry building mixes can be up to 90% of the material cost, depending on the composition complexity. Thus, the problem of import substitution becomes relevant, especially in recent years, due to difficult economic situation. The article discusses the possibility of using local raw materials as a basis for obtaining dry building mixtures components. The properties of organo-mineral additives for cement compositions based on thermally modified peat raw materials are studied. Studies of the structure and composition of the additives are carried out by physicochemical research methods: electron microscopy and X-ray analysis. Results of experimental research showed that the peat additives contribute to improving of cement-sand mortar strength and hydrophysical properties.

  18. Influence of nano-dispersive modified additive on cement activity

    Energy Technology Data Exchange (ETDEWEB)

    Sazonova, Natalya, E-mail: n.a.sazonova@mail.ru; Badenikov, Artem, E-mail: rector@agta.ru; Ivanova, Elizaveta, E-mail: lisik-iva@mail.ru [Angarsk State Technical University, 60, Tchaykovsky St., 665835, Angarsk (Russian Federation); Skripnikova, Nelli, E-mail: nks2003@mail.ru [Tomsk State University of Architecture and Building, 2, Solyanaya Sq., 634003, Tomsk (Russian Federation)

    2016-01-15

    In the work the influence of single-walled carbon nanotubes (SWCNT) on the cement activity and the processes of structure formation of the hardened cement paste in different periods of hydration are studied. The changes in the kinetic curves of the sample strength growth modified with SWCNT in amount of 0.01 and 0.0005 % are stipulated by the results of differential scanning colorimetry, scanning electronic and ionic microscopy, X-ray-phase analysis. It was found that the nano-modified additive may increase in the axis compressive strength of the system by 1.4–6.3 fold relatively to the reference samples and may reach 179.6 MPa. It may intensify the hydration process of calcium silicates as well as influence on the matrix of hardened cement paste. The studies are conducted on the structural changes in the hardened cement paste, the time periods of increase and decrease of the compressive strength of the samples, the amount of the calcium hydroxide and tobermorite-like gel as well as the degree of hydration C{sub 3}S and β-C{sub 2}S.

  19. Influence of nano-dispersive modified additive on cement activity

    Science.gov (United States)

    Sazonova, Natalya; Badenikov, Artem; Skripnikova, Nelli; Ivanova, Elizaveta

    2016-01-01

    In the work the influence of single-walled carbon nanotubes (SWCNT) on the cement activity and the processes of structure formation of the hardened cement paste in different periods of hydration are studied. The changes in the kinetic curves of the sample strength growth modified with SWCNT in amount of 0.01 and 0.0005 % are stipulated by the results of differential scanning colorimetry, scanning electronic and ionic microscopy, X-ray-phase analysis. It was found that the nano-modified additive may increase in the axis compressive strength of the system by 1.4-6.3 fold relatively to the reference samples and may reach 179.6 MPa. It may intensify the hydration process of calcium silicates as well as influence on the matrix of hardened cement paste. The studies are conducted on the structural changes in the hardened cement paste, the time periods of increase and decrease of the compressive strength of the samples, the amount of the calcium hydroxide and tobermorite-like gel as well as the degree of hydration C3S and β-C2S.

  20. Cement mixtures containing copper tailings as an additive: durability properties

    Directory of Open Access Journals (Sweden)

    Obinna Onuaguluchi

    2012-12-01

    Full Text Available The effects of copper tailings as an additive, on some durability properties of cement mixtures were investigated. In each mixture, copper tailings addition levels by mass were 0%, 5% and 10%. Compared to the control samples, copper tailings blended pastes showed superior performance against autoclave expansion while insignificant decreases in sulfate resistance of mortars were observed. Copper tailings increased the water absorption and total permeable voids of concretes slightly. However, the compressive and flexural strengths of blended concretes were higher than those of the control samples. Similarly, improved resistance to acid attack and chloride penetration as the copper tailings content of concretes increased were also observed. Results further showed that the ASTM C 1202 rapid chloride permeability test may not be a valid indicator of chloride migration in mixtures containing conductive copper tailings. These results suggest that copper tailings can potentially enhance the durability properties of cement based materials.

  1. Recycling of copper tailings as an additive in cement mortars

    OpenAIRE

    Onuaguluchi, Obinna; EREN, Özgür

    2012-01-01

    Increasing demands for copper and copper allied products have made the processing of low grade ores with high volume waste output unavoidable. Presently, billions of tons of copper tailings can be found in major copper producing countries. The impact of copper tailings at 0%, 5% and 10% addition level by mass of cement on the fresh and hardened properties of mortars were determined. Results showed that dry copper tailings affect mixture consistency negatively. However, the use of pre-wetted t...

  2. Calcium phosphate bone cement containing ABK and PLLA. Sustained release of ABK, the BMD of the femur in rats, and histological examination

    Energy Technology Data Exchange (ETDEWEB)

    Kusaka, T.; Tanaka, A.; Sasaki, S.; Takano, I.; Tahara, Y.; Ishii, Y. [Kyorin Univ., Tokyo (Japan). Dept. of Orhtopaedic Surgery

    2001-07-01

    Bone cement was prepared by mixing CPC95 (Mitsubishi Material Co., Ltd.), ABK, and PLLA at a ratio of 14 : 1 : 2. In vitro, Antibiotic sustained release tests were performed by the total amount exchange method. In animal experiments, the bone cement was infused into the right femur of 18-month-old female SD rats. After 1, 2, 4, or 6 months, the BMD was determined by DXA in the bilateral femoral bones. In addition, hard tissue specimens were prepared, and the state of bone formation was observed. The release of the antibiotic was 1.73 {mu}g/ml until 18 days after administration, maintaining a concentration over the MIC80 for MRSA. In the animal experiments, the BMD significantly increased after 2 - 4 months. In the hard tissue specimens, direct binding on the bone-cement interface and bone formation in the cement were observed after 1 month. (orig.)

  3. The influence of clay additives in Portland cement on the compressive strength of the cement stone

    Directory of Open Access Journals (Sweden)

    A.R. Gaifullin

    2015-11-01

    Full Text Available The introduction of mineral additives to binders, especially to Portland cement, is one of the promising trends for solving the resource and energy saving problems, as well as problems of environmental protection during production and application. Expanding the supplementary cementitious materials resource base can be achieved through the use of natural pozzolans and thermally activated polymineral clays(commonly known as glinites in Russia. One type of glinite is metakaolin, which is obtained by calcination of kaolin clays. Metakaolin is widely and effectively used as a pozzolanic additive due to its beneficial effect on the physical and mechanical properties of Portland cement-based materials. The obstacle to its wide production and use are the limited deposits of pure kaolin clays in many countries, including the Russian Federation. In this respect, the studies of pozzolanic activity of the most common mineral clays and their use in some countries have significantly advanced. Similar studies were widely performed in the 1940s in USSR. It seems reasonable to renew this trend to provide a scientific base for the production of local pozzolans made of clays commonly used in different regions. Comparative studies of the effect of 5 clays differing in mineral and chemical composition, calcination temperature and specific surface area, and high-quality metakaolin, on the strength of hardened Portland cement paste have been performed. It has been established that introducing 5…10 % of composite clays calcined at 400…8000 C° and milled to a specific surface area of 290…800 m2/kg into Portland cement enhanced the strength of the hardened cement paste considerably better than the introduction of metakaolin with a specific surface area of 1200 m2/kg. The findings of the study suggest that many kinds of commonly used polymineral clays have a specific calcination temperature and dispersity, which results in a higher pozzolanic activity compared with

  4. Calcium phosphate cements properties with polymers addition; Propriedades do cimento de fosfato de calcio com adicao de polimeros

    Energy Technology Data Exchange (ETDEWEB)

    Fernandes, J.M.; Trajano, W.T.; Escobar, C.F.; Santos, L.A., E-mail: julianafernandes2@yahoo.com.br [Universidade Federal do Rio Grande do Sul (UFRGS), RS (Brazil)

    2012-07-01

    Calcium phosphate cements (CPC) have attracted great interest to use in orthopedics and dentistry as replacements for damaged parts of the skeletal system, showing good biocompatibility and osseointegration, allowing its use as bone graft. Several studies have shown that the addition of polymer additives have a strong influence on the cement properties. The low mechanical strength is the main obstacle to greater use of CPC as an implant material. The objective of this study was to evaluate properties of a cement based on α-tricalcium phosphate (α-TCP), added polymers. PVA (10%, 8%, 6%), sodium alginate (2%) and polyacrylate ammonia (3%), all in weight, were added to the synthesized α-TCP powder. The samples were molded and evaluated for density, porosity in vitro test (Simulated Body Fluid), crystalline phases and mechanical strength. The results show increased the mechanical properties of the cement when added these polymers.

  5. New developments in calcium phosphate bone cements: approaching spinal applications

    OpenAIRE

    Vlad, Maria Daniela

    2009-01-01

    La presente tesis doctoral (i.e., “New developments in calcium phosphate bone cements: approaching spinal applications”) aporta nuevos conocimientos en el campo de los cementos óseos de fosfato de calcio (CPBCs) en relación a su aplicación clínica en el campo de la cirugía vertebral mínimamente invasiva. La hipótesis central de esta investigación fue formulada en los siguientes términos: “Los cementos apatíticos pueden ser (si se optimizan) una alternativa mejor (debido a sus propiedades d...

  6. Destruction of meat and bone meals in cement plants; Destruction des farines animales dans les cimenteries

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2001-10-01

    Following the crisis of the bovine spongiform encephalopathy disease ('mad cow' disease), the French cement industrialists have been requested by the government since 1996 to eliminate the forbidden meat and bone meals in cement kilns where they are used as fuel substitutes. This article presents the advantages of the cement industry file in the destruction of such wastes, the validation and the safety aspects of this process. Meat and bone meal represents a high-grade fuel that lowers the environmental impact of cement production and does not affect the quality of cement. (J.S.)

  7. An experimental approach to the study of the rheology behaviour of synthetic bone calcium phosphate cements

    Energy Technology Data Exchange (ETDEWEB)

    Friberg, J.; Fernandez, E.; Sarda, S.; Nilsson, M.; Ginebra, M.P.; Planell, J.A. [Universidad Politecnica de Catalunya, Barcelona (Spain). Dept. of Materials Science and Metallurgical Engineering; Martinez, S. [Barcelona Univ. (Spain). Mineralogia i Recursos Minerals

    2001-07-01

    Calcium phosphate cements were developed to fit surgical needs in biomedical fields such as odontology or traumatology. Nowadays, a broad field of new applications have been found for this kind of materials. Drug delivery systems, tissue-engineering scaffolds and osteoporotic bone filling applications are some of the new fields that are being benefited with these materials. Looking at both, commercial and new experimental calcium phosphate cements it is found that {alpha}-tricalcium phosphate is the main reactive powder responsible for the setting and the hardening of the cement. Thus, it is important to know how {alpha}-tricalcium phosphate affects injectability of these cements. The aim of this study was to investigate the rheological behaviour of {alpha}-tricalcium phosphate slurries in order to know how the cement injectability should be modified. Factors such as liquid to powder ratio, particle size of the main reactive powder and the addition of dispersants have been considered. The results showed that viscosity decreased when particle size of reactant was increased and when liquid to powder ratio was increased. It was also found that a minimum of viscosity exists at an optimum value of the weight percentage of dispersant. (orig.)

  8. Effect of process variables on the preparation of artificial bone cements

    International Nuclear Information System (INIS)

    The present work concerns the preparation of bone cements based on poly(methyl methacrylate) (PMMA), used mainly for prosthesis fixation and cavity filling for correction of human bone failures. A typical bone cement recipe contains methyl methacrylate, which polymerizes in situ during cement application. An inherent problem of this reaction is the large amount of heat released during the cement preparation, which may lead to irreparable damage of living tissues. Optimization of PMMA-based bone cement recipes is thus an important step towards safe and reliable clinical usage of these materials. Important process variables related to the reaction temperature profile and the mixing of the recipe constituents were studied in order to allow for the adequate production of bone cements. It is shown that the average molar mass and size of the PMMA particles used in the production of the bone cement, as well as incorporation of radiopaque contrast, co-monomers and fillers into the bone recipe play fundamental roles in the course of the polymerization reaction. Furthermore, the injection vessel geometry may interfere dramatically with the temperature profile and the time for its occurrence. Finally, it has been observed that the morphology of the PMMA particles strongly affects the mixing of the bone cement components. (author)

  9. Effect of process variables on the preparation of artificial bone cements

    Energy Technology Data Exchange (ETDEWEB)

    Santos Junior, J.G.F.; Melo, P.A.; Pinto, J.C., E-mail: pinto@peq.coppe.ufrj.br, E-mail: jjunior@peq.coppe.ufrj.br, E-mail: melo@peq.coppe.ufrj.br [Coordenacao dos Programas de Pos-Graduacao de Engenharia (COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Quimica; Pita, V.J.R.R., E-mail: vjpita@ima.ufrj.br [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Instituto de Macromoleculas; Nele, M., E-mail: nele@eq.ufrj.br [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Escola de Quimica

    2013-10-15

    The present work concerns the preparation of bone cements based on poly(methyl methacrylate) (PMMA), used mainly for prosthesis fixation and cavity filling for correction of human bone failures. A typical bone cement recipe contains methyl methacrylate, which polymerizes in situ during cement application. An inherent problem of this reaction is the large amount of heat released during the cement preparation, which may lead to irreparable damage of living tissues. Optimization of PMMA-based bone cement recipes is thus an important step towards safe and reliable clinical usage of these materials. Important process variables related to the reaction temperature profile and the mixing of the recipe constituents were studied in order to allow for the adequate production of bone cements. It is shown that the average molar mass and size of the PMMA particles used in the production of the bone cement, as well as incorporation of radiopaque contrast, co-monomers and fillers into the bone recipe play fundamental roles in the course of the polymerization reaction. Furthermore, the injection vessel geometry may interfere dramatically with the temperature profile and the time for its occurrence. Finally, it has been observed that the morphology of the PMMA particles strongly affects the mixing of the bone cement components. (author)

  10. An injectable calcium phosphate cement for the local delivery of paclitaxel to bone

    NARCIS (Netherlands)

    Lopez-Heredia, M.A.; Kamphuis, G.J.; Thune, P.C.; Oner, F.C.; Jansen, J.A.; Walboomers, X.F.

    2011-01-01

    Bone metastases are usually treated by surgical removal, fixation and chemotherapeutic treatment. Bone cement is used to fill the resection voids. The aim of this study was to develop a local drug delivery system using a calcium phosphate cement (CPC) as carrier for chemotherapeutic agents. CPC cons

  11. The release of gentamicin from acrylic bone cements in a simulated prosthesis-related interfacial gap

    NARCIS (Netherlands)

    Hendriks, JGE; Neut, D; van Horn, [No Value; van der Mei, HC; Busscher, HJ

    2003-01-01

    Gentamicin is added to polymethylmethacrylate bone cements in orthopedics as a measure against infection in total joint arthroplasties. Numerous studies have been published on gentamicin release from bone cements, but none have been able to estimate the local concentrations in the prosthesis-related

  12. The economics of using prophylactic antibiotic-loaded bone cement in total knee replacement.

    Science.gov (United States)

    Gutowski, C J; Zmistowski, B M; Clyde, C T; Parvizi, J

    2014-01-01

    The rate of peri-prosthetic infection following total joint replacement continues to rise, and attempts to curb this trend have included the use of antibiotic-loaded bone cement at the time of primary surgery. We have investigated the clinical- and cost-effectiveness of the use of antibiotic-loaded cement for primary total knee replacement (TKR) by comparing the rate of infection in 3048 TKRs performed without loaded cement over a three-year period versus the incidence of infection after 4830 TKRs performed with tobramycin-loaded cement over a later period of time of a similar duration. In order to adjust for confounding factors, the rate of infection in 3347 and 4702 uncemented total hip replacements (THR) performed during the same time periods, respectively, was also examined. There were no significant differences in the characteristics of the patients in the different cohorts. The absolute rate of infection increased when antibiotic-loaded cement was used in TKR. However, this rate of increase was less than the rate of increase in infection following uncemented THR during the same period. If the rise in the rate of infection observed in THR were extrapolated to the TKR cohort, 18 additional cases of infection would have been expected to occur in the cohort receiving antibiotic-loaded cement, compared with the number observed. Depending on the type of antibiotic-loaded cement that is used, its cost in all primary TKRs ranges between USD $2112.72 and USD $112 606.67 per case of infection that is prevented.

  13. Preparation and Characterization of Injectable Brushite Filled-Poly (Methyl Methacrylate) Bone Cement

    OpenAIRE

    Lucas C. Rodriguez; Jonathan Chari; Shant Aghyarian; Gindri, Izabelle M.; Victor Kosmopoulos; Rodrigues, Danieli C.

    2014-01-01

    Powder-liquid poly (methyl methacrylate) (PMMA) bone cements are widely utilized for augmentation of bone fractures and fixation of orthopedic implants. These cements typically have an abundance of beneficial qualities, however their lack of bioactivity allows for continued development. To enhance osseointegration and bioactivity, calcium phosphate cements prepared with hydroxyapatite, brushite or tricalcium phosphates have been introduced with rather unsuccessful results due to increased cem...

  14. Extended fatigue life of a catalyst-free self-healing acrylic bone cement using microencapsulated 2-octyl cyanoacrylate

    OpenAIRE

    Brochu, Alice B. W.; Matthys, Oriane B.; Craig, Stephen L.; Reichert, William M.

    2014-01-01

    The tissue adhesive 2-octyl cyanoacrylate (OCA) was encapsulated in polyurethane microshells and incorporated into bone cement to form a catalyst free, self-healing bone cement comprised of all clinically approved components. The bending strength, modulus, and fatigue lifetime were investigated in accordance with ASTM and ISO standards for the testing of PMMA bone cement. The bending strength of bone cement specimens decreased with increasing wt% capsules content for capsules without or with ...

  15. Signal-inducing bone cements for MRI-guided spinal cementoplasty: evaluation of contrast-agent-based polymethylmethacrylate cements

    Energy Technology Data Exchange (ETDEWEB)

    Bail, Hermann Josef; Tsitsilonis, Serafim; Wichlas, Florian [University Charite, Center for Musculoskeletal Surgery, Berlin (Germany); Sattig, Christoph [aap Biomaterials GmbH, Dieburg (Germany); Papanikolaou, Ioannis [University Charite, Department of Gastroenterology, Berlin (Germany); Teichgraeber, Ulf Karl Mart [University Charite, Department of Radiology, Berlin (Germany)

    2012-06-15

    The purpose of this work is to evaluate two signal-inducing bone cements for MRI-guided spinal cementoplasty. The bone cements were made of polymethylmethacrylate (PMMA, 5 ml monomeric, 12 g polymeric) and gadoterate meglumine as a contrast agent (CA, 0-40 {mu}l) with either saline solution (NaCl, 2-4 ml) or hydroxyapatite bone substitute (HA, 2-4 ml). The cement's signal was assessed in an open 1-Tesla MR scanner, with T1W TSE and fast interventional T1W TSE pulse sequences, and the ideal amount of each component was determined. The compressive and bending strength for different amounts of NaCl and HA were evaluated. The cement's MRI signal depended on the concentration of CA, the amount of NaCl or HA, and the pulse sequence. The signal peaks were recorded between 1 and 10 {mu}l CA per ml NaCl or HA, and were higher in fast T1W TSE than in T1W TSE images. The NaCl-PMMA-CA cements had a greater MRI signal intensity and compressive strength; the HA-PMMA-CA cements had a superior bending strength. Concerning the MR signal and biomechanical properties, these cements would permit MRI-guided cementoplasty. Due to its higher signal and greater compressive strength, the NaCl-PMMA-CA compound appears to be superior to the HA-PMMA-CA compound. (orig.)

  16. Porous calcium phosphate-poly (lactic-co-glycolic) acid composite bone cement: A viable tunable drug delivery system.

    Science.gov (United States)

    Roy, Abhijit; Jhunjhunwala, Siddharth; Bayer, Emily; Fedorchak, Morgan; Little, Steve R; Kumta, Prashant N

    2016-02-01

    Calcium phosphate based cements (CPCs) are frequently used as bone void fillers for non-load bearing segmental bone defects due to their clinically relevant handling characteristics and ability to promote natural bone growth. Macroporous CPC scaffolds with interconnected pores are preferred for their ability to degrade faster and enable accelerated bone regeneration. Herein, a composite CPC scaffold is developed using newly developed resorbable calcium phosphate cement (ReCaPP) formulation containing degradable microspheres of bio-compatible poly (lactic-co-glycolic acid) (PLGA) serving as porogen. The present study is aimed at characterizing the effect of in-vitro degradation of PLGA microspheres on the physical, chemical and structural characteristics of the composite cements. The porosity measurements results reveal the formation of highly interconnected macroporous scaffolds after degradation of PLGA microspheres. The in-vitro characterizations also suggest that the degradation by products of PLGA reduces the pH of the local environment thereby increasing the dissolution rate of the cement. In addition, the in-vitro vancomycin release from the composite CPC scaffold suggests that the drug association with the composite scaffolds can be tuned to achieve control release kinetics. Further, the study demonstrates control release lasting for longer than 10weeks from the composite cements in which vancomycin is encapsulated in PLGA microspheres. PMID:26652353

  17. Porous calcium phosphate-poly (lactic-co-glycolic) acid composite bone cement: A viable tunable drug delivery system.

    Science.gov (United States)

    Roy, Abhijit; Jhunjhunwala, Siddharth; Bayer, Emily; Fedorchak, Morgan; Little, Steve R; Kumta, Prashant N

    2016-02-01

    Calcium phosphate based cements (CPCs) are frequently used as bone void fillers for non-load bearing segmental bone defects due to their clinically relevant handling characteristics and ability to promote natural bone growth. Macroporous CPC scaffolds with interconnected pores are preferred for their ability to degrade faster and enable accelerated bone regeneration. Herein, a composite CPC scaffold is developed using newly developed resorbable calcium phosphate cement (ReCaPP) formulation containing degradable microspheres of bio-compatible poly (lactic-co-glycolic acid) (PLGA) serving as porogen. The present study is aimed at characterizing the effect of in-vitro degradation of PLGA microspheres on the physical, chemical and structural characteristics of the composite cements. The porosity measurements results reveal the formation of highly interconnected macroporous scaffolds after degradation of PLGA microspheres. The in-vitro characterizations also suggest that the degradation by products of PLGA reduces the pH of the local environment thereby increasing the dissolution rate of the cement. In addition, the in-vitro vancomycin release from the composite CPC scaffold suggests that the drug association with the composite scaffolds can be tuned to achieve control release kinetics. Further, the study demonstrates control release lasting for longer than 10weeks from the composite cements in which vancomycin is encapsulated in PLGA microspheres.

  18. Calcium phosphate cement delivering zoledronate decreases bone turnover rate and restores bone architecture in ovariectomized rats.

    Science.gov (United States)

    Wu, Chang-Chin; Wang, Chen-Chie; Lu, Dai-Hua; Hsu, Li-Ho; Yang, Kai-Chiang; Lin, Feng-Huei

    2012-06-01

    Patients sustaining bony fractures frequently require the application of bone graft substitutes to fill the bone defects. In the meantime, anti-osteoporosis drugs may be added in bone fillers to treat osteoporosis, especially in postmenopausal women and the elderly. The effects of zoledronate-impregnated calcium phosphate cement (ZLN/CPC) on ovariectomized (OVX) rats were evaluated. OVX rats were implanted with ZLN/CPC, containing 0.025 mg ZLN in the greater omentum. Afterward the clinical sign of toxicity was recorded for eight weeks. The rats were sacrificed and blood samples were collected for hematology and serum bone turnover markers analyses. The four limbs of the rats were harvested and micro-computer tomography (micro-CT) scanning and bone ash analyses were performed. No clinical toxicity was observed in the treated rats. Compared to the OVX rats, levels of bone resorption markers (fragments of C-telopeptides of type I collagen) and bone formation markers (alkaline phosphatase and osteocalcin) decreased significantly in the treated rats. Osteopontin, which mediates the anchoring of osteoclasts to the mineral matrix of bones, also decreased significantly. Micro-CT scanning and histologic examinations of the distal femoral metaphyses showed that the cancellous bone architectures were restored, with a concomitant decrease in bone porosity. The bone mineral content in the bone ashes also increased significantly. This study indicates that ZLN-impregnated CPC reduces bone turnover rate and restores bone architecture in OVX rats. CPC may be an appropriate carrier to deliver drugs to treat osteoporosis, and this approach may also reduce rates of post-dosing symptoms for intravenous ZLN delivery.

  19. Calcium phosphate cement delivering zoledronate decreases bone turnover rate and restores bone architecture in ovariectomized rats

    International Nuclear Information System (INIS)

    Patients sustaining bony fractures frequently require the application of bone graft substitutes to fill the bone defects. In the meantime, anti-osteoporosis drugs may be added in bone fillers to treat osteoporosis, especially in postmenopausal women and the elderly. The effects of zoledronate-impregnated calcium phosphate cement (ZLN/CPC) on ovariectomized (OVX) rats were evaluated. OVX rats were implanted with ZLN/CPC, containing 0.025 mg ZLN in the greater omentum. Afterward the clinical sign of toxicity was recorded for eight weeks. The rats were sacrificed and blood samples were collected for hematology and serum bone turnover markers analyses. The four limbs of the rats were harvested and micro-computer tomography (micro-CT) scanning and bone ash analyses were performed. No clinical toxicity was observed in the treated rats. Compared to the OVX rats, levels of bone resorption markers (fragments of C-telopeptides of type I collagen) and bone formation markers (alkaline phosphatase and osteocalcin) decreased significantly in the treated rats. Osteopontin, which mediates the anchoring of osteoclasts to the mineral matrix of bones, also decreased significantly. Micro-CT scanning and histologic examinations of the distal femoral metaphyses showed that the cancellous bone architectures were restored, with a concomitant decrease in bone porosity. The bone mineral content in the bone ashes also increased significantly. This study indicates that ZLN-impregnated CPC reduces bone turnover rate and restores bone architecture in OVX rats. CPC may be an appropriate carrier to deliver drugs to treat osteoporosis, and this approach may also reduce rates of post-dosing symptoms for intravenous ZLN delivery. (paper)

  20. DETERMINATION OF DIPOLE MOMENTS IN PLASTICIZER ADDITIONS FOR CEMENT CONCRETES

    Directory of Open Access Journals (Sweden)

    P. I. Ioukhnevsky

    2010-01-01

    Full Text Available The paper contains a method for determination of dipole moments in chemical plasticizer addition molecules for cement concretes as in powder-state so in the form of aqueous solutions as well.The methodology is based on measuring dielectric substance  permittivity depending on temperature, construction of a diagram (ε – 1/(ε + 2 = f(1/T with subsequent calculation of the molecule dipole moment. The Ossipov’s formula has been used for aqueous solutions of super-plasticizer additions with the purpose to calculate a dipole moment of polar substance in the polar solvent.The obtained values of dipole moments in C-3 super-plasticizer addition molecule are in good agreement with the values obtained as a result of quantum-chemical calculations. 

  1. Intrusion Characteristics of Three Bone Cements for Tibial Component of Total Knee Arthroplasty in a Cadaveric Bone Model.

    Science.gov (United States)

    Walden, Justin K; Chong, Alexander C M; Dinh, Nam L; Adrian, Scott; Cusick, Robert; Wooley, Paul H

    2016-01-01

    The purpose of this study was to evaluate and compare the intrusion characteristics of Simplex-HV to Simplex-P and Palacos-R in cadaveric proximal tibial bone. Eighteen fresh-frozen cadaver proximal tibiae were examined with standard arthroplasty tibial cuts. Each tibia was randomly assigned to receive one of the three bone cements for use with finger packing technique. Sagittal sections were prepared and analyzed using digital photography and stereoscopic micrographs to evaluate cement intrusion characteristics. The cement penetration depth was measured from the tibial bone cut surface, which did not include the cement thickness under the tibial base plate. Significant differences were detected in the bone cement penetration between the three cements. Penetration was increased using the Simplex-HV (average, 2.7 mm; range, 2.0-3.0 mm) compared with Simplex-P (average, 2.2 mm) and Palacos-R (average, 1.8 mm). These depths approximate to 3.7, 3.2, and 2.8 mm of total cement penetration, respectively. The data suggest that high-viscosity bone cement may provide good fixation of the tibial component of a total knee arthroplasty when using the finger packing technique. PMID:27518289

  2. Alkali hydrolysis experiment of organic materials such as cement additives

    Energy Technology Data Exchange (ETDEWEB)

    Fukumoto, M. [Japan Nuclear Cycle Development Inst., Tokai Works, Waste Management and Fuel Cycle Research Center, Tokai, Ibaraki (Japan); Nishikawa, Y. [Inspection Development Company Ltd., Tokai, Ibaraki (Japan)

    2001-03-01

    The alkali hydrolysis experiments which seem to be important from the view point of the alteration mechanism using the following seven organic materials was performed as a part of the evaluation of the influence on the disposal of the organic materials contained in the TRU wastes. As a result of the alkali hydrolysis experiments (90degC and 91d), each organic materials became those of lower molecular weight. The degradation products were able to be detected in the solution. The organic materials seem to be degraded to the organic matters which were confirmed in this study in a long term of disposal. The degradation products were shown below. Therefore, the evaluation of the influence on the migration of radionuclides by degradation products becomes important in the future. 1) Cement additives of Naphthalenesulfonic acid and Ligninsulfonic acid ({yields} Naphthalenedisulfonic acid etc.). 2) Cement additives of polycarboxylic acid ({yields} Oligomer of distal methoxypoly ethylene glycol.) 3) Ethylenediamine-N,N,N',N'-tetraacetic acid disodium salt ({yields} Acetic acid desorbed and cyclized organic matters from EDTA). 4) Tributyl phosphate ({yields} Dibutyl phthalate, n-butanol). 5) Poly vinyl acetate ({yields} Acetic acid). 6) Nylon66 ({yields} Adipic acid, Hexamethylenediamine). 7) Cured epoxy resin ({yields} Glycerol poly glycidyl ether, Carboxylic acid). (author)

  3. Palacos compared to Palamed bone cement in total hip replacement: a randomized controlled trial.

    Science.gov (United States)

    Meinardi, Joris E; Valstar, Edward R; Van Der Voort, Paul; Kaptein, Bart L; Fiocco, Marta; Nelissen, Rob G H H

    2016-10-01

    Background and purpose - Stability and survival of cemented total hip prostheses is dependent on a multitude of factors, including the type of cement that is used. Bone cements vary in viscosity, from low to medium and high. There have been few clinical RSA studies comparing the performance of low- and high-viscosity bone cements. We compared the migration behavior of the Stanmore hip stem cemented using novel low-viscosity Palamed bone cement with that of the same stem cemented with conventional high-viscosity Palacos bone cement. Patients and methods - We performed a randomized controlled study involving 39 patients (40 hips) undergoing primary total hip replacement for primary or secondary osteoarthritis. 22 patients (22 hips) were randomized to Palacos and 17 patients (18 hips) were randomized to Palamed. Migration was determined by RSA. Results - None of these 40 hips had been revised at the 10-year follow-up mark. To our knowledge, the patients who died before they reached the 10-year endpoint still had the implant in situ. No statistically significant or clinically significant differences were found between the 2 groups for mean translations, rotations, and maximum total-point motion (MTPM). Interpretation - We found similar migration of the Stanmore stem in the high-viscosity Palacos cement group and the low-viscosity Palamed cement group. We therefore expect that the risk of aseptic loosening with the new Palamed cement would be comparable to that with the conventional Palacos cement. The choice of which type of bone cement to use is therefore up to the surgeon's preference. PMID:27329869

  4. CT evaluation of local leakage of bone cement after percutaneous kyphoplasty and vertebroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Lee, In Jae; Choi, A. Lam; Yie, Mi-Yeon; Yoon, Ji Young; Jeon, Eui Yong; Koh, Sung Hye; Yoon, Dae Young; Lim, Kyung Ja (Dept. of Radiology, Hallym Univ. Sacred Heart Hospital, Seoul (Korea)), e-mail: ijlee2003@medimail.co.kr; Im, Hyoung June (Dept. of Occupational Medicine, Hallym Univ. College of Medicine, Seoul (Korea))

    2010-07-15

    Background: Percutaneous injection of bone cement (acrylic cement) during percutaneous kyphoplasty and vertebroplasty can cause symptomatic or asymptomatic complications due to leakage, extravasation or vascular migration of cement. Purpose: To investigate and to compare the incidence and site of local leakage or complications of bone cement after percutaneous kyphoplasty and vertebroplasty using bone cement. Material and Methods: We retrospectively reviewed 473 cases of percutaneous kyphoplasty or vertebroplasty performed under fluoroscopic guidance. Of the 473 cases, follow-up CT scans that covered the treated bones were available for 83 cases (59 kyphoplasty and 24 vertebroplasty). Results: The rate of local leakage of bone cement was 87.5% (21/24) for percutaneous vertebroplasty and 49.2% (29/59) for kyphoplasty. The most common site of local leakage was perivertebral soft tissue (n=8, 38.1%) for vertebroplasty. The most common site of local leakage was a perivertebral vein (n=7, 24.1%) for kyphoplasty. Two cases of pulmonary cement embolism developed: one case after kyphoplasty and one case after vertebroplasty. Conclusion: Local leakage of bone cement was more common for percutaneous vertebroplasty compared with kyphoplasty (P<0.005). The most common sites of local leakage were perivertebral soft tissue and perivertebral vein.

  5. Recycling Jorf Lasfar fly ash as an additive to cement

    Directory of Open Access Journals (Sweden)

    Hamadi A

    2012-09-01

    Full Text Available Recycling fly ash is a good example of valorization of waste. It gives a solution the environmental problem by avoiding land filling, and reducing CO2 emission in the atmosphere. In this work we studied the physical-chemical characteristics of Jorf Lasfar fly ash. The parameters investigated were particle size, density, specific surface Blaine, chemical and mineralogical compositions. The techniques used are scanning electronic microscope (SEM, transmission electronic microscope (TEM, X-rays fluorescence (XRF, X-rays diffraction (XRD and atomic spectrometry emission coupled with inductive plasma ICP. We also conducted a study on the mechanical behavior of type CPJ45 cements produced from a combined grinding of clinker, limestone and gypsum. The substitution of a portion of the clinker by different percentages of fly ash was conducted. We noticed that the compression and bending resistances for these mixtures went through a maximum at 28 days with the addition of 7% (by mass of ash. This result showed that the mineral and chemical compositions of this ash conferred a Pozzoulanic power to the cement studied.

  6. Bone cement/layered double hydroxide nanocomposites as potential biomaterials for joint implant.

    Science.gov (United States)

    Kapusetti, Govinda; Misra, Nira; Singh, Vakil; Kushwaha, R K; Maiti, Pralay

    2012-12-01

    Poly(methyl methacrylate)-based bone cement and layered double hydroxide (LDH) nanocomposites have been used as a grouting material for total joint arthroplasty. Few weight percentage of nanoLDH was uniformly dispersed in the bone cement matrix to have adequate interaction with matrix polymer. Mechanical strength, stiffness, toughness, and fatigue resistance of the nanocomposites are found to be higher than that of pure bone cement. Nanocomposites are thermally stable as compared to pristine bone cement. Direct mixing of the nanoLDH without any organic solvent makes these nanocomposites biocompatible. Biocompatibility was evaluated and compared with that of commercial bone cement by measuring hydrophilic nature, hemolysis assay, thrombosis assay, and deposition of apatite in simulated body fluid immersion. Finally, the viability of human osteoblast cells on the above developed nanocomposites was testified for actual biocompatibility. The experiment showed better cell growth in nanocomposites as compared to pure bone cement. Thus, these nanocomposites are found to be better grouting material than bone cement. PMID:22733710

  7. Radioactive bone cement for the treatment of spinal metastases: a dosimetric analysis of simulated clinical scenarios

    Science.gov (United States)

    Kaneko, T. S.; Sehgal, V.; Skinner, H. B.; Al-Ghazi, M. S. A. L.; Ramsinghani, N. S.; Marquez Miranda, M.; Keyak, J. H.

    2012-07-01

    Vertebral metastases are a common manifestation of many cancers, potentially leading to vertebral collapse and neurological complications. Conventional treatment often involves percutaneous vertebroplasty/kyphoplasty followed by external beam radiation therapy. As a more convenient alternative, we have introduced radioactive bone cement, i.e. bone cement incorporating a radionuclide. In this study, we used a previously developed Monte Carlo radiation transport modeling method to evaluate dose distributions from phosphorus-32 radioactive cement in simulated clinical scenarios. Isodose curves were generally concentric about the surface of bone cement injected into cadaveric vertebrae, indicating that dose distributions are relatively predictable, thus facilitating treatment planning (cement formulation and dosimetry method are patent pending). Model results indicated that a therapeutic dose could be delivered to tumor/bone within ∼4 mm of the cement surface while maintaining a safe dose to radiosensitive tissue beyond this distance. This therapeutic range should be sufficient to treat target volumes within the vertebral body when tumor ablation or other techniques are used to create a cavity into which the radioactive cement can be injected. With further development, treating spinal metastases with radioactive bone cement may become a clinically useful and convenient alternative to the conventional two-step approach of percutaneous strength restoration followed by radiotherapy.

  8. Aluminum-free glass-ionomer bone cements with enhanced bioactivity and biodegradability

    Energy Technology Data Exchange (ETDEWEB)

    Gomes, Filipa O.; Pires, Ricardo A., E-mail: rpires@dep.uminho.pt; Reis, Rui L.

    2013-04-01

    Al-free glasses of general composition 0.340SiO{sub 2}:0.300ZnO:(0.250-a-b)CaO:aSrO:bMgO:0.050Na{sub 2}O:0.060P{sub 2}O{sub 5} (a, b = 0.000 or 0.125) were synthesized by melt quenching and their ability to form glass-ionomer cements was evaluated using poly(acrylic acid) and water. We evaluated the influence of the poly(acrylic acid) molecular weight and glass particle size in the cement mechanical performance. Higher compressive strength (25 ± 5 MPa) and higher compressive elastic modulus (492 ± 17 MPa) were achieved with a poly(acrylic acid) of 50 kDa and glass particle sizes between 63 and 125 μm. Cements prepared with glass formulation a = 0.125 and b = 0.000 were analyzed after immersion in simulated body fluid; they presented a surface morphology consistent with a calcium phosphate coating and a Ca/P ratio of 1.55 (similar to calcium-deficient hydroxyapatite). Addition of starch to the cement formulation induced partial degradability after 8 weeks of immersion in phosphate buffer saline containing α-amylase. Micro-computed tomography analysis revealed that the inclusion of starch increased the cement porosity from 35% to 42%. We were able to produce partially degradable Al-free glass-ionomer bone cements with mechanical performance, bioactivity and biodegradability suitable to be applied on non-load bearing sites and with the appropriate physical characteristics for osteointegration upon partial degradation. Zn release studies (concentrations between 413 μM and 887 μM) evidenced the necessity to tune the cement formulations to reduce the Zn concentration in the surrounding environment. Highlights: ► We developed partially degradable, bioactive, Al-free glass-ionomer cements (GICs). ► Enhanced mechanical behavior was achieved using 63–125 μm glass particle size range. ► The highest mechanical resistance was obtained using poly(acrylic acid) of 50 kDa. ► Biodegradation was successfully tuned to start 8 weeks after GIC preparation. ► Zn

  9. Gentamicin release from polymethylmethacrylate bone cements and Staphylococcus aureus biofilm formation

    NARCIS (Netherlands)

    van de Belt, H; Neut, D; Schenk, W; van Horn, [No Value; van der Mei, HC; Busscher, HJ

    2000-01-01

    We measured the formation of a Staphylococcus aureus biofilm in vitro on unloaded and gentamicin-loaded bone cements (CMW3 and Palaces R) and related the formation to antibiotic release rates. All experiments were done in triplicate. Microbial growth on gentamicin-loaded cements occurred despite the

  10. The biocompatibility of porous vs non-porous bone cements: a new methodological approach

    Directory of Open Access Journals (Sweden)

    C. Dall'Oca

    2014-06-01

    Full Text Available Composite cements have been shown to be biocompatible, bioactive, with good mechanical properties and capability to bind to the bone. Despite these interesting characteristic, in vivo studies on animal models are still incomplete and ultrastructural data are lacking. The acquisition of new ultrastructural data is hampered by uncertainties in the methods of preparation of histological samples due to the use of resins that melt methacrylate present in bone cement composition. A new porous acrylic cement composed of polymethylmetacrylate (PMMA and β-tricalciumphosphate (β-TCP was developed and tested on an animal model. The cement was implanted in femurs of 8 New Zealand White rabbits, which were observed for 8 weeks before their sacrifice. Histological samples were prepared with an infiltration process of LR white resin and then the specimens were studied by X-rays, histology and scanning electron microscopy (SEM. As a control, an acrylic standard cement, commonly used in clinical procedures, was chosen. Radiographic ultrastructural and histological exams have allowed finding an excellent biocompatibility of the new porous cement. The high degree of osteointegration was demonstrated by growth of neo-created bone tissue inside the cement sample. Local or systemic toxicity signs were not detected. The present work shows that the proposed procedure for the evaluation of biocompatibility, based on the use of LR white resin allows to make a thorough and objective assessment of the biocompatibility of porous and non-porous bone cements.

  11. The contradictory effects of pores on fatigue cracking of bone cement.

    NARCIS (Netherlands)

    Janssen, D.; Aquarius, R.J.M.; Stolk, J.; Verdonschot, N.J.J.

    2005-01-01

    The beneficial effect of porosity reduction on the fatigue life of bone cement has been demonstrated in numerous experimental studies. Clinically, however, it seems that the beneficial effect of porosity reduction of cement around total hip replacement components can only be found in large follow-up

  12. Cemented total hip arthroplasty with impacted morcellized bone-grafts to restore acetabular bone defects in congenital hip dysplasia.

    NARCIS (Netherlands)

    Bolder, S.B.T.; Melenhorst, J.; Gardeniers, J.W.M.; Slooff, T.J.J.H.; Veth, R.P.H.; Schreurs, B.W.

    2001-01-01

    We evaluated the results of 27 acetabular reconstructions in 21 patients with secondary osteoarthritis resulting from congenital dysplasia of the hip in which the acetabular bone defects were restored with impacted morcellized bone-grafts in combination with a cemented cup. At an average follow-up o

  13. Fatigue crack propagation of acrylic bone cements. Influence of the radio-opaque agents; Propagacion de grietas por fatiga de cementos oseos acrilicos. Influencia de los agentes radiopacos

    Energy Technology Data Exchange (ETDEWEB)

    Ginebra, M. P.; Albuixech, L.; Fernandez-Barragan, E.; Gil, F. J.; Planell, J. A.; San Roman, J.; Vazquez, B.

    2001-07-01

    In this work the 2,5-diiodo-8-quinolyl methacrylate (IHQM), is proposed as a new radiopaque agent. The addition of the iodine containing methacrylate provided a statistically significant increase in the tensile strength, fracture toughness and ductility, with respect to the barium sulphate containing cement. This effect was attributed to the fact that the use of a radiopaque monomer eliminated the porosity associated to the barium sulphate particles. However, since fatigue resistance is one of the main properties required to ensure a good long-term performance of permanent pros these, as is the case of acrylic bone cements, it is important to compare the fatigue properties of this new bone cement formulation with the radiolucent and the BaSO{sub 4} containing bone cements. The results show that the absence of inorganic particles with no matrix adhesion plays a negative role when the fatigue crack propagation is considered. (Author) 26 refs.

  14. MR predictors of bone cement leakage in patients receiving percutaneous vertebroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Koh, Young Hwan; Han, Dae Hee; Choi, Young Ho; Cha, Joo Hee [Boramae Hospital, Incheon (Korea, Republic of); Jun, Deuk Soo; Jin, Wook; Kim, Hyung Sik [Gachon Medicine School, Gachon (Korea, Republic of)

    2005-07-15

    To identify MR predictors of bone cement leakage in patients receiving percutaneous vertebroplasty. Percutaneous vertebroplasties were performed in 45 vertebras (T7; one, T8; two, T10; two, T11; two, T12; eight, L1; fifteen, L2; eight, L3; five, L4; two) in 35 patients (age 52-83). The procedure was performed using an 11 G Jamshidi needle, which was inserted into the target by the bipedicular approach. Kyphoplasty, unilateral pedicular approach and extrapedicular approach cases were excluded. Shortly after the procedure, all patients underwent a noncontrast CT covering the vertebroplasty sites. A retrospective study was performed to determine whether cement leakage is related to any of following MR findings: presence of cortical disruption of the vertebral body, severity of body compression (proportion of abnormal to normal vertebral body volumes), bone cement amount, bone cement amount/severity of body compression ratio, proportion of low-signal area in a vertebral body on T1 weighted image, presence of either vacuum or cystic portion below a linear dark signal in a fractured vertebra, and the location of dark signal intensity line in a vertebral body. Logisgic discrimination model stepwise method was used in the statistical analysis. On post-vertebroplasty CT scan, bone cement leakage was detected in or around 29 vertebrae (64%), including 11 vertebrae (24%) where leakage was found in the epidural space or radial vein. No patient displayed any neurological symptoms or signs. The most frequent site of bone cement leakage was the anterior external vertebral venous plexus (49%). Endplate cortical bone disruption was related to an increased risk of intervertebral bone cement leakage ({rho} < 0.05). Bone cement leakage tended to occur less frequently when there is a vacuum or cystic change below the dark linear signal intensity in a fractured vertebra ({rho} < 0.05). No other MR findings showed a statistically significant correlation with bone cement leakage. On pre

  15. Metakaolin sand – a promising addition for Portland cement

    Directory of Open Access Journals (Sweden)

    Janotka, I.

    2010-06-01

    Full Text Available The kaolin sand resource at the Vyšný Petrovec quarry in Slovakia comes to a total of 20 megatonnes. The metakaolin material obtained by heating kaolin sand at 650 ºC contains from 31.5 to 40% (wt metakaolinite, as well as illite, muscovite, quartz and feldspar. The aim of this study was to verify whether this calcined sand (MK1 is a pozzolanic material and characterize the cements and mortars prepared with it. The hydration reactions taking place in the blends were assessed with conduction calorimetry, X-ray diffraction (XRD and differential thermal analysis-thermogravimetry (DTA-TG. Blend and mortar strength development and pore structure were also evaluated. The results obtained showed that this metakaolin sand (MK-1 is a pozzolanic material apt for use as a cement addition and for making mortars.

    Las reservas de arena caolínica de la cantera eslovaca de Vyšný Petrovec ascienden a un total de 20 millones de toneladas. El material metacaolínico, que resulta al calentar la arena caolínica a 650 ºC, contiene entre un 31,5 y un 40% de metacaolinita, además de ilita, moscovita, cuarzo y feldespato. El objetivo de este estudio ha sido comprobar que esa arena calcinada es un material puzolánico; así como caracterizar los cementos y morteros preparados con dicha arena (MK-1. La hidratación de las mezclas se evaluó mediante calorimetría de conducción, y difracción de rayos X (DRX y Análisis térmico-diferencial y termogravimétrico (ATD-TG. Se ha evaluado el desarrollo resistente de las mezclas y morteros; así como su estructura porosa. Los resultados obtenidos han demostrado que esa arena metacolínica (MK-1 es un material puzolánico y que podría utilizarse como adición al cemento y en la preparación de morteros.

  16. Effect of additive particles on mechanical, thermal, and cell functioning properties of poly(methyl methacrylate cement

    Directory of Open Access Journals (Sweden)

    Khandaker M

    2014-05-01

    Full Text Available Morshed Khandaker,1 Melville B Vaughan,2 Tracy L Morris,3 Jeremiah J White,1 Zhaotong Meng1 1Department of Engineering and Physics, 2Department of Biology, 3Department of Mathematics and Statistics, University of Central Oklahoma, Edmond, OK, USA Abstract: The most common bone cement material used clinically today for orthopedic surgery is poly(methyl methacrylate (PMMA. Conventional PMMA bone cement has several mechanical, thermal, and biological disadvantages. To overcome these problems, researchers have investigated combinations of PMMA bone cement and several bioactive particles (micrometers to nanometers in size, such as magnesium oxide, hydroxyapatite, chitosan, barium sulfate, and silica. A study comparing the effect of these individual additives on the mechanical, thermal, and cell functional properties of PMMA would be important to enable selection of suitable additives and design improved PMMA cement for orthopedic applications. Therefore, the goal of this study was to determine the effect of inclusion of magnesium oxide, hydroxyapatite, chitosan, barium sulfate, and silica additives in PMMA on the mechanical, thermal, and cell functional performance of PMMA. American Society for Testing and Materials standard three-point bend flexural and fracture tests were conducted to determine the flexural strength, flexural modulus, and fracture toughness of the different PMMA samples. A custom-made temperature measurement system was used to determine maximum curing temperature and the time needed for each PMMA sample to reach its maximum curing temperature. Osteoblast adhesion and proliferation experiments were performed to determine cell viability using the different PMMA cements. We found that flexural strength and fracture toughness were significantly greater for PMMA specimens that incorporated silica than for the other specimens. All additives prolonged the time taken to reach maximum curing temperature and significantly improved cell

  17. Comparison of a quasi-dynamic and a static extraction method for the cytotoxic evaluation of acrylic bone cements.

    Science.gov (United States)

    Hoess, A; López, A; Engqvist, H; Ott, M Karlsson; Persson, C

    2016-05-01

    In this study, two different extraction approaches were compared in order to evaluate the cytotoxicity of 7 different acrylic bone cements, mainly developed for spinal applications, to osteoblastic cells. Firstly, a static extraction was carried out continuously over 24h, a method widely used in literature. Secondly, a quasi-dynamic extraction method that allowed the investigation of time-dependent cytotoxic effects of curing acrylic bone cements to cells was introduced. In both cases the extraction of the cements was started at a very early stage of the polymerization process to simulate the conditions during clinical application. Data obtained by the quasi-dynamic extraction method suggest that the cytotoxicity of the setting materials mainly originates from the release of toxic components during the first hour of the polymerization reaction. It was also shown that a static extraction over 24h generally represents this initial stage of the curing process. Furthermore, compared to the static extraction, time-dependent cytotoxicity profiles could be detected using the quasi-dynamic extraction method. Specifically, a modification of commercial OsteopalV with castor oil as a plasticizer as well as a customized cement formulation showed clear differences in cytotoxic behavior compared to the other materials during the setting process. In addition, it was observed that unreacted monomer released from the castor oil modified cement was not the main component affecting the toxicity of the material extracts. The quasi-dynamic extraction method is a useful tool to get deeper insight into the cytotoxic potential of curing acrylic bone cements under relevant biological conditions, allowing systematic optimization of materials under development. PMID:26952424

  18. External bone remodeling after injectable calcium-phosphate cement in benign bone tumor: two cases in the hand.

    Science.gov (United States)

    Ichihara, S; Vaiss, L; Acciaro, A L; Facca, S; Liverneaux, P

    2015-12-01

    Bone remodeling commonly occurred after fracture and curettage benign bone tumor. A lot of previous articles reported "internal" trabecular bone remodeling. There were no previous clinical reports about "external" cortical bone remodeling. We present here 2 clinical cases of "external" bone remodeling after injectable calcium-phosphate in benign bone tumor in the hand. In two cases of benign bone tumor, we performed complete removal of the tumor and immediate filling of the metacarpal bone with injectable calcium-phosphate cement Arexbone(®) from the mechanical viewpoint. With respect to the shape of the calcium-phosphate, by using an injection-type, calcium-phosphate is adhered uniformly to the bone cortex by injecting, remodeling has been promoted. After 5 and 8years, both cases were no recurrences, and the shape of the metacarpal looked close to the contralateral side. These findings supposed to be concerned with potential self-healing and self-protection mechanism in human body.

  19. Microencapsulation of 2-octylcyanoacrylate tissue adhesive for self-healing acrylic bone cement.

    Science.gov (United States)

    Brochu, Alice B W; Chyan, William J; Reichert, William M

    2012-10-01

    Here, we report the first phase of developing self-healing acrylic bone cement: the preparation and characterization of polyurethane (PUR) microcapsules containing a medical cyanoacrylate tissue adhesive. Capsules were prepared by interfacial polymerization of a toluene-2,4-diisocyanate-based polyurethane prepolymer with 1,4-butanediol to encapsulate 2-octylcyanoacrylate (OCA). Various capsule characteristics, including: resultant morphology, average size and size distribution, shell thickness, content and reactivity of encapsulated agent, and shelf life are investigated and their reliance on solvent type and amount, surfactant type and amount, temperature, pH, agitation rate, reaction time, and mode of addition of the oil phase to the aqueous phase are presented. Capsules had average diameters ranging from 74 to 222 μm and average shell thicknesses ranging from 1.5 to 6 μm. The capsule content was determined via thermogravimetric analysis and subsequent analysis of the capsules following up to 8 weeks storage revealed minimal loss of core contents. Mechanical testing of OCA-containing capsules showed individual capsules withstood compressive forces up to a few tenths of Newtons, and the contents released from crushed capsules generated tensile adhesive forces of a few Newtons. Capsules were successfully mixed into the poly(methyl methacrylate) bone cement, surviving the mixing process, exposure to methyl methacrylate monomer, and the resulting exothermic matrix curing. PMID:22807313

  20. Preparation and Compressive Strength of Calcium Phosphate Bone Cement Containing N, O-carboxymethyl Chitosan

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    N, O-carboxymethyl chitosan ( CMCTS ), a kind of biodegradable organic substance, was added to calcium phosphate bone cement (CPC) to produce a composite more similar in composition to human bone. The compressive strength of the new material was increased by 10 times compared with conventional CPC.

  1. The mechanical effects of different levels of cement penetration at the cement–bone interface

    NARCIS (Netherlands)

    Waanders, D.; Janssen, D.W.; Mann, K.A.; Verdonschot, N.J.J.

    2010-01-01

    The mechanical effects of varying the depth of cement penetration in the cement–bone interface were investigated using finite element analysis (FEA) and validated using companion experimental data. Two FEA models of the cement–bone interface were created from micro-computed tomography data and the p

  2. Injectable bioactive calcium-magnesium phosphate cement for bone regeneration

    International Nuclear Information System (INIS)

    Novel injectable and degradable calcium-magnesium phosphate cement (CMPC) with rapid-setting characteristic was developed by the introduction of magnesium phosphate cement (MPC) into calcium phosphate cement (CPC). The calcium-magnesium phosphate cement prepared under the optimum P/L ratio exhibited good injectability and desired workability. It could set within 10 min at 37 0C in 100% relative humidity and the compressive strength could reach 47 MPa after setting for 48 h, indicating that the prepared cement has relatively high initial mechanical strength. The results of in vitro degradation experiments demonstrated the good degradability of the injectable CMPC, and its degradation rate occurred significantly faster than that of pure CPC in simulated body fluid (SBF) solution. It can be concluded that the novel injectable calcium-magnesium phosphate cement is highly promising for a wide variety of clinical applications, especially for the development of minimally invasive techniques.

  3. Lignin-based cement fluid loss control additive

    Energy Technology Data Exchange (ETDEWEB)

    Schilling, P.

    1990-05-22

    This patent describes a hydraulic cement slurry composition. It comprises: a hydraulic cement, and the following expressed as parts by weight per 100 parts of the hydraulic cement, water from about 25 to 105 parts, and from abut 0.5 to 2.5 parts of a compound selected from the group consisting of a sulfonated lignin and a sulfomethylated lignin, wherein the lignin has been sequentially crosslinked by reacting the lignin with a member of the group consisting of formaldehyde and epichlorohydrin and alkoxylated with between about 2 to about 6 moles of a compound selected from the group consisting of ethylene oxide, propylene oxide, butylene oxide and a combination thereof per 1000 g of the lignin.

  4. Amino acid-assisted synthesis of strontium hydroxyapatite bone cement by a soft solution freezing method

    Indian Academy of Sciences (India)

    D Gopi; S Nithiya; L Kavitha; J M F Ferreira

    2012-12-01

    Among many cations that can substitute for calcium in the structure of hydroxyapatite, strontium provokes an increasing interest because of its beneficial effect on bone formation and prevention of bone resorption. Strontium-incorporated calcium phosphates show potential in biomedical application, particularly the doped strontium may help in new bone formation. We have synthesized strontium hydroxyapatite powders at 2 °C by a soft solution freezing method using glycine as the template. The structural and morphological characterizations were carried out on the as obtained powders using Fourier transform infrared spectroscopy, X-ray diffraction analysis and scanning electron microscopy techniques. Strontium was quantitatively incorporated into hydroxyapatite where its substitution for calcium provoked a linear shift of the infrared absorption bands of the hydroxyl and phosphate groups. The strontium substituted bone cement has potential for use in orthopaedic surgeries. The present study shows that the addition of glycine plays an important role in reducing the particle size of strontium hydroxyapatite which could be used for biomedical applications.

  5. Calcium carbonate-calcium phosphate mixed cement compositions for bone reconstruction.

    Science.gov (United States)

    Combes, C; Bareille, R; Rey, C

    2006-11-01

    The feasibility of making calcium carbonate-calcium phosphate (CaCO(3)-CaP) mixed cements, comprising at least 40% (w/w) CaCO(3) in the dry powder ingredients, has been demonstrated. Several original cement compositions were obtained by mixing metastable crystalline CaCO(3) phases with metastable amorphous or crystalline CaP powders in aqueous medium. The cements set within at most 1 h at 37 degrees C in atmosphere saturated with water. The hardened cement is microporous and exhibits weak compressive strength. The setting reaction appeared to be essentially related to the formation of a highly carbonated nanocrystalline apatite phase by reaction of the metastable CaP phase with part or almost all of the metastable CaCO(3) phase. The recrystallization of metastable CaP varieties led to a final cement consisting of a highly carbonated poorly crystalline apatite analogous to bone mineral associated with various amounts of vaterite and/or aragonite. The presence of controlled amounts of CaCO(3) with a higher solubility than that of the apatite formed in the well-developed CaP cements might be of interest to increase resorption rates in biomedical cement and favors its replacement by bone tissue. Cytotoxicity testing revealed excellent cytocompatibility of CaCO(3)-CaP mixed cement compositions.

  6. Wollastonite nanofiber–doped self-setting calcium phosphate bioactive cement for bone tissue regeneration

    Directory of Open Access Journals (Sweden)

    Guo H

    2012-07-01

    Full Text Available Han Guo,1,2 Jie Wei,2 Wenhua Song,2 Shan Zhang,2 Yonggang Yan,3 Changsheng Liu,2 Tiqiao Xiao11Shanghai Synchrotron Radiation Facility, Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai, People's Republic of China; 2Key Laboratory for Ultrafine Materials of Ministry of Education, East China University of Science and Technology, Shanghai, People's Republic of China; 3School of Physical Science and Technology, Sichuan University, Chengdu, People's Republic of ChinaAbstract: The purpose of this study was to synthesize a self-setting bioactive cement by incorporation of wollastonite nanofibers (WNFs into calcium phosphate cement (CPC. The composition, morphology, setting time, compressive strength, hydrophilicity, and degradation of WNF-doped CPC (wnf-CPC were investigated. Scanning electron microscopy, Fourier transform infrared spectroscopy, X-ray diffraction, and inductively coupled plasma atomic emission spectroscopy were utilized. Additionally, methyl-thiazolyl-tetrazolium bromide assay, scanning electron microscopy, inductively coupled plasma atomic emission spectroscopy, and histological evaluation were used to study the cell and tissue responses to wnf-CPC, both in vitro and in vivo. The results confirmed that the addition of WNFs into CPC had no obvious effect on the setting time or the compressive strength of wnf-CPC, provided the WNF amount was not more than 10 wt%. However, the hydrophilicity and degradability of wnf-CPC were significantly improved by the addition of WNFs – this was because of the change of microstructure caused by the WNFs. The preferred dissolution of WNFs caused the formation of microporosity in wnf-CPC when soaked in tris hydrochloride solution. The microporosity enlarged the surface area of the wnf-CPC and so promoted degradation of the wnf-CPC when in contact with liquid. In addition, MG-63 cell attachment and proliferation on the wnf-CPC were superior to that on the CPC, indicating that

  7. Study of effect of addition of fly ash on radon exhalation rate in cement samples

    International Nuclear Information System (INIS)

    Most of the building materials like cement and fly ash contain naturally occurring radioactive materials (NORM). Increased interest in measuring radon exhalation rate in building products is due to the concern about health hazards of NORM. This paper focuses on studying the effect of addition of fly ash on radon exhalation rate in cement samples. Ordinary Portland Cement (OPC) and coal fly ash were used for finding the exhalation rate of cement in this paper. To study the effect on exhalation rate of cement, fly ash is added in different proportions to cement samples. The measurement was conducted by CAN Technique using SSNTDs. A gradual increase has been observed in radon exhalation rate up to certain proportion and then start to decrease. (author)

  8. Effect of BaSO4 on the fatigue crack propagation rate of PMMA bone cement.

    Science.gov (United States)

    Molino, L N; Topoleski, L D

    1996-05-01

    To determine the effect of BaSO4 on the fatigue crack growth rate, da/dN = C(delta K)n, of poly(methyl methacrylate) (PMMA) bone cement, radiopaque bone cement, radiolucent bone cement, and commercial PMMA (Plexiglas) were tested using a methodology based on ASTM E647. The crack growth rate of radiopaque bone cement was one order of magnitude less than that of radiolucent. Fractographic analysis showed that the regions of rapid catastrophic fracture were smooth for all materials tested. The radiopaque fatigue surface was rough and characterized by ragged-edged stacked plateaus, a morphology consistent with the model of crack propagation through the interbead matrix. Voids were visible in the interbead matrix on the order of the size of BaSO4 particles. The fatigue surface of radiolucent bone cement was relatively smooth, a morphology consistent with crack propagation through both the PMMA beads and interbead matrix. Fatigue striations were visible, and their spacing correlated well with crack propagation rates. The striations indicated an increased crack growth rate through the PMMA beads.

  9. THE INFLUENCE OF THE COMPLEX CHEMICAL ADDITIVE CONTAINING THE STRUCTURED CARBON NANOMATERIAL ON PROPERTIES OF CEMENT

    Directory of Open Access Journals (Sweden)

    O. Yu. Sheyda

    2015-01-01

    Full Text Available The paper presents results of investigations on influence of domestic complex chemical additive containing structured carbon nanomaterial and characterized by a combination effect (curing acceleration and plasticizing on cement and cement stone properties. The purpose of the investigations, on the one hand, has been to confirm efficacy of УКД-1additive from the perspective for increasing the rate of gain, strength growth of cement concrete and additive influence on setting time with the purpose to preserve molding properties of concrete mixes in time, and on the other hand, that is to assess “mechanism” of the УКД-1 additive action in the cement concrete. The research results have revealed regularities in changes due to the additive of water requirements and time period of the cement setting. The reqularities are considered as a pre-requisite for relevant changes in molding properties of the concrete mixes. The paper also experimentally substantiates the possibility to decrease temperature of cement concrete heating with the УДК-1 additive. It has been done with the purpose to save energy resources under production conditions. In addition to this the paper proves the efficiency of the additive which is expressed in strength increase of cement stone up to 20–40 % in the rated age (28 days that is considered as a basis for strength growth of cement concrete. The paper confirms a hypothesis on physical nature of this phenomenon because the X-ray phase analysis method has shown that there are no changes in morphology of portland cement hydration products under the action of the additive agent containing a structured carbon nanomaterial. Results of theoretical and experimental investigations on УКД-1 additive efficiency have been proved by industrial approbation while fabricating precast concrete products and construction of monolithic structures under plant industrial conditions (Minsk, SS “Stroyprogress” JSC MAPID and on

  10. Biomechanical and finite element analyses of bone cement-Injectable cannulated pedicle screw fixation in osteoporotic bone.

    Science.gov (United States)

    Liu, Yaoyao; Xu, Jianzhong; Sun, Dong; Luo, Fei; Zhang, Zehua; Dai, Fei

    2016-07-01

    The objectives of this study were to investigate the safety and biomechanical stability of a polymethylmethacrylate (PMMA)-augmented bone cement-injectable cannulated pedicle screw (CICPS) in cancellous bone model, and to analyze the stress distribution at the screw-cement-bone interface. The OMEGA cannulated pedicle screw (OPS) and conventional pedicle screw (CPS) were used as control groups. Safety of the CICPS was evaluated by the static bending and bending fatigue tests. Biomechanical stability was analyzed by the maximum axial pullout strength and maximum torque tests. Stress distribution at the screw-cement-bone interface was analyzed by the finite element (FE) method. The CICPS and CPS produced statistically similar values for bending stiffness, bending structural stiffness, and bending yield moment. The maximum pullout force was 53.47 ± 8.65 N in CPS group, compared to 130.82 ± 7.32 N and 175.45 ± 43.01 N in the PMMA-augmented OPS and CICPS groups, respectively (p screw-cement-bone interface in the CICPS group. In conclusion, PMMA-augmentation with CICPS may be a potentially useful method to increase the stability of pedicle screws in patients with osteoporosis. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 960-967, 2016. PMID:25976272

  11. The Mechanical Behavior of Bone Cement in THR in the Presense of Cavities

    Directory of Open Access Journals (Sweden)

    A. Benouis

    2014-06-01

    Full Text Available In this work we analyze three-dimensionally using the finite element method, the level and the Von Mises stress equivalent distribution induced around a cavity and between two cavities located in the proximal and distal bone cement polymethylmethacrylate (PMMA. The effects of the position around two main axes (vertical and horizontal of the cavity with respect to these axes, of the cavity - cavity interdistance and of the type of loading (static on the mechanical behavior of cement orthopedic are highlighted. We show that the breaking strain of the cement is largely taken when the cement in its proximal-lateral part contains cavities very close adjacent to each other. This work highlights not only the effect of the density of cavities, in our case simulated by cavity-cavity interdistance, but also the nature of the activity of the patient (patient standing corresponding to static efforts on the mechanical behavior of cement.

  12. Influence of liquid phase on physical properties of the new triphasic bone cement

    OpenAIRE

    A. Ślósarczyk; N. Osypanka; J. Czechowska; Z. Paszkiewicz; A. Zima

    2012-01-01

    Purpose: The aim of this work was to develop a new bone cement based on hydroxyapatite (HAp), βTCP and calcium sulfate hemihydrate (CSH) and to determine the influence of a liquid phase, used for cement pastes preparation, on physical properties of the final implant material.Design/methodology/approach: The powder phase consisting of CSH (60 wt.%) and HAp+ βTCP (40 wt.%) was applied. Composite samples were prepared using distilled water, chitosan and methylcellulose solutions as the liquid ph...

  13. Evolution of the hydration in cements with additions

    OpenAIRE

    Bonavetti, V. L.; Rahhal, V. F.; Irassar, E. F.

    2002-01-01

    In this paper, the hydration mechanism of portland cement pastes with limestone, quartz and natural pozzolan (80/20 weight) was analized. The techniques used were nonevaporable water content, pozzolanic activity and X-ray diffraction. Results show that filler effect increases initially the amount of hydration products in all pastes. For limestone pastes, the dilution effect is significant at long time, for quartz and pozzolan pastes the dilution effect was lower due to the contribution of the...

  14. Performance of bioactive PMMA-based bone cement under load-bearing conditions: an in vivo evaluation and FE simulation.

    Science.gov (United States)

    Fottner, Andreas; Nies, Berthold; Kitanovic, Denis; Steinbrück, Arnd; Mayer-Wagner, Susanne; Schröder, Christian; Heinemann, Sascha; Pohl, Ulrich; Jansson, Volkmar

    2016-09-01

    In the past, bioactive bone cement was investigated in order to improve the durability of cemented arthroplasties by strengthening the bone-cement interface. As direct bone-cement bonding may theoretically lead to higher stresses within the cement, the question arises, whether polymethylmethacrylate features suitable mechanical properties to withstand altered stress conditions? To answer this question, in vivo experiments and finite element simulations were conducted. Twelve rabbits were divided into two groups examining either bioactive polymethylmethacrylate-based cement with unchanged mechanical properties or commercially available polymethylmethacrylate cement. The cements were tested under load-bearing conditions over a period of 7 months, using a spacer prosthesis cemented into the femur. For the finite element analyses, boundary conditions of the rabbit femur were simulated and analyses were performed with respect to different loading scenarios. Calculations of equivalent stress distributions within the cements were applied, with a completely bonded cement surface for the bioactive cement and with a continuously interfering fibrous tissue layer for the reference cement. The bioactive cement revealed good in vivo bioactivity. In the bioactive cement group two failures (33 %), with complete break-out of the prosthesis occurred, while none in the reference group. Finite element analyses of simulated bioactive cement fixation showed an increase in maximal equivalent stress by 49.2 to 109.4 % compared to the simulation of reference cement. The two failures as well as an increase in calculated equivalent stress highlight the importance of fatigue properties of polymethylmethacrylate in general and especially when developing bioactive cements designated for load-bearing conditions. PMID:27530301

  15. In vitro biocompatibility of chitosan/hyaluronic acid-containing calcium phosphate bone cements.

    Science.gov (United States)

    Hesaraki, Saeed; Nezafati, Nader

    2014-08-01

    The need for bone repair has increased as the population ages. In this research, calcium phosphate cements, with and without chitosan (CS) and hyaluronic acid (HA), were synthesized. The composition and morphological properties of cements were evaluated by X-ray diffraction and scanning electron microscopy. The acellular in vitro bioactivity revealed that different apatite morphologies were formed on the surfaces of cements after soaking in simulated body fluid. The in vitro osteoblastic cell biocompatibility of in situ forming cements was evaluated and compared with those of conventional calcium phosphate cements (CPCs). The viability and growth rate of the cells were similar for all CPCs, but better alkaline phosphatase activity was observed for CPC with CS and HA. Calcium phosphate cements supported attachment of osteoblastic cells on their surfaces. Spindle-shaped osteoblasts with developed cytoplasmic membrane were found on the surfaces of cement samples after 7 days of culture. These results reveal the potential of the CPC-CS/HA composites to be used in bone tissue engineering. PMID:24399509

  16. Contact damage failure analyses of fretting wear behavior of the metal stem titanium alloy-bone cement interface.

    Science.gov (United States)

    Zhang, Lanfeng; Ge, Shirong; Liu, Hongtao; Wang, Qingliang; Wang, Liping; Xian, Cory J

    2015-11-01

    Although cemented titanium alloy is not favored currently in the Western world for its poor clinical and radiography outcomes, its lower modulus of elasticity and good biocompatibility are instrumental for its ability supporting and transforming physical load, and it is more suitable for usage in Chinese and Japanese populations due to their lower body weights and unique femoral characteristics. Through various friction tests of different cycles, loads and conditions and by examining fretting hysteresis loops, fatigue process curves and wear surfaces, the current study investigated fretting wear characteristics and wear mechanism of titanium alloy stem-bone cement interface. It was found that the combination of loads and displacement affected the wear quantity. Friction coefficient, which was in an inverse relationship to load under the same amplitude, was proportional to amplitudes under the same load. Additionally, calf serum was found to both lubricate and erode the wear interface. Moreover, cement fatigue contact areas appeared black/oxidative in dry and gruel in 25% calf serum. Fatigue scratches were detected within contact areas, and wear scars were found on cement and titanium surfaces, which were concave-shaped and ring concave/ convex-shaped, respectively. The coupling of thermoplastic effect and minimal torque damage has been proposed to be the major reason of contact damage. These data will be important for further studies analyzing metal-cement interface failure performance and solving interface friction and wear debris production issues. PMID:26241891

  17. MR findings predictive of intradiscal leakage of bone cement in vertebroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kye Ho; Yoo, Dong Soo; Kim, You Me; Lee, Young Seok [Donkook University College of Medicine, Cheonan (Korea, Republic of)

    2007-04-15

    To evaluate the relation between pre-operative MR findings and intradiscal bone cement leakage. Pre-operative MR and vertebroplasty were performed in 188 vertebral bodies, 376 superior and inferior cortical endplates and intervertebral discs of 126 patients. We analyzed the relation between endplate cortical injury and intradiscal linear low signal intensity lesions in the pre-operative MR images and measured intradiscal bone cement leakage on post-operative CT and fluoroscopy. Intradiscal bone cement leakage was found in 11.4% (43/376) of the cases. The incidence of endplate cortical injury in T1, T2 weighted MR images were 52.1% and 38.8%, respectively; the incidence of intradiscal linear low signal intensity lesions in T1, T2 weighted images were 11.2% and 24.2%, respectively. In relation with pre-operative MR findings and intradiscal bone cement leakage, the sensitivities of end plate cortical injury in T1 and T2 weighted images and intradiscal low signal intensity lesions in T1 and T2 weighted images were 100%, 95.3%, 39.5%, 86.5% the specificities were 54.1%, 68.5%, 92.5%, 83.9%, the positive predictive values were 21.9%, 28.1%, 40.5%, 40.7%, the negative predictive values were 100%, 99.1%, 92.2%, 97.9% and the accuracy were 59.3%, 71.5%, 86.4%, 84.0%. The incidence of intradiscal bone cement leakage was significantly increased when endplate cortical injury and intradiscal linear low signal intensity lesions were observed ({rho} < 0.001). Endplate cortical injury and intradiscal linear low signal intensity observed in pre-operative MR are useful findings in predicting intradiscal bone cement leakage.

  18. Effect of pulsed ultrasound in combination with gentamicin on bacterial viability in biofilms on bone cements in vivo

    NARCIS (Netherlands)

    Ensing, GT; Roeder, BL; Nelson, JL; van Horn, [No Value; van der Mei, HC; Busscher, HJ; Pitt, WG

    2005-01-01

    Aims: The aim of this study is to investigate whether pulsed ultrasound (US) in combination with gentamicin yields a decreased viability of bacteria in biofilms on bone cements in vivo. Methods and Results: Bacterial survival on bone cement in the presence and absence of ultrasound was compared in a

  19. Implant augmentation: adding bone cement to improve the treatment of osteoporotic distal femur fractures: a biomechanical study using human cadaver bones.

    Science.gov (United States)

    Wähnert, Dirk; Hofmann-Fliri, Ladina; Richards, R Geoff; Gueorguiev, Boyko; Raschke, Michael J; Windolf, Markus

    2014-11-01

    The increasing problems in the field of osteoporotic fracture fixation results in specialized implants as well as new operation methods, for example, implant augmentation with bone cement. The aim of this study was to determine the biomechanical impact of augmentation in the treatment of osteoporotic distal femur fractures.Seven pairs of osteoporotic fresh frozen distal femora were randomly assigned to either an augmented or nonaugmented group. In both groups, an Orthopaedic Trauma Association 33 A3 fractures was fixed using the locking compression plate distal femur and cannulated and perforated screws. In the augmented group, additionally, 1 mL of polymethylmethacrylate cement was injected through the screw. Prior to mechanical testing, bone mineral density (BMD) and local bone strength were determined. Mechanical testing was performed by cyclic axial loading (100 N to 750 N + 0.05N/cycle) using a servo-hydraulic testing machine.As a result, the BMD as well as the axial stiffness did not significantly differ between the groups. The number of cycles to failure was significantly higher in the augmented group with the BMD as a significant covariate.In conclusion, cement augmentation can significantly improve implant anchorage in plating of osteoporotic distal femur fractures. PMID:25415673

  20. Biocompatibility and other properties of acrylic bone cements prepared with antiseptic activators.

    Science.gov (United States)

    de la Torre, B; Fernández, M; Vázquez, B; Collía, F; de Pedro, J A; López-Bravo, A; San Román, J

    2003-08-15

    Acrylic bone cements prepared with activators of reduced toxicity have been formulated with the aim of improving the biocompatibility of the final material. The activators used were N,N-dimethylaminobenzyl alcohol (DMOH) and 4,4'-dimethylamino benzydrol (BZN). The toxicity, cytotoxicity, and antiseptic action of these activators were first studied. DMOH and BZN presented LD50 values 3-4 times higher than DMT, were less cytotoxic against polymorphonuclear leucocytes, and possessed an antimicrobial character, with a high activity against the most representative microorganisms involved in postoperative infections. The properties of the acrylic bone cements formulated with DMOH and BZN were evaluated to determine the influence of these activators on the curing process and the physicochemical characteristics of the cements. A decrease of the peak temperature was observed for the curing with DMOH or BZN with respect to that of one commercially available formulation (CMW 3). However, residual monomer content and mechanical properties in tension and compression were comparable to those of CMW 3. The biocompatibility of acrylic bone cements containing DMOH or BZN was studied and compared with CMW 3. To that end, intramuscular and intraosseous implantation procedures were carried out and the results were obtained from the histological analysis of the surrounding tissues at different periods of time. Implantation of rods of cement into the dorsal muscle of rats showed the presence of a membrane of connective tissue, which increased in collagen fibers with time of implantation, for all formulations. The intraosseous implantation of the cements in the dough state in the femur of rabbits, revealed a higher and early osseous neoformation, with the presence of osteoid material surrounding the rest of the cured material, for the cement prepared with the activator BZN in comparison with that obtained following the implantation of the cement cured with DMOH or DMT (CMW 3).

  1. The effect of bone cement particles on the friction of polyethylene and polyurethane knee bearings

    Science.gov (United States)

    Ash, H. E.; Scholes, S. C.; Unsworth, A.; Jones, E.

    2004-08-01

    Compliant layer knee joints have been considered for use in an attempt to increase the serviceable life of artificial joints. If designed correctly, these joints should operate within the full-fluid film lubrication regime. However, adverse tribological conditions, such as the presence of bone and bone cement particles, may breach the fluid film and cause surface wear. The frictional behaviour of both polyurethane (PU) and conventional polyethylene (PE) tibial components against a metallic femoral component was therefore assessed when bone cement particles were introduced into the lubricant. The bone cement particles caused a large increase in the frictional torque of both the PE and PU bearings; however, the friction produced by the PU bearings was still considerably lower than that produced by the PE bearings. The volume of bone cement particles between each of the bearings and the resultant frictional torque both decreased over time. This occurred more quickly with the PE bearings but greater damage was caused to the surface of the PE bearings than the PU components.

  2. Histological and biomechanical studies of two bone colonizable cements in rabbits.

    Science.gov (United States)

    Lu, J X; About, I; Stephan, G; Van Landuyt, P; Dejou, J; Fiocchi, M; Lemaître, J; Proust, J P

    1999-08-01

    We have developed two colonizable bone cements: the first is a partially resorbable bisphenol-alpha-glycidyl methacrylate (Bis-GMA)-based cement (PRC) and the second is a calcium phosphate cement (CPC). PRC is composed of aluminous silanized ceramic and particles of a bioresorbable polymer embedded in a matrix of Bis-GMA. CPC consisted of tricalcium phosphate, monocalcium phosphate monohydrate, dicalcium phosphate dihydrate, and xanthane. Both cements were implanted into cavities drilled in rabbit femoral and tibial condyles. After 2, 4, 12, and 24 weeks of implantation, histological observations and biomechanical tests were performed. With CPC, a progressive osteointegration with a concomitant biodegradation in the presence of macrophages were observed. The mechanical study revealed a decrease of the compressive strength until the 4th week, followed by a slight increase. There was a general decrease in the elastic modulus with time. Moreover, by week 4, the histological study showed that the new bone was in direct contact with CPC margins. No inflammation was observed during the observation period. With PRC, the osteointegration as well as the biodegradation were slight, but its compressive strength was higher than that of cancellous bone and CPC (p < 0.05) at all observation periods. Its elastic modulus was greater than that of cancellous bone and CPC until the 4th week, then fell under the values of the cancellous bone. PMID:10458273

  3. Performance of portland limestone cements: Cements designed to be more sustainable that include up to 15% limestone addition

    Science.gov (United States)

    Barrett, Timothy J.

    In 2009, ASTM and AASHTO permitted the use of up to 5% interground limestone in ordinary portland cement (OPC) as a part of a change to ASTM C150/AASHTO M85. When this work was initiated a new proposal was being discussed that would enable up to 15% interground limestone cement to be considered in ASTM C595/AASHTO M234. This work served to provide rapid feedback to the state department of transportation and concrete industry for use in discussions regarding these specifications. Since the time this work was initiated, ASTM C595/AASHTO M234 was passed (2012c) and PLCs are now able to be specified, however they are still not widely used. The proposal for increasing the volume of limestone that would be permitted to be interground in cement is designed to enable more sustainable construction, which may significantly reduce the CO2 that is embodied in the built infrastructure while also extending the life of cement quarries. Research regarding the performance of cements with interground limestone has been conducted by the cement industry since these cements became widely used in Europe over three decades ago, however this work focuses on North American Portland Limestone Cements (PLCs) which are specifically designed to achieve similar performance as the OPCs they replace.This thesis presents a two-phase study in which the potential for application of cements containing limestone was assessed. The first phase of this study utilized a fundamental approach to determine whether cement with up to 15% of interground or blended limestone can be used as a direct substitute to ordinary portland cement. The second phase of the study assessed the concern of early age shrinkage and cracking potential when using PLCs, as these cements are typically ground finer than their OPC counterparts. For the first phase of the study, three commercially produced PLCs were obtained and compared to three commercially produced OPCs made from the same clinker. An additional cement was tested

  4. Combination of bone cement filling and plate internal fixation with limb salvage is used for metastatic malignant bone tumors☆

    Institute of Scientific and Technical Information of China (English)

    Yang Jun; Yu Bin; Guo Xin-hui; Yang Peng; Zhang Kai-rui; Zhang Sheng; Cai Wei-bin; Ku Jian-bin; Tian Ling-yan

    2013-01-01

    BACKGROUND:Currently, limb salvage therapy has become the standard treatment of malignant bone tumors way, but improper treatments wil result in tumor recurrence, secondary infection, internal fixation or prosthesis loosening. OBJECTIVE:Based on the traditional surgical principle for metastatic bone tumors of the limbs, this study designed a user-friendly, individualized, simplistic pal iative treatment regimen from the actual conditions of patients to observe the reasonability, clinical efficacy and prognosis of bone cement fil ing combined with internal fixation in the treatment of metastatic malignant bone tumors. METHODS:Thirty-one patients with metastatic malignant bone tumors who required salvage treatment were screened from the Department of Orthopedics, the 421 Hospital of Chinese PLA, and their clinical data were retrospectively analyzed. Al the 31 patients were divided into two groups:tumor removal+internal fixation group (non-chemoradiotherapy group, n=11) treated with bone cement fil ing plus plate internal fixation (pal iative treatment);tumor removal+internal fixation+chemoradiotherapy group (chemoradiotherapy group, n=20), treated with radiotherapy before internal fixation plus plate internal fixation with limb salvage. The fol ow-up period was 4-38 months, averagely 18 months. RESULTS AND CONCLUSION:The fol ow-up results showed that in the non-chemoradiotherapy group, al the 11 patients survived, who could live independently and have good motor functions;in the chemoradiotherapy group, 17 of the 20 patients survived and the rest three patients died of tumor metastasis, their poor conditions and complications at 9 and 13 months after internal fixation. In patients undergoing tumor removal+plate internal fixation with limb salvage, the integrated scores for nerve and motor functions were increased by more than level 1. These findings confirm that a simple pal iative therapy of bone cement fil ing and internal fixation without chemoradiotherapy is

  5. Asymptomatic Bone Cement Pulmonary Embolism after Vertebroplasty: Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Girolamo Geraci

    2013-01-01

    Full Text Available Introduction. Acrylic cement pulmonary embolism is a potentially serious complication following vertebroplasty. Case Report. A 70-year-old male patient was treated with percutaneous vertebroplasty for osteoporotic nontraumatic vertebral collapse of L5-S1. Asymptomatic pulmonary cement embolism was detected on routine postoperative chest radiogram and the patient was treated with enoxaparin, amoxicillin, and dexamethasone. At the followup CT scan no further migration of any cement material was reported; and the course was uneventful. Discussion. The frequency of local leakage of bone cement is relatively high (about 80–90%, moreover, the rate of cement leakage into the perivertebral veins (seen in up to 24% of vertebral bodies treated with consequent pulmonary cement embolism varies from 4.6 to 6.8% (up to 26% in radiologic studies; the risk of embolism is increased with the liquid consistency of the cement and with the treatment of some malignant lesions. Patients may remain asymptomatic and develop no known long-term sequelae. Conclusions. Our ancedotal case illustrates the need for close monitoring of patients undergoing percutaneous vertebroplasty and emphasizes the importance of prompt and correct diagnosis and treatment, even if actually there is no agreement regarding the therapeutic strategy.

  6. Effects of adding resorbable chitosan microspheres to calcium phosphate cements for bone regeneration

    Energy Technology Data Exchange (ETDEWEB)

    Meng, Dan [Department of Prosthodontics, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050 (China); Dong, Limin [Beijing Key Lab of Fine Ceramics, Institute of Nuclear and New Energy Technology, Tsinghua University, Energy Science Building, Beijing 100084 (China); Wen, Ying [Department of Prosthodontics, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050 (China); Xie, Qiufei, E-mail: xieqiuf@163.com [Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing 100081 (China)

    2015-02-01

    Calcium phosphate cements (CPCs) have been widely used as bone graft substitutes. However, the undesirable osteoinductivity and slow degradability of CPCs greatly hamper their clinical application. The aim of this study was to synthesize a type of injectable, bioactive cement. This was accomplished by incorporating chitosan microspheres into CPC. CPC containing chitosan microspheres was analyzed by X-ray diffraction (XRD) and scanning electron microscope (SEM). XRD showed that the hardened chitosan microsphere/CPC with different proportions of microspheres contained diffraction peaks of hydroxyapatite and chitosan. Compressive strength and dissolution in simulated body fluid were measured. The chitosan microsphere/CPC containing 10% (w/w) chitosan microspheres had a compressive strength of 14.78 ± 0.67 MPa. Cavity defects were created in both femoral condylar regions of New Zealand White rabbits. Chitosan microsphere/CPC (composite group) and α-TCP/CPC (control group) were implanted separately into the bone defects of both femurs. X-ray analysis was performed to observe the filling of these bone defects 3 days after surgery. The extent of bone substitute degradation and new bone formation were evaluated by SEM and histological examination at 8, 16, and 24 weeks after implantation. These results showed far more new bone formation and degradation of the chitosan microsphere/CPC composite in the bone defects. These data indicate that a chitosan microsphere/CPC composite might be considered as a promising injectable material for the generation of new bone tissue. - Highlights: • We synthesized an injectable, bioactive chitosan microsphere/CPC for the first time. • 100–400 μm chitosan microspheres were incorporated into the cement solid phase. • XRD showed the construct contained diffraction peaks of hydroxyapatite and chitosan. • Compressive strength of the composite was about 15 MPa comparable to cancellous bone. • The new construct shows better bone

  7. Effects of adding resorbable chitosan microspheres to calcium phosphate cements for bone regeneration

    International Nuclear Information System (INIS)

    Calcium phosphate cements (CPCs) have been widely used as bone graft substitutes. However, the undesirable osteoinductivity and slow degradability of CPCs greatly hamper their clinical application. The aim of this study was to synthesize a type of injectable, bioactive cement. This was accomplished by incorporating chitosan microspheres into CPC. CPC containing chitosan microspheres was analyzed by X-ray diffraction (XRD) and scanning electron microscope (SEM). XRD showed that the hardened chitosan microsphere/CPC with different proportions of microspheres contained diffraction peaks of hydroxyapatite and chitosan. Compressive strength and dissolution in simulated body fluid were measured. The chitosan microsphere/CPC containing 10% (w/w) chitosan microspheres had a compressive strength of 14.78 ± 0.67 MPa. Cavity defects were created in both femoral condylar regions of New Zealand White rabbits. Chitosan microsphere/CPC (composite group) and α-TCP/CPC (control group) were implanted separately into the bone defects of both femurs. X-ray analysis was performed to observe the filling of these bone defects 3 days after surgery. The extent of bone substitute degradation and new bone formation were evaluated by SEM and histological examination at 8, 16, and 24 weeks after implantation. These results showed far more new bone formation and degradation of the chitosan microsphere/CPC composite in the bone defects. These data indicate that a chitosan microsphere/CPC composite might be considered as a promising injectable material for the generation of new bone tissue. - Highlights: • We synthesized an injectable, bioactive chitosan microsphere/CPC for the first time. • 100–400 μm chitosan microspheres were incorporated into the cement solid phase. • XRD showed the construct contained diffraction peaks of hydroxyapatite and chitosan. • Compressive strength of the composite was about 15 MPa comparable to cancellous bone. • The new construct shows better bone

  8. Finite element simulation of cement-bone interface micromechanics: A comparison to experimental results

    NARCIS (Netherlands)

    Janssen, Dennis; Mann, Kenneth A.; Verdonschot, Nico

    2009-01-01

    Recently, experiments were performed to determine the micromechanical behavior of the cement-bone interface under tension-compression loading conditions. These experiments were simulated using finite element analysis (FEA) to test whether the micromechanical response of the interface could be captur

  9. Increased release of gentamicin from acrylic bone cements under influence of low-frequency ultrasound

    NARCIS (Netherlands)

    Hendriks, JGE; Ensing, GT; van Horn, [No Value; Lubbers, J; van der Mei, HC; Busscher, HJ

    2003-01-01

    The release profile of antibiotics from antibiotic-loaded bone cement, used to prevent infections in total joint arthroplasty, is neither ideal nor complete. Ultrasound has been used to allow drugs to cross otherwise impermeable barriers. The aim of this study was to establish a possible effect of u

  10. Staphylococcus aureus biofilm formation on different gentamicin-loaded polymethylmethacrylate bone cements

    NARCIS (Netherlands)

    van de Belt, H; Neut, D; Schenk, W; van Horn, [No Value; van der Mei, HC; Busscher, HJ

    2001-01-01

    In this in vitro study, the formation of a Staphylococcus aureus biofilm on six gentamicin-loaded bone cements (CMW1, CMW3, CMW Endurance, CMW2000, Palacos. and Palamed) was determined in a modified Robbins device over a 3 days time span and related with previously (Van de Belt et al., Biomaterials

  11. Effect of gentamicin loaded PMMA bone cement on Staphylococcus aureus biofilm formation

    NARCIS (Netherlands)

    Poelstra, KA; Busscher, HJ; Schenk, W; van Horn, [No Value; van der Mei, HC

    1999-01-01

    PMMA (poly-methyl-methacrylate) bone cement is widely used in prosthetic implant surgery and is currently prepared with vacuum-mixing for improved mechanical properties. Revision of implants due to infection occurs in about 1% of cases, mostly involving staphylococcal strains. Antibiotic loaded ceme

  12. Concrete Durability Properties and Microstructural Analysis of Cement Pastes with Nopal Cactus Mucilage as a Natural Additive

    OpenAIRE

    Ramírez-Arellanes, S.; Cano-Barrita, P. F. de J.; Julián-Caballero, F.; Gómez-Yañez, C.

    2012-01-01

    The present study evaluated the addition of a 3% nopal cactus mucilage solution to cement pastes, in its effects on setting times, flow, hydration, and microstructure, as well as on capillary water absorption and chloride diffusion in concrete. Hydration was characterized through XRD and microstructure was characterized with SEM. The mucilage solution/cement and water/cement ratios tested were 0.30, 0.45, and 0.60. The results in cement pastes indicate that the addition of mucilage increases ...

  13. Enhanced healing of rabbit segmental radius defects with surface-coated calcium phosphate cement/bone morphogenetic protein-2 scaffolds

    International Nuclear Information System (INIS)

    Large osseous defects remain a difficult clinical problem in orthopedic surgery owing to the limited effective therapeutic options, and bone morphogenetic protein-2 (BMP-2) is useful for its potent osteoinductive properties in bone regeneration. Here we build a strategy to achieve prolonged duration time and help inducting new bone formation by using water-soluble polymers as a protective film. In this study, calcium phosphate cement (CPC) scaffolds were prepared as the matrix and combined with sodium carboxymethyl cellulose (CMC-Na), hydroxypropylmethyl cellulose (HPMC), and polyvinyl alcohol (PVA) respectively to protect from the digestion of rhBMP-2. After being implanted in the mouse thigh muscles, the surface-modified composite scaffolds evidently induced ectopic bone formation. In addition, we further evaluated the in vivo effects of surface-modified scaffolds in a rabbit radius critical defect by radiography, three dimensional micro-computed tomographic (μCT) imaging, synchrotron radiation-based micro-computed tomographic (SRμCT) imaging, histological analysis, and biomechanical measurement. The HPMC-modified CPC scaffold was regarded as the best combination for segmental bone regeneration in rabbit radius. - Highlights: • A simple surface-coating method was used to fabricate composite scaffolds. • Growth factor was protected from rapid depletion via superficial coating. • Significant promotion of bone regeneration was achieved. • HPMC-modification displayed optimal effect of bone regeneration

  14. Enhanced healing of rabbit segmental radius defects with surface-coated calcium phosphate cement/bone morphogenetic protein-2 scaffolds

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Yi; Hou, Juan; Yin, ManLi [Engineering Research Center for Biomedical Materials of Ministry of Education, East China University of Science and Technology, Shanghai 200237 (China); Wang, Jing, E-mail: biomatwj@163.com [Engineering Research Center for Biomedical Materials of Ministry of Education, East China University of Science and Technology, Shanghai 200237 (China); Liu, ChangSheng, E-mail: csliu@sh163.net [Engineering Research Center for Biomedical Materials of Ministry of Education, East China University of Science and Technology, Shanghai 200237 (China); The State Key Laboratory of Bioreactor Engineering, East China University of Science and Technology, Shanghai 200237 (China); Key Laboratory for Ultrafine Materials of Ministry of Education, East China University of Science and Technology, Shanghai 200237 (China)

    2014-11-01

    Large osseous defects remain a difficult clinical problem in orthopedic surgery owing to the limited effective therapeutic options, and bone morphogenetic protein-2 (BMP-2) is useful for its potent osteoinductive properties in bone regeneration. Here we build a strategy to achieve prolonged duration time and help inducting new bone formation by using water-soluble polymers as a protective film. In this study, calcium phosphate cement (CPC) scaffolds were prepared as the matrix and combined with sodium carboxymethyl cellulose (CMC-Na), hydroxypropylmethyl cellulose (HPMC), and polyvinyl alcohol (PVA) respectively to protect from the digestion of rhBMP-2. After being implanted in the mouse thigh muscles, the surface-modified composite scaffolds evidently induced ectopic bone formation. In addition, we further evaluated the in vivo effects of surface-modified scaffolds in a rabbit radius critical defect by radiography, three dimensional micro-computed tomographic (μCT) imaging, synchrotron radiation-based micro-computed tomographic (SRμCT) imaging, histological analysis, and biomechanical measurement. The HPMC-modified CPC scaffold was regarded as the best combination for segmental bone regeneration in rabbit radius. - Highlights: • A simple surface-coating method was used to fabricate composite scaffolds. • Growth factor was protected from rapid depletion via superficial coating. • Significant promotion of bone regeneration was achieved. • HPMC-modification displayed optimal effect of bone regeneration.

  15. Modifications on the properties of a calcium phosphate cement by additions of sodium alginate

    Energy Technology Data Exchange (ETDEWEB)

    Coelho, W.T.; Fernandes, J.M.; Vieira, R.S.; Thurmer, M.B.; Santos, L.A., E-mail: trajano@ufrgs.br, E-mail: julianafernandes2@yahoo.com.br, E-mail: rsvieira.eng@gmail.com, E-mail: monicathurmer@yahoo.com.br, E-mail: luis.santos@ufrgs.br [Universidade Federal do Rio Grande do Sul (PPG/LABIOMAT/UFRGS), RS (Brazil)

    2012-07-01

    The Calcium Phosphate Cement (CPC) are bone substitutes with great potential for use in orthopedics, traumatology and dentistry due to its biocompatibility, bioactivity and osteoconductivity, and form a paste that can be easily shaped and placed into the surgical site. However, CPCs have low mechanical strength, which equals the maximum mechanical strength of trabecular bone. In order to assess the strength and time to handle a CPC composed primarily of alpha phase, were added sodium alginate (1%, 2% and 3% wt) and an accelerator in an aqueous solution. The cement powder was mixed with liquid of setting, shaped into specimens and evaluated for apparent density and porosity by Archimedes method, X-ray diffraction and compressive strength. A significant increase in compressive strength by adding sodium alginate was verified. (author)

  16. Modifications on the properties of a calcium phosphate cement by additions of sodium alginate

    International Nuclear Information System (INIS)

    The Calcium Phosphate Cement (CPC) are bone substitutes with great potential for use in orthopedics, traumatology and dentistry due to its biocompatibility, bioactivity and osteoconductivity, and form a paste that can be easily shaped and placed into the surgical site. However, CPCs have low mechanical strength, which equals the maximum mechanical strength of trabecular bone. In order to assess the strength and time to handle a CPC composed primarily of alpha phase, were added sodium alginate (1%, 2% and 3% wt) and an accelerator in an aqueous solution. The cement powder was mixed with liquid of setting, shaped into specimens and evaluated for apparent density and porosity by Archimedes method, X-ray diffraction and compressive strength. A significant increase in compressive strength by adding sodium alginate was verified. (author)

  17. Utilization of municipal sewage sludge as additives for the production of eco-cement

    International Nuclear Information System (INIS)

    Highlights: ► The results of X-ray diffraction (XRD) pattern and scanning electron micrograph (SEM) indicated that the major components in the eco-cement clinkers were similar to those in ordinary Portland cement. ► Though the C2S phase formation increased with the increase of sewage sludge contents. ► All the eco-cement pastes had a longer initial setting time and final setting time than those of plain cement paste, which increased as the sewage sludge contents in raw meal increased. ► All the eco-cement pastes had lower early flexural strengths and it increased with the increase of sewage sludge contents increased, while the compressive strengths decreased slightly. ► However, it had no significant effect on all the strengths at later ages. - Abstract: The effects of using dried sewage sludge as additive on cement property in the process of clinker burning were investigated in this paper. The eco-cement samples were prepared by adding 0.50–15.0% of dried sewage sludge to unit raw meal, and then the mixtures were burned at 1450 °C for 2 h. The results indicated that the major components in the eco-cement clinkers were similar to those in ordinary Portland cement. Although the C2S phase formation increased with the increase of sewage sludge content, it was also found that the microstructure of the mixture containing 15.0% sewage sludge in raw meal was significantly different and that a larger amount of pores were distributed in the clinker. Moreover, all the eco-cement pastes had a longer initial setting time and final setting time than those of plain cement paste, which increased as the sewage sludge content in the raw meal increased. All the eco-cement pastes had lower early flexural strengths, which increased as the sewage sludge content increased, while the compressive strengths decreased slightly. However, this had no significant effect on all the strengths at later stages. Furthermore, the leaching concentrations of all the types of eco-cement

  18. Synthesis and characterization of cement slurries additives with epoxy resins - kinetics, thermodynamic and calorimetric analysis

    International Nuclear Information System (INIS)

    Cement has been used in the world, presenting a wide versatility. However, due to its chemical nature, it is subject to several types of chemical damages, especially for agents of acidic nature. With the purpose of increase its life-time, new cement slurries have been modified with the addition of specific additives. The objective of this work is to modify cement slurries with epoxy resins, which promote higher resistance of those materials in relation to acid attacks. Three cement slurries were synthesized with epoxy resins and a standard slurries, which was composed by cement and water. After 30 days of hydration, the samples were characterized by XDR, FTIR and thermal analysis (TG and DSC). The hydration processes of the cement slurries were studied by heat-conduction microcalorimetry. A kinetic study of HCl interaction with the new slurries were performed by the batch methodology at 25, 35, 45 e 55 deg C. It was verified that the addition of the polymers delayed the processes of hydration of the slurries, decreasing the flow of heat released as a function of the amount of added resin and, increased the resistance of those slurries to the acid attack. (author)

  19. A novel bone cement impregnated with silver–tiopronin nanoparticles: its antimicrobial, cytotoxic, and mechanical properties

    Directory of Open Access Journals (Sweden)

    Prokopovich P

    2013-06-01

    Full Text Available Polina Prokopovich,1,2 Ralph Leech,3 Claire J Carmalt,3 Ivan P Parkin,3 Stefano Perni41School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK; 2Institute of Medical Engineering and Medical Physics, School of Engineering, Cardiff University, Cardiff, UK; 3Materials Chemistry Research Centre, Department of Chemistry, University College London, London, UK; 4School of Chemical Engineering, University of Birmingham, Birmingham, UKAbstract: Post-operatory infections in orthopedic surgeries pose a significant risk. The common approach of using antibiotics, both parenterally or embedded in bone cement (when this is employed during surgery faces the challenge of the rising population of pathogens exhibiting resistance properties against one or more of these compounds; therefore, novel approaches need to be developed. Silver nanoparticles appear to be an exciting prospect because of their antimicrobial activity and safety at the levels used in medical applications. In this paper, a novel type of silver nanoparticles capped with tiopronin is presented. Two ratios of reagents during synthesis were tested and the effect on the nanoparticles investigated through TEM, TGA, and UV-Vis spectroscopy. Once encapsulated in bone cement, only the nanoparticles with the highest amount of inorganic fraction conferred antimicrobial activity against methicillin resistant Staphylococcus aureus (MRSA at concentrations as low as 0.1% w/w. No other characteristics of the bone cement, such as cytotoxicity or mechanical properties, were affected by the presence of the nanoparticles. Our work presents a new type of silver nanoparticles and demonstrates that they can be embedded in bone cement to prevent infections once the synthetic conditions are tailored for such applications.Keywords: bone cement, antimicrobial, silver nanoparticles, tiopronin, MRSA

  20. Proximal Tibia Chondroblastoma Treated With Curettage and Bone Graft and Cement Use.

    Science.gov (United States)

    Cho, Hwan Seong; Park, Yeong Kyoon; Oh, Joo Han; Lee, Jung Hyun; Han, Ilkyu; Kim, Han-Soo

    2016-01-01

    Chondroblastoma has a predilection for the epiphyses or apophyses of long tubular bones. Management of lesions in the proximal tibia is challenging because it is difficult to gain access to intraepiphyseal lesions for completion of curettage. From October 2007 to December 2011, 9 patients with de novo chondroblastoma of the proximal tibia underwent surgery at the authors' institution. All patients initially presented with pain, and 5 patients had limitation of range of motion of the ipsilateral knee. Four lesions abutted the tibial attachment sites of the cruciate ligaments. Surgical procedures included intralesional tumor curettage, additional burring, and packing of the defect with bone graft and/or bone cement. The extra-articular approach was used according to tumor location. The medial or lateral parapatellar approach was used when the tumor was located in the anterior two-thirds of the horizontal plane. When a lesion was located in the posterior third, the posteromedial or posterolateral approach was used as the lesion was cornered. Mean duration of follow-up was 47.2 months (range, 27-80 months). No local recurrence or pulmonary metastasis was noted at latest follow-up. Mean functional score was 29.3 points (range, 28-30 points). All patients fully recovered range of motion in the affected knee. No avulsion fracture or anteroposterior instability of the knee joint was detected. Results of the current study suggest that intralesion curettage followed by additional burring with an extra-articular approach is a successful treatment option for chondroblastoma of the proximal tibia.

  1. Proximal Tibia Chondroblastoma Treated With Curettage and Bone Graft and Cement Use.

    Science.gov (United States)

    Cho, Hwan Seong; Park, Yeong Kyoon; Oh, Joo Han; Lee, Jung Hyun; Han, Ilkyu; Kim, Han-Soo

    2016-01-01

    Chondroblastoma has a predilection for the epiphyses or apophyses of long tubular bones. Management of lesions in the proximal tibia is challenging because it is difficult to gain access to intraepiphyseal lesions for completion of curettage. From October 2007 to December 2011, 9 patients with de novo chondroblastoma of the proximal tibia underwent surgery at the authors' institution. All patients initially presented with pain, and 5 patients had limitation of range of motion of the ipsilateral knee. Four lesions abutted the tibial attachment sites of the cruciate ligaments. Surgical procedures included intralesional tumor curettage, additional burring, and packing of the defect with bone graft and/or bone cement. The extra-articular approach was used according to tumor location. The medial or lateral parapatellar approach was used when the tumor was located in the anterior two-thirds of the horizontal plane. When a lesion was located in the posterior third, the posteromedial or posterolateral approach was used as the lesion was cornered. Mean duration of follow-up was 47.2 months (range, 27-80 months). No local recurrence or pulmonary metastasis was noted at latest follow-up. Mean functional score was 29.3 points (range, 28-30 points). All patients fully recovered range of motion in the affected knee. No avulsion fracture or anteroposterior instability of the knee joint was detected. Results of the current study suggest that intralesion curettage followed by additional burring with an extra-articular approach is a successful treatment option for chondroblastoma of the proximal tibia. PMID:26726978

  2. Evolution of the hydration in cements with additions

    Directory of Open Access Journals (Sweden)

    Bonavetti, V. L.

    2002-12-01

    Full Text Available In this paper, the hydration mechanism of portland cement pastes with limestone, quartz and natural pozzolan (80/20 weight was analized. The techniques used were nonevaporable water content, pozzolanic activity and X-ray diffraction. Results show that filler effect increases initially the amount of hydration products in all pastes. For limestone pastes, the dilution effect is significant at long time, for quartz and pozzolan pastes the dilution effect was lower due to the contribution of the pozzolanic reaction.

    En el presente trabajo se analizó el mecanismo de hidratación de pastas de cemento portland normal con la incorporación de caliza, cuarzo y puzolana natural (proporción 80/20 en peso, por medio de la evaluación del contenido de agua no evaporable, la actividad puzolánica por vía química y la formación de productos de hidratación por DRX. Los resultados obtenidos permitieron determinar un aumento de la cantidad de productos de hidratación inicial debidos al efecto filler en todas las pastas. En las pastas con caliza se evidenció el efecto de dilución a edades avanzadas, en tanto que en las pastas con cuarzo y puzolana, este efecto fue menos predominante debido a la contribución de la reacción puzolánica.

  3. Strontium-loaded mineral bone cements as sustained release systems : Compositions, release properties, and effects on human osteoprogenitor cells

    OpenAIRE

    Tadier, Solène; Bareille, Reine; Siadous, Robin; Marsan, Olivier; Charvillat, Cédric; Cazalbou, Sophie; Amédée, Joelle; Rey, Christian; Combes, Christèle

    2012-01-01

    This study aims to evaluate in vitro the release properties and biological behavior of original compositions of strontium (Sr)-loaded bone mineral cements. Strontium was introduced into vaterite CaCO3-dicalcium phosphate dihydrate cement via two routes: as SrCO3 in the solid phase (SrS cements), and as SrCl2 dissolved in the liquid phase (SrL cements), leading to different cement compositions after setting. Complementary analytical techniques implemented to thoroughly investigate the re...

  4. Utilization of washed MSWI fly ash as partial cement substitute with the addition of dithiocarbamic chelate.

    Science.gov (United States)

    Gao, Xingbao; Wang, Wei; Ye, Tunmin; Wang, Feng; Lan, Yuxin

    2008-07-01

    The management of the big amount of fly ash as hazardous waste from the municipal solid waste incinerator (MSWI) has encountered many problems in China. In this study, a feasibility research on MSWI fly ash utilization as partial cement substitute in cement mortars was therefore carried out. MSWI fly ash was subjected to washing process to reduce its chlorine content (from 10.16% to 1.28%). Consequently, it was used in cement mortars. Ten percent and 20% replacement of cement by washed ash showed acceptable strength properties. In TCLP and 180-day monolithic tests, the mortars with washed ash presented a little stronger heavy metal leachability, but this fell to the blank level (mortar without washed ash) with the addition of 0.25% chelate. Therefore, this method is proposed as an environment-friendly technology to achieve a satisfactory solution for MSWI fly ash management.

  5. Improvement of in vitro physicochemical properties and osteogenic activity of calcium sulfate cement for bone repair by dicalcium silicate

    International Nuclear Information System (INIS)

    Highlights: • Dicalcium silicate can improve osteogenic activity of calcium sulfate cement. • The higher the calcium sulfate content, the shorter the setting time in the composite cement. • The results were useful for designing calcium-based cement with optimal properties. -- Abstract: An ideal bone graft substitute should have the same speed of degradation as formation of new bone tissue. To improve the properties of calcium sulfate hemihydrate (CSH) featured for its rapid resorption, a low degradation material of dicalcium silicate (DCS) was added to the CSH cement. This study examined the effect of DCS (20, 40, 60 and 80 wt%) on the in vitro physicochemical properties and osteogenic activities of the calcium-based composite cements. The diametral tensile strength, porosity and weight loss of the composite cements were evaluated before and after soaking in a simulated body fluid (SBF). The osteogenic activities, such as proliferation, differentiation and mineralization, of human mesenchymal stem cells (hMSCs) seeded on cement surfaces were also examined. As a result, the greater the DCS amount, the higher the setting time was in the cement. Before soaking in SBF, the diametral tensile strength of the composite cements was decreased due to the introduction of DCS. On 180-day soaking, the composite cements containing 20, 40, 60 and 80 wt% DCS lost 80%, 69%, 61% and 44% in strength, respectively. Regarding in vitro bioactivity, the DCS-rich cements were covered with clusters of apatite spherulites after soaking for 7 days, while there was no formation of apatite spherulites on the CSH-rich cement surfaces. The presence of DCS could reduce the degradation of the CSH cements, as evidenced in the results of weight loss and porosity. More importantly, DCS may promote effectively the cell proliferation, proliferation and mineralization. The combination of osteogenesis of DCS and degradation of CSH made the calcium-based composite cements an attractive choice for

  6. Design of ceramic-based cements and putties for bone graft substitution

    OpenAIRE

    M Bohner

    2010-01-01

    In the last 15 years, a large number of commercial ceramic-based cements and putties have been introduced as bone graft substitutes. As a result, large efforts have been made to improve our understanding of the specific properties of these materials, such as injectability, cohesion, setting time (for cements), and in vivo properties. The aim of this manuscript is to summarize our present knowledge in the field. Instead of just looking at scientific aspects, industrial needs are also considere...

  7. Design of ceramic-based cements and putties for bone graft substitution

    Directory of Open Access Journals (Sweden)

    M Bohner

    2010-07-01

    Full Text Available In the last 15 years, a large number of commercial ceramic-based cements and putties have been introduced as bone graft substitutes. As a result, large efforts have been made to improve our understanding of the specific properties of these materials, such as injectability, cohesion, setting time (for cements, and in vivo properties. The aim of this manuscript is to summarize our present knowledge in the field. Instead of just looking at scientific aspects, industrial needs are also considered, including mixing and delivery, sterilization, and shelf-life.

  8. Design of ceramic-based cements and putties for bone graft substitution.

    Science.gov (United States)

    Bohner, M

    2010-01-01

    In the last 15 years, a large number of commercial ceramic-based cements and putties have been introduced as bone graft substitutes. As a result, large efforts have been made to improve our understanding of the specific properties of these materials, such as injectability, cohesion, setting time (for cements), and in vivo properties. The aim of this manuscript is to summarize our present knowledge in the field. Instead of just looking at scientific aspects, industrial needs are also considered, including mixing and delivery, sterilization, and shelf-life. PMID:20574942

  9. Fixation of a human rib by an intramedullary telescoping splint anchored by bone cement.

    Science.gov (United States)

    Liovic, Petar; Šutalo, Ilija D; Marasco, Silvana F

    2016-09-01

    A novel concept for rib fixation is presented that involves the use of a bioresorbable polymer intramedullary telescoping splint. Bone cement is used to anchor each end of the splint inside the medullary canal on each side of the fracture site. In this manner, rib fixation is achieved without fixation device protrusion from the rib, making the splint completely intramedullary. Finite element analysis is used to demonstrate that such a splint/cement composite can preserve rib fixation subjected to cough-intensity force loadings. Computational fluid dynamics and porcine rib experiments were used to study the anchor formation process required to complete the fixation. PMID:26733094

  10. Influence of liquid phase on physical properties of the new triphasic bone cement

    Directory of Open Access Journals (Sweden)

    A. Ślósarczyk

    2012-04-01

    Full Text Available Purpose: The aim of this work was to develop a new bone cement based on hydroxyapatite (HAp, βTCP and calcium sulfate hemihydrate (CSH and to determine the influence of a liquid phase, used for cement pastes preparation, on physical properties of the final implant material.Design/methodology/approach: The powder phase consisting of CSH (60 wt.% and HAp+ βTCP (40 wt.% was applied. Composite samples were prepared using distilled water, chitosan and methylcellulose solutions as the liquid phases. Rheological properties of the solutions were measured by Brookfield rheometer. Initial and final setting times of the cement pastes were determined. Phase composition of hardened bodies was established using XRD method. Microstructure was investigated by SEM while pore size distribution by mercury porosimetry. Compressive strength was measured by Instron Universal Testing Machine.Findings: According to the conducted rheological measurements of the methylcellulose and chitosan solutions as well as evaluated cement pastes and hardened bodies properties, the optimal setting liquids were chosen.Research limitations/implications: The evaluation of a biological response to the developed materials, including in vitro and in vivo experiments, need to be done.Practical implications: The possibility of creation the physical properties of setting in vivo composites, designed for filling bone defects, via establishing the suitable liquid phase was confirmed.Originality/value: The new composite type triphasic bone substitute, based on CSH, HAp and βTCP, with superior resorbability in comparison to the commercially available calcium phosphate bone cements was developed. The influence of liquid phase on the microstructure and mechanical strength of this implant material was determined.

  11. The influence of ultrasound on the release of gentamicin from antibiotic-loaded acrylic beads and bone cements

    NARCIS (Netherlands)

    Ensing, GT; Hendriks, JGE; Jongsma, JE; van Horn, [No Value; van der Mei, HC; Busscher, HJ

    2005-01-01

    Gentamicin-loaded acrylic beads are loosely placed in infected bone cavities, whereas gentamicin-loaded acrylic bone cement is used as a mechanical filler in bone to anchor prosthetic components. Both drug delivery systems are used to decrease infection rates by gentamicin release. The objective of

  12. Hydration of alumina cement containing ferrotitanium slag with polycarboxylate-ethers (PCE) additives

    Science.gov (United States)

    Rechkalov, Denis; Chernogorlov, Sergey; Abyzov, Victor

    2016-01-01

    The paper is discussing results of study of alumina binder containing aluminous cement and ferrotitanium slag from aluminothermic process by Kliuchevskoi Ferroalloys corp. with various additives containing polycarboxylate-ethers (PCE). Selecting ferrotitanium slag as additive is based on the fact that its content of alumina and phase composition is closest to the alumina cement. The composition of the ferrotitanium slag is displayed. In order to compensate the decrease in strength caused by addition of ferrotitanium slag having low activity, PCE additives were added. As PCE additives were used Melflux 1641F, Melflux 2651F and Melflux PP200F by BASF. The effect of additives on the hydration of the binder, depending on the amount and time of additives hardening is shown. The composition of the hydration products in the cement was studied by physico-chemical analysis: derivatography and X-ray analysis. It is found that in the early stages of hardening PCE additives have inhibitory effect on hydration processes and promote new phase amorphization. The optimal content of additives was investigated. The basic properties of the binders have been tested. It was observed that the modified binders meet the requirements of Russian National State Standard GOST 969 to the alumina cement.

  13. Vacuum Sealing Drainage Treatment Combined with Antibiotic-Impregnated Bone Cement for Treatment of Soft Tissue Defects and Infection

    Science.gov (United States)

    Liu, Xin; Liang, Jiulong; Zhao, Jun; Quan, Liangliang; Jia, Xunyuan; Li, Mingchao; Tao, Kai

    2016-01-01

    Background This study aimed to evaluate the combined effect of vacuum sealing drainage (VSD) and antibiotic-loaded bone cement on soft tissue defects and infection. Material/Methods This prospective non-blinded study recruited 46 patients with soft tissue defects and infection from January 2010 to May 2014 and randomly divided them into experimental and control groups (n=23). Patients in the experimental group were treated with VSD and antibiotic-loaded bone cement, while the patients in the control group were treated with VSD only. Results In the experimental group, the wound was healed in 23 cases at 4 weeks postoperatively, of which direct suture was performed in 12 cases, and additional free flap transplantation or skin grafting was performed in 6 cases and 5 cases, respectively. No infection reoccurred in 1-year follow-up. In the control group, the wound was healed in 15 cases at 6 weeks postoperatively, of which direct suture was performed in 8 cases, and additional free flap transplantation or skin grafting was performed in 3 cases and 4 cases, respectively. In the other 8 cases the wound was healed at 8 weeks postoperatively. Infection reoccurred in 3 cases during the follow-up. The experimental group had significantly fewer VSD dressing renewals, shorter time needed until the wound was ready for surgery, shorter duration of antibiotic administration, faster wound healing, and shorter hospital stay than the control group (p<0.01). Conclusions The combination of VSD and antibiotic bone cement might be a better method for treatment of soft tissue defects and infection. PMID:27281233

  14. The progress of early phase bone healing using porous granules produced from calcium phosphate cement

    Directory of Open Access Journals (Sweden)

    Jungbluth P

    2010-05-01

    Full Text Available Abstract Objective Bone grafting is a vital component in many surgical procedures to facilitate the repair of bone defects or fusions. Autologous bone has been the gold standard to date in spite of associated donor-site morbidity and the limited amount of available donor bone. The aim of this study was to investigate the progress of bone regeneration and material degradation of calcium phosphate granules (CPG produced from a calcium phosphate self-setting cement powder compared to the use of autologous bone grafting in the treatment of "critical size defects" on load-bearing long bones of minipigs. Methods A critical size defect in the tibial metaphysis of 16 mini-pigs was filled either with autologous cancellous graft or with micro- and macroporous carbonated, apatic calcium phosphate granules (CPG produced from a calcium phosphate self-setting cement powder. After 6 weeks, the specimens were assessed by X-ray and histological evaluation. The amount of new bone formation was analysed histomorphometrically. Results The semi-quantitative analysis of the radiological results showed a complete osseous bridging of the defect in three cases for the autograft group. In the same group five animals showed a beginning, but still incomplete bridging of the defect, whereas in the CPG group just two animals developed this. All other animals of the CPG group showed only a still discontinuous new bone formation. Altogether, radiologically a better osseous bridging was observed in the autograft group compared to the CPG group. Histomorphometrical analysis after six weeks of healing revealed that the area of new bone was significantly greater in the autograft group concerning the central area of the defect zone (p Conclusions Within the limits of the present study it could be demonstrated that autologous cancellous grafts lead to a significantly better bone regeneration compared to the application of calcium phosphate granules (CPG produced from a calcium

  15. Augmentation of femoral neck fracture fixation with an injectable calcium-phosphate bone mineral cement.

    Science.gov (United States)

    Stankewich, C J; Swiontkowski, M F; Tencer, A F; Yetkinler, D N; Poser, R D

    1996-09-01

    The first goal of this study was to determine if augmentation with an injectable, in situ setting, calcium-phosphate cement that is capable of being remodeled and was designed to mimic bone mineral significantly improved the strength and stiffness of fixation in a cadaveric femoral neck fracture model. The second goal was to determine if greater increases in fixation strength were achieved as the bone density of the specimen decreased. Sixteen pairs of fresh cadaveric human femora with a mean age of 70.9 years (SD = 17.2 years) were utilized. The bone density of the femoral neck was measured with dual-energy x-ray absorptiometry. The femoral head was impacted vertically with the femoral shaft fixed in 12 degrees of adduction using a materials testing machine to create a fully displaced fracture. Following fracture, 30% inferior comminution was created in each specimen. One randomly chosen femur from each pair underwent anatomic reduction and fixation with three cannulated cancellous bone screws, 7 mm in diameter, in an inverted triangle configuration. The contralateral femur underwent the same fixation augmented with calcium-phosphate cement. Specimens were preconditioned followed by 1.000 cycles to one body weight (611.6 N) at 0.5 Hz to simulate single-limb stance loading. The stiffness in the first cycle was observed to be significantly greater in cement-augmented specimens compared with unaugmented controls (p bone mineral cement failed at a mean of 4,573 N (SD = 1,243 N); this was significantly greater (p bone density (p = 0.25, R2 = 0.09), was weakly correlated to the volume of cement injected (p = 0.07, R2 = 0.22), and was inversely related to the fixation failure load of the control specimen (p = 0.001, R2 = 0.54). There was a mean relative improvement in fixation strength of 169.6% (SD = 77.5). These findings suggest that calcium-phosphate cement provides initial beneficial augmentation to fixation of femoral neck fractures. PMID:8893773

  16. A modified cementing technique using BoneSource to augment fixation of the acetabulum in a sheep model.

    NARCIS (Netherlands)

    Timperley, A.J.; Nusem, I.; Wilson, K.; Whitehouse, S.L.; Buma, P.; Crawford, R.W.

    2010-01-01

    BACKGROUND AND PURPOSE: Our aim was to assess in an animal model whether the use of HA paste at the cement-bone interface in the acetabulum improves fixation. We examined, in sheep, the effect of interposing a layer of hydroxyapatite cement around the periphery of a polyethylene socket prior to fixi

  17. The sealing ability of novel Kryptonite adhesive bone cement as a retrograde filling material

    Science.gov (United States)

    Uzun, İsmail; Keskin, Cangül; Güler, Buğra

    2016-01-01

    Background. This study evaluated the ability of Kryptonite bone cement in sealing retrograde cavities. Methods. The root canals of one hundred extracted human maxillary incisor teeth were instrumented up to master apical file #40 using Mtwo rotary system and obturated with gutta-percha and AHPlus sealer by cold lateral compaction method. The specimens were assigned to one control group and four experimental groups based on the retrograde filling materials (n=20). The specimens were immersed in 0.5% Rhodamine B solution for 48h. Then the specimens were divided longitudinally into two parts and the depth of dye penetration was assessed under ×10 magnification. Data were analyzed using one-way ANOVA and Bonferroni tests. Results. There were statistically significant difference between the experimental groups and the control group (P0.05). Conclusion. Kryptonite cement provided optimal apical seal in a manner similar to MTA, amalgam and IRM when used as a retrograde filling cement. PMID:27651886

  18. Bioactive glass incorporation in calcium phosphate cement-based injectable bone substitute for improved in vitro biocompatibility and in vivo bone regeneration.

    Science.gov (United States)

    Sadiasa, Alexander; Sarkar, Swapan Kumar; Franco, Rose Ann; Min, Young Ki; Lee, Byong Taek

    2014-01-01

    In this work, we fabricated injectable bone substitutes modified with the addition of bioactive glass powders synthesized via ultrasonic energy-assisted hydrothermal method to the calcium phosphate-based bone cement to improve its biocompatibility. The injectable bone substitutes was initially composed of a powder component (tetracalcium phosphate, dicalcium phosphate dihydrate and calcium sulfate dehydrate) and a liquid component (citric acid, chitosan and hydroxyl-propyl-methyl-cellulose) upon which various concentrations of bioactive glass were added: 0%, 10%, 20% and 30%. Setting time and compressive strength of the injectable bone substitutes were evaluated and observed to improve with the increase of bioactive glass content. Surface morphologies were observed via scanning electron microscope before and after submersion of the samples to simulated body fluid and increase in apatite formation was detected using x-ray diffraction machine. In vitro biocompatibility of the injectable bone substitutes was observed to improve with the addition of bioactive glass as the proliferation/adhesion behavior of cells on the material increased. Human gene markers were successfully expressed using real time-polymerase chain reaction and the samples were found to promote cell viability and be more biocompatible as the concentration of bioactive glass increases. In vivo biocompatibility of the samples containing 0% and 30% bioactive glass were evaluated using Micro-CT and histological staining after 3 months of implantation in male rabbits' femurs. No inflammatory reaction was observed and significant bone formation was promoted by the addition of bioactive glass to the injectable bone substitute system.

  19. Effects of Incorporating Carboxymethyl Chitosan into PMMA Bone Cement Containing Methotrexate.

    Directory of Open Access Journals (Sweden)

    Bo-Ming Liu

    Full Text Available Treatment of bone metastases usually includes surgical resection with local filling of methotrexate (MTX in polymethyl methacrylate (PMMA cement. We investigated whether incorporating carboxymethyl chitosan (CMCS in MTX-PMMA cement might overcome disadvantages associated with MTX. To determine the optimal CMCS+MTX concentration to suppress the viability of cancer cells, an integrated microfluidic chip culturing highly metastatic lung cancer cells (H460 was employed. The mechanical properties, microstructure, and MTX release of (CMCS+MTX-PMMA cement were evaluated respectively by universal mechanical testing machine, scanning electron microscopy (SEM, and incubation in simulated body fluid with subsequent HPLC-MS. Implants of MTX-PMMA and (CMCS+MTX-PMMA cement were evaluated in vivo in guinea pig femurs over time using spiral computed tomography with three-dimensional image reconstruction, and SEM at 6 months. Viability of H460 cells was significantly lowest after treatment with 57 μg/mL CMCS + 21 μg/mL MTX, which was thus used in subsequent experiments. Incorporation of 1.6% (w/w CMCS to MTX-PMMA significantly increased the bending modulus, bending strength, and compressive strength by 5, 2.8, and 5.2%, respectively, confirmed by improved microstructural homogeneity. Incorporation of CMCS delayed the time-to-plateau of MTX release by 2 days, but increased the fraction released at the plateau from 3.24% (MTX-PMMA to 5.34%. Relative to the controls, the (CMCS+MTX-PMMA implants integrated better with the host bone. SEM revealed pores in the cement of the (CMCS+MTX-PMMA implants that were not obvious in the controls. In conclusion, incorporation of CMCS in MTX-PMMA appears a feasible and effective modification for improving the anti-tumor properties of MTX-PMMA cement.

  20. Studies on the reuse of waste printed circuit board as an additive for cement mortar.

    Science.gov (United States)

    Ban, Bong-Chan; Song, Jong-Yoon; Lim, Joong-Yeon; Wang, Soo-Kyoon; An, Kwang-Guk; Kim, Dong-Su

    2005-01-01

    The recent development in electronic industries has generated a drastic increase in production of printed circuit boards (PCB). Accordingly, the amount of waste PCB from electronic productions and waste electronics and its environmental impact such as soil and groundwater contamination have become a great concern. This study aims to propose a method for reuse of waste PCB as an additive for cement mortar. Although the expansibility of waste PCB powder finer than 0.08 mm in water was observed to be greater than 2.0%, the maximum expansion rates in water for 0.08 to approximately 0.15 and 0.15 to approximately 0.30 mm sized PCB powders were less than 2.0%, which satisfied the necessary condition as an alternative additive for cement mortar in place of sand. The difference in the compressive strength of standard mortar and waste PCB added mortar was observed to be less than 10% and their difference was expected to be smaller after prolonged aging. The durability of waste PCB added cement mortar was also examined through dry/wet conditioning cyclic tests and acidic/alkaline conditioning tests. From the tests, both weight and compressive strength of cement mortar were observed to be recovered with aging. The leaching test for heavy metals from waste PCB added mortar showed that no heavy metal ions such as copper, lead, or cadmium were detected in the leachate, which resulted from fixation effect of the cement hydrates.

  1. Bond strength analysis of the bone cement- stem interface of hip arthroplasties

    Institute of Scientific and Technical Information of China (English)

    Lan-Feng Zhang; Shi-Rong Ge; Hong-Tao Liu; Kai-Jin Guo; Shu-Yang Han; Juan-Yan Qi

    2014-01-01

    Objective:To study and establish the preliminary linear and modified models for the interface shear mechanics performance between implant and bone cement and to explore its damage significance.Method:The loosening research between artificial hip joint prosthesis stem and bone cement interface performance can be evaluated by the push-in test.Based on the debonding performance test, the analytical expressions of the average load and displacement from the debonding failure and splitting failure process were deduced and determined.The correlations of the expressions of the average load-displacement and statistical experimental data were analyzed.Results:It demonstrated that the interface debonding failure mechanical model could be characterized as interface bond strength mechanical performance.Based on analysis of models and experimental data by the three statistical analysis methods, the results indicated the modified model could be better represented by the interfacial debonding strength properties. The bond stressτand relative slidings distribution along the embedment regional were coupling affected by both pressure arch effect and shear lag effect in bone cement.Two stress peaks of implant have been found at the distance from0.175La loading tip to0.325Lafree tip, which also verified the early loosening clinical reports for the proximal and latter region.As the bone cement arch effect, the bond stress peak tend to move to the free tip when the debonding failure would be changed into the splitting failure, which presents a preliminary study on the mechanism of early debonding failurefor the stem-cement interface.Conclusions:Functional models of the stem-bone cement interfacial debonding failure are developed to analyze the relevant mechanism.The different locational titanium alloy stress, and the interfacial bond stress and the relative slides are evaluated to acquire a guide of the different positions of interfacial damage.The coupling effect which is original from

  2. Apparent fracture toughness of acrylic bone cement: effect of test specimen configuration and sterilization method.

    Science.gov (United States)

    Lewis, G

    1999-01-01

    The plane strain fracture toughness of Palacos R bone cement was determined using linear elastic fracture mechanics (LEFM) principles and three different test specimen configurations: single edge notched three-point (SENB), rectangular compact tension (RCT), and chevron notched short rod (CNSR). Another aspect of the study was an investigation of the effect of three methods used to sterilize the powder constituents of the cement-none, gamma irradiation and ethylene oxide--on the fracture toughness of the fully polymerized material. A detailed justification is provided for using LEFM. The fracture toughness results obtained using the CNSR specimens were, on average, 14 and 16% higher than those obtained using the SENB and RCT types, respectively. These differences are accounted for in terms of differences in four aspects of these specimen configuration (namely, residual stress effects, loading rate, material inhomogeneity, and the nature of the test). For a given specimen configuration, gamma irradiation produced a statistically significant decrease in fracture toughness which, it is suggested, is due to the concomitant depreciation in molecular weight. For a given cement type, there is no statistically significant difference in fracture toughness results obtained using SENB and RCT specimens. It is thus suggested that either of these configurations can be used to determine the fracture toughness of acrylic bone cement.

  3. Evaluation of a radiation transport modeling method for radioactive bone cement

    Energy Technology Data Exchange (ETDEWEB)

    Kaneko, T S [Department of Radiological Sciences, B170 Med Sci I, University of California, Irvine, CA 92697 (United States); Sehgal, V; Al-Ghazi, M S A L; Ramisinghani, N S [Department of Radiation Oncology, University of California Irvine Medical Center, Orange, CA 92868 (United States); Skinner, H B [St Jude Heritage Medical Group, Fullerton, CA 92835 (United States); Keyak, J H [Departments of Radiological Sciences, Biomedical Engineering, and Mechanical Engineering, University of California, Irvine, CA 92697 (United States)], E-mail: tkaneko@uci.edu

    2010-05-07

    Spinal metastases are a common and serious manifestation of cancer, and are often treated with vertebroplasty/kyphoplasty followed by external beam radiation therapy (EBRT). As an alternative, we have introduced radioactive bone cement, i.e. bone cement incorporated with a radionuclide. In this study, we present a Monte Carlo radiation transport modeling method to calculate dose distributions within vertebrae containing radioactive cement. Model accuracy was evaluated by comparing model-predicted depth-dose curves to those measured experimentally in eight cadaveric vertebrae using radiochromic film. The high-gradient regions of the depth-dose curves differed by radial distances of 0.3-0.9 mm, an improvement over EBRT dosimetry accuracy. The low-gradient regions differed by 0.033-0.055 Gy/h/mCi, which may be important in situations involving prior spinal cord irradiation. Using a more rigorous evaluation of model accuracy, four models predicted the measured dose distribution within the experimental uncertainty, as represented by the 95% confidence interval of the measured log-linear depth-dose curve. The remaining four models required modification to account for marrow lost from the vertebrae during specimen preparation. However, the accuracy of the modified model results indicated that, when this source of uncertainty is accounted for, this modeling method can be used to predict dose distributions in vertebrae containing radioactive cement.

  4. Evaluation of a radiation transport modeling method for radioactive bone cement

    Science.gov (United States)

    Kaneko, T. S.; Sehgal, V.; Skinner, H. B.; Al-Ghazi, M. S. A. L.; Ramisinghani, N. S.; Keyak, J. H.

    2010-05-01

    Spinal metastases are a common and serious manifestation of cancer, and are often treated with vertebroplasty/kyphoplasty followed by external beam radiation therapy (EBRT). As an alternative, we have introduced radioactive bone cement, i.e. bone cement incorporated with a radionuclide. In this study, we present a Monte Carlo radiation transport modeling method to calculate dose distributions within vertebrae containing radioactive cement. Model accuracy was evaluated by comparing model-predicted depth-dose curves to those measured experimentally in eight cadaveric vertebrae using radiochromic film. The high-gradient regions of the depth-dose curves differed by radial distances of 0.3-0.9 mm, an improvement over EBRT dosimetry accuracy. The low-gradient regions differed by 0.033-0.055 Gy/h/mCi, which may be important in situations involving prior spinal cord irradiation. Using a more rigorous evaluation of model accuracy, four models predicted the measured dose distribution within the experimental uncertainty, as represented by the 95% confidence interval of the measured log-linear depth-dose curve. The remaining four models required modification to account for marrow lost from the vertebrae during specimen preparation. However, the accuracy of the modified model results indicated that, when this source of uncertainty is accounted for, this modeling method can be used to predict dose distributions in vertebrae containing radioactive cement.

  5. Improvement of cement concrete strength properties by carbon fiber additives

    Science.gov (United States)

    Nevsky, Andrey; Kudyakov, Konstantin; Danke, Ilia; Kudyakov, Aleksandr; Kudyakov, Vitaly

    2016-01-01

    The paper presents the results of studies of fiber-reinforced concrete with carbon fibers. The effectiveness of carbon fibers uniform distribution in the concrete was obtained as a result of its preliminary mechanical mixing in water solution with chemical additives. Additives are to be used in the concrete technology as modifiers at initial stage of concrete mix preparing. The technology of preparing of fiber-reinforced concrete mix with carbon fibers is developed. The superplasticizer is based on ether carboxylates as a separator for carbon fibers. The technology allows increasing of concrete compressive strength up to 43.4% and tensile strength up to 17.5% as well as improving stability of mechanical properties.

  6. Results of cement augmentation and curettage in aneurysmal bone cyst of spine.

    Science.gov (United States)

    Basu, Saumyajit; Patel, Dharmesh R; Dhakal, Gaurav; Sarangi, T

    2016-01-01

    Aneurysmal bone cyst (ABC) is a vascular tumor of the spine. Management of spinal ABC still remains controversial because of its location, vascular nature and incidence of recurrence. In this manuscript, we hereby describe two cases of ABC spine treated by curettage, vertebral cement augmentation for control of bleeding and internal stabilization with two years followup. To the best of our knowledge, this is the first case report in the literature describing the role of cement augmentation in spinal ABC in controlling vascular bleeding in curettage of ABC of spine. Case 1: A 22 year old male patient presented with chronic back pain. On radiological investigation, there were multiple, osteolytic septite lesions at L3 vertebral body without neural compression or instability. Percutaneous transpedicular biopsy of L3 from involved pedicle was done. This was followed by cement augmentation through the uninvolved pedicle. Next, transpedicular complete curettage was done through involved pedicle. Case 2: A 15-year-old female presented with nonradiating back pain and progressive myelopathy. On radiological investigation, there was an osteolytic lesion at D9. At surgery, decompression, pedicle screw-rod fixation and posterolateral fusion from D7 to D11 was done. At D9 level, through normal pedicle cement augmentation was added to provide anterior column support and to control the expected bleeding following curettage. Transpedicular complete curettage was done through the involved pedicle with controlled bleeding at the surgical field. Cement augmentation was providing controlled bleeding at surgical field during curettage, internal stabilization and control of pain. On 2 years followup, pain was relieved and there was a stable spinal segment with well filled cement without any sign of recurrence in computed tomography scan. In selected cases of spinal ABC with single vertebral, single pedicle involvement; cement augmentation of vertebra through normal pedicle has an

  7. Results of cement augmentation and curettage in aneurysmal bone cyst of spine

    Directory of Open Access Journals (Sweden)

    Saumyajit Basu

    2016-01-01

    Full Text Available Aneurysmal bone cyst (ABC is a vascular tumor of the spine. Management of spinal ABC still remains controversial because of its location, vascular nature and incidence of recurrence. In this manuscript, we hereby describe two cases of ABC spine treated by curettage, vertebral cement augmentation for control of bleeding and internal stabilization with two years followup. To the best of our knowledge, this is the first case report in the literature describing the role of cement augmentation in spinal ABC in controlling vascular bleeding in curettage of ABC of spine. Case 1: A 22 year old male patient presented with chronic back pain. On radiological investigation, there were multiple, osteolytic septite lesions at L3 vertebral body without neural compression or instability. Percutaneous transpedicular biopsy of L3 from involved pedicle was done. This was followed by cement augmentation through the uninvolved pedicle. Next, transpedicular complete curettage was done through involved pedicle. Case 2: A 15-year-old female presented with nonradiating back pain and progressive myelopathy. On radiological investigation, there was an osteolytic lesion at D9. At surgery, decompression, pedicle screw-rod fixation and posterolateral fusion from D7 to D11 was done. At D9 level, through normal pedicle cement augmentation was added to provide anterior column support and to control the expected bleeding following curettage. Transpedicular complete curettage was done through the involved pedicle with controlled bleeding at the surgical field. Cement augmentation was providing controlled bleeding at surgical field during curettage, internal stabilization and control of pain. On 2 years followup, pain was relieved and there was a stable spinal segment with well filled cement without any sign of recurrence in computed tomography scan. In selected cases of spinal ABC with single vertebral, single pedicle involvement; cement augmentation of vertebra through normal

  8. Microencapsulation of 2-octylcyanoacrylate tissue adhesive for self-healing acrylic bone cement

    OpenAIRE

    Brochu, Alice B. W.; Chyan, William J.; Reichert, William M

    2012-01-01

    Here, we report the first phase of developing self-healing acrylic bone cement: the preparation and characterization of polyurethane (PUR) microcapsules containing a medical cyanoacrylate tissue adhesive. Capsules were prepared by interfacial polymerization of a toluene-2,4-diisocyanate-based polyurethane prepolymer with 1,4-butanediol to encapsulate 2-octylcyanoacrylate (OCA). Various capsule characteristics, including: resultant morphology, average size and size distribution, shell thicknes...

  9. Microstructure engineering of Portland cement pastes and mortars through addition of ultrafine layer silicates

    DEFF Research Database (Denmark)

    Lindgreen, Holger; Geiker, Mette; Krøyer, Hanne;

    2008-01-01

    Pozzolanic submicron-sized silica fume and the non-pozzolanic micron- and nano-sized layer silicates (clay minerals) kaolinite, smectite and palygorskite have been used as additives in Portland cement pastes and mortars. These layer silicates have different particle shape (needles and plates......), surface charge, and size (micron and nano). The structure of the resulting cement pastes and mortars has been investigated by atomic force microscopy (AFM), helium porosimetry, nitrogen adsorption (specific surface area and porosity), low-temperature calorimetry (LTC) and thermal analysis. The main result...

  10. Microstructure engineering of Portland cement pastes and mortars through addition of ultrafine layer silicates

    DEFF Research Database (Denmark)

    Lindgreen, Holger; Geiker, Mette Rica; Krøyer, Hanne;

    2008-01-01

    Pozzolanic submicron-sized silica fume and the non-pozzolanic micron- and nano-sized layer silicates (clay minerals) kaolinite, smectite and palygorskite have been used as additives in Portland cement pastes and mortars. These layer silicates have different particle shape (needles and plates...

  11. Modification of resin modified glass ionomer cement by addition of bioactive glass nanoparticles.

    Science.gov (United States)

    Valanezhad, Alireza; Odatsu, Tetsuro; Udoh, Koichi; Shiraishi, Takanobu; Sawase, Takashi; Watanabe, Ikuya

    2016-01-01

    In the present study, sol-gel derived nanoparticle calcium silicate bioactive glass was added to the resin-modified light cure glass-ionomer cement to assess the influence of additional bioactive glass nanoparticles on the mechanical and biological properties of resin-modified glass-ionomer cement. The fabricated bioactive glass nanoparticles added resin-modified glass-ionomer cements (GICs) were immersed in the phosphate buffer solution for 28 days to mimic real condition for the mechanical properties. Resin-modified GICs containing 3, 5 and 10 % bioactive glass nanoparticles improved the flexural strength compared to the resin-modified glass-ionomer cement and the samples containing 15 and 20 % bioactive glass nanoparticles before and after immersing in the phosphate buffer solution. Characterization of the samples successfully expressed the cause of the critical condition for mechanical properties. Cell study clarified that resin-modified glass-ionomer cement with high concentrations of bioactive glass nanoparticles has higher cell viability and better cell morphology compare to control groups. The results for mechanical properties and toxicity approved that the considering in selection of an optimum condition would have been a more satisfying conclusion for this study.

  12. Animated sulfonated or sulformethylated lignins as cement fluid loss control additives

    Energy Technology Data Exchange (ETDEWEB)

    Schilling, P.

    1991-05-07

    This patent describes a method of cementing a zone in a well penetrating a subterranean formation comprising injecting down the well and positioning in the zone to be cemented a hydraulic aqueous cement slurry composition. It comprises: a hydraulic cement, and the following expressed as parts by weight per 100 parts of the hydraulic cement, water from about 25 to 105 parts, and a fluid loss control additive comprising from about 0.5 to 2.5 parts of a compound selected from the group consisting of a sulfonated lignin and a sulfomethylated lignin, wherein the lignin has been aminated by reacting it with between about 2-5 moles of a polyamine and 2-5 moles of an aldehyde per 1,000g of the lignin, and 0.1 to 1.5 parts of a compound selected from the group consisting of sodium carbonate, sodium metasilicate, sodium phosphate, sodium sulfite and sodium naphthalene sulfonate and a combination thereof.

  13. Augmentation of screw fixation with injectable calcium sulfate bone cement in ovariectomized rats.

    Science.gov (United States)

    Yu, Xiao-Wei; Xie, Xin-Hui; Yu, Zhi-Feng; Tang, Ting-Ting

    2009-04-01

    The objective of this study was to determine the effect of augmenting screw fixation with an injectable calcium sulfate cement (CSC) in the osteoporotic bone of ovariectomized rats. The influence of the calcium sulfate (CS) on bone remodeling and screw anchorage in osteoporotic cancellous bone was systematically investigated using histomorphometric and biomechanical analyses. The femoral condyles of 55 Sprague-Dawley ovariectomized rats were implanted with screw augmented with CS, while the contralateral limb received a nonaugmented screw. At time intervals of 2, 4, 8, 12, and 16 weeks, 11 rats were euthanized. Six pair-matched samples were used for histological analysis, while five pair-matched samples were preserved for biomechanical testing. Histomorphometric data showed that CS augmented screws activated cancellous bone formation, evidenced by a statistically higher (p < 0.05) percentage of osteoid surface at 2, 4, and 8 weeks and a higher rate of bone mineral apposition at 12 weeks compared with nonaugmented screws. The amount of the bone-screw contact at 2, 8, and 12 weeks and of bone ingrowth on the threads at 4 and 8 weeks was greater in the CS group than in the nonaugmented group (p < 0.05), although these parameters increased concomitantly with time for both groups. The CS was resorbed completely at 8 weeks without stimulating fibrous encapsulation on the screw surface. Also, the cement significantly increased the screw pull-out force and the energy to failure at 2, 4, 8, and 12 weeks after implantation, when compared with the control group (p < 0.05). These results imply that augmentation of screw fixation with CS may have the potential to decrease the risk of implant failure in osteoporotic bone.

  14. Antibiotic bone cement and renovation after artificial joint replacement%抗生素骨水泥与人工关节置换后的翻修

    Institute of Scientific and Technical Information of China (English)

    李文成

    2013-01-01

    BACKGROUND:Antibiotic bone cement is the important method for the prevention and treatment of infection after artificial hip replacement and renovation. OBJECTIVE:To review the research progress of antibiotic bone cement. METHODS:A computer-based online search was performed in PubMed database, CNKI database, Chinese Biomedical Literature database, VIP database and Wanfang database for the literatures from 1978 to 2012. The key words were“bone cement, antibiotic bone cement, infection, joint replacement”in English and Chinese. RESUTLS AND CONCLUSION:A total of 335 literatures were screened out. Final y, 29 literatures were included for in-depth analysis after the primary screen through reading the title, abstract and ful-text. Antibiotic bone cement has been widely used in the treatment of infection after artificial joint replacement and renovation as it can reduce the risk of infection after initial joint replacement and renovation. The material properties and mechanical properties wil not change after bone cement mixed with appropriate amount of antibiotic. Different antibiotics in the bone cement have different release rates, which were closely related with the porosity of bone cement. Adding the additive that used for increasing the porosity of bone cement can increase the antibiotic release.%  背景:抗生素骨水泥是预防和治疗人工关节置换以及翻修后感染的重要方法。目的:综述抗生素骨水泥的研究进展以及人工关节置换后翻修。方法:通过计算机检索Pubmed数据库、中国知网数据库、中国生物医学文献数据库、维普期刊全文数据库、万方数据库,时间范围在1978年至2012年,中文检索词“骨水泥”、“抗生素骨水泥”、“感染”、“关节置换”;英文检索词“bone cement”、“antibiotic bone cement”、“infection”、“joint replacement”。结果与结论:共检索到相关文献335篇。通过阅读标题、摘要以及全

  15. Kinetic study of the setting reaction of a calcium phosphate bone cement.

    Science.gov (United States)

    Fernández, E; Ginebra, M P; Boltong, M G; Driessens, F C; Ginebra, J; De Maeyer, E A; Verbeeck, R M; Planell, J A

    1996-11-01

    The setting reaction of a calcium phosphate bone cement consisting of a mixture of 63.2 wt % alpha-tertiary calcium phosphate (TCP)[alpha-Ca3(PO4)2], 27.7 wt % dicalcium phosphate (DCP) (CaHPO4), and 9.1 wt % of precipitated hydroxyapatite [(PHA) used as seed material] was investigated. The cement samples were prepared at a liquid-to-powder ratio of: L/P = 0.30 ml/g. Bi-distilled water was used as liquid solution. After mixing the powder and liquid, some samples were molded and aged in Ringer's solution at 37 degrees C. At fixed time intervals they were unmolded and then immediately frozen in liquid nitrogen at a temperature of TN = -196 degrees C, lyofilized, and examined by X-ray diffraction as powder samples. The compressive strength versus time was also measured in setting samples of this calcium phosphate bone cement. The crystal entanglement morphology was examined by scanning electron microscopy. The results showed that: 1) alpha-TCP reacted to a calcium-deficient hydroxyapatite (CDHA), Ca9(HPO4)(PO4)5O H, whereas DCP did not react significantly; 2) the reaction was nearly finished within 32 h, during which both the reaction percentage and the compressive strength increased versus time, with a strong correlation between them; and 3) the calcium phosphate bone cement showed in general a structure of groups of interconnected large plates distributed among agglomerations of small crystal plates arranged in very dense packings.

  16. Porous poly(DL-lactic-co-glycolic acid)/calcium phosphate cement composite for reconstruction of bone defects.

    NARCIS (Netherlands)

    Ruhe, P.Q.; Hedberg, E.L.; Padron, N.T.; Spauwen, P.H.M.; Jansen, J.A.; Mikos, A.G.

    2006-01-01

    Calcium phosphate (Ca-P) cements are injectable, self-setting ceramic pastes generally known for their favorable bone response. Ingrowth of bone and subsequent degradation rates can be enhanced by the inclusion of macropores. Initial porosity can be induced by CO(2) foaming during setting of the cem

  17. Giant Cell Tumor Of The Long Bones: Results With Combination Of Cryosurgery, Curettage, And Cementation

    Directory of Open Access Journals (Sweden)

    Mortazavi S.M.J

    2005-07-01

    Full Text Available Background: In this study we evaluated the treatment of giant cell tumor (GCT of long bones using cryosurgery combined with curettage and polymethylmetacrylate (PMMA cementing. Material and methods: From January 1999 to December 2004, twenty patients (mean age at the time of surgery 29.2 years; 13 females and 7 males; were included in the study. Cortical disruption were presented in 7 patients; 4 with soft tissue extension, but none of them had intra-articular extension of tumor, 3 patients presented with pathologic fracture of distal femoral lesions. These tumors were located in distal femur in 6 patients, proximal tibia in 7, distal radius in 3, proximal femur in 2, and each of proximal humerus and distal ulna in one patient. In each case diagnostic biopsy was done and surgical procedure performed including curettage, power burr of the wall, cryosurgery with liquid nitrogen and finally filling the space with PMMA cementing. The mean follow-up was 34 months (7 to 61 . Results: During follow-up, we observed one recurrence of GCT of proximal tibia. Secondary Aneurysmal bone cyst was reported at the site of one primary distal femoral lesion, without any finding in favor of a recurrence. Neurapraxia of the proneal nerve was occurred in one patient with proximal tibia tumor improved after 8 months. Conclusion: Cryosurgery combined with power burr and PMMA cementing in the treatment of GCT could be an effective approach in tumor eradication. This method obviates the need for extensive resections and reconstructive procedure.

  18. Towards optimization of the silanization process of hydroxyapatite for its use in bone cement formulations

    Energy Technology Data Exchange (ETDEWEB)

    Cisneros-Pineda, Olga G.; Herrera Kao, Wilberth; Loría-Bastarrachea, María I. [Centro de Investigación Científica de Yucatán, A.C., Unidad de Materiales, Calle 43 No. 130, Col. Chuburná de Hidalgo, C.P. 97200 Mérida, Yucatán (Mexico); Veranes-Pantoja, Yaymarilis [Centro de Biomateriales, Universidad de la Habana, Avenida Universidad, s/n, e/G y Ronda, C.P. 10600 C. de La Habana (Cuba); Cauich-Rodríguez, Juan V. [Centro de Investigación Científica de Yucatán, A.C., Unidad de Materiales, Calle 43 No. 130, Col. Chuburná de Hidalgo, C.P. 97200 Mérida, Yucatán (Mexico); Cervantes-Uc, José M., E-mail: manceruc@cicy.mx [Centro de Investigación Científica de Yucatán, A.C., Unidad de Materiales, Calle 43 No. 130, Col. Chuburná de Hidalgo, C.P. 97200 Mérida, Yucatán (Mexico)

    2014-07-01

    The aim of this work was to provide some fundamental information for optimization of silanization of hydroxyapatite intended for bone cement formulations. The effect of 3-(trimethoxysilyl) propyl methacrylate (MPS) concentration and solvent system (acetone/water or methanol/water mixtures) during HA silanization was monitored by X-ray diffraction (XRD), FTIR spectroscopy and EDX analysis. The effect of silanized HA on the mechanical properties of acrylic bone cements is also reported. It was found that the silanization process rendered hydroxyapatite with lower crystallinity compared to untreated HA. Through EDX, it was observed that the silicon concentration in the HA particles was higher for acetone–water than that obtained for methanol–water system, although the mechanical performance of cements prepared with these particles exhibited the opposite behavior. Taking all these results together, it is concluded that methanol–water system containing MPS at 3 wt.% provides the better results during silanization process of HA. - Highlights: • Effect of MPS concentration and solvents during HA silanization was studied. • Silanization rendered HA has lower crystallinity compared to untreated HA. • Silicon concentration was higher for acetone than that obtained using methanol. • Methanol–water system containing MPS at 3 wt.% provides the better results.

  19. Effect of Carbon Addition on Microstructure and Properties of WC-Co Cemented Carbides

    Institute of Scientific and Technical Information of China (English)

    Chongbin Wei; Xiaoyan Song; Jun Fu; Xiaosen Lv; Haibin Wang; Yang Cao; ShixianZhao; Xuemei Liu

    2012-01-01

    Based on a unique method to synthesize WC-Co composite powder by in-situ reactions of metal oxides and carbon, the effects of the carbon addition in the initial powders on the phase constitution, microstructure and mechanical properties of the cemented carbides were investigated. It is found that with a suitable carbon addition the pure phase constitution can be obtained in the sintered bulk from the composite powder. The mechanical properties of the cemented carbides depend on the phase constitution and the WC grain structure. To obtain the excellent properties of the WC-Co bulk, it is important to obtain the pure phase constitution from the appropriate carbon addition in the initial powders and a suitable grain size.

  20. Mechanical Behaviour of Composite Bioactive Bone Cements Consisting of Two Different Types of Surface Treated Hydroxyapatite as Filler

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Bioactive bone cements based on a paste-paste system for orthopaedic applications were developed consisting of hydroxyapatite ( HA ) filler particles in a methacrylate matrix comprising urethane dimethacrylate(UDMA) and triethylene glycol dimethacrylate ( TEGDMA ). To improve the interface between inorganic filler and orgaric matrix the HA particles were subjected to two different surface treatment methods, using polyacrylic acid ( PAA ) and γ- methacryloxy propyl trimethoxy silane (γMPS). The aim of the present study was to determine the influence of surface treatment and the inclusion of multifunctional methacrylates on the mechanical properties,namely 3-point flexural strength (FS) and fracture toughness of the cements and the effect of ageing in simulated body fluid. Comparing the mechanical properties of the two cements, the γMPS-HA cement showed that the fracture toughness of the experimental bone cements were significantly greater (p< 0.001) compared to that of the PMMA cement, whereas PAA-HA containing cement had strength values around 20% lower. Interestingly, PAA was found to be more effective in improving the interface as the PAA treated HA cement ( UTHAPPA ) maintained its strength on immersion in SBF , suggesting that PAA provided a coupling, which was less sensitive to moisture,a similar trend was also observed with the inclusion of the carboxyl containing multifunctional methacrylates.

  1. Temperature Measurement During Polymerization of Bone Cement in Percutaneous Vertebroplasty: An In Vivo Study in Humans

    International Nuclear Information System (INIS)

    Aim of the study was to 'in vivo' measure temperature, during percutaneous vertebroplasty (PV), within a vertebral body injected with different bone cements. According to the declaration of Helsinki, 22 women (60-80 years; mean, 75 years) with painful osteoporotic vertebral collapse underwent bilateral transpedicular PV on 22 lumbar vertebrae. Two 10-G vertebroplasty needles were introduced into the vertebra under digital fluoroscopy; a 16-G radiofrequency thermoablation needle (Starburst XL; RITA Medical System Inc., USA), carrying five thermocouples, was than coaxially inserted. Eleven different bone cements were injected and temperatures were measured every 30 s until temperatures dropped under 45oC. After the thermocouple needle was withdrawn, bilateral PV was completed with cement injection through the vertebroplasty needle. Unpaired Student's t-tests, Kruskal-Wallis test, and Wilcoxon signed rank test were used to evaluate significant differences (p oC), B (from 50o to 60oC), and C (below 50oC). Peak temperature in Group A (86.7 ± 10.7oC) was significantly higher (p = 0.0172) than that in Groups B (60.5 ± 3.7oC) and C (44.8 ± 2.6oC). The average of all thermocouples showed an extremely significant difference (p = 0.0002) between groups. None of the tested cements maintained a temperature ≥45oC for more than 30 min. These data suggest that back-pain improvement is obtained not by thermal necrosis but by mechanical consolidation only. The relative necrotic thermal effect in vertebral metastases seems to confirm that analgesia must be considered the main intent of PV.

  2. Bioactive calcium sulfate/magnesium phosphate cement for bone substitute applications

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Guangyong [Department of Orthopaedics, Taizhou Hospital of Zhejiang Province, Linhai Zhejiang, 317000 (China); Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, 325000 (China); Liu, Jianli [Trauma Center, Affiliated Hospital of Hainan Medical University, Haikou, Hainan, 570206 (China); Division of Functional Materials and Nanodevices, Ningbo Institute of Materials Technology and Engineering (NIMTE), Chinese Academy of Sciences (CAS), Ningbo, Zhejiang, 315201 (China); Li, Fan; Pan, Zongyou; Ni, Xiao; Shen, Yue [Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, 325000 (China); Xu, Huazi, E-mail: spinexu@163.com [Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, 325000 (China); Huang, Qing, E-mail: huangqing@nimte.ac.cn [Division of Functional Materials and Nanodevices, Ningbo Institute of Materials Technology and Engineering (NIMTE), Chinese Academy of Sciences (CAS), Ningbo, Zhejiang, 315201 (China)

    2014-02-01

    A novel calcium sulfate/magnesium phosphate cement (CSMPC) composite was prepared and studied in the present work. The physical properties including the phases, the microstructures, the setting properties and the compressive strengths of the CSMPCs were studied. The bio-performances of the CSMPCs were comprehensively evaluated using in vitro simulated body fluid (SBF) method and in vitro cell culture. The dependence of the physical and chemical properties of the CSMPC on its composition and microstructure was studied in detail. It is found that the CSMPC composites exhibited mediate setting times (6–12 min) compared to the calcium sulfate (CS) and the magnesium phosphate cement (MPC). They showed an encapsulation structure in which the unconverted hexagonal prism CSH particles were embedded in the xerogel-like MPC matrix. The phase compositions and the mechanical properties of the CSMPCs were closely related to the content of MPC and the hardening process. The CSMPCs exhibited excellent bioactivity and good biocompatibility to support the cells to attach and proliferate on the surface. The CSMPC composite has the potential to serve as bone grafts for the bone regeneration. - Highlights: • The mechanical strength and degradation rate of CSMPC composites are discussed. • The CSMPC composites exhibited good bioactivity to form bone-like apatite. • The CSMPC composites also show good biocompatibility.

  3. Bioactive calcium sulfate/magnesium phosphate cement for bone substitute applications

    International Nuclear Information System (INIS)

    A novel calcium sulfate/magnesium phosphate cement (CSMPC) composite was prepared and studied in the present work. The physical properties including the phases, the microstructures, the setting properties and the compressive strengths of the CSMPCs were studied. The bio-performances of the CSMPCs were comprehensively evaluated using in vitro simulated body fluid (SBF) method and in vitro cell culture. The dependence of the physical and chemical properties of the CSMPC on its composition and microstructure was studied in detail. It is found that the CSMPC composites exhibited mediate setting times (6–12 min) compared to the calcium sulfate (CS) and the magnesium phosphate cement (MPC). They showed an encapsulation structure in which the unconverted hexagonal prism CSH particles were embedded in the xerogel-like MPC matrix. The phase compositions and the mechanical properties of the CSMPCs were closely related to the content of MPC and the hardening process. The CSMPCs exhibited excellent bioactivity and good biocompatibility to support the cells to attach and proliferate on the surface. The CSMPC composite has the potential to serve as bone grafts for the bone regeneration. - Highlights: • The mechanical strength and degradation rate of CSMPC composites are discussed. • The CSMPC composites exhibited good bioactivity to form bone-like apatite. • The CSMPC composites also show good biocompatibility

  4. Improved cement mortars by addition of carbonated fly ash from solid waste incinerators

    OpenAIRE

    López-Zaldívar, O.; Mayor-Lobo, P. L.; Fernández-Martínez, F.; Hernández-Olivares, F.

    2015-01-01

    This article presents the results of a research developing high performance cement mortars with the addition of municipal solid waste incineration fly ash (MSWIFA) stabilized as insoluble carbonates. The encapsulation of hazardous wastes in mortar matrixes has also been achieved. The ashes present high concentrations of chlorides, Zn and Pb. A stabilization process with NaHCO3 has been developed reducing 99% the content of chlorides. Developed mortars replace 10% per weight of the aggregates ...

  5. Bone cement enhanced pedicle screw fixation combined with vertebroplasty for elderly patients with malignant spinal tumors

    Institute of Scientific and Technical Information of China (English)

    TAN Jiang-wei; SHEN Bing-hua; DU Wei; LIU Jiang-qing; LU Shi-qiao

    2013-01-01

    Background Older patients with malignant spinal tumors are difficult to treat because they have many co-morbidities including osteoporosis.The purpose of this research is to discuss the technique and clinical outcome of bone cement enhanced pedicle screw fixation combined with vertebroplasty (the Sandwich Procedure) for elderly patients with severe osteoporosis and malignant spinal tumors.Methods This study includes 28 consecutive elderly patients with malignant thoracic or lumbar spinal tumors.There were nine patients with myelomas,and 19 patients with metastatic bone tumors.The Sandwich Procedure began with curettage of the tumor and a vertebroplasty with bone cement (polymethyl methacrylate,PMMA),followed by PMMA enhanced pedicle screw fixation.Patients were evaluated with the visual analogue scale (VAS),oswestry disability index (ODI),American Spinal Cord Injury Association (ASIA) neurological function classification,and the radiographic degree of kyphosis (Cobb angle).Data were analyzed using paired t-test to compare the pre-and post-operative values.The complications,local recurrences,and the survival status were also recorded.Results There was no operative mortality,and the mean operative time was 210 minutes (range 150-250 minutes).The average blood loss was 1550 ml (range 650-3300 ml).The average amount of cement for vertebroplasty was 3.6 ml (range 3-5 ml).The VAS,ODI,and ASIA scores were significantly improved after surgery (P <0.05).However,we found no differences between the pre and post-operative Cobb angles.The shortest survival time was 3 months,and we found no evidence of local recurrence in this group of patients.Conclusion The Sandwich Procedure is a safe operation and provides symptomatic relief in these difficult patients,permitting further treatment with chemotherapy or radiotherapy.

  6. Spatial resolution and measurement uncertainty of strains in bone and bone-cement interface using digital volume correlation.

    Science.gov (United States)

    Zhu, Ming-Liang; Zhang, Qing-Hang; Lupton, Colin; Tong, Jie

    2016-04-01

    The measurement uncertainty of strains has been assessed in a bone analogue (sawbone), bovine trabecular bone and bone-cement interface specimens under zero load using the Digital Volume Correlation (DVC) method. The effects of sub-volume size, sample constraint and preload on the measured strain uncertainty have been examined. There is generally a trade-off between the measurement uncertainty and the spatial resolution. Suitable sub-volume sizes have been be selected based on a compromise between the measurement uncertainty and the spatial resolution of the cases considered. A ratio of sub-volume size to a microstructure characteristic (Tb.Sp) was introduced to reflect a suitable spatial resolution, and the measurement uncertainty associated was assessed. Specifically, ratios between 1.6 and 4 appear to give rise to standard deviations in the measured strains between 166 and 620 με in all the cases considered, which would seem to suffice for strain analysis in pre as well as post yield loading regimes. A microscale finite element (μFE) model was built from the CT images of the sawbone, and the results from the μFE model and a continuum FE model were compared with those from the DVC. The strain results were found to differ significantly between the two methods at tissue level, consistent in trend with the results found in human bones, indicating mainly a limitation of the current DVC method in mapping strains at this level.

  7. Spatial resolution and measurement uncertainty of strains in bone and bone-cement interface using digital volume correlation.

    Science.gov (United States)

    Zhu, Ming-Liang; Zhang, Qing-Hang; Lupton, Colin; Tong, Jie

    2016-04-01

    The measurement uncertainty of strains has been assessed in a bone analogue (sawbone), bovine trabecular bone and bone-cement interface specimens under zero load using the Digital Volume Correlation (DVC) method. The effects of sub-volume size, sample constraint and preload on the measured strain uncertainty have been examined. There is generally a trade-off between the measurement uncertainty and the spatial resolution. Suitable sub-volume sizes have been be selected based on a compromise between the measurement uncertainty and the spatial resolution of the cases considered. A ratio of sub-volume size to a microstructure characteristic (Tb.Sp) was introduced to reflect a suitable spatial resolution, and the measurement uncertainty associated was assessed. Specifically, ratios between 1.6 and 4 appear to give rise to standard deviations in the measured strains between 166 and 620 με in all the cases considered, which would seem to suffice for strain analysis in pre as well as post yield loading regimes. A microscale finite element (μFE) model was built from the CT images of the sawbone, and the results from the μFE model and a continuum FE model were compared with those from the DVC. The strain results were found to differ significantly between the two methods at tissue level, consistent in trend with the results found in human bones, indicating mainly a limitation of the current DVC method in mapping strains at this level. PMID:26741534

  8. Composite bone cements loaded with a bioactive and ferrimagnetic glass-ceramic: Leaching, bioactivity and cytocompatibility

    Energy Technology Data Exchange (ETDEWEB)

    Verné, Enrica, E-mail: enrica.verne@polito.it [Institute of Materials Physics and Engineering, Applied Science and Technology Department, Politecnico di Torino, C. so Duca degli Abruzzi 24, 10129 Torino (Italy); Bruno, Matteo [Institute of Materials Physics and Engineering, Applied Science and Technology Department, Politecnico di Torino, C. so Duca degli Abruzzi 24, 10129 Torino (Italy); Miola, Marta [Institute of Materials Physics and Engineering, Applied Science and Technology Department, Politecnico di Torino, C. so Duca degli Abruzzi 24, 10129 Torino (Italy); Department of Health Sciences, Università del Piemonte Orientale “Amedeo Avogadro”, Via Solaroli 17, 28100 Novara (Italy); Maina, Giovanni; Bianco, Carlotta [Traumatology Orthopedics and Occupational Medicine Dept., Università di Torino, Via G. Zuretti 29, 10126 Torino (Italy); Cochis, Andrea [Department of Health Sciences, Università del Piemonte Orientale “Amedeo Avogadro”, Via Solaroli 17, 28100 Novara (Italy); Rimondini, Lia [Department of Health Sciences, Università del Piemonte Orientale “Amedeo Avogadro”, Via Solaroli 17, 28100 Novara (Italy); Consorzio Interuniversitario Nazionale per la Scienza e Tecnologia dei Materiali, Via G. Giusti, 9, 50121 Firenze (Italy)

    2015-08-01

    In this work, composite bone cements, based on a commercial polymethylmethacrylate matrix (Palamed®) loaded with ferrimagnetic bioactive glass-ceramic particles (SC45), were produced and characterized in vitro. The ferrimagnetic bioactive glass-ceramic belongs to the system SiO{sub 2}–Na{sub 2}O–CaO–P{sub 2}O{sub 5}–FeO–Fe{sub 2}O{sub 3} and contains magnetite (Fe{sub 3}O{sub 4}) crystals into a residual amorphous bioactive phase. Three different formulations (containing 10, 15 and 20 wt.% of glass-ceramic particles respectively) have been investigated. These materials are intended to be applied as bone fillers for the hyperthermic treatment of bone tumors. The morphological, compositional, calorimetric and mechanical properties of each formulation have been already discussed in a previous paper. The in vitro properties of the composite bone cements described in the present paper are related to iron ion leaching test (by graphite furnace atomic absorption spectrometer), bioactivity (i.e. the ability to stimulate the formation of a hydroxyapatite – HAp – layer on their surface after soaking in simulated body fluid SBF) and cytocompatibility toward human osteosarcoma cells (ATCC CRL-1427, Mg63). Morphological and chemical characterizations by scanning electron microscopy and energy dispersion spectrometry have been performed on the composite samples after each test. The iron release was negligible and all the tested samples showed the growth of HAp on their surface after 28 days of immersion in a simulated body fluid (SBF). Cells showed good viability, morphology, adhesion, density and the ability to develop bridge-like structures on all investigated samples. A synergistic effect between bioactivity and cell mineralization was also evidenced. - Highlights: • An in vitro biological characterization was carried out on ferromagnetic and bioactive composite cements. • No release of iron was revealed in the physiological solution. • Bioactivity tests

  9. Biphasic calcium sulfate dihydrate/iron-modified alpha-tricalcium phosphate bone cement for spinal applications: in vitro study

    Energy Technology Data Exchange (ETDEWEB)

    Vlad, M D; Lopez, J; Torres, R; Barraco, M; Fernandez, E [Interdepartment Research Group for the Applied Scientific Collaboration (IRGASC), Division of Biomaterials and Bioengineering, Technical University of Catalonia (UPC), Avda Diagonal 647, E-08028-Barcelona (Spain); Valle, L J [Centre of Molecular Biotechnology (CEBIM), Department of Agri-Food Engineering and Biotechnology, ESAB, UPC, Avda Canal Olimpico 15, E-08860-Castelldefels (Spain); Poeata, I, E-mail: enrique.fernandez@upc.ed [Faculty of Medical Bioengineering, ' Gr T Popa' University of Medicine and Pharmacy, Str. Kogalniceanu 9-13, 700454 Iasi (Romania)

    2010-04-15

    In this study, the cytocompatibility of new 'iron-modified/alpha-tricalcium phosphate (IM/alpha-TCP) and calcium sulfate dihydrate (CSD)' bone cement (IM/alpha-TCP/CSD-BC) intended for spinal applications has been approached. The objective was to investigate by direct-contact osteoblast-like cell cultures (from 1 to 14 days) the in vitro cell adhesion, proliferation, morphology and cytoskeleton organization of MG-63 cells seeded onto the new cements. The results were as follows: (a) quantitative MTT-assay and scanning electron microscopy (SEM) showed that cell adhesion, proliferation and viability were not affected with time by the presence of iron in the cements; (b) double immunofluorescent labeling of F-actin and alpha-tubulin showed a dynamic interaction between the cell and its porous substrates sustaining the locomotion phenomenon on the cements' surface, which favored the colonization, and confirming the biocompatibility of the experimental cements; (c) SEM-cell morphology and cytoskeleton observations also evidenced that MG-63 cells were able to adhere, to spread and to attain normal morphology on the new IM/alpha-TCP/CSD-BC which offered favorable substratum properties for osteoblast-like cells proliferation and differentiation in vitro. The results showed that these new iron-modified cement-like biomaterials have cytocompatible features of interest not only as possible spinal cancellous bone replacement biomaterial but also as bone tissue engineering scaffolds.

  10. A new method for identification of cement lines in undecalcified, plastic embedded sections of bone.

    Science.gov (United States)

    Villanueva, A R; Sypitkowski, C; Parfitt, A M

    1986-03-01

    A gallocyanin method for demonstrating cement lines in thin, undecalcified sections of bone has been developed that is compatible with prestaining with osteochrome before plastic embedding. After sectioning at 5 microns on the Jung K heavy duty microtome, the sections are attached to a microslide using Haupt's adhesive mounting medium, placed on a slide warmer at 37 C until completely dry, and deplasticized in xylene at 45 C for 16-24 hr. Sections are stained with 0.15% gallocyanin-5% chrome alum solution for 30 min, followed by staining in buffered Villanueva blood stain for 1-1 1/2 hr, quickly dehydrated, differentiated in equal parts xylene and 100% ethanol, cleared, and mounted in Eukitt's medium. Reversal lines appear as thin, scalloped, blue or purple lines approximately 0.3 micron wide, and arrest lines as thick, homogeneous, straight or evenly curved, dark blue or purple lines approximately 2 microns wide. The method also demonstrates abnormal halo volumes around osteocytes, old and new bone matrix, osteoid seams, and the granular mineralization front at the osteoid-bone interface. It promises to be valuable in the study of age-related bone loss, osteoporosis, and metabolic bone disease. PMID:2424150

  11. Osteoregenerative capacities of dicalcium phosphate-rich calcium phosphate bone cement.

    Science.gov (United States)

    Ko, Chia-Ling; Chen, Jian-Chih; Tien, Yin-Chun; Hung, Chun-Cheng; Wang, Jen-Chyan; Chen, Wen-Cheng

    2015-01-01

    Calcium phosphate cement (CPC) is a widely used bone substitute. However, CPC application is limited by poor bioresorption, which is attributed to apatite, the stable product. This study aims to systematically survey the biological performance of dicalcium phosphate (DCP)-rich CPC. DCP-rich CPC exhibited a twofold, surface-modified DCP anhydrous (DCPA)-to-tetracalcium phosphate (TTCP) molar ratio, whereas conventional CPC (c-CPC) showed a onefold, surface unmodified DCPA-to-TTCP molar ratio. Cell adhesion, morphology, viability, and alkaline phosphatase (ALP) activity in the two CPCs were examined with bone cell progenitor D1 cultured in vitro. Microcomputed tomography and histological observation were conducted after CPC implantation in vivo to analyze the residual implant ratio and new bone formation rate. D1 cells cultured on DCP-rich CPC surfaces exhibited higher cell viability, ALP activity, and ALP quantity than c-CPC. Histological evaluation indicated that DCP-rich CPC showed lesser residual implant and higher new bone formation rate than c-CPC. Therefore, DCP-rich CPC can improve bioresorption. The newly developed DCP-rich CPC exhibited potential therapeutic applications for bone reconstruction.

  12. Reducing the permeability of cement by the use of commercially available additives

    International Nuclear Information System (INIS)

    The American Nuclear Society, in anticipation of Federal regulations in the area of waste leachability, formed the ANS 16.1 Working Group to develop a standardized leachability test method. In response to these trends Hittman Nuclear and Development Corporation (HITTMAN) has undertaken a substantial Research and Development program for the evaluation and possible improvement in the quality of cement solidified low-level nuclear power plant wastes. Starting with a series of leach tests, the results of which are in general agreement with previously referenced works, the authors embarked on a program to test and evaluate various commercially available additives designed to reduce the permeability of cement. This report discusses why permeability was considered an important factor, the materials tested, the method of testing and their results

  13. Effect of the addition of nanosilica on white cement hydration at 25°C

    Directory of Open Access Journals (Sweden)

    Sáez del Bosque I.F.

    2014-04-01

    Full Text Available The cement industry is keen on reducing natural resource consumption, reusing waste that would otherwise be sent to a rubbish tip and lowering its CO2 emissions. In pursuit of those objectives, the addition of materials such as silica fume, ceramic waste, rice husk and precipitated or colloidal nanosilica, in the various stages of cement manufacture has become increasingly common. That practice inspired the present study (using isothermal conduction calorimetry, 29Si and 27Al MAS NMR, XRD and DTA/TG of the effect of precipitated amorphous nanosilica (10 wt% on white portland cement (WPC hydration. The isothermal conduction calorimetry findings, which were consistent with the NMR and DTA/TG results, showed that adding amorphous nanosilica altered reaction kinetics, expediting alite and belite hydration. The addition also intensified the heat flow attributed to alumina phase hydration and brought the respective peak forward. Although no general consensus has been reached in the literature on the attribution of the third peak appearing on the calorimetric curve for WPC, based on the present findings, the main aluminate hydrate product is monosulfoaluminate. Furthermore, a pre-peak inflection point on the profile of the first exothermal peak on the WPC calorimetric curve was interpreted as the beginning of the pozzolanic reaction, which accelerates alite hydration, consuming portlandite and raising the heat released. C-S-H gel nanostructure was also modified. The results revealed a linear relationship in both the blended and the pure cement pastes between the degree of hydration and the number of Q1 and Q2 units in the gel. The presence of Q2 units was much greater and of Q1 units slightly lower in the former than in the latter.

  14. Improved workability of injectable calcium sulfate bone cement by regulation of self-setting properties

    International Nuclear Information System (INIS)

    Calcium sulfate hemihydrate (CSH) powder as an injectable bone cement was prepared by hydrothermal synthesis of calcium sulfate dihydrate (CSD). The prepared materials showed X-ray diffraction peaks corresponding to the CSH structure without any secondary phases, implying complete conversion from CSD phase to CSH phase. Thermogravimetric (TG) analyses showed the crystal water content of CSH was about 6.0% (wt.), which is near to the theoretic crystal water value of CSH. From scanning electron microscopy (SEM) micrographs, sheet crystal structure of CSD was observed to transform into rod-like crystal structure of CSH. Most interesting and important of all, CSD as setting accelerator was also introduced into CSH powder to regulate self-setting properties of injectable CSH paste, and thus the self-setting time of CSH paste can be regulated from near 30 min to less than 5 min by adding various amounts of setting accelerator. Because CSD is not only the reactant of preparing CSH but also the final solidified product of CSH, the setting accelerator has no significant effect on the other properties of materials, such as mechanical properties. In vitro biocompatibility and in vivo histology studies have demonstrated that the materials have good biocompatibility and good efficacy in bone regeneration. All these will further improve the workability of CSH in clinic applications. Highlights: ► Calcium sulfate hemihydrate (CSH) can be an injectable bone cement. ► CSH was produced by hydrothermal synthesis of calcium sulfate dihydrate (CSD). ► CSD was introduced into CSH powder to regulate self-setting properties of CSH. ► Setting accelerator has no significant effect on the other properties of materials. ► Injectable CSH has good biocompatibility and good efficacy in bone regeneration

  15. Composite bone cements loaded with a bioactive and ferrimagnetic glass-ceramic: Leaching, bioactivity and cytocompatibility.

    Science.gov (United States)

    Verné, Enrica; Bruno, Matteo; Miola, Marta; Maina, Giovanni; Bianco, Carlotta; Cochis, Andrea; Rimondini, Lia

    2015-08-01

    In this work, composite bone cements, based on a commercial polymethylmethacrylate matrix (Palamed®) loaded with ferrimagnetic bioactive glass-ceramic particles (SC45), were produced and characterized in vitro. The ferrimagnetic bioactive glass-ceramic belongs to the system SiO2-Na2O-CaO-P2O5-FeO-Fe2O3 and contains magnetite (Fe3O4) crystals into a residual amorphous bioactive phase. Three different formulations (containing 10, 15 and 20 wt.% of glass-ceramic particles respectively) have been investigated. These materials are intended to be applied as bone fillers for the hyperthermic treatment of bone tumors. The morphological, compositional, calorimetric and mechanical properties of each formulation have been already discussed in a previous paper. The in vitro properties of the composite bone cements described in the present paper are related to iron ion leaching test (by graphite furnace atomic absorption spectrometer), bioactivity (i.e. the ability to stimulate the formation of a hydroxyapatite - HAp - layer on their surface after soaking in simulated body fluid SBF) and cytocompatibility toward human osteosarcoma cells (ATCC CRL-1427, Mg63). Morphological and chemical characterizations by scanning electron microscopy and energy dispersion spectrometry have been performed on the composite samples after each test. The iron release was negligible and all the tested samples showed the growth of HAp on their surface after 28 days of immersion in a simulated body fluid (SBF). Cells showed good viability, morphology, adhesion, density and the ability to develop bridge-like structures on all investigated samples. A synergistic effect between bioactivity and cell mineralization was also evidenced. PMID:26042695

  16. Improved workability of injectable calcium sulfate bone cement by regulation of self-setting properties

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Zonggang, E-mail: chenzg@sdu.edu.cn [National Glycoengineering Research Center, Shandong University, Jinan 250100 (China); Department of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Liu, Huanye [Department of Orthodontics, School of Stomatology, China Medical University, Shenyang 110001 (China); Liu, Xi [Department of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China); Lian, Xiaojie [College of Mechanics, Taiyuan University of Technology, Taiyuan 030024 (China); Guo, Zhongwu [National Glycoengineering Research Center, Shandong University, Jinan 250100 (China); Jiang, Hong-Jiang [Wendeng Hospital of Traditional Chinese Orthopedics and Traumatology, Shandong 264400 (China); Cui, Fu-Zhai, E-mail: cuifz@mail.tsinghua.edu.cn [Department of Materials Science and Engineering, Tsinghua University, Beijing 100084 (China)

    2013-04-01

    Calcium sulfate hemihydrate (CSH) powder as an injectable bone cement was prepared by hydrothermal synthesis of calcium sulfate dihydrate (CSD). The prepared materials showed X-ray diffraction peaks corresponding to the CSH structure without any secondary phases, implying complete conversion from CSD phase to CSH phase. Thermogravimetric (TG) analyses showed the crystal water content of CSH was about 6.0% (wt.), which is near to the theoretic crystal water value of CSH. From scanning electron microscopy (SEM) micrographs, sheet crystal structure of CSD was observed to transform into rod-like crystal structure of CSH. Most interesting and important of all, CSD as setting accelerator was also introduced into CSH powder to regulate self-setting properties of injectable CSH paste, and thus the self-setting time of CSH paste can be regulated from near 30 min to less than 5 min by adding various amounts of setting accelerator. Because CSD is not only the reactant of preparing CSH but also the final solidified product of CSH, the setting accelerator has no significant effect on the other properties of materials, such as mechanical properties. In vitro biocompatibility and in vivo histology studies have demonstrated that the materials have good biocompatibility and good efficacy in bone regeneration. All these will further improve the workability of CSH in clinic applications. Highlights: ► Calcium sulfate hemihydrate (CSH) can be an injectable bone cement. ► CSH was produced by hydrothermal synthesis of calcium sulfate dihydrate (CSD). ► CSD was introduced into CSH powder to regulate self-setting properties of CSH. ► Setting accelerator has no significant effect on the other properties of materials. ► Injectable CSH has good biocompatibility and good efficacy in bone regeneration.

  17. Tissue-engineered calcium phosphate cement in rabbit femoral condylar bone defects

    Institute of Scientific and Technical Information of China (English)

    LIU Chun-rong; MIAO Jun; XIA Qun; HUANG Hong-chao; GONG Chen; YANG Qiang; LI Lan-ying

    2012-01-01

    Background Calcium phosphate cement (CPC) is a favorable bone-graft substitute,with excellent biocompatibility and osteoconductivity.However,its reduced osteoinductive ability may limit the utility of CPC.To increase its osteoinductive potential,this study aimed to prepare tissue-engineered CPC and evaluate its use in the repair of bone defects.The fate of transplanted seed cells in vivo was observed at the same time.Methods Tissue-engineered CPC was prepared by seeding CPC with encapsulated bone mesenchymal stem cells (BMSCs) expressing recombinant human bone morphogenetic protein-2 (rhBMP-2) and green fluorescent protein (GFP).Tissue-engineered CPC and pure CPC were implanted into rabbit femoral condyle bone defects respectively.Twelve weeks later,radiographs,morphological observations,histomorphometrical evaluations,and in vivo tracing were performed.Results The radiographs revealed better absorption and faster new bone formation for tissue-engineered CPC than pure CPC.Morphological and histomorphometrical evaluations indicated that tissue-engineered CPC separated into numerous small blocks,with active absorption and recorstruction noted,whereas the residual CPC area was larger in the group treated with pure CPC.In the tissue-engineered CPC group,in vivo tracing revealed numerous cells expressing both GFP and rhBMP-2 that were distributed in the medullar cavity and on the surface of bony trabeculae.Conclusion Tissue-engineered CPC can effectively repair bone defects,with allogenic seeded cells able to grow and differentiate in vivo after transplantation.

  18. Percutaneous vertebroplasty and bone cement leakage: clinical experience with a new high-viscosity bone cement and delivery system for vertebral augmentation in benign and malignant compression fractures.

    Science.gov (United States)

    Anselmetti, Giovanni Carlo; Zoarski, Gregg; Manca, Antonio; Masala, Salvatore; Eminefendic, Haris; Russo, Filippo; Regge, Daniele

    2008-01-01

    The aim of this study was to assess the feasibility of and venous leakage reduction in percutaneous vertebroplasty (PV) using a new high-viscosity bone cement (PMMA). PV has been used effectively for pain relief in osteoporotic and malignant vertebral fractures. Cement extrusion is a common problem and can lead to complications. Sixty patients (52 female; mean age, 72.2 +/- 7.2) suffering from osteoporosis (46), malignancy (12), and angiomas (2), divided into two groups (A and B), underwent PV on 190 vertebrae (86 dorsal, 104 lumbar). In Group A, PV with high-viscosity PMMA (Confidence, Disc-O-Tech, Israel) was used. This PMMA was injected by a proprietary delivery system, a hydraulic saline-filled screw injector. In Group B, a standard low-viscosity PMMA was used. Postprocedural CT was carried out to detect PMMA leakages and complications. Fisher's exact test and Wilcoxon rank test were used to assess significant differences (p < 0.05) in leakages and to evaluate the clinical outcome. PV was feasible, achieving good clinical outcome (p < 0.0001) without major complications. In Group A, postprocedural CT showed an asymptomatic leak in the venous structures of 8 of 98 (8.2%) treated vertebrae; a discoidal leak occurred in 6 of 98 (6.1%). In Group B, a venous leak was seen in 38 of 92 (41.3%) and a discoidal leak in 12 of 92 (13.0%). Reduction of venous leak obtained by high-viscosity PMMA was highly significant (p < 0.0001), whereas this result was not significant (p = 0.14) related to the disc. The high-viscosity PMMA system is safe and effective for clinical use, allowing a significant reduction of extravasation rate and, thus, leakage-related complications. PMID:18389186

  19. Percutaneous bone cement refixation of aseptically loose hip prostheses: the effect of interface tissue removal on injected cement volumes

    Energy Technology Data Exchange (ETDEWEB)

    Malan, Daniel F. [Leiden University Medical Center, Department of Orthopaedics, Leiden (Netherlands); Delft University of Technology, Department of Intelligent Systems, Delft (Netherlands); Valstar, Edward R. [Leiden University Medical Center, Department of Orthopaedics, Leiden (Netherlands); Delft University of Technology, Department of Biomechanical Engineering, Delft (Netherlands); Nelissen, Rob G.H.H. [Leiden University Medical Center, Department of Orthopaedics, Leiden (Netherlands)

    2014-11-15

    To quantify whether injected cement volumes differed between two groups of patients who underwent experimental minimally invasive percutaneous cement injection procedures to stabilize aseptically loose hip prostheses. One patient group was preoperatively treated using gene-directed enzyme prodrug therapy to remove fibrous interface tissue, while the other group received no preoperative treatment. It was hypothesized that cement penetration may have been inhibited by the presence of fibrous interface tissue in periprosthetic lesions. We analyzed 17 patients (14 female, 3 male, ages 72-91, ASA categories 2-4) who were treated at our institution. Osteolytic lesions and injected cement were manually delineated using 3D CT image segmentation, and the deposition of injected cement was quantified. Patients who underwent preoperative gene-directed enzyme therapy to remove fibrous tissue exhibited larger injected cement volumes than those who did not. The observed median increase in injected cement volume was 6.8 ml. Higher cement leakage volumes were also observed for this group. We conclude that prior removal of periprosthetic fibrous interface tissue may enable better cement flow and penetration. This might lead to better refixation of aseptically loosened prostheses. (orig.)

  20. Thermal stability of acrylic bone cement powder under shelf storage conditions: an isothermal microcalorimetric study.

    Science.gov (United States)

    Lewis, Gladius; Son, Yang

    2008-01-01

    Heat-conduction isothermal microcalorimetry was used to measure the exothermic heat flow rate (Q) from the powder of a widely used commercially-available acrylic bone cement, Palacos R, when it interacted with ambient laboratory air, as a function of time, t, in the calorimeter, for up to 200 h. Four variants of the powder were used, these being unsterilized, sterilized using ethylene oxide gas, gamma-irradiated, in ambient air, with a minimum dosage of 2.5 Mrad, and gamma-irradiated, in ambient air, with a minimum dosage of 4.5 Mrad. In each case, the powder variant was tested after being stored on the shelf, under ambient conditions, for 2 days, 3 weeks and 9 months immediately following sterilization. Best-fit correlations between Q and t for each powder variant were determined. Then, this relationship was integrated over the period 14 hsterilized, the difference in their thermal stabilities (Qeff ranged from 0.19+/-0.01 to 0.62+/-0.03 microJ/g, respectively) was significant in the case of some pairs and not for others. However, for powders tested either 3 weeks or 9 months following sterilization, there was no significant difference between the means of Qeff (they ranged from 0.18+/-0.01 to 0.31+/-0.07 microJ/g) for any pair. These results suggest that an acrylic bone cement in which the powder is EtO-sterilized may be mixed with the liquid monomer for use in cemented arthroplasties after any length of time of shelf storage of the powder, under ambient conditions, whereas, for powders that are gamma-irradiated and then stored under the same conditions, at least 3 weeks should elapse before they are used in these procedures. PMID:18408259

  1. Preliminary evaluation of the in vitro cytotoxicity of PMMA-co-EHA bone cement

    International Nuclear Information System (INIS)

    This work reports a preliminary in vitro cytotoxicity assessment of new poly (methyl methacrylate)-co-ethyl hexylacrylate (PMMA-co-EHA) bone cement by evaluating the effect of its leachables on the viability of human osteoblast-like cells (MG63 line) and their progression through the cell cycle. MG63 cells were exposed to 72 h-extract dilutions of PMMA-co-EHA and their viability was tested using the 3-(4,5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium bromide (MTT) colorimetric assay. Also, putative changes in the progression of cells through the cell cycle were monitored using flow cytometry. For that the relative nuclear DNA content and the ratio of cells at G1:S:G2 stages of the cell cycle were measured after three exposure periods (24, 48 and 72 h). The obtained results revealed a dose-dependent influence of the cement extract in MG63 cell metabolism when compared to cells cultivated in a culture medium only. The MTT assay showed that a moderate number of cells died after exposure to the most concentrated extract. The cell cycle analysis revealed that leachables of PMMA-co-EHA led to significant changes in cellular proliferation, with cells exposed for 48 h to the most concentrated extract being arrested in the S phase of the cell cycle. However, despite the initial period of cytotoxicity, the obtained results suggest that after 72 h of exposure, the surviving cells are able to recover from this arresting condition and continue to proliferate. Therefore, this preliminary study indicates that, at the biological level, PMMA-co-EHA may have potential of being used as a bone cement matrix. However, a more detailed research work is needed to fully understand the factors responsible for the initial cytotoxicity observed.

  2. Characteristics and propierties of oil-well cements additioned with blast furnace slag

    OpenAIRE

    Sánchez, R.; Palacios, M.; Puertas, F.

    2011-01-01

    The present paper addresses the alkali activation of Portland cements containing blast furnace slag (20 and 30% of the cement by weight) with a view to the possible use of these materials in oil well construction. The hydration studies conducted showed that in cement/slag blends, the sodium silicate activating solution partially inhibited the dissolution of the silicate phases in the Portland cement, retarding cement hydration and reducing the precipitation of reaction products. D...

  3. Using calcium silicate to regulate the physicochemical and biological properties when using β-tricalcium phosphate as bone cement

    Energy Technology Data Exchange (ETDEWEB)

    Kao, Chia-Tze; Huang, Tsui-Hsien [School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan (China); Chen, Yi-Jyun [School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan (China); Dental Department, Taichung Hospital, Ministry of Health and Welfare, Taichung City, Taiwan (China); Hung, Chi-Jr [School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan (China); Lin, Chi-Chang, E-mail: chichang31@gmail.com [Department of Chemical and Materials Engineering, Tunghai University, Taichung, Taiwan (China); Shie, Ming-You, E-mail: eviltacasi@gmail.com [Department of Chemical and Materials Engineering, Tunghai University, Taichung, Taiwan (China)

    2014-10-01

    β-Tricalcium phosphate (β-TCP) is an osteoconductive material. For this research we have combined it with a low degradation calcium silicate (CS) to enhance its bioactive and osteostimulative properties. To check its effectiveness, a series of β-TCP/CS composites with different ratios were prepared to make new bioactive and biodegradable biocomposites for bone repair. Regarding the formation of bone-like apatite, the diametral tensile strength as well as the ion release and weight loss of composites were compared both before and after immersions in simulated body fluid (SBF). In addition, we also examined the behavior of human dental pulp cells (hDPCs) cultured on β-TCP/CS composites. The results show that the apatite deposition ability of the β-TCP/CS composites improves as the CS content is increased. For composites with more than a 60% CS content, the samples become completely covered by a dense bone-like apatite layer. At the end of the immersion period, weight losses of 24%, 32%, 34%, 38%, 41%, and 45% were observed for the composites containing 0%, 20%, 40%, 80%, 80% and 100% β-TCP cements, respectively. In addition, the antibacterial activity of CS/β-TCP composite improves as the CS-content is increased. In vitro cell experiments show that the CS-rich composites promote human dental pulp cell (hDPC) proliferation and differentiation. However, when the CS quantity in the composite is less than 60%, the quantity of cells and osteogenesis protein of hDPCs is stimulated by Si released from the β-TCP/CS composites. The degradation of β-TCP and the osteogenesis of CS give strong reason to believe that these calcium-based composite cements will prove to be effective bone repair materials. - Highlights: • CS improved the physicochemical properties and osteogenic activity of β-TCP. • Higher CS in the composite, the shorter setting time and the higher DTS was found. • With a CS more than 40%, the osteogenesis and angiogenesis proteins were promoted by

  4. Using calcium silicate to regulate the physicochemical and biological properties when using β-tricalcium phosphate as bone cement

    International Nuclear Information System (INIS)

    β-Tricalcium phosphate (β-TCP) is an osteoconductive material. For this research we have combined it with a low degradation calcium silicate (CS) to enhance its bioactive and osteostimulative properties. To check its effectiveness, a series of β-TCP/CS composites with different ratios were prepared to make new bioactive and biodegradable biocomposites for bone repair. Regarding the formation of bone-like apatite, the diametral tensile strength as well as the ion release and weight loss of composites were compared both before and after immersions in simulated body fluid (SBF). In addition, we also examined the behavior of human dental pulp cells (hDPCs) cultured on β-TCP/CS composites. The results show that the apatite deposition ability of the β-TCP/CS composites improves as the CS content is increased. For composites with more than a 60% CS content, the samples become completely covered by a dense bone-like apatite layer. At the end of the immersion period, weight losses of 24%, 32%, 34%, 38%, 41%, and 45% were observed for the composites containing 0%, 20%, 40%, 80%, 80% and 100% β-TCP cements, respectively. In addition, the antibacterial activity of CS/β-TCP composite improves as the CS-content is increased. In vitro cell experiments show that the CS-rich composites promote human dental pulp cell (hDPC) proliferation and differentiation. However, when the CS quantity in the composite is less than 60%, the quantity of cells and osteogenesis protein of hDPCs is stimulated by Si released from the β-TCP/CS composites. The degradation of β-TCP and the osteogenesis of CS give strong reason to believe that these calcium-based composite cements will prove to be effective bone repair materials. - Highlights: • CS improved the physicochemical properties and osteogenic activity of β-TCP. • Higher CS in the composite, the shorter setting time and the higher DTS was found. • With a CS more than 40%, the osteogenesis and angiogenesis proteins were promoted by

  5. Application of labeled radioimmunoimaging tracing in detecting pulmonary embolism in rabbits after bone cement perfusion and relevant treatment effects

    Institute of Scientific and Technical Information of China (English)

    QI Xiang-bei; ZHANG Ying-ze; PAN Jin-she; MA Li-jie; WANG Jian-zhao; WANG Lin

    2011-01-01

    Background During the process of bone cement joint replacement,some patients show a series of complications,such as a sudden drop in blood pressure or dyspnea.The cause of the complication is considered to be due to emboli caused by the femur prosthesis insertion.The purpose of the present study was to detect the pulmonary embolism in rabbits after bone cement perfusion by radioimmunoimaging,and to explore its protective measures.Methods Forty rabbits,2.5-3.0 kg weight,were randomly assigned to four groups,with ten rabbits in each group.Group Ⅰ (no intervention):Bone cement perfusion was done after medullary cavity reaming and pressurizing.Group Ⅱ (epinephrine hydrochloride intervention):The medullary cavity was rinsed with a 1:10000 normal saline-diluted epinephrine hydrochloride solution followed by bone cement perfusion after medullary cavity reaming and pressurizing.Group Ⅲ (fibrin sealant intervention):The medullary cavity was precoated with fibrin sealant followed by bone cement perfusion after medullary cavity reaming and pressurizing.Group Ⅳ (blank control group):The medullary cavity was not perfused with bone cement after reaming.In each group,the rabbits underwent femoral head resection and medullary cavity reaming.Before bone cement perfusion,2 ml of developing tracer was injected through the ear vein.Radionuclide imaging was performed at 60,120,and 180 minutes after bone cement perfusion,and the pulmonary radioactivity in vivo was measured.The rabbits were immediately sacrificed,and the pulmonary tissue was removed and its radioactivity was measured in vitro.Pulmonary tissue was then fixed and the pulmonary embolism and the associated pathological changes were observed.Results The pulmonary radioactivity in vivo was measured at 60,120,and 180 minutes after bone cement perfusion.The radioactivities of the four groups were 11.67±2.16,14.59±2.92 and 18.43±4.83 in group Ⅰ; 8.37±3.05,10.35±2.24 and 11.48±2.96 in group Ⅱ; 3.91±1.19,5.53±2

  6. A novel controlled-release system for antibacterial enzyme lysostaphin delivery using hydroxyapatite/chitosan composite bone cement.

    Directory of Open Access Journals (Sweden)

    Bai Xue

    Full Text Available In this work, a lysostaphin-loaded, control-released, self-setting and injectable porous bone cement with efficient protein delivery was prepared by a novel setting method using hydroxyapatite/chitosan (HA/CS composite scaffold. The cement samples were made through cementitious reactions by mixing solid powder, a mixture of HA/CS composite particles, lysostaphin, Ca(OH2, CaCO3 and NaHCO3, with setting liquid containing citric acid, acetic acid, NaH2PO4, CaCl2 and poloxamer. The setting parameters of the cement samples were determined. The results showed that the final setting time was 96.6±5.2 min and the pH value increased from approximately 6.2 to nearly 10 during the setting process and the porosity was 34% at the end. And the microstructure and composition were detected by scanning electron microscopy (SEM, x-ray diffraction and Fourier transform-infrared spectroscopy. For the release behavior of lysostaphin loaded in the cement sample, the in vitro cement extract experiment indicated that about 94.2±10.9% of the loaded protein was released before day 8 and the in vivo Qdot 625 fluorescence tracking experiment showed that the loaded protein released slower than the free one. Then the biocompatibility of the cement samples was evaluated using the methylthiazol tetrazolium assay, SEM and hematoxylin-eosin staining, which suggested good biocompatibility of cement samples with MC 3T3-E1 cells and subcutaneous tissues of mice. Finally the antibacterial activity assay indicated that the loaded lysostaphin had good release ability and strong antibacterial enzymatic activity against methicillin-resistant Staphylococcus aureus. Collectively, all the results suggested that the lysostaphin-loaded self-setting injectable porous bone cement released the protein in a controlled and effective way and the protein activity was well retained during the setting and releasing process. Thus this bone cement can be potentially applied as a combination of

  7. Permeability and mechanical properties of cement mortars colored by nano-mineral additives

    Directory of Open Access Journals (Sweden)

    Kamali Bernard S.

    2012-09-01

    Full Text Available This work concerns a preliminary study on issues that relate primarily to the permeability of cementitious materials under the influence of some specific inexpensive additions that can play an important role in preserving the environment. We studied the addition of dyes in the presence of TiO2 on the Portland cement mortar. The used dyes are a yellow powder containing iron oxyhydroxide (FeO (OH, a blue-based powder tellurate manganese (MnTe2O5 and red powder containing iron oxide (Fe2O3. We measure the setting time, permeability and mechanical properties of Portland cement mortars colored with nano-mineral oxides mentioned previously. Test results indicate that the addition of nano-particles has a little influence on the setting time, improves penetration resistance that is due the affinity of the pore structure of mortar and slightly improves the resistance to compression for low levels of nanoparticles of TiO2.

  8. Numerical predictions of the thermal behaviour and resultant effects of grouting cements while setting prosthetic components in bone.

    Science.gov (United States)

    Quarini, G L; Learmonth, I D; Gheduzzi, S

    2006-07-01

    Acrylic cements are commonly used to attach prosthetic components in joint replacement surgery. The cements set in short periods of time by a complex polymerization of initially liquid monomer compounds into solid structures with accompanying significant heat release. Two main problems arise from this form of fixation: the first is the potential damage caused by the temperature excursion, and the second is incomplete reaction leaving active monomer compounds, which can potentially be slowly released into the patient. This paper presents a numerical model predicting the temperature-time history in an idealized prosthetic-cement-bone system. Using polymerization kinetics equations from the literature, the degree of polymerization is predicted, which is found to be very dependent on the thermal history of the setting process. Using medical literature, predictions for the degree of thermal bone necrosis are also made. The model is used to identify the critical parameters controlling thermal and unreacted monomer distributions. PMID:16898219

  9. Antibacterial Efficacy of a New Gentamicin-Coating for Cementless Prostheses Compared to Gentamicin-Loaded Bone Cement

    NARCIS (Netherlands)

    Neut, Danielle; Dijkstra, Rene J. B.; Thompson, Jonathan I.; van der Mei, Henny C.; Busscher, Henk J.

    2011-01-01

    Cementless prostheses are increasingly popular but require alternative prophylactic measures than the use of antibiotic-loaded bone cements. Here, we determine the 24-h growth inhibition of gentamicin-releasing coatings from grit-blasted and porous-coated titanium alloys, and compare their antibacte

  10. A Stress Analysis on Abutment Teeth of Dowel Cemented Fixed Partial Dentures : On the effect of the resorption of alveoar bone

    OpenAIRE

    KATAOKA, SHIGERU; KOSAKA, SHIGERU; TSUCHIYA, SOHICHIRO; AMARI, MITSUHARU

    1995-01-01

    Stress in abutment teeth with cemented dowels and those with crown margins in fixed-fixed and cantilever bridges that resorp alveolar bone were analyzed by a two dimensional finite element method. Stress in all parts of the dentin in both bridges increased with the resorption of alveolar bone. Moreover, in th dentin and apex of the dowel in cantilever bridges, extreme stress when there were large amounts of resorption of alveolar bone, was seen. Therefore, in cantilevers bridges, cemented dow...

  11. An experimental study of domestic bone cement used on percutaneous vertebroplasty

    International Nuclear Information System (INIS)

    Objective: To evaluate the material properties of domestic bone cement (DBC) and imported bone cement (IBC) with different mixing ratio, and to determine whether the biomechanical properties of vertebral bodies (VBs) subjected to compression fractures and subsequently treated by vertebroplasty with DBC or IBC were different. Methods: There were two groups in this study. One was DBC, whose ratio of powder/liquid (g/ml) was 3:2 and the percentage of BaSO4 in powder was 20%, the other was IBC, whose mixing ratio followed manufacturer's recommendation. Polymerization time, strength, and stiffness of bone cement were measured respectively in each group. 20 lumbar VBs from four female cadavers (age, 75 ± 5 years) were disarticulated and compressed in a materials testing machine to determine initial strength and stiffness. The fractures were subsequently repaired using DBCor IBCon vertebroplasty. After augmentation, the VBs were scanned by CT, then recrushed, and stiffness and strength of VBs were measured again. Results: The stiffness of DBC whose mixing ratio was altered was (2711.8 ± 612.3) N/mm, while the stiffness of IBC was (2874.7 ± 457.6) N/mm, there was no significant differences between the two groups (t=0.609, P>0.05). But the strength of DBC (7271.3 ± 365.4) N was lower than that of IBC (8481.3 ± 397.3) N, (t=6.281, P0.05), while the strength of VBs augmentated with DBC and IBC were(1.226 ± 0.44) MPa and (1.202 ± 0.38) Mpa, respectively (F=0.001, P>0.05). CT value of DBC and IBC used on VBs were (2982.9 ± 102.0) Hu and (1554.3 ± 172.7) HU, respectively, and there was significant differences in radiopacity between them (t=22.525, P<0.05). Conclusion: DBC has an excellent radiopacity. VBs augmented by both DBC or IBC could attain satisfactory biomechanical properties, but these results have yet to be substantiated in clinical studies. (authors)

  12. Effect of Additives on the Morphology of the Hydrated Product and Physical Properties of a Calcium Phosphate Cement

    Institute of Scientific and Technical Information of China (English)

    Xiupeng WANG; Jiandong YE; Yingjun WANG

    2008-01-01

    The morphology of a hydrated calcium phosphate cement (CPC) doped with several normally used additives was investigated by scanning electron microscopy (SEM) and the compressive strength of the cement was determined in this study. The hydrated products of CPC without additives was rod-like hydroxyapatite (HA) grains with around 2-5 μm in length and 100 nm in width. The addition of Sr obviously decreased the crystal size of the rod-like grains. CPCs containing carbonate, collagen and gelatin showed flake-like crystal morphology. Crylic acid-containing CPC presented flocculus-like structure. And malic acid-containing CPC exhibited oriented flake-like structure. The X-ray diffraction (XRD) analysis showed that the additives used in this study did not alter the hydration products of the cement. The compressive strength tests indicated that the compressive strength of the cement with rod-like morphology HA crystals was much higher than that of the cement with flake-like morphology HA crystals, and the cement with oriented flake-like morphology HA crystals .exhibited the poorest compressive strength.

  13. Effect of MgO Additive on Volumetric Expansion of Self-Degradable Cements

    Energy Technology Data Exchange (ETDEWEB)

    Sugama T.; Warren, J.; Butcher, T.

    2011-09-30

    We identified hard-burned magnesium oxide (MgO) as a suitable expansive additive for improving the plugging performance of self-degradable, temporary sodium silicate-activated slag/Class C fly ash (SSASC) blend cement sealers into rock fractures in Enhanced Geothermal Systems (EGSs). MgO extended the volumetric expansion of sealers during their exposure to a hydrothermal environment at 200 C under pressures, ranging from 300 to 1500 psi. A great expansion ratc of 19.3% was observed by adding 3.0 wt% MgO under 300 psi pressure, thus promising to plug thoroughly inner fracture. When the pressure was increased from 300 psi to 1500 psi, the expansion rate of cement markedly reduced, corresponding to the formaLion of crack-free specimens and the improvement of compressive strength. However, with 3.0 wt% MgO, the specimens still engendered the generation of numerous visual cracks, although they were prepared under a high pressure of 1500 psi. The effective content of MgO in minimizing and eliminating the generation of cracks was 2.0 wt%, which provided a moderate expansion of {ge} 0.5%. The compressive strength of 2.0 wt% MgO specimens made under a pressure of 300 psi rose {approx} 1.7-fold to 4816 psi with an increasing pressure to 1500 psi. The in-situ growth of brucite crystal formed by the hydrothermal hydration of MgO was responsive for such an expansion of the SSASC cement; meanwhile. two crystalline hydrothermal reaction products, 1.1 nm tobermorite and calcium silicate hydrated, contributed to the development of the sealer's compressive strength. Thus, the increasing pressure seems to suppress and control a growth rate of brucite crystal in response to a lower extension of expansion. Furthermore, all MgO-conlaining SSASC sealers possessed the water-catalyzed self-degradable properties.

  14. Mid-term study of bone remodeling after femoral cemented stem implantation: comparison between DXA and finite element simulation.

    Science.gov (United States)

    Herrera, Antonio; Rebollo, Sarai; Ibarz, Elena; Mateo, Jesús; Gabarre, Sergio; Gracia, Luis

    2014-01-01

    This five-year prospective study was designed to investigate periprosthetic bone remodeling associated with two cemented stem models, ABG-II (Stryker) and VerSys (Zimmer), randomly implanted in patients older than 75 years. The sample consisted of 64 cases (32, ABG-II; 32, VerSys). Inclusion criterion was diagnosis of osteoarthritis recommended for cemented total hip arthroplasty. Besides clinical study, Finite Element (FE) simulation was used to analyze biomechanical changes caused by hip arthroplasty. Bone Mineral Density (BMD) measurements showed a progressive increase in bone mass throughout the entire follow-up period for both stems, well correlated with FE results except in Gruen zones 4, 5, 6 for ABG-II and in zones 4, 5 for VerSys, denoting that remodeling in those zones does not depend on mechanical factors but rather on biological or physiological ones. PMID:23725926

  15. Improvement of bioactivity, degradability, and cytocompatibility of biocement by addition of mesoporous magnesium silicate into sodium-magnesium phosphate cement.

    Science.gov (United States)

    Wu, Yingyang; Tang, Xiaofeng; Chen, Jie; Tang, Tingting; Guo, Han; Tang, Songchao; Zhao, Liming; Ma, Xuhui; Hong, Hua; Wei, Jie

    2015-09-01

    A novel mesoporous magnesium-based cement (MBC) was fabricated by using the mixed powders of magnesium oxide, sodium dihydrogen phosphate, and mesoporous magnesium silicate (m-MS). The results indicate that the setting time and water absorption of the MBC increased as a function of increasing m-MS content, while compressive strength decreased. In addition, the degradability of the MBC in a solution of Tris-HCl and the ability of apatite formation on the MBC were significantly improved with the increase in m-MS content. In cell culture experiments, the results show that the attachment, proliferation, and alkaline phosphatase activity of the MC3T3-E1 cells on the MBC were significantly enhanced with the increase of the content of m-MS. It can be suggested that the MBC with good cytocompatibility could promote the proliferation and differentiation of the MC3T3-E1 cells. In short, our findings indicate that the MBC containing m-MS had promising potential as a new biocement for bone regeneration and repair applications. PMID:26395363

  16. Implementation of industrial waste ferrochrome slag in conventional and low cement castables: Effect of microsilica addition

    Directory of Open Access Journals (Sweden)

    Pattem Hemanth Kumar

    2014-06-01

    Samples with decreasing cement content 15–05 wt.% were formulated in combination of both slag and calcined bauxite as matrix components. Effects of varying 0–10 wt.% microsilica as a micro-fine additive in these castables were investigated in this work. Pore filling properties of microsilica improved apparent porosity and bulk density. Phase analysis through X-ray diffraction techniques demonstrates successful formation of spinel and mullite crystalline phases. Mechanical behavior was evaluated through cold crushing strength and residual cold crushing strength after five consecutive water quenching cycles. Scanning electron microscopy measurements were carried out in order to better understand the packing density and reaction mechanisms of fired castables. Slag containing castables portrays good thermal properties such as thermal shock resistance, permanent linear change and pyrometric cone equivalent.

  17. Influence of the method of blending an antibiotic powder with an acrylic bone cement powder on physical, mechanical, and thermal properties of the cured cement.

    Science.gov (United States)

    Lewis, Gladius; Janna, Si; Bhattaram, Anuradha

    2005-07-01

    Two variants of antibiotic powder-loaded acrylic bone cements (APLBCs) are widely used in primary total joint replacements. In the United States, the antibiotic is manually blended with the powder of the cement at the start of the procedure, while, in Europe, pre-packaged commercially-available APLBCs (in which the blending is carried out using an industrial mixer) are used. Our objective was to investigate the influence of the method of blending gentamicin sulphate with the powder of the Cemex XL formulation on a wide collection of properties of the cured cement. The blending methods used were manual mixing (the MANUAL Set), use of a small-scale, easy-to-use, commercially-available mechanical powder mixer, OmoMix 1 (the MECHANICAL Set), and use of a large-scale industrial mixer (Cemex Genta) [the INDUSTRIAL Set]. In the MECHANICAL and MANUAL Sets, the blending time was 3 min. In preparing the test specimens for each set, the blended powder used contained 4.22 wt% of the gentamicin powder. The properties determined were the strength, modulus, and work-to-fracture (all obtained under four-point bending), plane-strain fracture toughness, Weibull mean fatigue life (fatigue conditions: +/-15 MPa; 2 Hz), activation energy and frequency factor for the cement polymerization process (both determined using differential scanning calorimetry, at heating rates of 5, 10, 15, and 20 Kmin(-1)), the diffusion coefficient for the absorption of phosphate buffered saline, PBS, at 37 degrees C, and the rate of elution of the gentamicin into PBS, at 37 degrees C (E). Also determined were the particle size, particle size distribution, and morphology of the blended powders and of the gentamicin. For each of the cured cement properties (except for E), there is no statistically significant difference between the means for the 3 cements, a finding that parallels the observation that there are no significant differences in either the mean particle size or the morphology of the blended cement

  18. The Early Strength of Slag Cements with Addition of Hydrate Microcrystals

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    The effect of hydrate microcrystals such as calcium silicate hydrates (CSH) and ettringite on the early strength of slag cements was studied.The authors explored the possibility of improving the early strength of the slag cement by applying crystal seed technology.It is shown that slag crystal seeds make the early strength of the cement increased due to the action of hydrate crystal seeds,which speed up the hydration of clinker minerals in the nucleation of ettringite.Therefore,the early strength of the slag cement is obviously improved.

  19. Histological and mechanical evaluation of self-setting calcium phosphate cements in a sheep vertebral bone void model.

    Science.gov (United States)

    Kobayashi, Naomi; Ong, Kevin; Villarraga, Marta; Schwardt, Jeffrey; Wenz, Robert; Togawa, Daisuke; Fujishiro, Takaaki; Turner, A Simon; Seim, Howard B; Bauer, Thomas W

    2007-06-15

    We investigated the histological and compressive properties of three different calcium phosphate cements (CPCs) using a sheep vertebral bone void model. One of the CPCs contained barium sulfate to enhance its radiopacity. Bone voids were surgically created in the lumbar region of 23 ovine spines - L3, L4, and L5 (n = 69 total vertebral bodies) - and the voids were filled with one of the three CPCs. A fourth group consisted of whole intact vertebrae. Histologic evaluation was performed for 30 of the 69 vertebrae 2 or 4 months after surgery along with radiographic evaluation. Compressive testing was performed on 39 vertebrae 4 months after surgery along with micro-CT analysis. All three CPCs were biocompatible and extremely osteoconductive. Osteoclasts associated with adjacent bone formation suggest that each cement can undergo slow resorption and replacement by bone and bone marrow. Compressive testing did not reveal a significant difference in the ultimate strength, ultimate strain, and structural modulus, among the three CPCs and intact whole vertebrae. Micro-CT analysis revealed good osseointegration between all three CPCs and adjacent bone. The barium sulfate did not affect the CPCs biocompatibility or mechanical properties. These results suggest that CPC might be a good alternative to polymethylmethacrylate for selected indications.

  20. The combination of ultrasound with antibiotics released from bone cement decreases the viability of planktonic and biofilm bacteria : an in vitro study with clinical strains

    NARCIS (Netherlands)

    Ensing, Geert T.; Neut, Danielle; Horn, Jim R. van; van der Mei, Henny C.; Busscher, Henk J.

    2006-01-01

    Objectives: Antibiotic-loaded bone cements are used for the permanent fixation of joint prostheses. Antibiotic-loaded cements significantly decrease the incidence of infection. The objective of this study was to investigate whether the viability of bacteria derived from patients with a prosthesis-re

  1. Effect of several additives and their admixtures on the physico-chemical properties of a calcium phosphate cement.

    Science.gov (United States)

    Bohner, M; Merkle, H P; Landuyt, P V; Trophardy, G; Lemaitre, J

    2000-02-01

    Combinations of citrate (C6H5O(7)3-), pyrophosphate (P2O(7)4-) and sulfate (SO(4)2-) ions were used to modify the physico-chemical properties of a calcium phosphate cement (CPC) composed of beta-tricalcium phosphate (beta-TCP) and phosphoric acid (PA) solution. The results obtained with only one additive at a time are similar to those previously published. New facts are: the positive effect of C6H5O(7)3- ions on cement failure strain and their negative effect on cement pH. The position of the setting time maximum measured at an SO(4)2- concentration of 0.09 M was not displaced by the addition of C6H5O(7)3- and P2O(7)4- ions. However, the effect of SO(4)2- ions on the setting time was depressed by C6H5O(7)3- ions. Moreover, no increase in tensile strength was observed when increasing amounts of SO(4)2- were added into a C6H5O(7)3--containing cement. The latter results suggest a competitive effect of C6H5O(7)3- and SO(4)2- on setting time and tensile strength. Anhydrous dicalcium phosphate (DCP; CaHPO4) appeared in cement samples dried just after setting, but not in cement samples incubated for 24 h in deionized water before the drying step. It is believed that the setting reaction is stopped by the drying step, leaving a low internal pH in the sample, hence providing favorable conditions for the transformation of dicalcium phosphate dihydrate (DCPD) into DCP. Interestingly, even though C6H5O(7)3- ions dramatically lowered the equilibrium pH of the cement with 5 ml of deionized water, they still prevented the occurrence of the transformation of DCPD into DCP.

  2. Biomechanical effects of bone cement volume on the endplates of augmented vertebral body: a three-dimensional finite element analysis

    Institute of Scientific and Technical Information of China (English)

    Yan Liang; Chang Zhen; Xu Zhengwei; Liu Tuanjiang; He Baorong; Hao Dingjun

    2014-01-01

    Background Previous studies have suggested that percutaneous vertebroplasty might alter vertebral stress transfer,leading to adjacent vertebral failure.However,no three-dimensional finite element study so far accounted for the stress distributions on different cement volumes.The purpose of this study was to evaluate the stress distributions on the endplate under different loading conditions after augmentation with various volumes of bone cement.Methods L2-L3 motion segment data were obtained from CT scans of the lumbar spine from a cadaver of a young man who had no abnormal findings on roentgenograms.Three-dimensional model of L2-L3 was established using Mimics software,and finite element model of L2-L3 functional spinal unit (FSU) was established using Ansys10.0 software.For simulating percutaneous vertebral augmentation,polymethylmethacrylate (PMMA) was deposited into the bipedicle of the L2 vertebra.The percentage of PMMA volume varied between 15% and 30%.The stress distributions on the endplate of the augmented vertebral body were calculated under three different loading conditions.Results In general,the stress level monotonically increased with bone cement volume.Under each loading condition,the stress change on the L2 superior and inferior endplates in three kinds of finite element models shows monotonic increase.Compared with the stress-increasing region of the endplate,the central part of the L2 endplate was subject to the greatest stress under three kinds of loading conditions,especially on the superior endplate and under flexion.Conclusions The finite element models of FSU are useful to optimize the planning for vertebroplasty.The bone cement volume might have an influence on the endplate of the augmentation,especially the superior endplate.It should be noted that the optimization of bone cement volume is patient specific; the volume of the bone cement should be based on the size,body mineral density,and stiffness of the vertebrae of individual

  3. Use of antibiotic cement-impregnated intramedullary nail in treatment of infected non-union of long bone

    Directory of Open Access Journals (Sweden)

    Shyam Ashok

    2009-01-01

    Full Text Available Background: In cases with infected non-union, the primary step is eradication of the infection before attempting to achieve union. Release of antibiotics from the bone cement at a high concentration and its penetration to the surrounding tissues, including cortical and cancellous bone, prompted the use of antibiotic cement in the control of bone infection. The aim of this study is to summarize our experience with the use of antibiotic cement-impregnated intramedullary nail (ACIIN for control of infection in cases of infected non-union with bone defect. Materials and Methods: We prospectively studied 25 cases of infected non-union (23 femora and two tibiae. There were 24 males and one female, with the mean age being 33 years (range, 21-58 years. All patients had high-velocity road traffic accidents except one patient who had farmland injury. There were seven closed fractures, one grade I compound, two grade II compound fractures, five grade IIIA compound fractures, and 10 grade IIIB compound fractures. ACIIN was used in all cases after adequate debridement. Patients were classified according to the amount of bone defect present after debridement: group 1 with bone defect < 4 cm (n=13, group 2 with bone defect ≥4-< 6 cm (n=7, and group 3 with bone defect ≥6 cm (n=5. Infection control was judged on the basis of discharge through the wound and laboratory parameters. All patients were followed-up, with an average follow-up time of 29 months (range, 18-40 months. The mean duration of retention of the intramedullary rod was 8 weeks (range, 6-12 weeks. Results: In group 1, all cases achieved infection control, with three patients achieving bone union without any need of secondary procedure. In group 2, all cases achieved infection control but the time taken was significantly longer than for group 1 (p-value 0.0002. All the cases required a secondary procedure in the form of either interlocking intramedullary nailing with iliac crest bone graft or

  4. Microstructure and Mechanical Properties of Calcium Phosphate Cement/Gelatine Composite Scaffold with Oriented Pore Structure for Bone Tissue Engineering

    Institute of Scientific and Technical Information of China (English)

    QI Xiaopeng; HE Fupo; YE Jiandong

    2012-01-01

    The macroporous calcium phosphate(CPC) cement with oriented pore structure was prepared by freeze casting.SEM observation showed that the macropores in the porous calcium phosphate cement were interconnected aligned along the ice growth direction.The porosity of the as-prepared porous CPC was measured to be 87.6% by Archimede's principle.XRD patterns of specimens showed that poorly crystallized hydroxyapatite was the main phase present in the hydrated porous calcium phosphate cement.To improve the mechanical properties of the CPC scaffold,the 15% gelatine solution was infiltrated into the pores under vacuum and then the samples were freeze dried to form the CPC/gelatine composite scaffolds.After reinforced with gelatine,the compressive strength of CPC/gelatine composite increased to 5.12 MPa,around fifty times greater than that of the unreinforced macroporous CPC scaffold,which was only 0.1 MPa.And the toughness of the scaffold has been greatly improved via the gelatine reinforcement with a much greater fracture strain.SEM examination of the specimens indicated good bonding between the cement and gelatine.Participating the external load by the deformable gelatine,patching the defects of the CPC pores wall,and crack deflection were supposed to be the reinforcement mechanisms.In conclusion,the calcium phosphate cement/gelatine composite with oriented pore structure prepared in this work might be a potential scaffold for bone tissue engineering.

  5. Properties of high calcium fly ash geopolymer pastes with Portland cement as an additive

    Science.gov (United States)

    Phoo-ngernkham, Tanakorn; Chindaprasirt, Prinya; Sata, Vanchai; Pangdaeng, Saengsuree; Sinsiri, Theerawat

    2013-02-01

    The effect of Portland cement (OPC) addition on the properties of high calcium fly ash geopolymer pastes was investigated in the paper. OPC partially replaced fly ash (FA) at the dosages of 0, 5%, 10%, and 15% by mass of binder. Sodium silicate (Na2SiO3) and sodium hydroxide (NaOH) solutions were used as the liquid portion in the mixture: NaOH 10 mol/L, Na2SiO3/NaOH with a mass ratio of 2.0, and alkaline liquid/binder (L/B) with a mass ratio of 0.6. The curing at 60°C for 24 h was used to accelerate the geopolymerization. The setting time of all fresh pastes, porosity, and compressive strength of the pastes at the stages of 1, 7, 28, and 90 d were tested. The elastic modulus and strain capacity of the pastes at the stage of 7 d were determined. It is revealed that the use of OPC as an additive to replace part of FA results in the decreases in the setting time, porosity, and strain capacity of the paste specimens, while the compressive strength and elastic modulus seem to increase.

  6. The effect of Al and Cr additions on pack cementation zinc coatings

    International Nuclear Information System (INIS)

    Zinc is widely used as a protective coating material due to its corrosion resistant properties. The structure and oxidation resistance of Al and Cr mixed zinc coatings, deposited by pack cementation process, is thoroughly examined in this work. The morphology and chemical composition of the as-deposited and oxidized samples was accomplished by electron microscopy while the phase identification was performed by XRD diffraction analysis. The experimental results showed that the addition of aluminum or chromium in the pack mixture forms only Al and Cr rich phases on the surface of the specimens without affecting significantly the phase composition of the rest zinc coatings. In the case of Zn-Al coatings, the overlying layer contains high concentrations of Al together with lower amounts of zinc and iron and in Zn-Cr coatings this layer contains Cr, Fe and Zn atoms and has much smaller thickness. The presence of these additional layers promotes significantly the oxidation resistance of the zinc pack coatings and they preserve most of their initial thickness and chemical content when exposed to an aggressive environment while their oxidation mass gain was measured at low levels during the oxidation tests.

  7. Effects of the addition of oil shale ash and coal ash on physic-chemical properties of CPJ45 cement

    Directory of Open Access Journals (Sweden)

    Nabih K.

    2014-04-01

    Full Text Available We focused our research on recycling industrial wastes, fly ash (F.A, bottom ash (B.A and oil shale ash (S.A in cement production. The study concerns physico-chemical characterization of these products and the influence of their addition on the mechanical proprieties of the CPJ45 cement. XRF allowed us to rank the three additives used according to their contents on major oxides. Coal ashes belong to the class F, and thus possess poozzolanic properties and oil shale ash belongs to the class C and possesses hydraulic and poozolanic properties. The crystalline phases constituting each ash were analysed by XRD. We observe in bottom ash the presence of quartz and mullite. The same crystals are found in fly ash with hematite and magnetite. Oil shale ash is composed of quartz, anhydrite, gehlenite, wollastonite and periclase. The microstructures of fly ash and bottom ash were studied using SEM. The bottom ash was composed respectively of fine particles that are generally irregularly shaped, their dimensions are between 5 and 28μm and of big particles(300 μm. The EDX analysis coupled with an electronic microscope provided some information about the major elements that constitute our samples. The dehydrations of anhydrous and three days hydrated cement were examined by DSC. For hydrated cements we noticed endothermic peaks related to the dehydration of CSH, CH and decomposition of carbonates. The study of the mechanical properties of CPJ45 cement by adding different proportions of fly ash, bottom ash and oil shale ash helped clarifying the percentage of ash that leaded to improve the 28 days mechanical strength. The results show that the cements studied have their maximum mechanical resistance with the addition at 7% of fly ash or 10% of oil shale ash.

  8. Microstructure, characterizations, functionality and compressive strength of cement-based materials using zinc oxide nanoparticles as an additive

    Energy Technology Data Exchange (ETDEWEB)

    Nochaiya, Thanongsak [Department of Physics, Faculty of Science, Naresuan University, Phitsanulok 65000 (Thailand); Sekine, Yoshika [Department of Chemistry, School of Science, Tokai University, 4-1-1 Kitakaname, Hiratsuka, Kanagawa 259-1292 (Japan); Choopun, Supab [Applied Physics Research Laboratory, Department of Physics and Materials Science, Faculty of Science, Chiang Mai University, Chiang Mai 50200 (Thailand); Chaipanich, Arnon, E-mail: arnon.chaipanich@cmu.ac.th [Advanced Cement-Based Materials Research Unit, Department of Physics and Materials Science, Faculty of Science, Chiang Mai University, Chiang Mai 50200 (Thailand)

    2015-05-05

    Highlights: • Nano zinc oxide was used as an additive material. • Microstructure and phase characterization of pastes were characterized using SEM and XRD. • TGA and FTIR were also used to determine the hydration reaction. • Compressive strength of ZnO mixes was found to increase at 28 days. - Abstract: Zinc oxide nanoparticles as a nanophotocatalyst has great potential for self-cleaning applications in concrete structures, its effects on the cement hydration, setting time and compressive strength are also important when using it in practice. This paper reports the effects of zinc oxide nanoparticles, as an additive material, on properties of cement-based materials. Setting time, compressive strength and porosity of mortars were investigated. Microstructure and morphology of pastes were characterized using scanning electron microscope and X-ray diffraction (XRD), respectively. Moreover, thermal gravimetric analysis (TGA) and Fourier-transform infrared spectrometer (FTIR) were also used to determine the hydration reaction. The results show that Portland cement paste with additional ZnO was found to slightly increase the water requirement while the setting time presented prolongation period than the control mix. However, compressive strength of ZnO mixes was found to be higher than that of PC mix up to 15% (at 28 days) via filler effect. Microstructure, XRD and TGA results of ZnO pastes show less hydration products before 28 days but similar at 28 days. In addition, FTIR results confirmed the retardation when ZnO was partially added in Portland cement pastes.

  9. Effect of Nano-TiO2 Addition on the Hydration and Hardening Process of Sulphoaluminate Cement

    Institute of Scientific and Technical Information of China (English)

    MA Baoguo; LI Hainan; MEI Junpeng; OUYANG Pei

    2015-01-01

    The influences of nano-TiO2 on the setting time, hydration process, hydration products and morphology of sulphoaluminate cement were studied by Vicat apparatus, isothermal calorimetry, X-ray diffraction (XRD), thermal analysis and scanning electron microscopy (SEM). The experimental results show that the incorporation of nano-TiO2 can obviously promote the setting and hardening process of sulphoaluminate cement, and shorten the interval between the initial and ifnal setting time, the hydration induction period of sulphoaluminate cement is significantly shortened and the acceleration period begins immediately, but the hydration exothermic rate at hydration stationary phase is not obviously impacted. The nano-TiO2 additives have inlfuence on the formation rate and degree of crystallinity, but do not affect the type of hydration process. The structure of hydration products is compact at middle age, but their content and microstructure do not change.

  10. Improved cement mortars by addition of carbonated fly ash from solid waste incinerators

    Directory of Open Access Journals (Sweden)

    López-Zaldívar, O.

    2015-09-01

    Full Text Available This article presents the results of a research developing high performance cement mortars with the addition of municipal solid waste incineration fly ash (MSWIFA stabilized as insoluble carbonates. The encapsulation of hazardous wastes in mortar matrixes has also been achieved. The ashes present high concentrations of chlorides, Zn and Pb. A stabilization process with NaHCO3 has been developed reducing 99% the content of chlorides. Developed mortars replace 10% per weight of the aggregates by treated MSWIFA. Physical/mechanical properties of these mortars have been studied. Presence of Zn, Pb, Cu and Cd has been also analyzed confirming that leaching of these heavy metal ions is mitigated. Conclusions prove better behavior of CAC and CSA mortars than those of CEM-I and CEM-II cement. Results are remarkable for the CAC mortars, improving reference strengths in more than 25%, which make them a fast-curing product suitable for the repair of structures or industrial pavements.Este artículo presenta los resultados del desarrollo de morteros mejorados con la incorporación de cenizas volantes de residuos sólidos urbanos inertizadas en forma de carbonatos. Además se consigue la encapsulación de un residuo peligroso. Las cenizas presentan una alta concentración de cloruros, Zn y Pb. Se ha desarrollado un proceso de estabilización con NaHCO3 reduciendo en un 99% el contenido de cloruros. Los morteros reemplazan un 10% en peso del árido por cenizas tratadas. Se han analizado sus propiedades físico/mecánicas y la presencia de Zn, Pb, Cu y Cd. Se demuestra un mejor comportamiento de los morteros de CAC y CSA que los de CEM-I y CEM-II y se mitiga el lixiviado de metales pesados. Los resultados son significativos en los morteros CAC al mejorar las resistencias de los de referencia en un 25%. Los morteros desarrollados son de curado rápido adecuados para la reparación de estructuras o soleras industriales.

  11. Sustainable production of blended cement in Pakistan through addition of natural pozzolana

    OpenAIRE

    Ahmad Muhammad Imran; Sajjad Muhammad; Khan Irfan Ahmed; Durrani Amina; Durrani Ali Ahmed; Gul Saeed; Ullah Asmat

    2016-01-01

    In this work pozzolana deposits of district Swabi, Pakistan were investigated for partial substitution of Portland cement along with limestone filler. The cement samples were mixed in different proportions and tested for compressive strength at 7 and 28 days. The strength activity index (SAI) for 10 % pozzolana, and 5% limestone blend at 7 and 28 days was 75.5% and 85.0% satisfying the minimum SAI limit of ASTM C618. Twenty two percents natural pozzolana an...

  12. Effect of additives on the compressive strength and setting time of a Portland cement

    Directory of Open Access Journals (Sweden)

    Desirée Freitas Mryczka Machado

    2010-06-01

    Full Text Available Improvements in strength and setting time of Portland cements (PC are needed to enhance their performance as endodontic and load bearing materials. This study sought to enhance the compressive strength and setting time of a PC by adding one of the following additives: 20% and 30% poly-methylmethacrylate (PMMA, 20% and 30% irregular and spherical amalgam alloys, and 10% CaCl2. The control consisted of unreinforced PC specimens. Setting time was determined using a Gillmore apparatus according to standardized methods while compressive strength was measured using a universal testing machine after 21 hours or 60 days of water storage. Data were analyzed by ANOVA, Tukey and Games-Howell tests (α = 5%. All additives significantly decreased both initial and final setting times as compared with the PC-control (p < .05. 30% PMMA and 30% irregular alloy had the lowest values of initial setting time. 30% irregular alloy also produced the lowest values of final setting time while 30% spherical alloy yielded the highest (p < .05. No differences were detected between the compressive strength values of 21 hours and 60 days. While 10% CaCl2, 20% and 30% PMMA produced values significantly lower than the PC-control, 30% spherical alloy significantly improved the compressive strength of the reinforced PC (p < .05. In summary, all additives significantly reduced the setting time and 30% spherical amalgam alloy yielded a significant increase in compressive strength for the tested PC, which might represent an improved composition for PCs to expand their use as endodontic and potentially load bearing materials.

  13. Concrete Durability Properties and Microstructural Analysis of Cement Pastes with Nopal Cactus Mucilage as a Natural Additive

    Directory of Open Access Journals (Sweden)

    Ramírez-Arellanes, S.

    2012-09-01

    Full Text Available The present study evaluated the addition of a 3% nopal cactus mucilage solution to cement pastes, in its effects on setting times, flow, hydration, and microstructure, as well as on capillary water absorption and chloride diffusion in concrete. Hydration was characterized through XRD and microstructure was characterized with SEM. The mucilage solution/cement and water/cement ratios tested were 0.30, 0.45, and 0.60. The results in cement pastes indicate that the addition of mucilage increases setting times, reduces flow, slows cement hydration, and inhibits the formation of calcium hydroxide crystals in comparison with the control. Capillary absorption was significantly reduced in concrete containing mucilage, and chloride diffusion coefficients dropped up to 20% in the mixture with a mucilage/cement ratio = 0.30. The mixture with a mucilage/cement ratio = 0.45 displayed marginal reduction, and the mixture with mucilage/cement ratio = 0.60 exhibited a diffusion coefficient that was greater than the control for the specimens without moist curing.En esta investigación se evaluó el efecto de una solución de mucílago de nopal al 3% en los tiempos de fraguado, fluidez, hidratación y microestructura de pastas de cemento, y absorción capilar de agua y difusión de cloruros en concreto. La hidratación fue caracterizada por XRD y la microestructura por medio de SEM. Las relaciones solución de mucílago/cemento y agua/cemento fueron 0,30; 0,45 y 0,60. Los resultados en las pastas de cemento indican que el mucílago retarda los tiempos de fraguado, reduce la fluidez, retarda la hidratación del cemento, e inhibe la formación de cristales de hidróxido de calcio, comparados con los controles. La absorción capilar en concreto conteniendo mucílago se redujo significativamente y los coeficientes de difusión de cloruros disminuyeron hasta 20% en la mezcla mucílago/cemento = 0.30. En la relación mucílago/cemento = 0.45 la reducción fue marginal y

  14. Effect of Additives and pH on the Formation of Carbonate Mineral by CO2 Sequestration of Cement Paste

    Science.gov (United States)

    Lee, J. H.; Hwang, J.; Lee, H.; Son, B. S.; Oh, J.

    2015-12-01

    CO2 in the atmosphere causes a global warming that is a big issue nowadays. Many studies of CO2 capture and storage (CCS) technologies have been studied all over the world. Waste cement is a good source for aqueous carbonation because it is rich in calcium. Therefore, this study was performed to develop the aqueous carbonation method for waste cement powder. Cement paste was made with water/cement ratio of 6:4 and cured for 28 days in water bath. The cement paste was pulverized into a fine powder sizing less than 0.15 mm. To study effect of additives and pH on the formation of carbonate minerals, aqueous carbonation experiments were conducted. The mineral compositions and morphology of carbonate mineral were identified by XRD and SEM/EDS analysis. 1.0 M NaCl and 0.25 M MgCl2 were applied as additives. Aqueous carbonation experiment was conducted with injecting pure CO2 gas (99.9%) to a reactor containing 200 ㎖ of reacting solution. The pH of reacting solution was controled to determine formational condition of carbonate minerals. In 0.25 M MgCl2 solution, calcite was dominant mineral at high pH. More aragonite, however, formed as decreasing pH of solution with injection of CO2. The presence of Mg2+ in solution makes aragonite more dominant than calcite. Aragonite was mainly formed at the high pH of solution with 1.0 M NaCl additive, whereas calcite was more preponderant mineral than aragonite as falling pH. It show that unstable aragonite transformed to calcite as decreasing pH. In no additive solution, vaterite was dominantly formed at the initial stage of experiement, but unstable vaterite transformed to well crystallized calcite with further carbonation.

  15. [Water jet cutting for bones and bone cement--parameter study of possibilities and limits of a new method].

    Science.gov (United States)

    Honl, M; Rentzsch, R; Lampe, F; Müller, V; Dierk, O; Hille, E; Louis, H; Morlock, M

    2000-09-01

    Water jet techniques have been used in industrial cutting, drilling and cleaning applications for more than 30 years. Plain water is typically used for the cutting of non-metallic materials. The addition of abrasive substances to the stream allows almost any material to be cut. The first medical applications were reported in the early 1980s, when the water jet was used to cut organs. The present study investigates the use of water jet cutting technology for endoprosthesis revision surgery. Bone and PMMA (polymethylmethacrylate) samples were cut at different pressures using an industrial water jet cutting device. Using plain water at 400 bar, PMMA was cut selectively without damaging the bone; above 400 bar, bone was also cut, but the cutting depths in PMMA were significantly greater (p process is essentially cold, thus eliminating a thermal effect, and the jet reaction forces are relatively low. Accurate manipulation of the hydro jet nozzle is possible both manually and by robot. The results obtained show that it is possible to remove prostheses with this cutting technique, rapidly and with little damage to the surrounding tissue. Problem areas are the development of sterile pumps and the "depth control" of the jet.

  16. Adhesive strength of total knee endoprostheses to bone cement - analysis of metallic and ceramic femoral components under worst-case conditions.

    Science.gov (United States)

    Bergschmidt, Philipp; Dammer, Rebecca; Zietz, Carmen; Finze, Susanne; Mittelmeier, Wolfram; Bader, Rainer

    2016-06-01

    Evaluation of the adhesive strength of femoral components to the bone cement is a relevant parameter for predicting implant safety. In the present experimental study, three types of cemented femoral components (metallic, ceramic and silica/silane-layered ceramic) of the bicondylar Multigen Plus knee system, implanted on composite femora were analysed. A pull-off test with the femoral components was performed after different load and several cementing conditions (four groups and n=3 components of each metallic, ceramic and silica/silane-layered ceramic in each group). Pull-off forces were comparable for the metallic and the silica/silane-layered ceramic femoral components (mean 4769 N and 4298 N) under standard test condition, whereas uncoated ceramic femoral components showed reduced pull-off forces (mean 2322 N). Loading under worst-case conditions led to decreased adhesive strength by loosening of the interface implant and bone cement using uncoated metallic and ceramic femoral components, respectively. Silica/silane-coated ceramic components were stably fixed even under worst-case conditions. Loading under high flexion angles can induce interfacial tensile stress, which could promote early implant loosening. In conclusion, a silica/silane-coating layer on the femoral component increased their adhesive strength to bone cement. Thicker cement mantles (>2 mm) reduce adhesive strength of the femoral component and can increase the risk of cement break-off. PMID:25781660

  17. Effect of blastfurnace slag addition to Portland cement for cationic exchange resins encapsulation

    Directory of Open Access Journals (Sweden)

    Stefan L.

    2013-07-01

    Full Text Available In the nuclear industry, cement-based materials are extensively used to encapsulate spent ion exchange resins (IERs before their final disposal in a repository. It is well known that the cement has to be carefully selected to prevent any deleterious expansion of the solidified waste form, but the reasons for this possible expansion are not clearly established. This work aims at filling the gap. The swelling pressure of IERs is first investigated as a function of ions exchange and ionic strength. It is shown that pressures of a few tenths of MPa can be produced by decreases in the ionic strength of the bulk solution, or by ion exchanges (2Na+ instead of Ca2+, Na+ instead of K+. Then, the chemical evolution of cationic resins initially in the Na+ form is characterized in CEM I (Portland cement and CEM III (Portland cement + blastfurnace slag cements at early age and an explanation is proposed for the better stability of CEM III material.

  18. Influence of Geosta Addition on Cement-stabilised Chicoco Mud of the Niger Delta

    Directory of Open Access Journals (Sweden)

    Olujide Omotosho

    2005-01-01

    Full Text Available Chicoco is a very soft and extremely compressible organic marine mud found extensively and to considerable depths within the saline tidal flat or mangrove swamp of the Niger delta in southern Nigeria. Natural chicoco is highly undesirable, barely able to support a human of average weight but air-dried chicoco has been used successfully by the indigeneous people for shore protection, etc. especially if placed above water. Plain cement stabilization of most organic soils (including chicoco is known to be ineffective. In this study, geosta, a chemical stabiliser relatively newly developed for organic soils was combined with ordinary Portland cement to stabilise chicoco. It was observed that neutralisation of acidic "air-dried" chicoco by basic geosta inhibited the expected ion-exchange reaction and its attendant improvement on mechanical properties. As a result and as geosta content increases, maximum dry density (MDD was found to be only marginally improved but better for higher cement contents while optimum moisture content (OMC decreases but with higher values for lower cement contents. Unsoaked CBR (but with samples wax-cured for 3 days on the other hand was found to maximise at low geosta content and thereafter decreases continually - a major cost advantage in earthworks. In fact, the most effective influence was obtained at 4.0% cement plus about 1.5% geosta. This stabilization was also found to produce optimum road sub-base materials.

  19. Characteristics and propierties of oil-well cements additioned with blast furnace slag

    Directory of Open Access Journals (Sweden)

    Sánchez, R.

    2011-06-01

    Full Text Available The present paper addresses the alkali activation of Portland cements containing blast furnace slag (20 and 30% of the cement by weight with a view to the possible use of these materials in oil well construction. The hydration studies conducted showed that in cement/slag blends, the sodium silicate activating solution partially inhibited the dissolution of the silicate phases in the Portland cement, retarding cement hydration and reducing the precipitation of reaction products. Due to such partial inhibition, the cement/slag blends had significantly lower mechanical strength than Portland cements hydrated with water. 29Si and 27Al MAS NMR and BSE/EDX studies, in turn, showed that the C-S-H gel forming in the alkali-activated cement/slag pastes contained Al in tetrahedral positions and low Ca/Si ratios.

    En el presente trabajo se ha estudiado la activación alcalina de cementos Pórtland con incorporación de escoria de horno alto (20% y 30% con respecto al peso de cemento para su posible aplicación en la construcción de pozos petrolíferos. Los estudios de hidratación realizados indican que en mezclas cemento/escoria, la disolución activadora de silicato sódico inhibe parcialmente la disolución de las fases silicato del cemento Pórtland originando un retraso de su hidratación así como la menor precipitación de productos de reacción. Dicha parcial inhibición de los procesos reactivos en las mezclas cemento/escoria originan resistencias mecánicas significativamente inferiores a las pastas de cemento Portland hidratadas con agua. Finalmente, los estudios de 29Si y 27Al RMN MAS y BSE/EDX indican que el gel C-S-H formado en pastas de mezcla cemento/escoria activadas alcalinamente presenta Al en posiciones tetraédricas y bajas relaciones Ca/Si.

  20. Development of hydroxyapatite bone cement for controlled drug release via tetracycline hydrochloride

    Indian Academy of Sciences (India)

    Sayed Mahmood Rabiee

    2013-02-01

    The purpose of this work was to study the preparation and characterization of drug–hydroxyapatite cement. The hydroxyapatite (HA) cement has been synthesized by using tricalcium phosphate, calcium carbonate and dicalcium phosphate anhydrous with sodium hydrogen phosphate as liquid phase. The effect of added tetracycline hydrochloride (TCH) as drug on final phases, microstructure, setting behaviour and compressive strength has been studied. The drug release rate was first order within the first day and then was zero order. No obvious difference could be detected in XRD patterns of the TCH–HA cement with various amounts of drug. By increasing the drug concentration, mechanical strength of cement was decreased and its setting time was increased. The results of this study demonstrate the potential of using HA cement as a carrier for drug delivery.

  1. A nonlinear inverse problem in estimating the polymerization heat source of bone cements by an iterative regularization method

    International Nuclear Information System (INIS)

    In the present study, the conjugate gradient method (CGM) using an iterative regularization method (IRM) is used to solve the inverse heat conduction problem (IHCP) in order to estimate the unknown heat generated during polymerization of bone cement. The exothermic chain propagation reaction results in a high local temperature and has a deleterious effect on living tissues and extracellular matrices. Only when such a heat source is estimated accurately, can the influences of the production of bone cements on bone cells be analyzed more clearly. Results obtained by using the CGM to solve this IHCP are justified based on the numerical experiments. It is concluded based on the results of the reported numerical experiments that the accurate polymerization heat source can be estimated by the CGM. Finally, the effects of the simulated measurement errors on the inverse solutions are included and discussed. It is found that when considering a real functional form of heat source, the measurement errors of 1% and 3% will yield the relative average errors for the solution of only less than 2% and 4%, respectively

  2. Regulation of physicochemical properties, osteogenesis activity, and fibroblast growth factor-2 release ability of β-tricalcium phosphate for bone cement by calcium silicate

    Energy Technology Data Exchange (ETDEWEB)

    Su, Ching-Chuan [Antai Medical Care Cooperation Antai Tian-Sheng Memorial Hospital, Pingtung, Taiwan (China); Kao, Chia-Tze; Hung, Chi-Jr [School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan (China); Chen, Yi-Jyun [School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan (China); Dental Department, Taichung Hospital, Ministry of Health and Welfare, Taichung City, Taiwan (China); Huang, Tsui-Hsien, E-mail: thh@csmu.edu.tw [School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Department of Dentistry, Chung Shan Medical University Hospital, Taichung, Taiwan (China); Shie, Ming-You, E-mail: eviltacasi@gmail.com [Institute of Oral Science, Chung Shan Medical University, Taichung, Taiwan (China)

    2014-04-01

    β-Tricalcium phosphate (β-TCP) is an osteoconductive material. For this research we have combined it with a low degradation calcium silicate (CS) to enhance its bioactive and osteostimulative properties. To check its effectiveness, a series of β-TCP/CS composites with different ratios were prepared to make new bioactive and biodegradable biocomposites for bone repair. Formation of bone-like apatite, the diametral tensile strength, and weight loss of composites were considered before and after immersion in simulated body fluid (SBF). In addition, we also examined the effects of fibroblast growth factor-2 (FGF-2) released from β-TCP/CS composites and in vitro human dental pulp cell (hDPC) and studied its behavior. The results showed that the apatite deposition ability of the β-TCP/CS composites was enhanced as the CS content was increased. For composites with more than 50% CS contents, the samples were completely covered by a dense bone-like apatite layer. At the end of the immersion point, weight losses of 19%, 24%, 33%, 42%, and 51% were observed for the composites containing 0%, 30%, 50%, 70% and 100% β-TCP cements, respectively. In vitro cell experiments show that the CS-rich composites promote human dental pulp cell (hDPC) proliferation and differentiation. However, when the CS quantity in the composite is less than 70%, the amount of cells and osteogenesis protein of hDPCs was stimulated by FGF-2 released from β-TCP/CS composites. The combination of FGF-2 in degradation of β-TCP and osteogenesis of CS gives a strong reason to believe that these calcium-based composite cements may prove to be promising bone repair materials. - Highlights: • CS improved physicochemical properties and osteogenic activity of β-TCP. • The higher the CS in the cement, the shorter the setting time and the higher the DTS. • The cell behavior was stimulated by FGF-2 released from composite containing 50% CS. • β-TCP/CS composite with FGF-2 has optimal properties for

  3. Regulation of physicochemical properties, osteogenesis activity, and fibroblast growth factor-2 release ability of β-tricalcium phosphate for bone cement by calcium silicate

    International Nuclear Information System (INIS)

    β-Tricalcium phosphate (β-TCP) is an osteoconductive material. For this research we have combined it with a low degradation calcium silicate (CS) to enhance its bioactive and osteostimulative properties. To check its effectiveness, a series of β-TCP/CS composites with different ratios were prepared to make new bioactive and biodegradable biocomposites for bone repair. Formation of bone-like apatite, the diametral tensile strength, and weight loss of composites were considered before and after immersion in simulated body fluid (SBF). In addition, we also examined the effects of fibroblast growth factor-2 (FGF-2) released from β-TCP/CS composites and in vitro human dental pulp cell (hDPC) and studied its behavior. The results showed that the apatite deposition ability of the β-TCP/CS composites was enhanced as the CS content was increased. For composites with more than 50% CS contents, the samples were completely covered by a dense bone-like apatite layer. At the end of the immersion point, weight losses of 19%, 24%, 33%, 42%, and 51% were observed for the composites containing 0%, 30%, 50%, 70% and 100% β-TCP cements, respectively. In vitro cell experiments show that the CS-rich composites promote human dental pulp cell (hDPC) proliferation and differentiation. However, when the CS quantity in the composite is less than 70%, the amount of cells and osteogenesis protein of hDPCs was stimulated by FGF-2 released from β-TCP/CS composites. The combination of FGF-2 in degradation of β-TCP and osteogenesis of CS gives a strong reason to believe that these calcium-based composite cements may prove to be promising bone repair materials. - Highlights: • CS improved physicochemical properties and osteogenic activity of β-TCP. • The higher the CS in the cement, the shorter the setting time and the higher the DTS. • The cell behavior was stimulated by FGF-2 released from composite containing 50% CS. • β-TCP/CS composite with FGF-2 has optimal properties for

  4. Bone formation induced by strontium modified calcium phosphate cement in critical-size metaphyseal fracture defects in ovariectomized rats.

    Science.gov (United States)

    Thormann, Ulrich; Ray, Seemun; Sommer, Ursula; Elkhassawna, Thaqif; Rehling, Tanja; Hundgeburth, Marvin; Henß, Anja; Rohnke, Marcus; Janek, Jürgen; Lips, Katrin S; Heiss, Christian; Schlewitz, Gudrun; Szalay, Gabor; Schumacher, Matthias; Gelinsky, Michael; Schnettler, Reinhard; Alt, Volker

    2013-11-01

    The first objective was to investigate new bone formation in a critical-size metaphyseal defect in the femur of ovariectomized rats filled with a strontium modified calcium phosphate cement (SrCPC) compared to calcium phosphate cement (CPC) and empty defects. Second, detection of strontium release from the materials as well as calcium and collagen mass distribution in the fracture defect should be targeted by time of flight secondary ion mass spectrometry (TOF-SIMS). 45 female Sprague-Dawley rats were randomly assigned to three different treatment groups: (1) SrCPC (n = 15), (2) CPC (n = 15), and (3) empty defect (n = 15). Bilateral ovariectomy was performed and three months after multi-deficient diet, the left femur of all animals underwent a 4 mm wedge-shaped metaphyseal osteotomy that was internally fixed with a T-shaped plate. The defect was then either filled with SrCPC or CPC or was left empty. After 6 weeks, histomorphometric analysis showed a statistically significant increase in bone formation of SrCPC compared to CPC (p = 0.005) and the empty defect (p = 0.002) in the former fracture defect zone. Furthermore, there was a statistically significant higher bone formation at the tissue-implant interface in the SrCPC group compared to the CPC group (p < 0.0001). These data were confirmed by immunohistochemistry revealing an increase in bone-morphogenic protein 2, osteocalcin and osteoprotegerin expression and a statistically significant higher gene expression of alkaline phosphatase, collagen10a1 and osteocalcin in the SrCPC group compared to CPC. TOF-SIMS analysis showed a high release of Sr from the SrCPC into the interface region in this area compared to CPC suggesting that improved bone formation is attributable to the released Sr from the SrCPC.

  5. Modification of Baksi sloppy hinge elbow to minimize the stresses at the humeral bone cement interface- An early experience

    Directory of Open Access Journals (Sweden)

    Baksi D

    2005-01-01

    Full Text Available Background : Baksi sloppy hinge elbow is an all metal prosthesis having 7 0 - 10 0 varus - valgus inherent laxity at the hinge section with minimal motion bearing contact area. Due to the presence of laxity at it′s hinge section, any strain on the prosthesis dissipates primarily to the surrounding soft tissues thus protecting the cement bone interfaces. However, from our long term clinical experiences on the use of our sloppy hinge design since 1984 and the knowledge of literature review of the results of using other semi-constrained (sloppy or unconstrained designs, it was observed that radiolucency or loosening at the bone-cement interface occurred mainly around the humeral stem in the long run due to the continued effect of rotational torque of forearm and hand. Hence, an attempt in the improvement of the design concept is being made. Methods : In this respect one flange each of one cm height and breadth and three mm thickness has been incorporated on either sides of the shank of humeral stem of the sloppy hinge at medio-lateral (coronal plane which will be seated in the corresponding longitudinal groove cut on either side of humeral shaft extending from its transverse cut end to become single assembly during the rotation of humerus. Results : The preliminary results of clinical application of the modified sloppy hinge elbow in ten cases are found satisfactory. Conclusion : The cyclical compression and distraction forces during flexion and extension of the elbow will be distributed over the larger bony area of lower end of humerus where flanges of the humeral shank being seated. The rotational torque effect of forearm and hand particularly with the arm in abduction will be minimised at the humeral bone cement interface as the humerus and the prosthetic stem act as a single assembly by the snugly fitting of the prosthetic flange in the humural shaft

  6. In situ synchrotron X-ray powder diffraction study of the early hydration of α-tricalcium phosphate/tricalcium silicate composite bone cement

    Energy Technology Data Exchange (ETDEWEB)

    Morejon-Alonso, Loreley; Correa, Jose Raul, E-mail: lmorejon@fq.uh.cu [Departamento de Quimica General, Facultad de Quimica, Universidad de La Habana, UH (Cuba); Motisuke, Mariana [Universidade Federal de Sao Paulo (UNIFESP), Sao Jose dos Campos, SP (Brazil); Carrodeguas, Raul Garcia [Universidade Federal de Campina Grande (UFCG), Campina Grande, PB (Brazil). Laboratorio de Avaliacao e Desenvolvimento de Biomateriais do Nordeste; Santos, Luis Alberto dos [Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS (Brazil). Escola de Engenharia. Departamento de Materiais

    2015-01-15

    Bioactivity, osteogenicity and mechanical properties of α-tricalcium phosphate (α-TCP) based phosphates cements can be improved by adding tricalcium silicate (C{sub 3}S); however, the addition of C{sub 3}S delays the precipitation and growth of calcium deficient hydroxyapatite (CDHA). Thus, the aim of this work was the study of in situ setting reaction of α-TCP/C{sub 3}S composite bone cement under high energy X-ray generated by a synchrotron source within the first 72h. The results showed that the addition of C{sub 3}S induces the precipitation of nanosized CDHA at early times depending on the added content. Calculated crystallite sizes showed that the higher the content of C{sub 3}S, the smaller the crystal size at the beginning of the precipitation. These results are different from those obtained by conventional XRD method, suggesting that the proposed technique is a powerful tool in determining the composition and extent of reaction of CPCs surfaces in real time. (author)

  7. Comparison of sealing ability of bioactive bone cement, mineral trioxide aggregate and Super EBA as furcation repair materials: A dye extraction study

    Directory of Open Access Journals (Sweden)

    Janani Balachandran

    2013-01-01

    Settings and Design: In vitro, dye extraction study. Materials and Methods: Forty mandibular molars were randomly divided according to the material used to repair perforation: Group I-MTA, Group II-bioactive bone cement, Group III-Super EBA, Group IV-Control (furcation left unrepaired. All samples were subject to ortho grade and retrograde methylene blue dye challenge followed by dye extraction with 65% nitric acid. Samples were then analyzed using Ultra violet (UV Visible Spectrophotometer. Statistical Analysis Used: One way analysis of variance (ANOVA, Tukey-Kramer Multiple Comparisons Test. Results: MTA and bioactive bone cement showed almost similar and lower absorbance values in comparison to Super EBA. Conclusions: Bioactive bone cement provi ded an excellent seal for furcal perforation repair and at the same time it provided comfortable handling properties, which could overcome the potential disadvantages as faced with MTA.

  8. In vitro assessment of Function Graded (FG artificial Hip joint stem in terms of bone/cement stresses: 3D Finite Element (FE study

    Directory of Open Access Journals (Sweden)

    Al-Jassir Fawzi F

    2013-01-01

    Full Text Available Abstract Background Stress shielding in the cemented hip prosthesis occurs due to the mismatching in the mechanical properties of metallic stem and bone. This mismatching in properties is considered as one of the main reasons for implant loosening. Therefore, a new stem material in orthopedic surgery is still required. In the present study, 3D finite element modeling is used for evaluating the artificial hip joint stem that is made of Function Graded (FG material in terms of joint stress distributions and stem length. Method 3D finite element models of different stems made of two types of FG materials and traditional stems made of Cobalt Chromium alloy (CoCrMo and Titanium alloy (Ti were developed using the ANSYS Code. The effects on the total artificial hip joint stresses (Shear stress and Von Mises stresses at bone cement, Von Mises stresses at bone and stem due to using the proposed FG materials stems were investigated. The effects on the total artificial hip joint system stresses due to using different stem lengths were investigated. Results Using FG stem (with low stiffness at stem distal end and high stiffness at its proximal end resulted in a significant reduction in shear stress at the bone cement/stem interface. Also, the Von Mises stresses at the bone cement and stem decrease significantly when using FG material instead of CoCrMo and Ti alloy. The stresses’ distribution along the bone cement length when using FG material was found to be more uniform along the whole bone cement compared with other stem materials. These more uniform stresses will help in the reduction of the artificial hip joint loosening rate and improve its short and long term performance. Conclusion FE results showed that using FG stem increases the resultant stresses at the femur bone (reduces stress shielding compared to metallic stem. The results showed that the stem length has significant effects on the resultant shear and Von Mises stresses at bone, stem and

  9. The mechanical and biological studies of calcium phosphate cement-fibrin glue for bone reconstruction of rabbit femoral defects

    Directory of Open Access Journals (Sweden)

    Dong J

    2013-03-01

    Full Text Available Jingjing Dong,1,* Geng Cui,2,* Long Bi,1,* Jie Li,3 Wei Lei11Institute of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi’an, Shaanxi, People’s Republic of China; 2Institute of Orthopedics, General Hospital of PLA, Beijing, People’s Republic of China; 3Institute of Gynecology and Obstetrics, General Hospital of PLA, Beijing, People’s Republic of China*These authors contributed equally to this workAbstract: In order to improve the mechanical and biological properties of calcium phosphate cement (CPC, nanometer-biomaterial for bone reconstruction in the rabbit femoral defect model, fibrin glue (FG, the natural product, purified from the blood was introduced at three different ratios. The CPC powder and the FG solution were mixed, respectively, at the powder/liquid (P/L ratios (g/mL of 1:1, 3:1, and 5:1 (g/mL, and pure CPC was used as a control. After being implanted into the femoral defect in rabbit, the healing process was evaluated by micro-computed tomography scan, biomechanical testing, and histological examination. By micro-computed tomography analysis, the P/L ratio of 1:1 (g/mL group indicated the largest quantity of new bone formation at 4 weeks, 8 weeks, and 12 weeks after implantation, respectively. Bone volume per trabecular volume of the 1:1 group was highest in the four groups, which was 1.45% ± 0.42%, 7.35% ± 1.45%, and 29.10% ± 1.67% at 4 weeks, 8 weeks, and 12 weeks after the operation, respectively. In the biomechanical tests, the compressive strength and the elastic modulus of the three CPC–FG groups were much higher than those of the pure CPC group at the determined time point (P < 0.05. The histological evaluation also showed the best osseointegration in the 1:1 group at 4 weeks, 8 weeks, and 12 weeks after the operation, respectively. In the 1:1 group, the bone grew into the pore of the cement in the laminar arrangement and connected with the cement tightly at the 12th week after the operation

  10. Influence of addition of calcium oxide on physicochemical properties of Portland cement with zirconium or niobium oxide

    Directory of Open Access Journals (Sweden)

    Mario Tanomaru-Filho

    2015-01-01

    Full Text Available Context: Calcium oxide (CaO may be added to mineral trioxide aggregate (MTA or Portland cement (PC to improve physicochemical and biological properties. Aims: To evaluate the physicochemical properties of PC associated with radiopacifiers and CaO. Materials and Methods: MTA Angelus, PC + 30% zirconium oxide (Zr, or 30% niobium oxide (Nb associated with 10 or 20% of CaO were evaluated. Gilmore needles were used to evaluate initial and final setting time. Compressive strength was evaluated after the periods of 24 hours and 21 days. pH was analyzed after 3, 12, 24 hours, 7, 14, 21 days. Solubility and flow tests were performed based on the ISO 6876. The data obtained were submitted to analysis of variance and Tukey tests (P ≤ 0.05. Results: The associations with 10% CaO showed greater strength that the associations with 20% CaO. The shortest initial setting time was observed for the association PC + Zr + 20% CaO and MTA. All the cements presented alkaline pH. The flow of all cements was similar. The highest solubility was found in the associations with 20% CaO. Conclusion: The addition of CaO to PC favored the alkaline property and the PC + Zr + 20% CaO presented setting time similar to MTA.

  11. The site of bone cement leakage and its prevention in vertebroplasty%椎体成形术骨水泥渗漏部位及防治

    Institute of Scientific and Technical Information of China (English)

    zz

    2015-01-01

    Objective To discuss the site of vertebral body bone cement leakage and its preventive action. Methods 46 patients with bone cement leakage were selected after surgery. The bone cement leakage by imaging examination were observed, the site of the bone cement leakage and the leakage of clinical manifestations were recorded. After an-alyzing the causes of leakage, preventive action was applied. Results Spinal canal leakage of bone cement was found in 6 cases, intervertebral discs 9 cases, 10 cases of vertebral soft tissue by bone cement leakage, 10 cases of needle pulling the tail bone cement leakage, anterior of vertebral bone cement leakage in 11 cases. 38 patients with-out dealing with the condition was effectively controlled with ease;3 patients with bone cement leakage of spinal canal appeared low limbs acute pain after the operation, ease pain after emergency operation and decompression therapy;5 patients with disc leakage of bone cement appeared different degrees of lower back pain, through using the method of corresponding treatment, the 1 ~3 days pain was greatly reduced. Conclusions Strengthening standard operation procedures, skilled and precise operation, perfect image monitor can effective prevention of bone cement leakage dur-ing vertebroplasty.%目的 探讨椎体成形术出现骨水泥渗漏的部位及预防措施. 方法 对46例椎体成形术中出现骨水泥渗漏的患者通过影像学检查观察注射骨水泥椎体的渗漏情况,记录骨水泥渗漏的位置及渗漏所产生的临床表现,分析渗漏原因,提出防治措施. 结果 椎管内骨水泥渗漏6例,椎间盘内骨水泥渗漏9例,椎旁软组织骨水泥渗漏10例,穿刺针道拖尾骨水泥渗漏10例,椎体前骨水泥渗漏11例. 38例无需处理病情得到有效控制与缓解;3例椎管内骨水泥渗漏者术后出现肢体剧烈疼痛,经过急诊手术和减压治疗之后疼痛得到缓解;5例椎间盘骨水泥渗漏者术后第1~3天出现不

  12. Reinforcing effect of calcium sulfate cement bovine bone morphogenetic protein on vertebral in the rabbit model of osteoporosis

    Institute of Scientific and Technical Information of China (English)

    Jie Zhang; Yu-Ming Chen; Chen Sheng-Guo; Kaken Habaerxi; Shawuti Alimujiang; Yu Chen; Ming-Zhen Peng; Rong Yue; Yu-Lian Wu; De-Quan Wang

    2014-01-01

    Objective:To observe reinforcing effect of calcium sulfate cement(CSC) bovine bone morphogenetic protein(bBMP) on vertebral in the rabbit model of osteoporosis.Methods:A total of48NewZealand white rabbits were randomly divided into groupⅠ(blank control group), group Ⅱ(CSC injection group), group Ⅲ(CSC/bBMP injection group) and control group.White rabbit osteoporosis model was established rapidly by using castration method+methylprednisolone candidate.After modeling, groups Ⅱ, Ⅲ were given corresponding vertebral body injection material, and4 animals were sacrificed respectively at24 h,6 weeks,12 weeks after vertebral plasty.Tissue pathological status, vertebral mineral density and vertebral body bone mechanical strength were observed.Results:Vertebral body structure form was normal in the groups Ⅱand Ⅲ.Trabecular bone coarsens, connection and repair were observed in micro fracture and bone defects, bone trabecular connectivity was superior to group Ⅰ significantly; vertebral body compression strength in the groupⅠ was on the decline, vertebral compression strength in the groups Ⅱand Ⅲ was on the rise, the largest vertebra.PostoperativeBMC andBMD in groups Ⅱand Ⅲ were incresed, andsignificantly higher than group Ⅰ after6 weeks(P<0.05),BMC and BMD in group Ⅲ after12 weeks were higher than the other three groups.Conclusion:Compound bBMPCSC has good bone induction.It can improve the three-dimensional construction effect for osteoporosis vertebral trabecula, and can significantly improve the vertebral strength, as a vertebral packing material with good application prospect.

  13. 骨水泥强化椎弓根螺钉固定对骨质疏松患者有利无弊?★%Pedicle screw fixation augmented with bone cement benefits osteoporosis patients?

    Institute of Scientific and Technical Information of China (English)

    岳文峰; 夏虹; 王建华

    2013-01-01

    BACKGROUND:During the pedicle screw fixation for lumbar disease patients accompanied with osteoporosis, addition of bone cement in osteoporotic vertebral body can significantly increase the stability of internal fixation, but the effect on adjacent segments is not clear. OBJECTIVE:To observe the effect on adjacent segments of osteoporosis patients after pedicle screw fixation augmented with bone cement in early and medium-term fol ow-up period. METHODS:We reviewed the medical information of 87 patients suffering from lumbar disease accompanied with osteoporosis who underwent operation of pedicle screw fixation and posterior lumbar spinal decompression, and the patients were divided into three groups:conventional pedicle screw group, conventional pedicle screw+bone cement group, novel perfusional pedicle screw+bone cement group. The samples were fol owed-up for 6-18 months, averaged 9 months. The Oswestry disability index, intervertebral distance of the upper adjacent segments, deformation index of the upper adjacent vertebral body, concave angle of the fixed lumbar vertebrae superior end-plate and the upper adjacent vertebral body inferior end-plate, and Cobb angle were measured before operation, at 3 days postoperation and during final fol ow-up. RESULTS AND CONCLUSION:The Oswestry disability index of the final fol ow-up in the three groups were decreased when compared with that before operation (P0.05). This showed that in posterior spinal fixation operation, there was no significant difference in the early and medium-term subjective effect between addition of bone cement or not and different adding ways, and addition of bone cement or not and different adding ways could remarkably improve the life quality of the patients. The change of Cobb angle of fixed lumbar vertebrae between the final fol ow-up and 3 days after operation in conventional pedicle screw+bone cement group and novel perfusional pedicle screw+bone cement group was both less than that in the

  14. [Favourable long-term results from cemented total hip arthroplasty combined with acetabular bone impaction grafting in patients under the age of 50

    NARCIS (Netherlands)

    Busch, V.J.; Gardeniers, J.W.M.; Slooff, T.J.J.H.; Veth, R.P.H.; Schreurs, B.W.

    2007-01-01

    OBJECTIVE: Determination of long-term results of hip replacements in patients who, at the time of operation, were under the age of 50. Procedures whereby an existing acetabulum defect was filled with bone chips that were impacted into a strong layer, after which a cemented total hip prosthesis was i

  15. Simulation of the mechanical behavior of a HIP implant. Implant fixed to bone by cementation under arbitrary load

    Energy Technology Data Exchange (ETDEWEB)

    Oldani, C R [Materials Department - FCEFyN - Universidad Nacional de Cordoba, Av.Velez Sarsfield 1611 (5016) Cordoba (Argentina); Dominguez, A A [INTI Cordoba, Av. Velez Sarsfield 1561 (5016) Cordoba (Argentina)

    2007-11-15

    In a previous work a finite elements model was constructed to simulate a fatigue assay according to the norm IRAM 9422-3. Three materials were studied, two of them are the most used in this type of implant (Stainless steel 3161 and alloy T16A14V) and the third was a new developed titanium alloy (Ti35Nb7Zr5Ta). Static loads were applied to the model according to the highest requirements of the norm and the stress - strain distribution were determined. In this study a simplified analysis of the material's fatigue was done according to the previous work. The best behavior of the titanium alloys vs. the stainless steel was evident. With the objective of studying the behavior of both: the implant and the femur bone, new finite elements models were realized, in which the presence of the bone was considered. Inside the bone, the femoral component of the implant was placed in a similar way of a cemented prosthesis in a total hip arthroplasty. The advantage of the titanium implant related to the stainless steel one, was very clear.

  16. Simulation of the mechanical behavior of a HIP implant. Implant fixed to bone by cementation under arbitrary load

    Science.gov (United States)

    Oldani, C. R.; Dominguez, A. A.

    2007-11-01

    In a previous work a finite elements model was constructed to simulate a fatigue assay according to the norm IRAM 9422-3. Three materials were studied, two of them are the most used in this type of implant (Stainless steel 3161 and alloy T16A14V) and the third was a new developed titanium alloy (Ti35Nb7Zr5Ta). Static loads were applied to the model according to the highest requirements of the norm and the stress - strain distribution were determined. In this study a simplified analysis of the material's fatigue was done according to the previous work. The best behavior of the titanium alloys vs. the stainless steel was evident. With the objective of studying the behavior of both: the implant and the femur bone, new finite elements models were realized, in which the presence of the bone was considered. Inside the bone, the femoral component of the implant was placed in a similar way of a cemented prosthesis in a total hip arthroplasty. The advantage of the titanium implant related to the stainless steel one, was very clear.

  17. Antibiotic-loaded acrylic bone cements: An in vitro study on the release mechanism and its efficacy

    Energy Technology Data Exchange (ETDEWEB)

    Miola, Marta, E-mail: marta.miola@polito.it [Applied Science and Technology Department, Politecnico di Torino (Italy); Bistolfi, Alessandro [Department of Orthopaedics, Traumatology and HM, University of Turin (Italy); AO CTO, M Adelaide Hospital, Turin (Italy); Valsania, Maria Carmen; Bianco, Carlotta [Department of Orthopaedics, Traumatology and HM, University of Turin (Italy); Fucale, Giacomo [Chemical, Clinical and Microbiological Analyses Dept., CTO, Turin (Italy); Verné, Enrica [Applied Science and Technology Department, Politecnico di Torino (Italy)

    2013-07-01

    An in vitro study was carried out in order to investigate the antibiotic release mechanism and the antibacterial properties of commercially (Palacos® R + G and Palacos® LV + G) and manually (Palacos® R + GM and Palacos® LV + GM) blended gentamicin-loaded bone cements. Samples were characterized by means of scanning electron microscopy (SEM) and compression strength was evaluated. The antibiotic release was investigated by dipping sample in simulated body fluid (SBF) and periodically analyzing the solution by means of high pressure liquid chromatography (HPLC). Different antibacterial tests were performed to investigate the possible influence of blending technique on antibacterial properties. Only some differences were observed between gentamicin manually added and commercial ones, in the release curves, while the antibacterial effect and the mechanical properties seem to not feel the blending technique. Highlights: • The efficacy of commercially and manually mixed antibiotic-loaded cements is studied. • Exhaustive mechanical, drug release and antibacterial studies are carried out. • The blending technique does not affect the antibacterial and mechanical properties. • The blending process influences only the release curve, not the released drug amount.

  18. 骨水泥加固椎弓根螺钉的生物力学特性%Biomechanical properties of bone cement injectable canulated pedicle screw

    Institute of Scientific and Technical Information of China (English)

    隆海滨; 孙桂森; 王卫国

    2015-01-01

    BACKGROUND:Bony and structural feature often cause pulout strength decrease of pedicle screw, which induces loosening and pulout, and finaly results in fixation failure. Thus, it is very important to elevate the stability of pedicle screw. OBJECTIVE:To detect the biomechanical stability of bone cement injectable canulated pedicle screw, and to provide reference for bone cement dosage. METHODS: We selected T11-L4 samples of seven fresh adult corpses, containing 40 vertebral bodies. They were randomly divided into bone cement injectable canulated pedicle screw group and DTPSTM pedicle screw group (n=20). After screw implantation, 1, 2, 3 and 5 mL bone cement was injected. The diffuse distribution of bone cement was observed by imaging. The maximum axial pulout strength was measured. RESULTS AND CONCLUSION:When the dose of bone cement was 1-3 mL, the average maximum axial pulout strength was significantly greater in the bone cement injectable canulated pedicle screw group than in the DTPSTM pedicle screw group (P 0.05). The regression equation was Y=25.269X+133.681 (R2=0.837) in the bone cement injectable canulated pedicle screw, and Y=32.039X+99.251 (R2=0.936) in the DTPSTM pedicle screw group. When the dosage of bone cement was 1-5 mL, the maximum axial pulout strength was highly positively correlated with bone cement dosage (|R| > 0.8). These results suggested that bone cement augmentation pedicle screw could apparently elevate the stability of the screw. The maximum axial pulout strength of the pedicle screw was positively correlated with bone cement dosage. After reaching the satisfactory fixation effects, the bone cement injectable canulated pedicle screw can reduce bone cement dosage, diminish the risk of bone cement leakage, and have more advantages than DTPSTM pedicle screw.%背景:由于骨质原因及结构特点导致椎弓根螺钉经常出现把持力下降,从而发生松动、拔出,导致内固定失败,因此提高椎弓根螺钉的稳定

  19. A Novel Injectable Magnesium/Calcium Sulfate Hemihydrate Composite Cement for Bone Regeneration

    Directory of Open Access Journals (Sweden)

    Shanchuan Zhang

    2015-01-01

    Full Text Available Objective. A novel injectable magnesium/calcium sulfate hemihydrate (Mg/CSH composite with improved properties was reported here. Methods. Composition, setting time, injectability, compressive strength, and bioactivity in simulated body fluid (SBF of the Mg/CSH composite were evaluated. Furthermore, the cellular responses of canine bone marrow stromal cells (cBMSCs and bone formation capacity after the implantation of Mg/CSH in tibia defects of canine were investigated. Results. Mg/CSH possessed a prolonged setting time and markedly improved injectability and mechanical property p<0.05. Mg/CSH samples showed better degradability than CSH in SBF after 21 days of soaking p<0.05. Moreover, the degrees of cell attachment, proliferation, and capability of osteogenic differentiation on the Mg/CSH specimens were higher than those on CSH, without significant cytotoxicity and with the increased proliferation index, ALP activity, and expression levels of integrin β1 and Coll I in cBMSCs p<0.05. Mg/CSH enhanced the efficiency of new bone formation at the tibia defect area, including the significantly elevated bone mineral density, bone area fraction, and Coll I expression level p<0.05. Conclusions. The results implied that this new injectable bone scaffold exhibited promising prospects for bone repair and had a great potential in bone tissue engineering.

  20. Efficiency modeling of solidification/stabilization of multi-metal contaminated industrial soil using cement and additives

    Energy Technology Data Exchange (ETDEWEB)

    Voglar, Grega E. [RDA - Regional Development Agency Celje, Kidriceva ulica 25, 3000 Celje (Slovenia); Lestan, Domen, E-mail: domen.lestan@bf.uni-lj.si [Agronomy Department, Centre for Soil and Environmental Science, Biotechnical Faculty, University of Ljubljana, Jamnikarjeva 101, 1000 Ljubljana (Slovenia)

    2011-08-30

    Highlights: {yields} We assess the feasibility of using soil S/S for industrial land reclamation. {yields} Retarders, accelerators, plasticizers were used in S/S cementitious formulation. {yields} We proposed novel S/S efficiency model for multi-metal contaminated soils. - Abstract: In a laboratory study, formulations of 15% (w/w) of ordinary Portland cement (OPC), calcium aluminate cement (CAC) and pozzolanic cement (PC) and additives: plasticizers cementol delta ekstra (PCDE) and cementol antikorodin (PCA), polypropylene fibers (PPF), polyoxyethylene-sorbitan monooleate (Tween 80) and aqueous acrylic polymer dispersion (Akrimal) were used for solidification/stabilization (S/S) of soils from an industrial brownfield contaminated with up to 157, 32,175, 44,074, 7614, 253 and 7085 mg kg{sup -1} of Cd, Pb, Zn, Cu, Ni and As, respectively. Soils formed solid monoliths with all cementitious formulations tested, with a maximum mechanical strength of 12 N mm{sup -2} achieved after S/S with CAC + PCA. To assess the S/S efficiency of the used formulations for multi-element contaminated soils, we propose an empirical model in which data on equilibrium leaching of toxic elements into deionized water and TCLP (toxicity characteristic leaching procedure) solution and the mass transfer of elements from soil monoliths were weighed against the relative potential hazard of the particular toxic element. Based on the model calculation, the most efficient S/S formulation was CAC + Akrimal, which reduced soil leachability of Cd, Pb, Zn, Cu, Ni and As into deionized water below the limit of quantification and into TCLP solution by up to 55, 185, 8750, 214, 4.7 and 1.2-times, respectively; and the mass transfer of elements from soil monoliths by up to 740, 746, 104,000, 4.7, 343 and 181-times, respectively.

  1. Wireless Connection between Guide Wires and Bone Cement: Extravasated Methyl Methacrylate Mimicking a Retained Guide Wire

    Directory of Open Access Journals (Sweden)

    Kevin C. Ching

    2013-01-01

    Full Text Available We present the case of a 56-year-old double lung transplant recipient with chest pain who underwent an attempted endovascular retrieval of what was described as a retained guide wire in the azygos vein. After successfully grasping the tip, the object further migrated to the right pulmonary artery complicating the retrieval. It was realized that the “wire” was extravasated methyl methacrylate from a recent percutaneous kyphoplasty. This is believed to be the first report of attempted endovascular retrieval of extravasated methyl methacrylate in the azygos system. We include the details of this case and briefly review the current literature on the management of extravasated methyl methacrylate from vertebral augmentation procedures. Extravasated methyl methacrylate in the venous system is a common finding after vertebral augmentation procedures and any radiopaque stripe arising from a cemented vertebral body should be first described as probable cement leakage.

  2. Bone healing response to an injectable calcium phosphate cement with enhanced radiopacity.

    Science.gov (United States)

    Acarturk, Oguz; Lehmicke, Michael; Aberman, Harold; Toms, Derek; Hollinger, Jeffrey O; Fulmer, Mark

    2008-07-01

    The aim of this study was to determine the impact of barium sulfate on remodeling and regeneration in standard tibial defects in rabbits treated with the Norian skeletal repair system (SRS). Two formulations of SRS (with and without barium sulfate) were injected into the medullary canal of the tibia of New Zealand white rabbits. Animals were sacrificed at 6 weeks, 6 months, 1 year, and 2 years. Over the 2-year duration of the study, standard SRS and SRS with barium sulfate appeared to be biocompatible and osteoconductive with no evidence of either inflammation or fibrous tissue around the implant materials or at the bone-material interfaces. This outcome underscores the osteophilic property of the SRS. A difference we observed between the standard SRS and the SRS with barium sulfate was the appearance of acellular material contiguous to the SRS with barium sulfate. Energy dispersive X-ray spectroscopy (EDX) analysis was conducted and confirmed that the acellular material was barium sulfate. Pathological examination of additional tissues including regional lymph nodes revealed neither dissemination of calcium phosphate nor barium sulfate. We concluded that the residual barium sulfate detected by EDX was localized to the intramedullary canal of the tibia. PMID:18098201

  3. Effect of addition of nano-hydroxyapatite on physico-chemical and antibiofilm properties of calcium silicate cements

    Science.gov (United States)

    GUERREIRO-TANOMARU, Juliane Maria; VÁZQUEZ-GARCÍA, Fernando Antonio; BOSSO-MARTELO, Roberta; BERNARDI, Maria Inês Basso; FARIA, Gisele; TANOMARU, Mario

    2016-01-01

    ABSTRACT Objective Mineral Trioxide Aggregate (MTA) is a calcium silicate cement composed of Portland cement (PC) and bismuth oxide. Hydroxyapatite has been incorporated to enhance mechanical and biological properties of dental materials. This study evaluated physicochemical and mechanical properties and antibiofilm activity of MTA and PC associated with zirconium oxide (ZrO2) and hydroxyapatite nanoparticles (HAn). Material and Methods White MTA (Angelus, Brazil); PC (70%)+ZrO2 (30%); PC (60%)+ZrO2 (30%)+HAn (10%); PC (50%)+ZrO2 (30%)+HAn (20%) were evaluated. The pH was assessed by a digital pH-meter and solubility by mass loss. Setting time was evaluated by using Gilmore needles. Compressive strength was analyzed by mechanical test. Samples were radiographed alongside an aluminum step wedge to evaluate radiopacity. For the antibiofilm evaluation, materials were placed in direct contact with E. faecalis biofilm induced on dentine blocks. The number of colony-forming units (CFU mL-1) in the remaining biolfilm was evaluated. The results were submitted to ANOVA and the Tukey test, with 5% significance. Results There was no difference in pH levels of PC+ZrO2, PC+ZrO2+HAn (10%) and PC+ZrO2+HAn (20%) (p>0.05) and these cements presented higher pH levels than MTA (p<0.05). The highest solubility was observed in PC+ZrO2+HAn (10%) and PC+ZrO2+HAn (20%) (p<0.05). MTA had the shortest initial setting time (p<0.05). All the materials showed radiopacity higher than 3 mmAl. PC+ZrO2 and MTA had the highest compressive strength (p<0.05). Materials did not completely neutralize the bacterial biofilm, but the association with HAn provided greater bacterial reduction than MTA and PC+ZrO2 (p<0.05) after the post-manipulation period of 2 days. Conclusions The addition of HAn to PC associated with ZrO2 harmed the compressive strength and solubility. On the other hand, HAn did not change the pH and the initial setting time, but improved the radiopacity (HAn 10%), the final setting time

  4. Surgical treatment of the osteoporotic spine with bone cement-injectable cannulated pedicle screw fixation: technical description and preliminary application in 43 patients

    Directory of Open Access Journals (Sweden)

    Fei Dai

    2015-02-01

    Full Text Available OBJECTIVES: To describe a new approach for the application of polymethylmethacrylate augmentation of bone cement-injectable cannulated pedicle screws. METHODS: Between June 2010 and February 2013, 43 patients with degenerative spinal disease and osteoporosis (T-score <-2.5 underwent lumbar fusion using cement-injectable cannulated pedicle screws. Clinical outcomes were evaluated using a Visual Analog Scale and the Oswestry Disability Index. Patients were given radiographic follow-up examinations after 3, 6, and 12 months and once per year thereafter. RESULTS: All patients were followed for a mean of 15.7±5.6 months (range, 6 to 35 months. The Visual Analog Scale and Oswestry Disability Index scores showed a significant reduction in back pain (p = 0.018 and an improvement in lower extremity function (p = 0.025 in patients who underwent lumbar fusion using the novel screw. Intraoperative cement leakage occurred in four patients, but no neurological complications were observed. Radiological observation indicated no loosening or pulling out of the novel screw, and bone fusion was excellent. CONCLUSIONS: The described polymethylmethacrylate augmentation technique using bone cement-injectable cannulated pedicle screws can reduce pain and improve spinal dysfunction in osteoporotic patients undergoing osteoporotic spine surgery.

  5. Estudio experimental de la osteosustitución con biomateriales cerámicos formulados como cementos óseos Experimental study of the bone substitution with ceramic biomaterials formulated as bone cements

    Directory of Open Access Journals (Sweden)

    E S Sanzana

    2007-01-01

    Full Text Available Los biomateriales cerámicos presentan interesantes propiedades biológicas, por lo que pueden ser utilizados en la sustitución ósea. En este estudio fueron comparados dos cementos óseos de fosfato de calcio con el autoinjerto óseo esponjoso. Se realizó un defecto cavitario de 6 mm en la metáfisis femoral distal derecha de 36 conejos machos Oryctolagus cuniculi. Los animales fueron divididos en 3 grupos de 12 conejos, que recibieron como implantes cemento de fosfato a tricálcico (TPC, cemento de fosfato monocálcico (MPC y autoinjerto óseo (CON. Los estudios radiológico e histológico han mostrado una correcta sustitución de ambos biomateriales por hueso neoformado. El estudio histomorfométrico ha revelado que la neoformación ósea obtenida con los 2 cementos, tanto a las 4 como las 12 semanas, es equivalente a la generada por el injerto óseo. No se han encontrado diferencias significativas en la reabsorción de los materiales. Finalmente, este trabajo ha concluido que los cementos óseos de fosfato de calcio son materiales osteoconductivos, osteotransductivos y biocompatibles que se comportan como sustitutivos óseos.Ceramic biomaterials have interesting biological properties that can be used in bone substitution. In this study two calcium phosphate bone cements were compared to cancellous bone autograft. A bone cavitary defect of 6 mm in diameter was carried out in the right distal femoral methaphyses of 36 male rabbits Oryctolagus cuniculi. The animals were divided into 3 groups of 12 rabbits receiving a tricalcium phosphate cement (TPC, monocalcium phosphate cement (MPC and autologous bone (CON as implants. The radiological and histological studies showed a correct substitution of both biomaterials with new bone. The histomorphometric study revealed that the bone neoformation obtained with the two cements at 4 and 12 weeks is equivalent to the bone generated by the bone graft. There were no significant differences in the

  6. The effect of pozzolan additions on the shrinkage of cement pastes and mortars during their first hours of age

    Directory of Open Access Journals (Sweden)

    Ossa, M. Mauricio

    1992-03-01

    Full Text Available The traditional favour enjoyed by cement including additions and by their diverse uses in Chile calls for an extense investigation of their behaviour in order that the results may justify their utilization in specific projects. This works studies volume changes occurring in cement pastes and mortars containing pozzolan additions during their first hours of age. This investigation used cements made in the laboratory from raw materials supplied by chilean manufacturers. Two types of clinkers were used, namely; a gypsum type and a natural pozzolan type, added in proportions ranging from 0 to 30%.Tests were conducted to ascertain the shrinkage of cement pastes and mortars since the first moments following their mixing operation, employing there for moulds fitted with a special device designed and implemented at the laboratory of the IDIEM Department of Agglomerants. The results thus gathered corroborated the fact that independently of cement characteristics, in general the deformation of pastes and mortars exhibits successive periods of first shrinkage swelling, and second shrinkage. The first shrinkage is affected by the ambient conditions of humidity, temperature, and wind (evaporation, but also in a preponderant way by cement specific surface, which allows higher velocity in the chemical reactions occurring during that period. Moreover the compactation degree is also affecting shrinkage, here. On the other hand, it was confirmed that with cements of like fineness, those having higher C3A contents exhibit an overall shrinkage larger than that of cements having low contents. At last it was possible to ascertain that an increase in pozzolan contents does not affect shrinkage directly, but that its presence may eventually modify the gypsum/clinker ratio and thus give rise to changes, specially in the two States of swelling and second shrinkage.

    La tradicional aceptación en Chile de los cementos con adición y su diversidad

  7. A laboratory investigation to assess the influence of cement augmentation of screw and plate fixation in a simulation of distal femoral fracture of osteoporotic and non-osteoporotic bone.

    Science.gov (United States)

    Wähnert, D; Lange, J H; Schulze, M; Gehweiler, D; Kösters, C; Raschke, M J

    2013-10-01

    The augmentation of fixation with bone cement is increasingly being used in the treatment of severe osteoporotic fractures. We investigated the influence of bone quality on the mechanics of augmentation of plate fixation in a distal femoral fracture model (AO 33 A3 type). Eight osteoporotic and eight non-osteoporotic femoral models were randomly assigned to either an augmented or a non-augmented group. Fixation was performed using a locking compression plate. In the augmented group additionally 1 ml of bone cement was injected into the screw hole before insertion of the screw. Biomechanical testing was performed in axial sinusoidal loading. Augmentation significantly reduced the cut-out distance in the osteoporotic models by about 67% (non-augmented mean 0.30 mm (sd 0.08) vs augmented 0.13 mm (sd 0.06); p = 0.017). There was no statistical reduction in this distance following augmentation in the non-osteoporotic models (non-augmented mean 0.15 mm (sd 0.02) vs augmented 0.15 mm (sd 0.07); p = 0.915). In the osteoporotic models, augmentation significantly increased stability (p = 0.017). PMID:24078541

  8. A correlative imaging based methodology for accurate quantitative assessment of bone formation in additive manufactured implants.

    Science.gov (United States)

    Geng, Hua; Todd, Naomi M; Devlin-Mullin, Aine; Poologasundarampillai, Gowsihan; Kim, Taek Bo; Madi, Kamel; Cartmell, Sarah; Mitchell, Christopher A; Jones, Julian R; Lee, Peter D

    2016-06-01

    A correlative imaging methodology was developed to accurately quantify bone formation in the complex lattice structure of additive manufactured implants. Micro computed tomography (μCT) and histomorphometry were combined, integrating the best features from both, while demonstrating the limitations of each imaging modality. This semi-automatic methodology registered each modality using a coarse graining technique to speed the registration of 2D histology sections to high resolution 3D μCT datasets. Once registered, histomorphometric qualitative and quantitative bone descriptors were directly correlated to 3D quantitative bone descriptors, such as bone ingrowth and bone contact. The correlative imaging allowed the significant volumetric shrinkage of histology sections to be quantified for the first time (~15 %). This technique demonstrated the importance of location of the histological section, demonstrating that up to a 30 % offset can be introduced. The results were used to quantitatively demonstrate the effectiveness of 3D printed titanium lattice implants.

  9. THE INFLUENCE OF CaO AND P2O5 OF BONE ASH UPON THE REACTIVITY AND THE BURNABILITY OF CEMENT RAW MIXTURES

    Directory of Open Access Journals (Sweden)

    TOMÁŠ IFKA

    2012-03-01

    Full Text Available The influence of CaO and P2O5 upon the reactivity of cement raw meal was investigated in this paper. Ash of bone meal containing Ca3(PO42 - 3CaO·P2O5 was used as the source of P2O5. Two series of samples with different content of the ash of bone meal were prepared. In the first series, the ash of bone was added into cement raw meal. The second series of samples were prepared by considering ash as one of CaO sources. Therefore, the total content of CaO in cement raw meal was kept constant, while the amount of P2O5 increased. These different series of samples were investigated by analyzing free lime content in the clinkers. The XRD analysis and Electron Micro Probe Analyzer analysis of the clinkers were also carried out. Two parameters were used to characterize the reactivity of cement raw meal: content of free lime and Burnability Index (BI calculated from free lime content in both series of samples burnt at 1350 ºC, 1400 ºC, 1450 ºC and 1500 ºC. According to the first parameter, P2O5 content that drastically makes worse the reactivity of cement raw meal was found at 1.11 wt.% in the first series, while this limit has reached 1.52 wt.% in the second one. According to the BI, the limit of P2O5 was found at 1.42 wt. % in the first series and 1, 61 wt.% in the second one. Furthermore, EPMA has demonstrated the presence of P2O5 in both calcium silicate phases forming thus solid solutions.

  10. Effect of mineral additives (natural pozzolana and sand of dunes) by substitution of cement on the performance and durability of mortars

    Science.gov (United States)

    Saidi, M.; Safi, B.

    2016-04-01

    The objective of our work consists of the study of the substitution effects of clinker by mineral additions such as: natural pozzolana (PZ) and the sand of dunes (SD) finely crushed on the mechanical properties and the durability of the mortars worked out according to various combinations containing these additions. The results from this research confirm that the substitution of 20% to 30% of cement APC (Artificial Portland Cement) by additions in binary cement (APC + PZ) or ternary (APC + PZ + SD) contributes positively to the mechanical strength of mortars and resistance to the chemical attacks in various corrosive conditions such as: hydrochloric acid, sulfuric acid and nitric acid. The mechanical strength of the different variants is comparable to those of the APC. The test results of the weight loss and phenolphthalein shows that the chemical resistance of variants (PZ20) and (PZ20 with SD5) are larger compared to the reference mortar APC and other variants. This study shows that adding value by substituting a part of clinker. This substitution can save 20% to 30% of clinker used for the manufacture of cement; this will have a beneficial effect for cement and economically (less energy spent for the clinker burning). This study contributes to the protection of the environment as to produce one ton of clinker generates about one ton of CO2 is harmful to the atmosphere. Based on our results we will reduce from 20% to 30% CO2 gas responsible for the greenhouse effect.

  11. Influence of Environmentally Friendly and High-Efficiency Composite Additives on Pulverized Coal Combustion in Cement Industry

    Directory of Open Access Journals (Sweden)

    Zhiyong Wang

    2016-01-01

    Full Text Available 4 kinds of chemical reagents and 3 kinds of industrial wastes were selected as burning additives for 2 kinds of coals in cement industry. The work focused on the replacement of partial chemical reagents by industrial wastes, which not only reduced the cost and took full advantage of industrial wastes, but also guaranteed the high combustion efficiency and removed the NOX and SO2 simultaneously. The experiments were carried out in DTF. The combustion residues were analyzed by SEM and XRD. The results showed that the burnout rate was increased after adding the additives; meanwhile, the NOX and SO2 release concentration were reduced, but the degree of action varied for different additives and coals. The substitute of chemical reagents by industrial wastes was very effective; overall, the cold-rolled iron oxide worked better than others; the particles surface was tougher and the peaks of crystalline phase were lower than raw coal, which indicated that the additives played good roles in combustion process.

  12. Effect of Water Addition on Rheological Behaviour of Bauxite Based Low-cement Castables

    Institute of Scientific and Technical Information of China (English)

    ZHOU Xianxin; Michel RIGANU; ZHOU Ningsheng

    2004-01-01

    Water addition has direct impact on castables and needs to be under control placement and properties, In this work, two rheological properties, flow resistance and torque viscosity, have been measured against time, with different water addition in the same bauxile-based LC Castable mix. The flow resistance indicates the mobility,whereas the torque viscosity dictates the stability of a castable during installation. It has been observed that with 6.0 wt % water addition, such a mix possesses good vibration castable characteristics; with 6.5 wt% , it shows good self-flow castable characteristics; and with 7. 0wt %, it can be a good pumpable castable, in every case with comparable mechanical properties. While with 7.5wt % water addition, the properties of such castable aredefinitively impaired.

  13. Bone impaction grafting and a cemented cup after acetabular fracture at 3-18 years.

    NARCIS (Netherlands)

    Schreurs, B.W.; Zengerink, M.; Welten, M.L.M.; Kampen, A. van; Slooff, T.J.J.H.

    2005-01-01

    The outcome of total hip arthroplasty after acetabular fracture is compromised. We studied if the bone impaction grafting technique could provide long-term prosthesis survival in deformed and irregular acetabula. We studied 20 hips in 20 patients (mean age, 53.3 years; range, 35-75 years) that were

  14. EFFECT OF CALCIUM ADDITION ON THE DEFLUORIDATION CAPACITY OF BONE CHAR

    DEFF Research Database (Denmark)

    Jacobsen, P.; Dahi, Elian

    1997-01-01

    Dosage of small amounts of calcium chloride to fluoride water prior to contact with bone char which has already been saturated with fluoride is shown to provide an additional fluoride removal capacity. The additionally obtained removal capacity increases with slower filtration velocities and incr...

  15. Freeze-Thaw Performance and Moisture-Induced Damage Resistance of Base Course Stabilized with Slow Setting Bitumen Emulsion-Portland Cement Additives

    Directory of Open Access Journals (Sweden)

    Mojtaba Shojaei Baghini

    2015-01-01

    Full Text Available Freeze-thaw (FT cycles and moisture susceptibility are important factors influencing the geotechnical characteristics of soil-aggregates. Given the lack of published information on the behavior of cement-bitumen emulsion-treated base (CBETB under environmental conditions, especially freezing and thawing, this study investigated the effects of these additives on the CBETB performance. The primary goal was to evaluate the resistance of CBETB to moisture damage by performing FT, Marshall conditioning, and AASHTO T-283 tests and to evaluate the long-term stripping susceptibility of CBETB while also predicting the liquid antistripping additives to assess the mixture’s durability and workability. Specimens were stabilized with Portland cement (0%–6%, bitumen emulsion (0%–5%, and Portland cement-bitumen emulsion mixtures and cured for 7 days, and their short- and long-term performances were studied. Evaluation results of both the Marshall stability ratio and the tensile strength ratio show that the additions of additives increase the resistance of the mixtures to moisture damage. Results of durability tests performed for determining the resistance of compacted specimens to repeated FT cycles indicate that the specimen with the 4% cement-3% bitumen emulsion mixture significantly improves water absorption, volume changes, and weight losses. This indicates the effectiveness of this additive as a road base stabilizer with excellent engineering properties for cold regions.

  16. Toward accelerated bone regeneration by altering poly(D,L-lactic-co-glycolic) acid porogen content in calcium phosphate cement.

    Science.gov (United States)

    van Houdt, C I A; Preethanath, R S; van Oirschot, B A J A; Zwarts, P H W; Ulrich, D J O; Anil, S; Jansen, J A; van den Beucken, J J J P

    2016-02-01

    This work aimed to compare in vitro degradation of dense PLGA microspheres and milled PLGA particles as porogens within CPC, considering that the manufacturing of milled PLGA is more cost-effective when compared with PLGA microspheres. Additionally, we aimed to examine the effect of porogen amount within CPC/PLGA on degradation and bone formation. Our in vitro results showed no differences between both forms of PLGA particles (as porogens in CPC; spherical for microspheres, irregular for milled) regarding morphology, porosity, and degradation. Using milled PLGA as porogens within CPC/PLGA, we evaluated the effect of porogen amount on degradation and bone forming capacity in vivo. Titanium landmarks surrounded by CPC/PLGA with 30 and 50 wt % PLGA, were implanted in forty femoral bone defects of twenty male Wistar rats. Histomorphometrical results showed a significant temporal decrease in the amount of CPC, for both formulas, and confirmed that 50 wt % PLGA degrades faster than 30 wt%, and allows for a 1.5-fold higher amount of newly formed bone. Taken together, this study demonstrated that (i) milled PLGA particles perform equal to PLGA microspheres, and (ii) tuning of the PLGA content in CPC/PLGA is a feasible approach to leverage material degradation and bone formation.

  17. Revision stapes surgery for lysis of the long process of the incus: comparing hydroxyapatite bone cement versus malleovestibulopexy and total ossicular replacement prosthesis.

    Science.gov (United States)

    Pitiot, Vincent; Hermann, Ruben; Tringali, Stéphane; Dubreuil, Christian; Truy, Eric

    2016-09-01

    The objective of the study was to report audiological results in revision stapes surgery, comparing hydroxyapatite (HAP) bone cement, malleovestibular (MV) prosthesis, and total ossicular replacement prosthesis (TORP). The study is a retrospective case review conducted in a tertiary referral center. Patients treated for revision stapes surgery from 2010 to 2014, where a lysis of the long process of the incus (LPI) was observed with the use of HAP bone cement, MV prosthesis, or a TORP were included in the study. The main outcomes measured were pre- and postoperative bone conduction (BC) and air conduction (AC) pure-tone averages (PTA) (0.5, 1, 2, 3 kHz), including high frequencies BC (HFBC) (1, 2, 3, 4 kHz) and air-bone gap (ABG). 107 revision stapes surgery were performed in 96 ears. Main cause of failure was LPI lysis in 38 cases (39.6 %). 31 patients were analyzed: HAP bone cement was used in 11 patients (Group I), MV prosthesis in ten patients (Group II), and TORP in ten patients (Group III). The mean post-operative ABG was 10.7 dB (±7.4) (p = 0.003), 10.7 dB (±8.8) (p = 0.001), and 16.9 dB (±9.8) (p = 0.001), respectively. There were no significant differences between groups. In Group I, the mean change in HFBC revealed an improvement of 5.6 dB (±7.9) (p = 0.03), while in Group III there was a significant deterioration of the thresholds of 5.8 dB (±7.6) (p = 0.04). There were no cases of post-operative anacusis. In revision stapes surgery when LPI is eroded, we recommend to perform a cement ossiculoplasty for stabilizing a standard Teflon piston when LPI is still usable, the LPI lengthening with cement being not recommended. When LPI is too eroded, we prefer performing a malleovestibulopexy, and reserve TORP for cases with a bad anatomical presentation. PMID:26690574

  18. 水泥与混凝土外加剂适应性地解决%Adaptability solution of cement and concrete additive

    Institute of Scientific and Technical Information of China (English)

    封培然

    2014-01-01

    结合XM水泥厂具体情况,在对影响其水泥与混凝土外加剂适应性因素进行分析,提出改善熟料冷却速度,降低出厂水泥中温度,更换原燃材料,使用助磨剂等建议与措施。在实施部分措施后,XM水泥与外加剂的适应性差的问题得到较好解决。%The factors of compatibility between cement and concrete additive were analysed, combined with particular case of XM ce-ment plant, a series of measures were put forward including clinker cooling speed improvement, reducing finished cement temperature, changing raw material and fuel and using grinding agent, etc. By some measures, the adaptability problems between cement and concret dditive of XM cement plant were solved sucessfully.

  19. Evaluation of the chemical modifications in petroleum asphalt cement with the addition of polypropylene

    International Nuclear Information System (INIS)

    Studies show that the common distress mode in the Brazilian highway network are fatigue cracks and plastic deformation, which are associated with the type of material used in the pavement layers, structural project, excessive traffic load and weathering. To minimize these defects, research on modifiers such as polymers, added to asphalt binders have been developed to provide physical, chemical and rheological improvement. This paper investigates chemical modifications of the binders with the addition of PP by FTIR, NMR and DSC. FTIR spectra of pure and modified binder showed no differences in absorption. NMR analysis showed no strong chemical bonds between the binder and PP. DSC curve of PP showed a melting temperature of 160 deg C (ΔH = 94J/g) and the pure binder presented an endothermic transition between 20 and 40 deg C (ΔH = 2J/g). In the DSC curves of mixtures, these transitions are not significant, indicating possible interactions between asphalt binder and PP. (author)

  20. Estimation of the resident's additional dose in bone-coal mining areas of the five provinces

    International Nuclear Information System (INIS)

    This paper introduces the resident's additional dose in bone-coal mining areas. The increase of the annual additional effective doses accepted by the residents living in the carbide-brick houses, the staffs working in the carbide-brick houses and the miners working in the bone-coal mining areas of Hubei, Hunan, Jiangxi, Zhejiang and Anhui Provinces is caused by the rising of environmental radioactive level. The investigation of natural background radiation in the bone-coal mining areas indicated that both mining and utilizing bone-coal cause the rise of environ- mental radioactive level. The ranges of the annual additional effective dose accepted by the residents, staffs and miners is 1.9-6.8 mSv, 0.5-2.0 mSv and 8.2-71 mSv, and with an average of 3.8 mSv, 1 mSv and 40 mSv, respectively. The annual additional effective doses accepted by part residents and staffs exceed the dose limit of 1 mSv for public exposure, and part miners exceed the dose limit of 20 mSv for occupational exposure. And the contribution of dose caused by inhaled radon to the total additional effective dose is over 76%. (authors)

  1. Estimation of the resident's additional dose in bone-coal mining areas of the five provinces

    Institute of Scientific and Technical Information of China (English)

    JIANG Shan; ZHANG Liang; YE Ji-Da; KONG Ling-Li; LI Ying; SHI Jin-Hua; WU Zong-Mei

    2005-01-01

    This paper introduces the resident's additional dose in bone-coal mining areas. The increase of the annual additional effective doses accepted by the residents living in the carbide-brick houses, the staffs working in the carbide-brick houses and the miners working in the bone-coal mining areas of Hubei, Hunan, Jiangxi, Zhejiang and Anhui Provinces is caused by the rising of environmental radioactive level. The investigation of natural background radiation in the bone-coal mining areas indicated that both mining and utilizing bone-coal cause the rise of environmental radioactive level. The ranges of the annual additional effective dose accepted by the residents, staffs and miners is 1.9-6.8 mSv, 0.5-2.0 mSv and 8.2-71 mSv, and with an average of 3.8 mSv, 1 mSv and 40 mSv, respectively. The annual additional effective doses accepted by part residents and staffs exceed the dose limit of 1 mSv for public exposure, and part miners exceed the dose limit of 20 mSv for occupational exposure. And the contribution of dose caused by inhaled radon to the total additional effective dose is over 76%.

  2. EFFECT OF QUARTZ/MULLITE BLEND CERAMIC ADDITIVE ON IMPROVING RESISTANCE TO ACID OF SODIUM SILICATE-ACTIVATED SLAG CEMENT. CELCIUS BRINE.

    Energy Technology Data Exchange (ETDEWEB)

    SUGAMA, T.; BROTHERS, L.E.; VAN DE PUTTE, T.R.

    2006-06-01

    We evaluated the usefulness of manufactured quartz/mullite blend (MQMB) ceramic powder in increasing the resistance to acid of sodium silicate-activated slag (SSAS) cementitious material for geothermal wells. A 15-day exposure to 90{sup o} CO{sub 2}-laden H{sub 2}SO{sub 4} revealed that the MQMB had high potential as an acid-resistant additive for SSAS cement. Two factors, the appropriate ratio of slag/MQMB and the autoclave temperature, contributed to better performance of MQMB-modified SSAS cement in abating its acid erosion. The most effective slag/MQMB ratio in minimizing the loss in weight by acid erosion was 70/30 by weight. For autoclave temperature, the loss in weight of 100 C autoclaved cement was a less than 2%, but at 300 C it was even lower. Before exposure to acid, the cement autoclaved at 100 C was essentially amorphous; increasing the temperature to 200 C led to the formation of crystalline analcime in the zeolitic mineral family during reactions between the mullite in MQMB and the Na from sodium silicate. In addition, at 300 C, crystal of calcium silicate hydrate (1) (CSH) was generated in reactions between the quartz in MQMB and the activated slag. These two crystalline phases (CSH and analcime) were responsible for densifying the autoclaved cement, conveying improved compressive strength and minimizing water permeability. The CSH was susceptible to reactions with H{sub 2}SO{sub 4}, forming two corrosion products, bassanite and ionized monosilicic acid. However, the uptake of ionized monosilicic acid by Mg dissociated from the activated slag resulted in the formation of lizardite as magnesium silicate hydrate. On the other hand, the analcime was barely susceptible to acid if at all. Thus, the excellent acid resistance of MQMB-modified SSAS cement was due to the combined phases of lizardite and analcime.

  3. Laboratory Investigation on Compressive Strength and Micro-structural Features of Foamed Concrete with Addition of Wood Ash and Silica Fume as a Cement Replacement

    Directory of Open Access Journals (Sweden)

    Othuman Mydin M.A.

    2014-01-01

    Full Text Available Wood Ash (WA and Silica Fume (SF exhibit good cementation properties and have great potential as supplementary binder materials for the concrete production industry. This study will focus on enhancing the micro-structural formation and compressive strength of foamed concrete with the addition of WA and SF. A total of 3 mixes were prepared with the addition of WA and SF at various cement replacement levels by total binder weight. For this particular study, the combination of WA (5%, 10%, and 15% by binder weight and SF (5%, 10%, and 15% by binder weight were utilized as supplementary binder materials to produce foamed concrete mixes. As was made evident from micrographs obtained in the study, the improvement observed in the compressive strength of the foamed concrete was due to a significant densification in the microstructure of the cement paste matrix in the presence of WA and SF hybrid supplementary binders. Experimental results indicated that the combination of 15% SF and 5% WA by binder weight had a more substantial influence on the compressive strength of foamed concrete compared to the control mix. Furthermore, the addition of WA and SF significantly prolonged the setting times of the blended cement paste of the foamed concrete.

  4. Outcome of long-axis percutaneous sacroplasty for the treatment of sacral insufficiency fractures with a radiofrequency-induced, high-viscosity bone cement

    Energy Technology Data Exchange (ETDEWEB)

    Eichler, Katrin [University of Frankfurt, Department of Diagnostic and Interventional Radiology, Frankfurt (Germany); J. W. Goethe University of Frankfurt, Institute for Diagnostic and Interventional Radiology, Frankfurt (Germany); Zangos, Stephan; Vogl, Thomas J. [University of Frankfurt, Department of Diagnostic and Interventional Radiology, Frankfurt (Germany); Mack, Martin G. [Radiology Munich, Munich (Germany); Marzi, Ingo [University of Frankfurt, Department of Trauma, Hand and Reconstructive Surgery, Frankfurt (Germany)

    2014-04-15

    Our goal was to assess the technical results in patients who underwent long-axis sacroplasty for the treatment of sacral insufficiency fractures (SIF) by radiofrequency-induced high-viscosity bone cement augmentation. Twelve patients with bilateral sacral fractures were treated by augmentation with radiofrequency-activated, high-viscosity polymethylmethacrylate (PMMA) bone cement under local anesthesia. CT-guided sacroplasty was performed by using a long-axis approach through a single entry point. Thirty-six vertebrae were treated in 12 sessions under a combination of CT and fluoroscopic guidance using a bilateral access and a cavity-creating osteotome prior to remote-controlled, hydraulically driven cement injection. The visual analogue scale (VAS) score before sacroplasty and at 1 and 3 months after the treatment was obtained. PMMA leaks were evaluated retrospectively using the post-interventional CT. The mean amount of high-viscosity PMMA injected per patient was 7.8 ml. No major adverse events were observed. In the first 4 days after the procedure, the mean VAS score decreased from 8.1 ± 1.9 to mean 3.1 ± 1.2 and was followed by a gradual but continuous decrease throughout the rest of the follow-up period at 24 weeks (mean 2.2 ± 1.1) and 48 weeks (mean 2.1 ± 1.4). CT fluoroscopy-guided sacral augmentation was safe and effective in all 12 patients with osteoporotic SIF. (orig.)

  5. Effects of silica addition on the chemical, mechanical and biological properties of a new α-Tricalcium Phosphate/Tricalcium Silicate Cement

    Directory of Open Access Journals (Sweden)

    Loreley Morejón-Alonso

    2011-12-01

    Full Text Available The addition of tricalcium silicate (C3S to apatite cements results in an increase of bioactivity and improvement in the mechanical properties. However, adding large amounts raises the local pH at early stages, which retards the precipitation of hydroxyapatite and produces a loss of mechanical strength. The introduction of Pozzolanic materials in cement pastes could be an effective way to reduces basicity and enhance their mechanical resistance; thus, the effect of adding silica on the chemical, mechanical and biological properties of α-tricalcium phosphate/C3S cement was studied. Adding silica produces a reduction in the early pH and a decrease in setting times; nevertheless, the presence of more calcium silicate hydrate (C-S-H delays the growth of hydroxyapatite crystals and consequently, reduces early compressive strength. The new formulations show a good bioactivity, but higher cytotoxicity than traditional cements and additions higher than 2.5% of SiO2 cause a lack of mechanical strength and an elevated degradability.

  6. Study on silicate-calcium phosphate composite bone cement modified by sodium carbonate solution%碳酸钠液相改性硅-磷酸钙复合骨水泥研究

    Institute of Scientific and Technical Information of China (English)

    李青林; 杨帮成

    2014-01-01

    以质量分数70%的硅酸三钙(Ca3 SiO5,C3 S)和30%磷酸氢钙(CaHPO4·2H2 O,DCPD)复合得到的 DCP30粉体材料为固相,以不同浓度碳酸钠溶液为液相,得到碳酸钠改性骨水泥材料。使用 X 射线衍射(XRD)、扫描电镜(SEM)、万能材料试验机等手段对不同浓度改性材料进行表征。结果显示:添加碳酸钠液相,骨水泥初、终凝时间分别缩短至16和55 min;调控碳酸钠液相浓度,可以实现短期抗压强度优化;使用碳酸钠后,固化自发生成羟基磷灰石(HA)。浸泡模拟体液(SBF)7天,材料表面覆盖 HA 沉积层,生物活性优越。碳酸钠液相改性硅-磷酸钙复合骨水泥体系的水化性能、短期力学性能以及生物活性均优于Ca3 SiO5水泥和未改性硅-磷酸钙复合骨水泥,是一种良好的生物活性骨修复材料。%Sodium carbonate solution modified bone cement materials have been prepared using sodium carbonate solution with dif-ferent concentration as liquid phase and DCP30 powder material obtained by 70% mass fraction tricalcium silicate (Ca3 SiO5 ,C3 S) and 30% dicalcium phosphate (CaHPO4 ·2H2 O,DCPD)as the solid phase.The materials were characterized by the means of X-ray diffraction (XRD),scanning electron microscope (SEM)and mechanical test.The results show that the initial and final set-ting time of bone cement is reduced to 16 and 55 min by the addition of sodium carbonate solution.The short-term mechanical strength can be optimized by controlling the concentration of sodium carbonate solution.Hydroxyapatite (HA)can spontaneously form after the use of sodium carbonate solution.HA forms on the surface of bone-cement after immersion in SBF for 7 days,indi-cating its good bioactivity.The modified system shows better hydraulic property,bioactivity and mechanical strength than Ca3 SiO5 cement and unmodifiled silicate-calcium phosphate composite bone cement,suggesting the new system is a

  7. 21 CFR 888.4200 - Cement dispenser.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cement dispenser. 888.4200 Section 888.4200 Food... DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4200 Cement dispenser. (a) Identification. A cement dispenser is a nonpowered syringe-like device intended for use in placing bone cement (§ 888.3027)...

  8. Topological design and additive manufacturing of porous metals for bone scaffolds and orthopaedic implants: A review.

    Science.gov (United States)

    Wang, Xiaojian; Xu, Shanqing; Zhou, Shiwei; Xu, Wei; Leary, Martin; Choong, Peter; Qian, M; Brandt, Milan; Xie, Yi Min

    2016-03-01

    One of the critical issues in orthopaedic regenerative medicine is the design of bone scaffolds and implants that replicate the biomechanical properties of the host bones. Porous metals have found themselves to be suitable candidates for repairing or replacing the damaged bones since their stiffness and porosity can be adjusted on demands. Another advantage of porous metals lies in their open space for the in-growth of bone tissue, hence accelerating the osseointegration process. The fabrication of porous metals has been extensively explored over decades, however only limited controls over the internal architecture can be achieved by the conventional processes. Recent advances in additive manufacturing have provided unprecedented opportunities for producing complex structures to meet the increasing demands for implants with customized mechanical performance. At the same time, topology optimization techniques have been developed to enable the internal architecture of porous metals to be designed to achieve specified mechanical properties at will. Thus implants designed via the topology optimization approach and produced by additive manufacturing are of great interest. This paper reviews the state-of-the-art of topological design and manufacturing processes of various types of porous metals, in particular for titanium alloys, biodegradable metals and shape memory alloys. This review also identifies the limitations of current techniques and addresses the directions for future investigations. PMID:26773669

  9. Topological design and additive manufacturing of porous metals for bone scaffolds and orthopaedic implants: A review.

    Science.gov (United States)

    Wang, Xiaojian; Xu, Shanqing; Zhou, Shiwei; Xu, Wei; Leary, Martin; Choong, Peter; Qian, M; Brandt, Milan; Xie, Yi Min

    2016-03-01

    One of the critical issues in orthopaedic regenerative medicine is the design of bone scaffolds and implants that replicate the biomechanical properties of the host bones. Porous metals have found themselves to be suitable candidates for repairing or replacing the damaged bones since their stiffness and porosity can be adjusted on demands. Another advantage of porous metals lies in their open space for the in-growth of bone tissue, hence accelerating the osseointegration process. The fabrication of porous metals has been extensively explored over decades, however only limited controls over the internal architecture can be achieved by the conventional processes. Recent advances in additive manufacturing have provided unprecedented opportunities for producing complex structures to meet the increasing demands for implants with customized mechanical performance. At the same time, topology optimization techniques have been developed to enable the internal architecture of porous metals to be designed to achieve specified mechanical properties at will. Thus implants designed via the topology optimization approach and produced by additive manufacturing are of great interest. This paper reviews the state-of-the-art of topological design and manufacturing processes of various types of porous metals, in particular for titanium alloys, biodegradable metals and shape memory alloys. This review also identifies the limitations of current techniques and addresses the directions for future investigations.

  10. 万古霉素骨水泥治疗骨髓炎的临床分析%Vancomycin analysis of bone cement in the treatment of osteomyelitis

    Institute of Scientific and Technical Information of China (English)

    王立强

    2013-01-01

      目的研究万古霉素骨水泥对骨髓炎患者的临床效果。方法将72例骨髓炎患者随机分为两组各36例,对照组采用常规治疗方式,治疗组采用万古霉素骨水泥治疗。结果治疗组患者骨髓炎症状治疗效果明显优于对照组;症状控制时间和住院治疗时间明显短于对照组。结论应用万古霉素骨水泥对骨髓炎实施治疗的临床效果非常明显。%Objective To application of vancomycin bone cement for the treatment of patients with osteomyelitis is carried out to study the clinical effect. Methods 72 cases of patients with osteomyelitis, randomly divided into control group and treatment group, 36 cases in each group on average. The conventional treatment in patients with the control group; Using vancomycin treatment bone cement for the treatment group patients. Results The treatment group patients with meningitis symptoms treatment effect is better than the control group; Symptom control time and hospitalization time significantly shorter than the control group. Conclusion Application of vancomycin bone cement for the treatment of patients with osteomyelitis implementation effect is very obvious.

  11. Development of nanosilica bonded monetite cement from egg shells

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Huan, E-mail: huanzhou@cczu.edu.cn [Institute of Biomedical Engineering and Health Sciences, Changzhou University, Changzhou, Jiangsu (China); Department of Mechanical, Industrial and Manufacturing Engineering, The University of Toledo, Toledo, OH (United States); Luchini, Timothy J.F.; Boroujeni, Nariman Mansouri [Department of Mechanical, Industrial and Manufacturing Engineering, The University of Toledo, Toledo, OH (United States); Agarwal, Anand K.; Goel, Vijay K. [Department of Bioengineering, The University of Toledo, Toledo, OH (United States); Bhaduri, Sarit B. [Department of Mechanical, Industrial and Manufacturing Engineering, The University of Toledo, Toledo, OH (United States); Division of Dentistry, The University of Toledo, Toledo, OH (United States)

    2015-05-01

    This work represents further effort from our group in developing monetite based calcium phosphate cements (CPC). These cements start with a calcium phosphate powder (MW-CPC) that is manufactured using microwave irradiation. Due to the robustness of the cement production process, we report that the starting materials can be derived from egg shells, a waste product from the poultry industry. The CPC were prepared with MW-CPC and aqueous setting solution. Results showed that the CPC hardened after mixing powdered cement with water for about 12.5 ± 1 min. The compressive strength after 24 h of incubation was approximately 8.45 ± 1.29 MPa. In addition, adding colloidal nanosilica to CPC can accelerate the cement hardening (10 ± 1 min) process by about 2.5 min and improve compressive strength (20.16 ± 4.39 MPa), which is more than double the original strength. The interaction between nanosilica and CPC was monitored using an environmental scanning electron microscope (ESEM). While hardening, nanosilica can bond to the CPC crystal network for stabilization. The physical and biological studies performed on both cements suggest that they can potentially be used in orthopedics. - Highlights: • Cement raw powder is derived from egg shells. • A microwave assisted system is used for preparing monetite bone cement. • Colloidal silica is used to reinforce cement.

  12. Development of nanosilica bonded monetite cement from egg shells

    International Nuclear Information System (INIS)

    This work represents further effort from our group in developing monetite based calcium phosphate cements (CPC). These cements start with a calcium phosphate powder (MW-CPC) that is manufactured using microwave irradiation. Due to the robustness of the cement production process, we report that the starting materials can be derived from egg shells, a waste product from the poultry industry. The CPC were prepared with MW-CPC and aqueous setting solution. Results showed that the CPC hardened after mixing powdered cement with water for about 12.5 ± 1 min. The compressive strength after 24 h of incubation was approximately 8.45 ± 1.29 MPa. In addition, adding colloidal nanosilica to CPC can accelerate the cement hardening (10 ± 1 min) process by about 2.5 min and improve compressive strength (20.16 ± 4.39 MPa), which is more than double the original strength. The interaction between nanosilica and CPC was monitored using an environmental scanning electron microscope (ESEM). While hardening, nanosilica can bond to the CPC crystal network for stabilization. The physical and biological studies performed on both cements suggest that they can potentially be used in orthopedics. - Highlights: • Cement raw powder is derived from egg shells. • A microwave assisted system is used for preparing monetite bone cement. • Colloidal silica is used to reinforce cement

  13. Effect of an organic additive on the rheology of an aluminous cement paste and consequences on the densification of the hardened material

    Science.gov (United States)

    El Hafiane, Y.; Smith, A.; Bonnet, J. P.; Tanouti, B.

    2005-03-01

    The material used in the present work is Secar 71 (Lafarge) mixed with water containing an organic additive (acetic acid noted HOAc). The rheological behavior of these pastes is studied. The best dispersion is obtained when the mass content of the additive with respect to the cement is equal to 0.5%. The microstructural characterizations of samples aged 4 days at 20° C and 95 % relative humidity reveal a significant increase in the density and a reduction in porosity for very small percentages of additive. The remarkable effect of the acetic acid on the microstructure of hardened material is correlated with its good dispersing action.

  14. Antimicrobial-Loaded Bone Cement Does Not Negatively Influence Sonicate Fluid Culture Positivity for Diagnosis of Prosthetic Joint Infection.

    Science.gov (United States)

    Park, Kyung-Hwa; Greenwood-Quaintance, Kerryl E; Hanssen, Arlen D; Abdel, Matthew P; Patel, Robin

    2016-06-01

    We compared culture results to investigate the influence of antimicrobial-loaded cement on sonicate fluid culture positivity for the diagnosis of prosthetic joint infection. Fifty-four subjects were assessed. The sensitivities of sonicate fluid culture were 77.8% (14 of 18) in subjects with an antimicrobial-loaded cemented prosthesis and 58.3% (21 of 36) in subjects with an antimicrobial-free prosthesis.

  15. Optimization of a novel two-solution poly(methyl methacrylate) bone cement: Effect of composition on material properties and polymerization kinetics

    Science.gov (United States)

    Hasenwinkel, Julie Miller

    A novel two-solution poly(methyl methacrylate) bone cement was developed as an alternative to powder/liquid cements, which are used clinically for the fixation of total joint replacements. This material polymerizes via a free radical mechanism, initiated by the redox reaction of benzoyl peroxide (BPO) and N,N dimethyl-p-toluidine (DMPT). The two-solution concept is advantageous over powder/liquid formulations because it minimizes sources of porosity, produces a homogeneous microstructure, simplifies the mixing and delivery process, and reduces the dependence of material properties on surgical techniques. Experiments were performed to determine the effect of initiation chemistry on the material properties and polymerization kinetics of twelve cement compositions. Select material properties were also evaluated with respect to polymer/monomer ratio and initial polymer molecular weight. The results confirm the hypothesis that initiation chemistry affects material properties via the polymerization kinetics and resulting microstructural properties. The exotherm, setting time, flexural mechanical properties, fracture toughness, fatigue behavior, and residual monomer were evaluated, with respect to initiation chemistry. The flexural strength, modulus, and exotherm were maximized, while the residual monomer was minimized at a BPO:DMPT molar ratio of 1:1. High DMPT concentrations resulted in sub-optimal properties, with short setting times and reduced ductility, fracture toughness, and fatigue strength. Initial polymer molecular weight had no significant effect on the material properties. Polymer conversion and free radical concentration were measured by infrared (FTIR) and electron paramagnetic resonance (EPR) spectroscopy. These data were used to calculate the polymerization reaction rates and kinetic rate constants for each composition. Stoichiometric concentrations of BPO and DMPT maximized the radical concentration and conversion. The BPO and DMPT concentrations

  16. Improvement of Cracking-resistance and Flexural Behavior of Cement-based Materials by Addition of Rubber,Particles

    Institute of Scientific and Technical Information of China (English)

    KANG Jingfu; JIANG Yongqi

    2008-01-01

    By ring test and bend test,the improvement of waste tire rubber particles on the crack-resistance and flexural behaviors of cement-based materials were investigated.Test results show that the cracking time of the ring specimens can be retarded by the incorporation of rubber particles in the cement paste and mortar.The improvement in the crack-resistance depended on the rubber fraction.When the rubber fraction was 20%in volume,the cracking time was retarded about 15 h for the paste and 24 d for the mortar respectively.Flexural properties were evaluated based on the bend test results for both mortar and concrete containing different amount of rubber particles.Test results show that rubberized mortar and concrete specimens exhibit ductile failure and significant deformation before fracture.The ultimate deformations of both mortar and concrete specimen increase more than 2-4 times than control specimens.

  17. Addition of Adipose-Derived Stem Cells to Mesenchymal Stem Cell Sheets Improves Bone Formation at an Ectopic Site

    Directory of Open Access Journals (Sweden)

    Zhifa Wang

    2016-02-01

    Full Text Available To determine the effect of adipose-derived stem cells (ADSCs added to bone marrow-derived mesenchymal stem cell (MSC sheets on bone formation at an ectopic site. We isolated MSCs and ADSCs from the same rabbits. We then prepared MSC sheets for implantation with or without ADSCs subcutaneously in the backs of severe combined immunodeficiency (SCID mice. We assessed bone formation at eight weeks after implantation by micro-computed tomography and histological analysis. In osteogenic medium, MSCs grew to form multilayer sheets containing many calcium nodules. MSC sheets without ADSCs formed bone-like tissue; although neo-bone and cartilage-like tissues were sparse and unevenly distributed by eight weeks after implantation. In comparison, MSC sheets with ADSCs promoted better bone regeneration as evidenced by the greater density of bone, increased mineral deposition, obvious formation of blood vessels, large number of interconnected ossified trabeculae and woven bone structures, and greater bone volume/total volume within the composite constructs. Our results indicate that although sheets of only MSCs have the potential to form tissue engineered bone at an ectopic site, the addition of ADSCs can significantly increase the osteogenic potential of MSC sheets. Thus, the combination of MSC sheets with ADSCs may be regarded as a promising therapeutic strategy to stimulate bone regeneration.

  18. Cryosurgery and acrylic cementation as surgical adjuncts in the treatment of aggressive (benign) bone tumors. Analysis of 25 patients below the age of 21.

    Science.gov (United States)

    Malawer, M M; Dunham, W

    1991-01-01

    This article reviews the clinical experience with cryosurgery (use of liquid nitrogen) and acrylic cementation (polymethylmethacrylate; PMMA) in the treatment of aggressive, benign bone sarcomas and the biologic basis of this technique. The results of 25 patients below the age of 21 treated by cryosurgery, with an average follow-up period of 60.8 months, are reported. Three approaches to surgical reconstruction were used: Group 1 (four patients) had cryosurgery with no reconstruction, Group 2 (13 patients) had bone graft reconstruction alone, and Group 3 (eight patients) had composite osteosynthesis with internal fixation, bone graft, and/or PMMA. The overall control rate was 96% (one recurrence). The tumor types were giant-cell tumor, chondroblastoma, aneurysmal bone cyst, and malignant giant-cell tumor. Nineteen lesions involved the lower extremity, and six lesions were located in the upper extremity. There were two secondary fractures (8%), one local flap necrosis, and one synovial fistula. There were no infections. Two epiphyseodeses were performed. The functional results were excellent (83%), good (13%), and fair (4%). The technique of composite osteosynthesis is recommended for all large tumors of the lower extremity. Cryosurgical results compare favorably with those obtained by en bloc resection and demonstrate the ability of cryosurgery to eradicate tumors while avoiding the need for extensive resections and reconstructive procedures. PMID:1984931

  19. 高黏度骨水泥与传统骨水泥治疗骨质疏松性椎体压缩性骨折的疗效比较%Comparison of high viscosity bone cement and traditional bone cement for osteoporotic vertebral compression fractures

    Institute of Scientific and Technical Information of China (English)

    彭昊; 谭俊峰; 刘洋; 李明辉; 陈方舟; 张觅; 郑先念

    2014-01-01

    目的:比较高黏度骨水泥与传统聚甲基丙烯酸甲酯(PMMA)骨水泥治疗骨质疏松性椎体压缩性骨折的疗效,探讨高黏度骨水泥在临床应用中的优势。方法选择2009年7月~2013年7月治疗并获得随访160例骨质疏松性椎体压缩性骨折患者,其中男性64例,女性96例;年龄61~88岁,平均年龄69.1岁。分高黏度骨水泥组[91例(112个椎体)]和传统骨水泥组[69例(86个椎体)]。高黏度骨水泥组,采用以色列Disc-O-Tech公司Confidence骨水泥,施行经皮椎体成形术(PVP);传统骨水泥组,采用PMMA骨水泥,施行PVP。术后对比两组患者视觉疼痛模拟评分(VAS)、责任椎Cobb角的恢复情况及术后骨水泥渗漏情况,并随访观察。结果高黏度骨水泥组与传统骨水泥组VAS评分(1.5±0.8 vs 1.4±0.9)比较差异无统计学意义(P >0.05);高黏度骨水泥组Cobb角恢复优于传统骨水泥组(13.6°±3.1° vs 19.8°±3.0°),差异有统计学意义(P0.05);The recovery of Cobb angle in high viscosity bone cement was superior to that in the traditional bone cement group(13.6°± 3.1° vs 19.8° ± 3.0°), the difference was statistically significant(P<0.05);The leakage rate in high viscosity bone cement was much lower than that in the traditional bone cement group (19.6%vs 41.9%), the difference was statistically significant (P<0.05). All the patients were obtained follow-up of 16 months(3-48 months). The radicular symptoms were observed in 3 patients, and no infection and pulmonary embolism occurred in all patients. Conclusion It is demonstrated that compared with traditional PMMA bone cement, high viscosity bone cement makes significant improvement in correction of Cobb angle and the reduction of cement leakage. It is increased the efficacy and safety of PVP obviously.

  20. Design and biomechanical study of bone cement injectable canulated pedicle screw%新型可注射骨水泥椎弓根螺钉的设计及生物力学研究

    Institute of Scientific and Technical Information of China (English)

    刘瑶瑶; 孙东; 罗飞; 张泽华; 代飞; 许建中

    2012-01-01

    目的 探讨一种新型可注射骨水泥椎弓根螺钉(bone cement injectable canulated pedicle screw,CICPS)的设计和生物力学性能,为骨质疏松脊柱疾病的内固定治疗提供一种安全有效的新选择. 方法 (1)在体外、骨质疏松松质骨模型和椎体标本内行骨水泥注射实验,X线片、CT观察骨水泥分布和钉-骨界面情况.(2)取10枚灌注骨水泥后的CICPS和普通椎弓根螺钉行剪切力试验.(3)在松质骨模型中用2~3ml骨水泥强化CICPS行轴向拔出力试验,与普通椎弓根螺钉进行比较. 结果 CICPS各个侧孔均有骨水泥流出,且仅分布于螺钉前部,弥散均匀广泛,未见骨水泥渗漏.CICPS的剪切力为(10600.8±360.1)N,普通螺钉为(15 458.1±311.4)N(P<0.05).CICPS的最大轴向拔出力为(209.3±13.3)N,普通螺钉为(27.0±5.0)N(P<0.05).结论 CICPS使骨水泥弥散均匀一致,减少骨水泥渗漏风险,并可显著提高骨质疏松椎体中椎弓根螺钉的把持力.CICPS具有良好的有效性和安全性,为其临床应用提供了理论基础.%Objective To investigate the design and mechanical properties of bone cement injectable canulated pedicle screw (CICPS) so as to provide a safe and effective internal fixation for osteoporotic spinal disorder. Methods ( 1 ) Bone cement injection test was performed in vitro,and within osteoporotic cancellous bone models and osteoporotic vertebrae respectively.The distribution of bone cement and screw-bone interface were observed by X-ray films and CT.(2) Ten CICPSs already injected with bone cement and ten conventional pedicle screws were respectively examined by shear strength test.(3) CICPS in the cancellous bone models was augmented with 2-3 ml of bone cement.Then,the maximum axial pull-out strength of the CICPS was measured and were compared with that of conventional screws. Results Bone cement overflowed from each side hole of the CICPS and distributed only around the front of screws in an even and extensive

  1. Biomechanical evaluation of dynamic hip screw with bone cement augmentation in normal bone%骨水泥强化正常骨质DHS固定的生物力学研究

    Institute of Scientific and Technical Information of China (English)

    黎宁; 彭阿钦; 聂喜增; 李锋; 赵永涛; 毕靖博; 韩长伶

    2008-01-01

    背景:DHS是治疗股骨转子间骨折的标准内固定,对于伴有骨质疏松的骨折,容易发生拉力螺钉切割.国内外文献建议骨水泥强化DHS以达到坚强内固定,但是对于正常骨质,骨水泥强化是否有效还缺少报道.目的:选取正常骨密度的股骨转子间骨折标本,观察骨水泥强化对DHS固定的生物力学影响.设计、时间及地点:同一标本两侧对比观察实验,于2005-03/05在河北省骨科研究所生物力学实验室完成.材料:选取河北医科大学解剖教研室提供的成年男性防腐尸体双侧股骨上段标本.X射线证实无结核、畸形、肿瘤.方法:取成年男性防腐尸体双侧股骨上段标本24对48侧,制备A2型股骨转子间骨折模型.右侧标本行骨水泥强化DHS固定(在股骨头近端钉道用刮匙扩大.股骨头朝下,注入2mL低黏稠度骨水泥,拧入拉力螺钉,保持位置不变直至骨水泥凝固.置入套筒,拧紧尾钉适当加压,皮质骨螺钉固定钢板),为强化组;左侧行DHS常规固定,为对照组.两组标本进行弯曲强度试验及扭转强度试验.主要观察指标:两组标本的最大负荷及最大扭矩.结果:强化组最大负荷及最大扭矩与对照组比较,差异均无统计学意义[最大负荷分别为:(3852.1602±143.6031)N和(3702.9667±133.8601)N;最大扭矩分别为(15.5±2.6)N·m,(14.7±3.4)N·m, P>0.0⑤.结论:对于正常骨密度的股骨转子间骨折,骨水泥强化对DHS固定强度及骨折整体稳定性无显著的影响.%BACKGROUND: Dynamic hip screw (DHS) is a standard internal fixation for intertrochanteric fracture, whereas the patient combined with osteoporosis, cut-out incidence of lag screw is common. The articles in China and abroad indicate bone cement augmentation of DHS to achieve firm fixation. As for normal bone, no reports is published that whether bone cement augmentation is effective.OBJECTIVE: To investigate the biomechanics of DHS with bone cement augmentation for

  2. MICROSTRUCTURE AND MECHANICAL PROPERTIES OF ULTRAFINE WC/Co CEMENTED CARBIDES WITH CUBIC BORON NITRIDE AND Cr₃C₂ ADDITIONS

    OpenAIRE

    Genrong Zhang; Haiyan Chen; Dong Lihua; Yin,; Li Kun

    2016-01-01

    This study investigates the microstructure and mechanical properties of ultrafine tungsten carbide and cobalt (WC/Co) cemented carbides with cubic boron nitride (CBN) and chromium carbide (Cr₃C₂) fabricated by a hot pressing sintering process. This study uses samples with 8 wt% Co content and 7.5 vol% CBN content, and with different Cr₃C₂ content ranging from 0 to 0.30 wt%. Based on the experimental results, Cr₃C₂ content has a significant influence on inhibiting abnormal grain growth and dec...

  3. Portland cement with additives in the repair of furcation perforations in dogs Cimento Portland com aditivos na reparação de perfurações radiculares em cães

    Directory of Open Access Journals (Sweden)

    José Dias da Silva Neto

    2012-11-01

    Full Text Available PURPOSE: To evaluate the use of Portland cements with additives as furcation perforation repair materials and assess their biocompatibility. METHODS: The four maxillary and mandibular premolars of ten male mongrel dogs (1-1.5 years old, weighing 10-15 kg received endodontic treatment (n=80 teeth. The furcations were perforated with a round diamond bur (1016 HL. The perforations involved the dentin, cementum, periodontal ligament, and alveolar bone. A calcium sulfate barrier was placed into the perforated bone to prevent extrusion of obturation material into the periradicular space. The obturation materials MTA (control, white, Type II, and Type V Portland cements were randomly allocated to the teeth. Treated teeth were restored with composite resin. After 120 days, the animals were sacrificed and samples containing the teeth were collected and prepared for histological analysis. RESULTS: There were no significant differences in the amount of newly formed bone between teeth treated with the different obturation materials (p=0.879. CONCLUSION: Biomineralization occurred for all obturation materials tested, suggesting that these materials have similar biocompatibility.OBJETIVO: Avaliar o uso de cimentos Portland aditivados na reparação de perfurações radiculares e a biocompatibilidade destes materiais. MÉTODOS: Oitenta pré-molares, quatro da arcada dentária superior e quatro da arcada inferior de 10 cães machos, sem raça definida, com idade em torno de um a um ano e meio, pesando entre 10 e 15 kg foram submetidos a tratamento endodôntico, sendo realizadas perfurações nas furcas com broca de diamante 1016 HL. A cavidade envolveu dentina e cemento, como também periodonto e o osso alveolar. Na porção óssea da obturação, barreira de sulfato de cálcio foi utilizada evitando extravasamento do cimento para o espaço periodontal. Foi realizada a distribuição randomizada dos cimentos MTA (controle, Portland tipo II, Portland tipo V e

  4. Progress in the related factors of vertebral refracture after bone cement augmentation%骨水泥强化术后椎体再骨折的相关因素研究进展

    Institute of Scientific and Technical Information of China (English)

    贾璞; 唐海

    2013-01-01

    With the advances in medical technology, the use of bone cement augmentation in the treatment of osteoporotic vertebral compression fractures has been widely used to get a satisfactory effect. However, refractures after bone cement augmentation have also obtained more and more attention. Nowadays, there are a lot of studies on the risk factors of vertebral refractures, including biomechanics, bone cement leakage, osteoporosis and other factors. In this paper, the related factors of vertebral refracture after bone cement augmentation were reviewed.%骨水泥强化术已被广泛用于骨质疏松性椎体压缩骨折的治疗.骨水泥强化术后椎体再骨折也受到越来越多的关注.国内外研究认为椎体再骨折的危险因素包括生物力学、骨水泥渗漏、骨质疏松等.本文就骨水泥强化术后椎体再骨折的相关因素进行综述

  5. Current status of the application of antibiotic-loaded bone cements in primary arthroplasty%初次关节置换中抗生素骨水泥的应用现状

    Institute of Scientific and Technical Information of China (English)

    王晓楠; 王金成

    2013-01-01

    Infection is considered to be a serious complication of artificial arthroplasty. Accordingly, infection control becomes a research focus in recent years. In order to reduce its incidence, many doctors use antibiotic-loaded bone cements in primary arthroplasty, especially in those special cases, such as surgery with a long period, or with a high risk of pollution, revision surgery, and for patients with idiopathic or acquired immunodeficiency, patients with rheumatoid diseases or systemic lupus erythematosus, patients treated with radiotherapy or chemotherapy, obese patients, diabetic patients, especially patients with poor glucose control, and patients with previous joint infection or malignancy. However, there exists such problems as higher costs and a single kind of antibiotics in use. At the same time, the release time of antibiotics in bone cements is limited, which determines that the infection is mainly prevented in the introduced pathway after artificial arthroplasty. So it is uncertain whether all types of bacteria entering the human body through the introduced pathway can be included by the antibacterial spectrum of antibiotics in bone cements, and further experiments and studies are needed for doctors to verify the results. In this article, we reviewed the application of antibiotic-loaded bone cements in primary arthroplasty for reference.

  6. MICROSTRUCTURE AND MECHANICAL PROPERTIES OF ULTRAFINE WC/Co CEMENTED CARBIDES WITH CUBIC BORON NITRIDE AND Cr₃C₂ ADDITIONS

    Directory of Open Access Journals (Sweden)

    Genrong Zhang

    2016-03-01

    Full Text Available This study investigates the microstructure and mechanical properties of ultrafine tungsten carbide and cobalt (WC/Co cemented carbides with cubic boron nitride (CBN and chromium carbide (Cr₃C₂ fabricated by a hot pressing sintering process. This study uses samples with 8 wt% Co content and 7.5 vol% CBN content, and with different Cr₃C₂ content ranging from 0 to 0.30 wt%. Based on the experimental results, Cr₃C₂ content has a significant influence on inhibiting abnormal grain growth and decreasing grain size in cemented carbides. Near-full densification is possible when CBN-WC/Co with 0.25 wt% Cr₃C₂ is sintered at 1350°C and 20 MPa; the resulting material possesses optimal mechanical properties and density, with an acceptable Vickers hardness of 19.20 GPa, fracture toughness of 8.47 MPa.m1/2 and flexural strength of 564 MPa.u̇ Å k⃗

  7. Discussion on Bone Cement Implantation Syndrome ICD-10 Coding%骨水泥植入综合征ICD-10编码的探讨

    Institute of Scientific and Technical Information of China (English)

    刘颖

    2016-01-01

    Clinical syndrome is a variety of clinical manifestations characterized diagnosis name caused by different causes of unknown etiology. As an independent disease diagnosis, it brings certain difficulty of ICD coding. In this paper, we take bone cement implantation syndrome for example. We had not been found the corresponding code after looking for the main word "Syndrome", "disease" and "disorder" in ICD-10 book Ⅲ index table. Through referring to the relevant medical information, and timely communicating with the clinician, we had the further understanding for its etiology, pathogenesis, clinical manifestations, etc, stripping external representation and dig the nature of the disease, find out the most main pathogenesis of bone cement implantation syndrome, follow the ICD coding rules, eventually give correct classification of diseases T88.7. This article discussed ICD-10 code process of bone cement implantation syndrome, in order to communicate with peers, and improve the quality of diagnostic codes.%临床综合征是以病因不明或不同病因并存而引起的多种临床表现为特征的诊断名称,作为非独立的疾病诊断,给 ICD 编码的查找工作带来一定难度.本文以骨水泥植入综合征为例,在 ICD-10 卷三索引表中对主导词"综合征"、"病"、"疾患"等查询,均未查到与之对应的编码.通过查阅相关医学资料,并及时与临床医师沟通,对其病因、发病机制、临床表现等方面有了进一步了解,剥去外在表象探索疾病的本质,找出引起骨水泥植入综合征最主要的发病机制,遵循 ICD 编码规则,最终给予正确疾病分类 T88.7.通过对骨水泥植入综合征的 ICD-10 编码过程加以阐述,以期与同行交流,提高疾病诊断编码质量.

  8. Photocurable bioactive bone cement based on hydroxyethyl methacrylate-poly(acrylic/maleic) acid resin and mesoporous sol gel-derived bioactive glass.

    Science.gov (United States)

    Hesaraki, S

    2016-06-01

    This paper reports on strong and bioactive bone cement based on ternary bioactive SiO2-CaO-P2O5 glass particles and a photocurable resin comprising hydroxyethyl methacrylate (HEMA) and poly(acrylic/maleic) acid. The as-cured composite represented a compressive strength of about 95 MPa but it weakened during soaking in simulated body fluid, SBF, qua its compressive strength reached to about 20 MPa after immersing for 30 days. Biodegradability of the composite was confirmed by reducing its initial weight (~32%) as well as decreasing the molecular weight of early cured resin during the soaking procedure. The composite exhibited in vitro calcium phosphate precipitation in the form of nanosized carbonated hydroxyapatite, which indicates its bone bonding ability. Proliferation of calvarium-derived newborn rat osteoblasts seeded on top of the composite was observed during incubation at 37 °C, meanwhile, an adequate cell supporting ability was found. Consequently, it seems that the produced composite is an appropriate alternative for bone defect injuries, because of its good cell responses, high compressive strength and ongoing biodegradability, though more in vivo experiments are essential to confirm this assumption. PMID:27040248

  9. Evaluation of an injectable silk fibroin enhanced calcium phosphate cement loaded with human recombinant bone morphogenetic protein-2 in ovine lumbar interbody fusion.

    Science.gov (United States)

    Gu, Yong; Chen, Liang; Yang, Hui-Lin; Luo, Zong-Ping; Tang, Tian-Si

    2011-05-01

    The objective of this study was to investigate the efficacy of an injectable calcium phosphate cement/silk fibroin/human recombinant bone morphogenetic protein-2 composite (CPC/SF/rhBMP-2) in an ovine interbody fusion model. Twenty-four mature sheep underwent anterior lumbar interbody fusion at the levels of L1/2, L3/4, and L5/6 with random implantation of CPC/SF, CPC/rhBMP-2, CPC/SF/rhBMP-2, or autogenous iliac bone. After the sheep were sacrificed, the fusion segments were evaluated by manual palpation, CT scan, undestructive biomechanical testing, undecalcified histology, and histomorphology. The fusion rates of CPC/SF/rhBMP-2 were 55.56% and 77.78% at 6 and 12 months, respectively. The fusion was superior to all the biomaterial grafts in stiffness, and reached the same stiffness as the autograft at 12 months. The new bone formation was less than autograft at 6 months, but similar with that at 12 months. However, the ceramic residue volume of CPC/SF/rhBMP-2 was significantly decreased compared with CPC/SF and CPC/rhBMP-2 at both times. The results indicated that CPC/SF/rhBMP-2 composite had excellent osteoconduction and osteoinduction, and balanced degradation and osteogenesis.

  10. Cement Conundrum

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    China aims to streamline the crowded cement industry Policymakers are looking to build a concrete wall around the cement-making industry as they seek to solidify the fluid cement market and cut excessive production.

  11. Effect of Raw Bauxite Addition on Thermal Behaviour of Ultra-low Cement Al2O3-SiO2 Castables

    Institute of Scientific and Technical Information of China (English)

    HOU Wanguo; ZHOU Ningsheng

    2009-01-01

    This work investigated the thermo-gravimetric (TG) change and explosion resistance of ultra-low cement Al2O3 -SiO2 castables added with 0, 5%, 10%, 15% and 20% of ≤74 μm raw bauxite powders containing 72. 8% Al2O3, respectively. The castables were prepared using white fused alumina as aggregate, powders of white fused alumina, fused mullite, α-Al2O3 ultrafines, 3% CA cement and 5% microsilica as the matrix portion. TG change of the castables was investi-gated by a thermo-gravimetric analyzer for large size specimen. When the raw bauxite addition is less than 10%, the mass-losing behavior of the castables is simi-lar to that without raw bauxite, tending to reach a con-stant mass around 400 ℃ , before which the mass-loss is mild and producing little destructive influence. With more than 10% raw bauxite addition, however, the mass-loss increases significantly, and the temperature to reach a constant mass increases to 600 ℃ or higher, unfavorable to structural stabilization. With the raw bauxite addition up to 20%, no negative influence on explosion resistance is found.

  12. 单纯骨水泥椎体成形治疗胸椎症状性血管瘤%Bone cement vertebroplasty for symptomatic thoracic vertebral hemangioma

    Institute of Scientific and Technical Information of China (English)

    晏雄伟; 张洪燕

    2013-01-01

    背景:自从经皮穿刺注射骨水泥椎体成形技术成功用于脊柱骨折的治疗后,一直在尝试用于椎体血管瘤的治疗。  目的:评价经皮穿刺单纯骨水泥椎体成形治疗症状性椎体血管瘤的安全性和有效性。  方法:9例胸椎症状性椎体血管瘤患者,男2例,女7例,均有背部疼痛等症状,其中2例有神经根刺激症状。采用经皮穿刺单纯骨水泥椎体成形治疗,治疗后进行临床和影像学随访。  结果与结论:操作成功率100%,均未出现肺栓塞、神经损伤等并发症,治疗后影像学检查示均无椎管内或椎间孔渗漏。治疗后24 h症状均有缓解,9例均获得随访,随访时间3-36个月,显示原有症状体征消失或基本消失,血管瘤无复发。结果可见经皮穿刺注射骨水泥椎体成形治疗症状性椎体血管瘤安全有效,它不仅可以缓解症状,还可以增加椎体的稳定性,预防压缩性骨折、防止复发。%BACKGROUND:Since percutaneous injection of bone cement vertebroplasty has been successful y used in treatment of spine fracture, percutaneous vertebroplasty is trying to be utilized in the treatment of vertebral hemangiomas. OBJECTIVE:To evaluate the safety and effectiveness of percutaneous injection of bone cement vertebroplasty in the treatment of symptomatic vertebral hemangiomas. METHODS:Total y nine patients with symptomatic thoracic vertebral hemangioma patients, including two males and seven females, had back pain. Of them, two cases suffered from nerve root irritation. Percutaneous vertebroplasty with bone cement was used alone. Postoperative clinical and radiographic fol ow-up was conducted. RESULTS AND CONCLUSION:The success rate was 100%, and no pulmonary embolism or nerve injury appeared. Postoperative imaging showed no leakage of spinal canal or foramen. At 24 hours after treatment, the symptoms had eased;nine cases were fol owed up for 3 to 36 months

  13. Study on rapid-setting calcium phosphate bone cement%快速固化型磷酸钙骨水泥的研究

    Institute of Scientific and Technical Information of China (English)

    杨洪; 王凯; 师明旭; 刘晓娜; 邓亚美

    2011-01-01

    The physical and chemical properties of tetracalcium phosphate ( TTCP)-Monocalcium phosphate monohydrate ( MCPM ) -β-Tricalaium phosphate (β-TCP) based bone cement are studied using simulated body fluid (SBF) as a chemical liquid. The results show that the compressive strength increases at first and then decreases with the increasing of liquid-solid ratio. When the liquid-solid ratio is 0. 445,it can reach the maximum strength(15. 23 Mpa). The setting reaction of CPC is rapid. When the liquid-solid ratio is 0. 594,the final time is 12 minites. The compressive strength gradually decreases with the increasing of soaking time. The obtained bone cements are characterized by XRD and SEM. The results find the occurrence of hydroxyapatite(HA) in all obtained crystals of setting reaction. However, there is no new crystal phase generated after soaking.%用模拟体液(simulated body fluid,SBF)作为固化液,对磷酸四钙(TTCP)+一水磷酸二氢钙(MCPM)+β-磷酸三钙(β -TCP)系骨水泥理化性质进行研究.结果表明,随液固比增大,抗压强度先增加后降低,当液固比为0.445时,抗压强度达到最大值15.23 MPa;骨水泥固化较快,液固比为0.594时,t_f为12 min;随着浸泡时间的增加抗压强度逐渐减小;X射线(XRD)和扫描电镜(SEM)分析结果显示,随液固比改变,固化反应结晶物均有羟基磷灰石(HA)相出现;浸泡后的骨水泥没有新物相产生.

  14. Fixation of non-cemented total hip arthroplasty femoral components in a simulated proximal bone defect model.

    Science.gov (United States)

    Sangiorgio, Sophia N; Ebramzadeh, Edward; Knutsen, Ashleen R; Borkowski, Sean L; Kalma, Jeremy J; Bengs, Benjamin C

    2013-10-01

    An accelerated sequential proximal femoral bone loss model was used to measure the initial stability of three noncemented femoral stem designs: fully porous-coated, proximally porous-coated, and dual-tapered, diaphyseal press-fit (N=18). Only dual-tapered, diaphyseal press-fit stems remained stable with as much as 105 mm of bone loss, with average cyclic micromotion remaining below 25 μm in ML and below 10 μm in AP planes. In contrast, with proximally coated and fully coated stem designs with circular or oval cross-sections, 60mm of bone loss, resulting in lower than 10 cm of diaphyseal bone contact length, led to gross instability, increasing average cyclic micromotions to greater than 100 μm prior to failure. Therefore, the results provide support for using a dual-tapered stem in revision cases with proximal bone loss. PMID:23523487

  15. Synthesis and characterization of cement slurries additives with epoxy resins - kinetics, thermodynamic and calorimetric analysis; Sintese e caracterizacao de pastas de cimento aditivadas com resinas epoxi - analises cineticas, termodinamicas e calorimetricas

    Energy Technology Data Exchange (ETDEWEB)

    Tavares, A.M.G.; Andrade Junior, M.A.S.; Cestari, A.R.; Vieira, E.F.S., E-mail: macleybiane@gmail.co [Universidade Federal de Sergipe (UFS), Sao Cristovao, SE (Brazil)

    2010-07-01

    Cement has been used in the world, presenting a wide versatility. However, due to its chemical nature, it is subject to several types of chemical damages, especially for agents of acidic nature. With the purpose of increase its life-time, new cement slurries have been modified with the addition of specific additives. The objective of this work is to modify cement slurries with epoxy resins, which promote higher resistance of those materials in relation to acid attacks. Three cement slurries were synthesized with epoxy resins and a standard slurries, which was composed by cement and water. After 30 days of hydration, the samples were characterized by XDR, FTIR and thermal analysis (TG and DSC). The hydration processes of the cement slurries were studied by heat-conduction microcalorimetry. A kinetic study of HCl interaction with the new slurries were performed by the batch methodology at 25, 35, 45 e 55 deg C. It was verified that the addition of the polymers delayed the processes of hydration of the slurries, decreasing the flow of heat released as a function of the amount of added resin and, increased the resistance of those slurries to the acid attack. (author)

  16. Evaluation of compressive strength and water absorption of soil-cement bricks manufactured with addition of pet (polyethylene terephthalate wastes

    Directory of Open Access Journals (Sweden)

    João Alexandre Paschoalin Filho

    2016-04-01

    Full Text Available This paper presents the evaluation of compressive strength of soil-cement bricks obtained by the inclusion in their mixture of PET flakes through mineral water bottles grinding. The Polyethylene Terephthalate (PET has been characterized by its difficulty of disaggregation in nature, requiring a long period for this. On the other hand, with the increase in civil construction activities the demand for raw material also increases, causing considerable environmental impacts. In this context, the objective of this research is to propose a simple methodology, preventing its dumping and accumulation in irregular areas, and reducing the demand of raw materials by the civil construction industry. The results showed that compressive strengths obtained were lower than recommended by NBR 8491 (Associação Brasileira de Normas Técnicas [ABNT], 2012b at seven days of curing time. However, they may be used as an alternative solution in masonry works in order to not submit themselves to great loads or structural functions. The studied bricks also presented water absorption near to recommended values by NBR 8491 (ABNT, 2012b. Manufacturing costs were also determined for this brick, comparing it with the costs of other brick types. Each brick withdrew from circulation approximately 300 g of PET waste. Thus, for an area of 1 m2 the studied bricks can promote the withdrawal of approximately 180 beverage bottles of 2 L capacity.

  17. Cement penetration after patella venting.

    Science.gov (United States)

    Jones, Christopher W; Lam, Li-On; Butler, Adam; Wood, David J; Walsh, William R

    2009-01-01

    There is a high rate of patellofemoral complications following total knee arthroplasty. Optimization of the cement-bone interface by venting and suction of the tibial plateau has been shown to improve cement penetration. Our study was designed to investigate if venting the patella prior to cementing improved cement penetration. Ten paired cadaver patellae were allocated prior to resurfacing to be vented or non-vented. Bone mineral density (BMD) was measured by DEXA scanning. In vented specimens, a 1.6 mm Kirschner wire was used to breach the anterior cortex at the center. Specimens were resurfaced with standard Profix instrumentation and Versabond bone cement (Smith and Nephew PLC, UK). Cement penetration was assessed from Faxitron and sectioned images by a digital image software package (ImageJ V1.38, NIH, USA). Wilcoxon rank sum test was used to assess the difference in cement penetration between groups. The relationship between BMD and cement penetration was analyzed by Pearson correlation coefficient. There was a strong negative correlation between peak BMD and cement penetration when analyzed independent of experimental grouping (r(2)=-0.812, p=0.004). Wilcoxon rank sum testing demonstrated no significant difference (rank sum statistic W=27, p=0.579) in cement penetration between vented (10.53%+/-4.66; mean+/-std dev) and non-vented patellae (11.51%+/-6.23; mean+/-std dev). Venting the patella using a Kirschner wire does not have a significant effect on the amount of cement penetration achieved in vitro using Profix instrumentation and Versabond cement. PMID:19010682

  18. Primary loading causes bone cement-stem interface debonding injury%初次承重引发骨水泥-柄界面脱粘损伤的分析

    Institute of Scientific and Technical Information of China (English)

    张岚峰; 葛世荣; 刘洪涛; 郭开今

    2016-01-01

    背景:骨水泥型人工假体术后松动的主要原因是界面脱粘和骨水泥内部损伤,多数研究认为二者发生于疲劳损伤过程中,却很少研究初次承重会引发骨水泥-柄界面和骨水泥内部的初始损伤。目的:研究骨水泥-柄界面的力学特性和骨水泥内裂纹形成对该界面松动的影响。方法:制作骨水泥-钛合金柄植入体构件,采用压入实验测量骨水泥-柄界面的最大黏结力,通过声发射仪在线监测骨水泥-柄界面脱粘过程中的骨水泥损伤和裂纹,利用三维表面轮廓仪、超声显微镜、X射线检测仪对金属表面与骨水泥圆筒内层进行无损检测。结果与结论:通过脱粘实验和声发射仪在线监测证实,骨水泥的初始损伤萌生于患者术后初次承重,而非疲劳损伤阶段;骨水泥椁主要因受径向和轴向应力共同形成压力的作用引起裂纹萌生,骨水泥-柄界面剪滞效应无法阻止界面和椁内裂纹自上而下逐渐扩展;骨水泥固化过程中形成缺陷易影响材料力学性能,最终促使晶面断裂和高分子链断裂,形成银纹状裂纹,导致构件失效。%BACKGROUND: The main reason for the postoperative loosening of cemented prosthesis is interfacial debonding and bone cement internal damage. Most studies have suggested that both of them occur in the process of fatigue damage, however, little is reported on primary loading that results in the initial damage to the bone cement-stem interface and inside of bone cement. OBJECTIVE: To study the mechanical properties of bone cement-stem interface, and the effect of crack formation in bone cement on interfacial loosening. METHODS: The cement-titanium al oy handle implant components were prepared. The maximum adhesive force of bone cement-stem interface was measured using push-in experiment. The cement damage and crack in the process of bone cement-handle interfacial debonding were monitored online

  19. Bone cement infusion and complications during percutaneous vertebroplasty%经皮椎体成形过程中骨水泥注入及其并发症

    Institute of Scientific and Technical Information of China (English)

    程少丹; 莫文; 胡志俊; 徐华

    2009-01-01

    Percutaneous vertebroplasty has many advantages such as minimal trauma, simple mode of operation, rapid and correct therapeutic effect, high safety, and wide indications. Therefore it has been generally paid close attention and accepted. Percutaneous vertebroplasty has conspicuous curative effect, especially in vertebral compression fracture. Polymethyl methacrylate is the most used filling materials at present; There is not significant difference between unipedicular and bipedicular vertebroplasty; Using vertebral body venography and appropriate dense bone cement can reduce leakage of bone cement; Bolster for self-replacement can rebound vertebral body height, and balloon kyphoplasty and sky bone expander kyphoplasty can be avoided; In order to reduce refracture of vertebral body, anti-osteoporosis drugs should be used in the treatment of percutaneous vertebroplasty.%经皮椎体成肜以其创伤小、操作方式简单、疗效快且确切、安全性高、适应证广等优点,很快受到广泛关注和接受,尤其是在治疗椎体压缩性骨折方面取得了明显的疗效.聚甲基丙烯酸甲酯是目前最常用的填充物;单侧注射和双侧沣射疗效没有明显差别;应用对比剂及掌握合适的骨水泥黏稠度可以减少骨水泥的渗漏率;成形前腰部垫枕自身复位可以恢复椎体的高度,避免采用操作复杂及价格昂贵的球囊后凸成形及骨膨胀椎体后凸成形;进行经皮椎体成形时应该配合应用抗骨质疏松药物,以减少椎体再骨折的发生.

  20. Reaction kinetics of dual setting α-tricalcium phosphate cements.

    Science.gov (United States)

    Hurle, Katrin; Christel, Theresa; Gbureck, Uwe; Moseke, Claus; Neubauer, Juergen; Goetz-Neunhoeffer, Friedlinde

    2016-01-01

    Addition of ductile polymers to calcium-deficient hydroxyapatite (CDHA)-forming bone cements based on α-tricalcium phosphate (α-TCP) is a promising approach to improve the mechanical performance of α-TCP cements and extend their application to load-bearing defects, which is else impeded by the brittleness of the hardened cement. One suitable polymer is poly-(2-hydroxyethylmethacrylate) (p-HEMA), which forms during cement setting by radical polymerisation of the monomer. In this study the hydration kinetics and the mechanical performance of α-TCP cements modified with addition of different HEMA concentrations (0-50 wt% in the cement liquid) was investigated by quantitative in situ XRD and four-point bending tests. Morphology of CDHA crystals was monitored by scanning electron microscopy. The hydration of α-TCP to CDHA was increasingly impeded and the visible crystal size of CDHA increasingly reduced with increasing HEMA concentration. Modification of the cements by adding 50 wt% HEMA to the cement liquid changed the brittle performance of the hardened cement to a pseudoplastic behaviour, reduced the flexural modulus and increased the work of fracture, while lower HEMA concentrations had no significant effect on these parameters. In such a composite, the extent of CDHA formation was considerably reduced (34.0 ± 1.8 wt% CDHA with 50 % HEMA compared to 54.1 ± 2.4 wt% CDHA in the reference formed after 48 h), while the general reaction kinetics were not changed. In conclusion, while the extent of CDHA formation was decreased, the mechanical properties were noticeably improved by addition of HEMA. Hence, α-TCP/HEMA composites might be suitable for application in some load-bearing defects and have adequate properties for mechanical treatment after implantation, like insertion of screws. PMID:26610924

  1. Experiment on Improving Anti-carbonation Property of High-addition Fly Ash Hardened Cement Paste%改善大掺量粉煤灰水泥石抗碳化性能的试验

    Institute of Scientific and Technical Information of China (English)

    张廷雷

    2013-01-01

    Three methods,including high temperature curing,the grinding of fly ash and addition of alkali in cement paste,are adopted to improve anti-carbonation property of high-addition fly ash hardened cement paste.Then,the carbonate quantitative analysis is used to test the anti-car-bonation property of high-addition fly ash hardened cement paste.The results show that the high temperature curing and the grinding of fly ash can well improve anti-carbonation property of high-addition fly ash hardened cement paste,however,the addition of alkali in cement paste has a very poor effect.%采取高温养护、粉煤灰磨细和水泥石内部补足碱3种方法,对大掺量粉煤灰水泥石的抗碳化性能进行改善,利用碳酸盐定量分析法对改善后水泥石的抗碳化性能进行测试,结果表明:高温养护和粉煤灰的磨细对大掺量粉煤灰水泥石的抗碳化性能有较好的改善效果;补足碱对大掺量粉煤灰水泥石抗碳化性能的改善作用不大。

  2. Epinephrine hydrochloride prevents bone cement implantation syndrome in cemented hip replacement%盐酸肾上腺素在骨水泥型髋关节置换术中预防骨水泥植入综合征发生的作用

    Institute of Scientific and Technical Information of China (English)

    齐向北; 张英泽; 潘进社; 马利杰; 王琳; 王建朝

    2010-01-01

    Objective To investigate the clinical application of epinephrine hydrochloride in the prevention of bone cement implantation syndrome in the cemented hip replacement. Methods The clinical data of 48 patients treated with cemented hip replacement from July 2008 to April 2009 were retrospectively analyzed. All the patients were divided into control group and intervention group. The bone marrow cavities of 24 patients in the control group were not pretreated with saline epinephrine hydrochloride before implantation of bone cement; the bone marrow cavities of 24 patients in the intervention group were pretreated with saline epinephrine hydrochloride before implantation of bone cement. Systolic blood pressure (SBP), diastolic blood pressure (DBP), the mean arterial pressure (MAP), heart rate (HR)and pulse oxygen saturation ( SPO2 ) were compared between the two groups before bone cement implantation and 1,2, 3, 4, 5, 6, 7, 8, 9, 10 minutes after bone cement implantation. The data were analyzed with variance analysis and Q test. Results (1) In the control group: the blood pressure was decreased in control group one minute after bone cement implantation and a significant decrease of the blood pressure was observed at 2-6 minutes after the implantation ( P < 0. 01 ). The blood pressure was increased seven minutes after the implantation, with the most significant increase of DBP ( P < 0.05 ).The blood pressure recovered to normal 10 minutes later. The SPO2 was decreased significantly ( P <0.05 ) but no significant change was observed in HR ( P > 0.05). (2) In the intervention group: the bone marrow cavity was pretreated with saline epinephrine hydrochloride before implantation of bone cement.ity. No significant difference was found in SBP, DBP, MAP, HR and SPO2 at different time points before and after bone cement implantation (P >0.05 ). Significant decrease of blood pressure and SPO2 was observed in control group and a significant hemodynamic change was detected

  3. Cement embolism into the venous system after pedicle screw fixation: case report, literature review, and prevention tips

    Directory of Open Access Journals (Sweden)

    Ghassan Kerry

    2013-09-01

    Full Text Available The strength of pedicle screws attachment to the vertebrae is an important factor affecting their motion resistance and long term performance. Low bone quality, e.g. in osteopenic patients, keeps the screw bone interface at risk for subsidence and dislocation. In such cases, bone cement could be used to augment pedicle screw fixation. But its use is not free of risk. Therefore, clinicians, especially spine surgeons, radiologists, and internists should become increasingly aware of cement migration and embolism as possible complications. Here, we present an instructive case of cement embolism into the venous system after augmented screw fixation with fortunately asymptomatic clinical course. In addition we discuss pathophysiology and prevention methods as well as therapeutic management of this potentially life-threatening complication in a comprehensive review of the literature. However, only a few case reports of cement embolism into the venous system were published after augmented screw fixation.

  4. Efeito de aditivos minerais sobre as propriedades de chapas cimento-madeira Effect of minerals additives on the properties of wood cement-bonded particleboard

    Directory of Open Access Journals (Sweden)

    Gilmar Correia Silva

    2006-06-01

    Full Text Available O objetivo deste trabalho foi avaliar o efeito da adição de dois tipos de aditivos minerais (microssílica e metacaulim sobre as propriedades de chapas de cimento-madeira, aplicando-se diferentes teores aditivos (0, 20 e 30%. O aglomerante empregado na produção dos painéis foi o cimento Portland tipo ARI, juntamente com partículas de madeira de Eucalyptus urophylla. Os resultados indicaram que a adição dos aditivos minerais não causou melhorias significativas nas propriedades mecânicas avaliadas. Já, em relação às propriedades físicas, o efeito positivo da adição de 20% de microssílica pôde ser observado no ensaio de absorção em água após a imersão em 2 e 24 horas. O aditivo metacaulim não apresentou tendência clara, porém, de forma geral, a sua adição causou redução na qualidade das chapas.The objective of this work was to evaluate the effect of the two minerals additives (microsilica and meta-kaolin on the properties of wood cement-bonded particleboard (WCBP with different amounts (0%, 20% and 30% of additives. Portland cement of high initial resistance was used in the production of panels as binder material. It was mixed with Eucalyptus urophylla wood particles to boards formation. The results indicated that the addition of mineral additives did not cause significant improvements in the evaluated mechanical properties. For physical properties, the positive effect of the addition of 20% microsilica can be observed on the absorption in water properties after 2 and 24 hours. The additive meta-kaolin did not present a clear trend, but, in general, the addition of this additive caused a reduction in the quality of boards.

  5. Bone cement implantation during percutaneous vertebroplasty for the treatment of thoracolumbar vertebral fractures%骨水泥植入经皮椎体成形治疗胸腰椎体骨折

    Institute of Scientific and Technical Information of China (English)

    柳申鹏; 刘中何; 赵斌; 徐海斌

    2012-01-01

    BACKGROUND: In recent years, percutaneous vertebroplasty as a safe and effective minimally invasive surgery has been widely used in the treatment of osteoporotic compression fractures and vertebral tumor-induced osteolytic bone destruction, and has obtained satisfactory results. OBJECTIVE: To explore the correlation between bone cement and the curative effect of thoracolumbar vertebral fractures by percutaneous vertebroplasty. METHODS: The VIP database and PubMed database were used to search the articles related to the clinical research of percutaneous vertebroplasty and bone cement implantation with the key words of "pereutaneous vertebroplasty, PVP, thoracic vertebra, lumbar vertebra, vertebral fracture, bone cement" in Chinese and English, respectively. A total of 22 articles were included to review. Forty cases (56 vertabral bodies) with the pain induced by thoracolumbar vertebral fractures were selected from the Department of Orthopedics, the First Affiliated Hospital of Xinxiang Medical University for the clinical validation. The percutaneous vertebroplasty was completed under the guidance of C-arm X-ray machine. The improvement of pain was observed after surgery, and the occurrence of the complications was analyzed. RESULTS AND CONCLUSION: At present, the commonly used pereutaneous vertebroplasty bone cement includes polymethyl methacrylate bone cement, calcium phosphate cement and calcium sulfate bone cement. The volume and the composition of bone cement required for the sufficient stability of fracture healing and prevention of pain is remains unclear, but we should try to use small doses of bone cement and make the bone cement evenly distributed. Meanwhile, we should select an appropriate injection method based on different situations of the vertebra in order to prevent the leakage of bone cement and new vertebral fractures. The clinical validation results show that percutaneous vertebroplasty is an effective analgesic method, and postoperative follow

  6. Effect of cementing technique and cement type on thermal necrosis in hip resurfacing arthroplasty - a numerical study

    NARCIS (Netherlands)

    Janssen, D.; Srinivasan, P.; Scheerlinck, T.; Verdonschot, N.J.J.

    2012-01-01

    Femoral fractures within resurfacing implants have been associated with bone necrosis, possibly resulting from heat generated by cement polymerization. The amount of heat generated depends on cement mantle volume and type of cement. Using finite element analysis, the effect of cement type and volume

  7. Virtopsy -- noninvasive detection of occult bone lesions in postmortem MRI: additional information for traffic accident reconstruction.

    Science.gov (United States)

    Buck, Ursula; Christe, Andreas; Naether, Silvio; Ross, Steffen; Thali, Michael J

    2009-05-01

    In traffic accidents with pedestrians, cyclists or motorcyclists, patterned impact injuries as well as marks on clothes can be matched to the injury-causing vehicle structure in order to reconstruct the accident and identify the vehicle which has hit the person. Therefore, the differentiation of the primary impact injuries from other injuries is of great importance. Impact injuries can be identified on the external injuries of the skin, the injured subcutaneous and fat tissue, as well as the fractured bones. Another sign of impact is a bone bruise. The bone bruise, or occult bone lesion, means a bleeding in the subcortical bone marrow, which is presumed to be the result of micro-fractures of the medullar trabeculae. The aim of this study was to prove that bleeding in the subcortical bone marrow of the deceased can be detected using the postmortem noninvasive magnetic resonance imaging. This is demonstrated in five accident cases, four involving pedestrians and one a cyclist, where bone bruises were detected in different bones as a sign of impact occurring in the same location as the external and soft tissue impact injuries. PMID:19034476

  8. 骨水泥和纳米骨浆强化椎弓根螺钉植入固定骨质疏松椎体的生物力学特点%Bone cement and nano bone putty strengthen pedicle screw implantation in the fixation of osteoporotic vertebral body:biomechanical characteristics

    Institute of Scientific and Technical Information of China (English)

    卢小兵; 孟祥翔

    2015-01-01

    BACKGROUND:Nano bone putty and bone cement injection are two common methods to strengthen the fixation of pedicle screws, but there are relatively few reports on the comparison of their strengthening effects. OBJECTIVE:To compare the biomechanical characteristics of bone cement and nano bone putty strengthening pedicle screw implantation in the fixation of osteoporotic vertebral body. METHODS: Totaly 24 human cadaveric pedicles were obtained, which were al in line with osteoporosis standards, and randomly divided into 3 groups: control group (only implanted pedicle screws), bone cement group (first injected bone cement in the nail channel, and then implanted pedicle screws) and nano bone putty group (first injected nano bone putty in the nail channel, and then implanted pedicle screws). After 2 hours of implantation, the maximum axial pulout strength and the maximum rotation torque of specimens in each group were determined. RESULTS AND CONCLUSION:The maximum axial pulout strength and maximum rotation torque of the bone cement and the nano bone putty groups were greater than those of the control group (P < 0.05), and the maximum axial pulout strength and the maximum rotation torque of the bone cement group were greater than those of the nano bone putty group (P < 0.05). These results demonstrate that the maximum axial pulout strength and the maximum rotation torque of pedicle screw implantation in the fixation of osteoporotic vertebral body can be effectively improved by injection of bone cement and nano bone putty, and the strengthening effect of bone cement is more obvious. %背景:纳米骨浆和骨水泥注入是强化椎弓根螺钉固定的两种常用方法,但目前关于两种加强方法的强化效果比较的报道相对较少。目的:对比骨水泥或纳米骨浆强化椎弓根螺钉植入固定骨质疏松椎体的生物力学特点。方法:取24个人尸体椎弓根,均符合骨质疏松标准,随机均分为3组,对照组仅植

  9. Bone scanning a useful addition in the diagnosis of ankle joint trauma

    International Nuclear Information System (INIS)

    A retrospective study of the indication in 169 scintigraphic examinations of the ankle joint was made. Usually joints respond to trauma with a generalized increase of the concentration of the radiopharmaceutical. By using a highly performed technique the focal hot spot caused by the fracture can be seen in the bone scan. The focal accumulation of the radioactive material must not correspond to a bone fracture in any case. The ligamentous avulsion of a bone chip and/or the periosteum can yield the same image but it cannot be diagnosed by radiographic techniques. Initially the routine radiograph and even the tomograph often are interpreted as normal or equivocal. In these cases of ankle trauma bone scanning completes the clinical evaluation. Although bone scanning is very important in the diagnosis of any traumatic lesion of the ankle joints it cannot replace the conventional X-ray technique. (orig.)

  10. Continuous Digital Light Processing (cDLP): Highly Accurate Additive Manufacturing of Tissue Engineered Bone Scaffolds.

    Science.gov (United States)

    Dean, David; Jonathan, Wallace; Siblani, Ali; Wang, Martha O; Kim, Kyobum; Mikos, Antonios G; Fisher, John P

    2012-03-01

    Highly accurate rendering of the external and internal geometry of bone tissue engineering scaffolds effects fit at the defect site, loading of internal pore spaces with cells, bioreactor-delivered nutrient and growth factor circulation, and scaffold resorption. It may be necessary to render resorbable polymer scaffolds with 50 μm or less accuracy to achieve these goals. This level of accuracy is available using Continuous Digital Light processing (cDLP) which utilizes a DLP(®) (Texas Instruments, Dallas, TX) chip. One such additive manufacturing device is the envisionTEC (Ferndale, MI) Perfactory(®). To use cDLP we integrate a photo-crosslinkable polymer, a photo-initiator, and a biocompatible dye. The dye attenuates light, thereby limiting the depth of polymerization. In this study we fabricated scaffolds using the well-studied resorbable polymer, poly(propylene fumarate) (PPF), titanium dioxide (TiO(2)) as a dye, Irgacure(®) 819 (BASF [Ciba], Florham Park, NJ) as an initiator, and diethyl fumarate as a solvent to control viscosity. PMID:23066427

  11. Osteogenesis and angiogenesis properties of dental pulp cell on novel injectable tricalcium phosphate cement by silica doped.

    Science.gov (United States)

    Su, Ying-Fang; Lin, Chi-Chang; Huang, Tsui-Hsien; Chou, Ming-Yung; Yang, Jaw-Ji; Shie, Ming-You

    2014-09-01

    β-Tricalcium phosphate (β-TCP) is an osteoconductive material in clinical. In this study, we have doped silica (Si) into β-TCP and enhanced its bioactive and osteostimulative properties. To check its effectiveness, a series of Si-doped with different ratios were prepared to make new bioactive and biodegradable biocomposites for bone repair. Formation of the diametral tensile strength, ions released and weight loss of cements was considered after immersion. In addition, we also examined the behavior of human dental pulp cells (hDPCs) cultured on Si-doped β-TCP cements. The results showed that setting time and injectability of the Si-doped β-TCP cements were decreased as the Si content was increased. At the end of the immersion point, weight losses of 30.1%, 36.9%, 48.1%, and 55.3% were observed for the cement doping 0%, 10%, 20%, and 30% Si into β-TCP cements, respectively. In vitro cell experiments show that the Si-rich cements promote human dental pulp cell (hDPC) proliferation and differentiation. However, when the Si-doped in the cement is more than 20%, the amount of cells and osteogenesis protein of hDPCs was stimulated by Si released from Si-doped β-TCP cements. The degradation of β-TCP and osteogenesis of Si gives a strong reason to believe that these Si-doped β-TCP cements may prove to be promising bone repair materials.

  12. Effect of Selected Alternative Fuels and Raw Materials on the Cement Clinker Quality

    Directory of Open Access Journals (Sweden)

    Strigáč Július

    2015-11-01

    Full Text Available The article deals with the study of the effects of alternative fuels and raw materials on the cement clinker quality. The clinker quality was expressed by the content of two principal minerals alite C3S and belite C2S. The additions of alternative fuels ashes and raw materials, in principle, always increased the belite content and conversely reduced the amount of alite. The alternative fuels with high ash content were used such as the meat-bone meal, sewage sludge from sewage treatment plants and paper sludge and the used alternative raw materials were metallurgical slags - granulated blastfurnace slag, air cooled blastfurnace slag and demetallized steel slag, fluidized bed combustion fly ash and waste glass. Meat-bone meal, sewage sludge from sewage treatment plants and paper sludge were evaluated as moderately suitable alternative fuels which can be added in the amounts of 2.8 wt. % addition of meat-bone meals ash, 3.64 wt. % addition of sewage sludge ash and 3.8 wt. % addition of paper sludge ash to the cement raw mixture. Demetallised steel slag is suitable for production of special sulphate resistant cement clinker for CEM I –SR cement with addition up to 5 wt. %. Granulated blastfurnace slag is a suitable alternative raw material with addition 4 wt. %. Air cooled blastfurnace slag is a suitable alternative raw material with addition 4.2 wt. %. Waste glass is not very appropriate alternative raw material with addition only 1.16 wt. %. Fluidized bed combustion fly ash appears not to be equally appropriate alternative raw material for cement clinker burning with less potential utilization in the cement industry and with addition 3.41 wt. %, which forms undesired anhydrite CaSO4 in the cement clinker.

  13. 骨水泥强化治疗骨质疏松症伴脊柱侧弯疗效分析%Effects of pedicle screw fixation with bone cement tract augmentation on scoliolosis accompanying osteoporosis

    Institute of Scientific and Technical Information of China (English)

    丁金勇; 洪少勇; 晋大祥; 梁德; 江晓兵

    2012-01-01

    incision infection,or no screw rod breakage, screw extraction,loosening,pseudoarticulation formation were found. The postoperative Cobb's angle in coronal plane was significantly lower than preoperative angle (P<0. 05),and lordosis angle in sagittal plane was significantly higher than preoperative angle(P<0.05)In addition, the post-operative ODI score was remarkably lower than preoperative score (P<0.05). Conclusion Degenerative scoliolosis accompanying by osteoporosis were well and long time retained of spine balance by part or full laminectomy and posterior long segment pedicle screw/rod internal fixation system by augmentation and restoration with bone cement in the screw tract and posterolateral spinal or intervertebral fusion.

  14. Mechanical and thermal properties of castor oil polyurethane bone cement after gamma irradiation;Propriedades mecanicas e termicas de poliuretanas derivadas do oleo de mamona usadas como cimento osseo depois da irradiacao com radiacao gamma

    Energy Technology Data Exchange (ETDEWEB)

    Azevedo, E.C. [Universidade Tecnologica Federal do Parana (DF/UTFPR), Curitiba, PR (Brazil). Dept. de Fisica; Soboll, D.S. [Universidade Tecnologica Federal Parana (CPGEI/UTFPR), Curitiba, PR (Brazil); Chierice, G.O.; Claro Neto, S. [Universidade de Sao Paulo (IQSC/USP), Sao Carlos, SP (Brazil). Inst. de Quimica; Lepiesnki, C.M. [Universidade Federal do Parana (DF/UFPR), Curitiba, PR (Brazil). Dept. de Fisica; Nascimento, E.M. [Universidade Tecnologica Federal do Parana (DM/UTFPR), Curitiba (Brazil). Dept. de Mecanica

    2009-07-01

    Polyurethanes from castor oil are being employed as bone cement in medical applications. In this work the thermal and mechanical properties of gamma irradiated polyurethanes derivative from castor oil were investigated by instrumented indentation, thermogravimetry and scanning electron microscopy. A slightly increase in hardness is observed only for doses as high as 100 kGy. Thermal analysis indicates stability at human body temperature. The glass transition temperature has small changes after gamma irradiation. (author)

  15. Fabrication of an Interlocked Antibiotic/Cement-Coated Carbon Fiber Nail for the Treatment of Long Bone Osteomyelitis.

    Science.gov (United States)

    Mauffrey, Cyril; Butler, Nathan; Hake, Mark E

    2016-08-01

    Successful management of intramedullary long bone osteomyelitis remains a challenge for both surgeons and patients. Patients are often immune compromised and have endured multiple surgeries. Treatment principles include antibiotic administration (systemically ± locally), surgical debridement of the infection site, and stabilization. Since their description in 2002, antibiotic-coated nails have become part of the armamentarium for the treatment of osteomyelitis allowing both local elution of antibiotics and stabilization of a debrided long bone. Limitations to their utilization have remained, in part from the technical difficulty of fabrication and magnetic resonance imaging artifacts. We describe a new surgical technique of fabrication that has the advantages of being simple, reproducible, with an end product free of magnetic resonance imaging artifacts. PMID:27441930

  16. Assessment of the value of anorganic bone additives in sinus floor augmentation: a review of clinical reports.

    NARCIS (Netherlands)

    Merkx, M.A.W.; Maltha, J.C.; Stoelinga, P.J.W.

    2003-01-01

    In order to objectively assess the value of anorganic bone additives in sinus floor augmentation, a review of the English literature till May 2002 was carried out. The studies or parts of studies had to include at the least two patients, with a follow-up of at least 3 months, whilst histomorphometri

  17. Bone regeneration effect after the addition of a vitamin complex in two bio ceramics

    International Nuclear Information System (INIS)

    One of the goals of the Biomaterials research is the development of devices that help bone regeneration. Two synthetic ceramics has been widely used with that purpose: hydroxyapatite (HAp) and beta tricalcium phosphate (β-TCP). In many situations it is desirable that the resorption rate of these materials by the body matches the bone growth rate. In these cases, the use of a mixture between the two phases is beneficial. The material resorption and bone growth are complexes physiological processes, influenced amongst other things by the inflammatory response of the surgical site. That being said, an exacerbated inflammatory response is potentially hazardous, since it may induce an increase of the oxidative stress due to the free radicals production. The free radicals attack causes, amongst other hazardous effects, the cell membrane degeneration which in turn may lead to cell necrosis and/or apoptosis within the surgical site. In this work, two ceramics were implanted in rats femora: β-TCP or the biphasic mixture of 60:40% in mass of HAp:β-TCP. The bone growth was assessed by both optical and fluorescence microscopy, using fluorescent bone markers. Moreover, it was also evaluated the effect of the presence of a vitamin complex, mediator of the inflammatory response. It was concluded that the pure β-TCP was more readily absorbed when compared with the mixture β-TCP-HAp, and there it was signs that the presence of the vitamin complex may have helped in a favorable way the bone neo formation. (author)

  18. ULTRA-LIGHTWEIGHT CEMENT

    Energy Technology Data Exchange (ETDEWEB)

    Fred Sabins

    2002-01-23

    The objective of this project is to develop an improved ultra-lightweight cement using ultra-lightweight hollow glass spheres (ULHS). This report includes results from laboratory testing of ULHS systems along with other lightweight cement systems: foamed and sodium silicate slurries. Comparison studies of the three cement systems examined several properties: tensile strength, Young's modulus, water permeability, and shear bond. Testing was also done to determine the effect that temperature cycling has on the shear bond properties of the cement systems. In addition, analysis was carried out to examine alkali silica reactivity of slurries containing ULHS. Data is also presented from a study investigating the effects of mixing and pump circulation on breakage of ULHS. Information is also presented about the field application of ULHS in cementing a 7-in. intermediate casing in south Texas.

  19. Bone

    Science.gov (United States)

    Helmberger, Thomas K.; Hoffmann, Ralf-Thorsten

    The typical clinical signs in bone tumours are pain, destruction and destabilization, immobilization, neurologic deficits, and finally functional impairment. Primary malignant bone tumours are a rare entity, accounting for about 0.2% of all malignancies. Also benign primary bone tumours are in total rare and mostly asymptomatic. The most common symptomatic benign bone tumour is osteoid osteoma with an incidence of 1:2000.

  20. Perfusion electrodeposition of calcium phosphate on additive manufactured titanium scaffolds for bone engineering.

    Science.gov (United States)

    Chai, Yoke Chin; Truscello, Silvia; Bael, Simon Van; Luyten, Frank P; Vleugels, Jozef; Schrooten, Jan

    2011-05-01

    A perfusion electrodeposition (P-ELD) system was reported to functionalize additive manufactured Ti6Al4V scaffolds with a calcium phosphate (CaP) coating in a controlled and reproducible manner. The effects and interactions of four main process parameters - current density (I), deposition time (t), flow rate (f) and process temperature (T) - on the properties of the CaP coating were investigated. The results showed a direct relation between the parameters and the deposited CaP mass, with a significant effect for t (P=0.001) and t-f interaction (P=0.019). Computational fluid dynamic analysis showed a relatively low electrolyte velocity within the struts and a high velocity in the open areas within the P-ELD chamber, which were not influenced by a change in f. This is beneficial for promoting a controlled CaP deposition and hydrogen gas removal. Optimization studies showed that a minimum t of 6 h was needed to obtain complete coating of the scaffold regardless of I, and the thickness was increased by increasing I and t. Energy-dispersive X-ray and X-ray diffraction analysis confirmed the deposition of highly crystalline synthetic carbonated hydroxyapatite under all conditions (Ca/P ratio=1.41). High cell viability and cell-material interactions were demonstrated by in vitro culture of human periosteum derived cells on coated scaffolds. This study showed that P-ELD provides a technological tool to functionalize complex scaffold structures with a biocompatible CaP layer that has controlled and reproducible physicochemical properties suitable for bone engineering.

  1. Effects of the addition of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on mechanical properties of luting and lining glass ionomer cement

    Science.gov (United States)

    Heravi, Farzin; Bagheri, Hossein; Rangrazi, Abdolrasoul; Mojtaba Zebarjad, Seyed

    2016-07-01

    Recently, the addition of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) into glass ionomer cements (GICs) has attracted interest due to its remineralization of teeth and its antibacterial effects. However, it should be investigated to ensure that the incorporation of CPP-ACP does not have significant adverse effects on its mechanical properties. The purpose of this study was to evaluate the effects of the addition of CPP-ACP on the mechanical properties of luting and lining GIC. The first step was to synthesize the CPP-ACP. Then the CPP-ACP at concentrations of 1%, 1.56% and 2% of CPP-ACP was added into a luting and lining GIC. GIC without CPP-ACP was used as a control group. The results revealed that the incorporation of CPP-ACP up to 1.56%(w/w) increased the flexural strength (29%), diametral tensile strength (36%) and microhardness (18%), followed by a reduction in these mechanical properties at 2%(w/w) CPP-ACP. The wear rate was significantly decreased (23%) in 1.56%(w/w) concentration of CPP-ACP and it was increased in 2%(w/w). Accordingly, the addition of 1.56%(w/w) CPP-ACP into luting and lining GIC had no adverse effect on the mechanical properties of luting and lining GIC and could be used in clinical practice.

  2. THE EFFECT OF NANO-TITANIA ADDITION ON THE PROPERTIES OF HIGH-ALUMINA LOW-CEMENT SELF-FLOWING REFRACTORY CASTABLES

    Directory of Open Access Journals (Sweden)

    Sasan Otroj

    2011-12-01

    Full Text Available The self-flow characteristics and properties of high-alumina low-cement refractory castables added with nano-titania particles are investigated. For this reason, the reactive alumina in the castable composition is substituted by nano-titania powder in 0-1 %wt. range. The microstructures, phase composition, physical and mechanical properties of these refractory castables at different temperatures are studied. The results show that the addition of nano-titania particles has great effect on the self-flow characteristics, phase composition, physical and mechanical properties of these refractory castables. With increase of nano-titania particles in castable composition, the self-flow value and working time tend to decrease. With addition of 0.5 wt.% nano-titania in the castable composition, the mechanical strength of castable in all firing temperatures tends to increase. It is attributed to the formation of CA6 phase and enhanced ceramic bonding. Nano-titania particles can act as a nucleating agent for hibonite phase and decrease the formation temperature of hibonite. Because of perovskite phase formation, the addition of 1 wt.% nano-titania can decrease the mechanical strength of castable after firing.

  3. Influence of additives for concrete on the containment of radio-elements and strength under radiation of 'cement' matrices

    International Nuclear Information System (INIS)

    In order to improve the durability of cement-based materials used for the storage of radioactive wastes, fluidizers are generally introduced into these materials during their preparation. Thus, Naphtalene Sulfonate Formaldehyde (NSF) and Melamine Sulfonate Formaldehyde (MSF) are used as fluidizers in concrete which therefore presents good rheological properties when fresh, and a high compactness when hardened. This research study aims at investigating what happens to the fluidizer in a hardened cement paste, how this fluidizer affects the durability (mechanical strength, porosity, apparent diffusion coefficient) of a cement paste in absence of irradiation, what is the behaviour of these organic compounds under irradiation (reticulation or degradation, nature of radiolysis gases), how these organic compounds affects the durability (dimension, porosity, mechanical strength) of a cement paste under cobalt 60 gamma radiation, and how apparent solubilities of the different isotopes vary in cement water in presence of these organic compounds

  4. Bone cement is required for multi-segment osteoporotic compression fractures%骨水泥充填治疗多节段骨质疏松性压缩性骨折的病例分析☆

    Institute of Scientific and Technical Information of China (English)

    曾逸文; 许建安; 桂鉴超; 马勇

    2013-01-01

    compression fractures. OBJECTIVE: To explore the effect and material characteristics of bone cement for the treatment of multi-segment osteoporotic compression fractures. METHODS: Thirty-two patients (158 vertebral bodies) with osteoporotic compression fractures were treated with bone cement through percutaneous vertebroplasty. Review X-ray and CT scanning were performed after treatment to understand the fracture vertebra reduction, changes of vertebral capacity, bone cement distribution and leakage situation. The change of the volume of vertebral body before and after treatment was detected with CT volumetric analysis, the change of visual analog scale was observed and the reason for bone cement leakage was analyzed. RESULTS AND CONCLUSION: Al the 32 patients (158 vertebral bodies) were included in the final analysis. There were no nerve root and spinal cord injuries, no pulmonary embolism and no cardiovascular system acute response after injection of bone cement. Al the patients were fol owed-up for 6-16 months after treatment, averaged in 10 months, and there were no serious complications or vertebral col apse. The vertebral volume before treatment was (22.2±8.6) cm3 and increased to (24.8±6.9) cm3 after treatment, and the difference was significant (P < 0.05). Six vertebral bodies appeared bone cement leakage, including two bone cement leakage in spinal epidural and four bone cement leakage in paravertebral vein, and the leakage may related to the posterior margin burst, low bone cement viscosity and fast injection speed. The visual analog scale score (2.2±3.7) at 48 hours after treatment was significantly lower than (8.3±1.6) before treatment (t=25.2, P < 0.05). The adequate pre-treatment preparation, proper method, suitable bone cement materials combined with percutaneous vertebroplasty is safe and feasible for the treatment of multi-segment osteoporotic compression fractures, which can significantly al eviate pain in the patients, and we should pay attention to

  5. Effect of pore size on bone ingrowth into porous titanium implants fabricated by additive manufacturing: An in vivo experiment.

    Science.gov (United States)

    Taniguchi, Naoya; Fujibayashi, Shunsuke; Takemoto, Mitsuru; Sasaki, Kiyoyuki; Otsuki, Bungo; Nakamura, Takashi; Matsushita, Tomiharu; Kokubo, Tadashi; Matsuda, Shuichi

    2016-02-01

    Selective laser melting (SLM) is an additive manufacturing technique with the ability to produce metallic scaffolds with accurately controlled pore size, porosity, and interconnectivity for orthopedic applications. However, the optimal pore structure of porous titanium manufactured by SLM remains unclear. In this study, we evaluated the effect of pore size with constant porosity on in vivo bone ingrowth in rabbits into porous titanium implants manufactured by SLM. Three porous titanium implants (with an intended porosity of 65% and pore sizes of 300, 600, and 900μm, designated the P300, P600, and P900 implants, respectively) were manufactured by SLM. A diamond lattice was adapted as the basic structure. Their porous structures were evaluated and verified using microfocus X-ray computed tomography. Their bone-implant fixation ability was evaluated by their implantation as porous-surfaced titanium plates into the cortical bone of the rabbit tibia. Bone ingrowth was evaluated by their implantation as cylindrical porous titanium implants into the cancellous bone of the rabbit femur for 2, 4, and 8weeks. The average pore sizes of the P300, P600, and P900 implants were 309, 632, and 956μm, respectively. The P600 implant demonstrated a significantly higher fixation ability at 2weeks than the other implants. After 4weeks, all models had sufficiently high fixation ability in a detaching test. Bone ingrowth into the P300 implant was lower than into the other implants at 4weeks. Because of its appropriate mechanical strength, high fixation ability, and rapid bone ingrowth, our results indicate that the pore structure of the P600 implant is a suitable porous structure for orthopedic implants manufactured by SLM.

  6. CPC/PMMA双向骨水泥性能及生物相容性的初步研究%Preliminary study on properties and biocompatibility of CPC/PMMA dual-phase bone cement

    Institute of Scientific and Technical Information of China (English)

    包利; 唐海; 王炳强; 朱富强; 董益鹏; 邓介超

    2012-01-01

    Objective To develop an injective mixture of bone cement made with polymethylmethacrylate cement ( PMMA) and calcium phosphate cement ( CPC) and to become an ideal filling material for vertebroplasty and kyphoplasty based on the advantages of each material. Methods The experimental materials were injective bone cement PMMA and CPC. Firstly, the combined bone cement was made using the different mass ratio of PMMA and CPC, 1:2, 1:1, or2:1. Secondly, the standard test pieces with 6mm in diameter and 12mm in hight were made using the combined bone cement. Finally, a preliminary evaluation of physical and chemical properties of the mixed bone cement was carried out, I. E. , mechanical property, solidification temperature, solidification time, electron microscope scanning, X-ray diffraction, and animal muscle implantation experiment. Results The mixed bone cement (1: 1) had better physical and chemical properties than other proportions. Its compressive strength increased by about 120% higher than that of CPC. The solidification temperature was lower than 45℃ , and solidification time was about 12-14 min. The microscopic structure of this mixed bone cement (1: 1) was similar to that of CPC. Seventy percent of the total pores were between 100-300μm and eyelet penetrations between the pores was mainly 10-20μm. The results of animal intramuscular implantation experiment demonstrated that the mixed bone cement (1: 1 ) had good biocompatibility, but the degeneration speed was slow. Conclusion The mixed bone cement (1:1) can overcome the shortcomings of PMMA and CPC and have the advantage of each material. So this mixed bone cement is an ideal filling material for vertebroplasty and kyphoplasty.%目的 将聚甲基丙烯酸甲酯骨水泥(PMMA)与磷酸钙骨水泥(CPC)制成一种注射型混合骨水泥,利用各自的特性,优势互补,从而使该混合骨水泥成为理想的椎体成形术及椎体后凸成形术填充材料.方法 实验材料为注射型PMMA骨水

  7. The novel fluid loss additive HTF-200C for oil field cementing%新型固井降失水剂HTF-200C

    Institute of Scientific and Technical Information of China (English)

    郭锦棠; 卢海川; 刘硕琼; 靳建州; 于永金

    2012-01-01

    The domestic fluid loss additives often have lower thermal stability and poor salt-tolerance and their comprehensive properties are not good enough. To solve the problems, a novel cement fluid loss additive HTF-200C. Which can resist high temperature and high salt content, was synthesized using the monomers of 2-acrylamido-2-methyl-propane sulphonic acid (AMPS), N, N-dimethyl acrylamide (DMAA) and a new compound with double carboxyl by the method of aqueous solution polymerization. The microstructural characterization and application performance of HTF-200C show that the polymer with the structure of all the monomers has an excellent thermal stability and strong salt tolerance, and can be used in 200 "C or in saturated brine. And the problem of the normal fluid loss additive being easy to hydrolyze due to high temperature can be solved with HTF-200C. What's more, it can also deal with the bulge of thickening curve in consistency test. The cement slurry prepared mainly by HTF-200C presents good comprehensive properties such as low filtration, high thermal stability, strong salt tolerance, rapid development of strength in low temperature, without far delayed solidification, short transit time during thickening process, and so on. The cementing job quality of Well Chengu 1-3 in the Liaohe Oilfield is excellent after it is used.%针对目前中国常规固井降失水剂抗温抗盐能力差、综合性能欠佳的问题,以2-丙烯酰胺基-2-甲基丙磺酸(AMPS)、N,N-二甲基丙烯酰胺(DMAA)、新型双羧基化合物为单体,采用水溶液自由基聚合的方法合成了耐盐、抗高温的共聚物型固井水泥降失水剂HTF-200C.HTF-200C微观结构表征和应用性能综合评价表明,各单体成功参与聚合,共聚物热稳定性良好;该降失水剂控失水耐温可达200℃,抗盐达饱和,可解决常规降失水剂高温下易水解、稠化实验“鼓包”等问题;以HTF-200C为主剂的水泥浆体系失水量低、抗盐耐温

  8. Polyelectrolyte addition effect on the properties of setting hydraulic cements based on calcium phosphate; Efeito da adicao de polieletrolitos sobre as propriedades de cimentos de fosfato de calcio de pega hidraulica

    Energy Technology Data Exchange (ETDEWEB)

    Santos, Luis A. dos; Oliveira, Luci C. de; Rigo, Eliana C.S.; Boschi, Anselmo Ortega [Sao Carlos Univ., SP (Brazil). Dept. de Engenharia de Materiais; Carrodeguas, Raul Gracia [Universidad de La Habana, Habana, (Cuba). Centro de Biomateriales

    1997-12-31

    In the present work the effects of the addition of some poly electrolytes (sodium alginate and poly acrylic acid) on the solubility, crystalline phases, pH and mechanical strength under compression of three calcium phosphate cements were studied. (author) 10 refs., 2 figs., 4 tabs.

  9. Biological characteristics of a novel pourable pedicle bone cement%新型设计可灌注骨水泥椎弓根螺钉的生物力学特性

    Institute of Scientific and Technical Information of China (English)

    马江卫; 刘烈东; 杜耿; 高光明; 刘育

    2015-01-01

    BACKGROUND:In senile osteoporosis patients, capacity of pedicle screw fixation is relatively poor due to fragile bone substance. Currently, augmentation of pedicle screw fixation with bone cement can improve the ability of screw fixation, but bone cement leakage and difficulties in screw removal become the problem to be solved. OBJECTIVE:To develop a novel pourable pedicle bone cement and to investigate its biomechanical properties, safety and practicality, thus providing the basis for clinical treatment of osteoporosis and spinal diseases. METHODS:Six cases of complete wetting spines were colected at the Affiliated Hospital of Nanjing University of Traditional Chinese Medicine from December 2013 to January 2015, including 42 vertebrae. Pedicle screw fixation with X-ray assisted bone cement injection (2 mL) was performed unilateraly as experimental group, and conventional pedicle screw fixation was done contralateraly as control group. Bone cement dispersion was observed in the two groups. RESULTS AND CONCLUSION:It was 3-4 minutes for bone cement to agglomerate. Injection of bone cement paste into the infusion cylinder using a syringe was more convenient. The cylinder was connected tightly with the tail-end of the screw with no leakage. The push bar could provide sufficient perfusion force. Bone cement dispersion was found in the holow part and side holes of the screw. Side holes arranged regularly, and the hole pitch was equal. Compared with the control group, the yield load and yield displacement were significantly higher in the experimental group (P < 0.05), but the ultimate strength and ultimate displacement were significantly lower in the experimental group (P < 0.05). Bone cement around the pourable cement screw dispersed regularly, which was diffused into the surround cancelous bone and integrated with adjacent bone cement mass. The axial withdrawal force was increased by 114% in the experimental group compared with the control group (P < 0.05). The maximum

  10. Bone

    International Nuclear Information System (INIS)

    Bone scanning provides information on the extent of primary bone tumors, on possible metastatic disease, on the presence of osteomyelitis prior to observation of roentgenographic changes so that earlier therapy is possible, on the presence of collagen diseases, on the presence of fractures not disclosed by x-ray films, and on the evaluation of aseptic necrosis. However, the total effect and contribution of bone scanning to the diagnosis, treatment, and ultimate prognosis of pediatric skeletal diseases is, as yet, unknown. (auth)

  11. Study on the effects of white rice husk ash and fibrous materials additions on some properties of fiber-cement composites.

    Science.gov (United States)

    Hamzeh, Yahya; Ziabari, Kamran Pourhooshyar; Torkaman, Javad; Ashori, Alireza; Jafari, Mohammad

    2013-03-15

    This work assesses the effects of white rice husk ash (WRHA) as pozzolanic material, virgin kraft pulp (VKP), old corrugated container (OCC) and fibers derived from fiberboard (FFB) as reinforcing agents on some properties of blended cement composites. In the sample preparation, composites were manufactured using fiber-to-cement ratio of 25:75 by weight and 5% CaCl(2) as accelerator. Type II Portland cement was replaced by WRHA at 0%, 25% and 50% by weight of binder. A water-to-binder ratio of 0.55 was used for all blended cement paste mixes. For parametric study, compressive strength, water absorption and density of the composite samples were evaluated. Results showed that WRHA can be applied as a pozzolanic material to cement and also improved resistance to water absorption. However, increasing the replacement level of WRHA tends to reduce the compressive strength due to the low binding ability. The optimum replacement level of WRHA in mortar was 25% by weight of binder; this replacement percentage resulted in better compressive strengths and water absorption. OCC fiber is shown to be superior to VKF and FFB fibers in increasing the compressive strength, due to its superior strength properties. As expected, the increase of the WRHA content induced the reduction of bulk density of the cement composites. Statistical analysis showed that the interaction of above-mentioned variable parameters was significant on the mechanical and physical properties at 1% confidence level.

  12. Continuous Digital Light Processing (cDLP): Highly Accurate Additive Manufacturing of Tissue Engineered Bone Scaffolds

    OpenAIRE

    Dean, David; Wallace, Jonathan; Siblani, Ali; Wang, Martha O.; Kim, Kyobum; Mikos, Antonios G.; Fisher, John P.

    2012-01-01

    Highly accurate rendering of the external and internal geometry of bone tissue engineering scaffolds effects fit at the defect site, loading of internal pore spaces with cells, bioreactor-delivered nutrient and growth factor circulation, and scaffold resorption. It may be necessary to render resorbable polymer scaffolds with 50 μm or less accuracy to achieve these goals. This level of accuracy is available using Continuous Digital Light processing (cDLP) which utilizes a DLP® (Texas Instrumen...

  13. 水泥与混凝土外加剂(减水剂)适应性问题探析%Inquiry on the adaptability of cement and concrete additives

    Institute of Scientific and Technical Information of China (English)

    王庆

    2016-01-01

    With an introduction of technological and economic effects of water-reducing agent,starting from aspects of cement clinker mineral composition,gypsum compositions,alkali contents and cement fineness and so on,the thesis analyzes factors influencing cement and concrete additive adaptability,and puts forward measures of solving cement and additives adaptability problems,so as to meet the engineering demands for concrete technology performance.%介绍了减水剂的技术经济效果,从水泥熟料矿物成分、石膏成分、碱含量、水泥细度等方面,分析了影响水泥与混凝土外加剂适应性的因素,提出了解决水泥与外加剂适应性问题的措施,从而满足工程对混凝土技术性能的要求.

  14. Addition of Fructooligosaccharides and Dried Plum to Soy-Based Diets Reverses Bone Loss in the Ovariectomized Rat

    Directory of Open Access Journals (Sweden)

    Catherine D. Johnson

    2011-01-01

    Full Text Available Dietary bioactive components that play a role in improving skeletal health have received considerable attention in complementary and alternative medicine practices as a result of their increased efficacy to combat chronic diseases. The objectives of this study were to evaluate the additive or synergistic effects of dried plum and fructooligosaccharides (FOS and to determine whether dried plum and FOS or their combination in a soy protein-based diet can restore bone mass in ovarian hormone deficient rats. For this purpose, 72 3-month-old female Sprague-Dawley rats were divided into six groups (n = 12 and either ovariectomized (Ovx, five groups or sham-operated (sham, one group. The rats were maintained on a semipurified standard diet for 45 days after surgery to establish bone loss. Thereafter, the rats were placed on one of the following dietary treatments for 60 days: casein-based diet (Sham and Ovx, soy-based diet (Ovx + soy or soy-based diet with dried plum (Ovx + soy + plum, FOS (Ovx + soy + FOS and combination of dried plum and FOS (Ovx + soy + plum + FOS. Soy protein in combination with the test compounds significantly improved whole-body bone mineral density (BMD. All test compounds in combination with soy protein significantly increased femoral BMD but the combination of soy protein, dried plum and FOS had the most pronounced effect in increasing lumbar BMD. Similarly, all of the test compounds increased ultimate load, indicating improved biomechanical properties. The positive effects of these test compounds on bone may be due to their ability to modulate bone resorption and formation, as shown by suppressed urinary deoxypyridinoline excretion and enhanced alkaline phosphatase activity.

  15. CEMENT SLURRIES FOR GEOTHERMAL WELLS CEMENTING

    OpenAIRE

    Nediljka Gaurina-Međimurec; Davorin Matanović; Gracijan Krklec

    1994-01-01

    During a well cementing special place belongs to the cement slurry design. To ensure the best quality of cementing, a thorough understanding of well parameters is essential, as well as behaviour of cement slurry (especially at high temperatures) and application of proven cementing techniques. Many cement jobs fail because of bad job planning. Well cementing without regarding what should be accomplished, can lead to well problems (channels in the cement, unwanted water, gas or fluid production...

  16. Use of polymethylmethacrylate to enhance screw fixation in bone.

    Science.gov (United States)

    Cameron, H U; Jacob, R; Macnab, I; Pilliar, R M

    1975-07-01

    Pull-out testing of screws inserted into cement and bone under various conditions showed that the cement-screw complex was significantly stronger when the screw was placed in soft cement and the cement was allowed to polymerize without further manipulation. When screw fixation in osteoporotic bone was reinforced with cement, the bone was the weakest component in the system. Fixation under these conditions should be enhanced by increasing the area of contact between the cement and bone. By cooling the cement to prolong its working time, it could be injected with a syringe in such a way that maximum endosteal and periosteal contact was provided. PMID:1150708

  17. Effects of chemical and mineral additives and the water/cement ratio on the thermal resistance of Portland cement concrete; O efeito de aditivos quimicos e minerais e da relacao agua/cimento na resistencia ao calor do concreto de concreto de cimento Portland

    Energy Technology Data Exchange (ETDEWEB)

    Cesar, Leandro Cesar Dias; Morelli, Arnaldo C.; Baldo, Joao Baptista [Sao Carlos Univ., SP (Brazil). Dept. de Engenharia de Materiais

    1998-07-01

    The exposure of Portland concrete to high temperatures (>250 deg C) can damage drastically the microstructural integrity of the material. Since the water/cement ratio as well as the inclusion of superplasticizers and mineral additives (silica fume) can alter constitutively and micro structurally the material, in this work it was investigated per effect of these additions on the damage resistance of portland concrete after exposure to high temperatures. (author)

  18. Additional Detection of Multiple Osteomas in a Patient with Gardner's Syndrome by Bone SPECT/CT

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Woo Hyoung; Kim, Daeweung; Kim, Chang Guhn; Kim, Myoung Hyoun [Wonkwang Univ. School of Medicine, Iksan (Korea, Republic of)

    2013-12-15

    Familial adenomatous polyposis (FAP) is an autosomal dominant disorder which generally develops numerous polyps in the colon and rectum during the second decade of life. Gardner's syndrome is a variant of FAP which has multiple osteomas, dental abnormalities, and fibromas, with incidence ranging between 1 in 4,000 and 1 in 40,000, depending on the region. We present the case of a 35-year-old man referred to our department for bone scintigraphy who was shown to have multiple colon polyps and nuchal type fibroma. In this patient, planar image showed intensely increased uptakes of bone agent in the maxilla and mandible, which are typical findings of Gardner's syndrome. Single photon emission computed tomography/computed tomography (SPECT/CT) was acquired to accurately identify and locate abnormal uptakes detected on planar images. SPECT/CT showed numerous osteomas in the maxilla and mandible where intense uptakes of bone agent were seen. Mildly asymmetrical, focally increased uptake in the superomedial aspect of the left orbit on anterior planar image was shown to be a fontal sinus osteoma on SPECT/CT. Enhanced sensitivity of detecting lesions of SPECT/CT superior to planar scintigraphy has been reported in previous studies. In this report, additional osteomas of sphenoidal and ethmoidal sinuses, which were not seen on planar scintigraphy, were detected by SPECT/CT. This case emphasizes that nuclear physicians should be aware of the typical findings of bone scintigraphy for Gardner's syndrome and also that SPECT/CT could be helpful to diagnose additional lesions not seen on planar images.

  19. 外加剂对水泥固化铁矾渣性能的影响%Effect of Additives on Properties of Cement Solidified Body

    Institute of Scientific and Technical Information of China (English)

    侯小强; 郑旭涛; 郭从盛; 谭宏斌

    2014-01-01

    Cementitious materials were prepared by adding jarosite slag in portland cement clinker.The effect of additives(fly ash zeolite,sodium sulfide and fly ash)on the solidified body strength and leaching toxicity were studied,respectively. When the jarosite slag content was 60% in cementitious material,the stability of heavy metal ion in solidified body were improved by adding zeolite,sodium sulfide as stabilizer and leaching toxicity values of different solidified body were lower than the national standard. When the fly ash was added in cementitious material,fly ash content increased,the strength of solidified body decreased,the leaching toxicity values of different solidified body were also lower than the national standard.%在硅酸盐水泥熟料中加入铁矾渣,制备成胶凝材料。分别以粉煤灰沸石、硫化钠和粉煤灰为外加剂,研究其对水泥固化体强度和浸出毒性的影响。在胶凝材料中铁矾渣加入量为60%时,加入沸石、硫化钠为稳定剂,均可提高重金属离子的稳定性,不同固化体的浸出毒性值均低于国家标准。在胶凝材料中加入粉煤灰,粉煤灰掺量增加,固化体强度下降,不同固化体的浸出毒性值也均低于国家标准。

  20. POZZOLAN AND CEMENTS WITH POZZOLAN

    Directory of Open Access Journals (Sweden)

    Hasan KAPLAN

    1995-02-01

    Full Text Available Cement, one of the basic material of construction engineering, has an important place in view of strength and cost of structures. Cement consumption is increasing parallel to development of building construction sector. For cement producers, minimal cost is desired by using new and economical material sources. On the other hand, the controllers and contractors need cheaper, safer and higher strength materials. From this respect cement industry tends to use cement with pozzolan. In Türkiye, cement with pozzolan is produced by adding the pozzolan, which has a large reservoir in the country, in cement in sertain amount. However this type of cement is consumed in the construction sector, sortage of scientific investigation and speculative news on the subject.are worried the users and producers. In this paper, prior to an experimental study on the cements having pozzolan additive, historical development of pozzolan, reservoir of Turkiye, and comparison with portland cement is carried out. Advantages and disadvantages of pozzolan are also discussed in some points.

  1. Use of a strontium-enriched calcium phosphate cement in accelerating the healing of soft-tissue tendon graft within the bone tunnel in a rabbit model of anterior cruciate ligament reconstruction.

    Science.gov (United States)

    Kuang, G M; Yau, W P; Lu, W W; Chiu, K Y

    2013-07-01

    We investigated whether strontium-enriched calcium phosphate cement (Sr-CPC)-treated soft-tissue tendon graft results in accelerated healing within the bone tunnel in reconstruction of the anterior cruciate ligament (ACL). A total of 30 single-bundle ACL reconstructions using tendo Achillis allograft were performed in 15 rabbits. The graft on the tested limb was treated with Sr-CPC, whereas that on the contralateral limb was untreated and served as a control. At timepoints three, six, nine, 12 and 24 weeks after surgery, three animals were killed for histological examination. At six weeks, the graft-bone interface in the control group was filled in with fibrovascular tissue. However, the gap in the Sr-CPC group had already been completely filled in with new bone, and there was evidence of the early formation of Sharpey fibres. At 24 weeks, remodelling into a normal ACL-bone-like insertion was found in the Sr-CPC group. Coating of Sr-CPC on soft tissue tendon allograft leads to accelerated graft healing within the bone tunnel in a rabbit model of ACL reconstruction using Achilles tendon allograft.

  2. Prevention of postmenopausal bone loss - effects of alternative administration forms of estrogens, alternative gestagens and calcium addition

    Energy Technology Data Exchange (ETDEWEB)

    Riis, B.J.; Christiansen, C.

    1987-02-01

    Calcium metabolism was examined in 133 healthy postmenopausal women every three months during two years of treatment with oral or percutaneous 17..beta..-estradiol combined with different doses of calcium supplementation and/or different gestagens. Bone mineral content measured in the forearm (single photon absorptiometry), in the spine and in the total skeleton (dual photon absorptiometry) was unchanged in all estrogen-treated groups during the two years of treatment, and the responses in the groups with and without calcium supplementation and with different gestagens were not significantly different. Furthermore, the responses were independent of route of administration of the estrogen. Biochemical indices of bone turnover (serum alkaline phosphatase and fasting urinary hydroxyproline/creatinine) decreased highly significantly during estrogen treatment (p<0.001) independent of route of administration of the estrogen, of calcium supplementation, and of gestagen agent. We conclude that estrogen treatment independently of route of administration, prevents postmenopausal bone loss. The gestagen agents used here do not affect calcium metabolism, and calcium supplementation has no additive effect to estrogen therapy.

  3. Prevention of postmenopausal bone loss - effects of alternative administration forms of estrogens, alternative gestagens and calcium addition

    International Nuclear Information System (INIS)

    Calcium metabolism was examined in 133 healthy postmenopausal women every three months during two years of treatment with oral or percutaneous 17β-estradiol combined with different doses of calcium supplementation and/or different gestagens. Bone mineral content measured in the forearm (single photon absorptiometry), in the spine and in the total skeleton (dual photon absorptiometry) was unchanged in all estrogen-treated groups during the two years of treatment, and the responses in the groups with and without calcium supplementation and with different gestagens were not significantly different. Furthermore, the responses were independent of route of administration of the estrogen. Biochemical indices of bone turnover (serum alkaline phosphatase and fasting urinary hydroxyproline/creatinine) decreased highly significantly during estrogen treatment (p<0.001) independent of route of administration of the estrogen, of calcium supplementation, and of gestagen agent. We conclude that estrogen treatment independently of route of administration, prevents postmenopausal bone loss. The gestagen agents used here do not affect calcium metabolism, and calcium supplementation has no additive effect to estrogen therapy. (orig.)

  4. In vitro and in vivo study of additive manufactured porous Ti6Al4V scaffolds for repairing bone defects

    Science.gov (United States)

    Li, Guoyuan; Wang, Lei; Pan, Wei; Yang, Fei; Jiang, Wenbo; Wu, Xianbo; Kong, Xiangdong; Dai, Kerong; Hao, Yongqiang

    2016-01-01

    Metallic implants with a low effective modulus can provide early load-bearing and reduce stress shielding, which is favorable for increasing in vivo life-span. In this research, porous Ti6Al4V scaffolds with three pore sizes (300~400, 400~500, and 500~700 μm) were manufactured by Electron Beam Melting, with an elastic modulus range of 3.7 to 1.7 GPa. Cytocompatibility in vitro and osseointegration ability in vivo of scaffolds were assessed. hBMSCs numbers increased on all porous scaffolds over time. The group with intended pore sizes of 300 to 400 μm was significantly higher than that of the other two porous scaffolds at days 5 and 7. This group also had higher ALP activity at day 7 in osteogenic differentiation experiment. The scaffold with pore size of 300 to 400 μm was implanted into a 30-mm segmental defect of goat metatarsus. In vivo evaluations indicated that the depth of bone ingrowth increased over time and no implant dislocation occurred during the experiment. Based on its better cytocompatibility and favorable bone ingrowth, the present data showed the capability of the additive manufactured porous Ti6Al4V scaffold with an intended pore size of 300 to 400 μm for large segmental bone defects. PMID:27667204

  5. Bone cement and bone grafting in nail path to strengthen dynamic hip screw fixation for senile osteoporotic intertrochanteric fracture%骨水泥、钉道植骨强化动力髋螺钉固定修复老年骨质疏松性股骨转子间骨折

    Institute of Scientific and Technical Information of China (English)

    林周胜; 孙鸿涛; 夏雄智; 江成; 黎飞猛

    2015-01-01

    背景:对于老年骨质疏松性髋部骨折的动力髋螺钉固定,如能避免使用过程中造成的骨量丢失,或是采用其他手段增加固定螺钉把持力,将改善动力髋螺钉固定的治疗效果。目的:对比研究3种固定方式修复老年骨质疏松性股骨转子间骨折的效果。方法:回顾性分析近5年来采用常规动力髋螺钉内固定、骨水泥强化后动力髋螺钉固定及主钉道压配植骨配合动力髋螺钉固定3种固定方式治疗老年骨质疏松性股骨转子间骨折患者的资料,分别设为对照组、骨水泥组和植骨组。结果与结论:经固定后2年随访,植骨组、骨水泥组和对照组Harris髋关节功能评分优良率分别为95%,80%,70%。植骨组骨折临床愈合时间明显缩短(P <0.05),出现螺钉固定失败情况与骨水泥组相当。对照组较其他2组相对更多出现退钉等内固定失败情况。结果表明,与其他常规动力髋螺钉内固定、骨水泥强化后动力髋螺钉固定方式相比较,主钉道压配植骨配合动力髋螺钉内固定的疗效及安全性更好。%BACKGROUND:In dynamic hip screw fixation for treating aged osteoporotic intertrochanteric fracture, avoiding the loss of bone mass, or by other means that can increase the fixed screw pulout strength, wil improve the therapeutic effect of dynamic hip screw fixation. OBJECTIVE: To compare the effects of three kinds of repair methods on aged osteoporotic intertrochanteric fracture. METHODS:Data of aged osteoporosis intertrochanteric fracture patients, who received conventional dynamic hip screw fixation, bone cement augmentation with dynamic hip screw fixation and bone grafting with dynamic hip screw fixation, were retrospectively analyzed. They were divided into control group, bone cement group and bone grafting group. RESULTS AND CONCLUSION:After two years of folow-up, the excelent and good rates of Harris hip function were 95%, 80% and 70% in

  6. Effect of addition of sugar cane biomass ash in properties of fresh state in cement slurries for oil wells; Efeito da adicao de cinza de biomassa de cana-de-acucar nas propriedades no estado fresco de pastas de cimento para pocos de petroleo

    Energy Technology Data Exchange (ETDEWEB)

    Galvao, Lornna L.A.; Santos, Herculana T.; Souza, Pablo Diego Pinheiro; Freitas, Julio Cezar Oliveira [Universidade Federal do Rio Grande do Norte (UFRN), RN (Brazil); Nascimento, Julio Cesar S. [Universidade Federal da Bahia (UFBA), BA (Brazil); Amorim, Natalia M.M. [Universidade Potiguar (UNP), RN (Brazil); Martinell, Antonio E. [Mcgill University (MCGILL) (Canada); Universidade Federal do Rio Grande do Norte (UFRN), RN (Brazil)

    2012-07-01

    Recent studies have shown that ashes from biomass, in particular those generated by the alcohol industry have pozzolanic activity and can replace cement in many applications, reducing the consumption of cement and, consequently, the environmental impact caused by the production of this material. The present work evaluated the behavior of ash sugarcane biomass partially replacing Portland cement in concentrations of 10, 20 and 40% BWOC in oil well slurries. The results of rheology, thickening time and stability showed that the addition of 40% of biomass ash in oil well slurries significantly improves their properties, enabling the replacement of cement by ash. (author)

  7. Effect of ZrO2 addition on the mechanical properties of porous TiO2 bone scaffolds.

    Science.gov (United States)

    Tiainen, Hanna; Eder, Georg; Nilsen, Ola; Haugen, Håvard J

    2012-08-01

    This study aimed at the investigation of the effect of zirconium dioxide (ZrO2) addition on the mechanical properties of titanium dioxide (TiO2) bone scaffolds. The highly biocompatible TiO2 has been identified as a promising material for bone scaffolds, whereas the more bioinert ZrO2 is known for its excellent mechanical properties. Ultra-porous TiO2 scaffolds (>89% porosity) were produced using polymer sponge replication with 0-40 wt.% of the TiO2 raw material substituted with ZrO2. Microstructure, chemical composition, and pore architectural features of the prepared ceramic foams were characterised and related to their mechanical strength. Addition of 1 wt.% of ZrO2 led to 16% increase in the mean compressive strength without significant changes in the pore architectural parameters of TiO2 scaffolds. Further ZrO2 additions resulted in reduction of compressive strength in comparison to containing no ZrO2. The appearance of zirconium titanate (ZrTiO4) phase was found to hinder the densification of the ceramic material during sintering resulting in poor intergranular connections and thus significantly reducing the compressive strength of the highly porous ceramic foam scaffolds. PMID:24364936

  8. Application of bone cement in the posterior approach surgical treatment for metastatic tumor of the thoracolumbar spine%胸腰椎转移瘤后路手术中骨水泥的应用

    Institute of Scientific and Technical Information of China (English)

    毛宁方; 朱晓东; 张晔; 吴云刚; 白玉树; 李明; 石志才

    2009-01-01

    目的:探讨骨水泥在胸腰椎转移瘤后路手术中的应用价值.方法:2004年3月~21208年12月,后方入路手术治疗胸腰椎转移性肿瘤患者26例,原发肿瘤:肺癌9例,乳腺癌7例,肝癌4例,前列腺癌2例,肾癌1例,来源不明3例.病灶累及单节段17例,两节段9例.23例伴不同程度的腰背部疼痛:神经功能按Frankel分级:B级6例,C级7例,D级11例,E级2例.术中采用骨水泥联合椎弓根螺钉重建脊柱稳定性,其中骨水泥填塞15个椎体,骨水泥前方重建9个椎体,骨水泥椎体成形11个椎体,10例合并骨质疏松患者同时采用骨水泥加强椎弓根钉道.结果:术中未发现骨水泥放热效应引起的神经功能受损.24例患者获得完整随访,随访时间3~42个月,平均18.2个月,23例术前有不同程度腰背疼痛者术后疼痛消失6例,缓解14例;术前伴神经功能障碍者17例(77%)获得神经功能改善.随访期间未发现骨水泥下沉、椎节塌陷及向前成角.1例骨水泥填塞术后3个月骨水泥界面出现松动,但未引起神经压迫症状.15例随访期间死亡.结论:在胸腰椎转移性肿瘤后路手术治疗中,根据患者的全身情况、预期寿命、肿瘤类型、转移椎体位置及骨密度,充分利用骨水泥独特的理化特性,进行多种不同方式的应用,可以减小手术创伤,提高生存质量.%Objective:To explore the clinic effects of the bone cement utilized in the posterior approach surgical treatment of the thoracic and lumbar spinal metastatic tumor.Method:26 patients with the thoracolumbar spinal metastatic tumors who underwent posterior approach surgical treatment from March 2004 to December 2008 were reviewed retrospectively.There were lung carcinoma in 9 cases, breast carcinoma in 7 cases, hepato-carcinoma in 4 cases,prostate carcinoma in 2 cages,kidney carcinoma in 1 case,and 3 cases with unknown origin.Tumor involved single vertebral body in 17 cases,two vertebral bodies in 9 cases.23

  9. Numerical investigation of the mechanical properties of the additive manufactured bone scaffolds fabricated by FDM: The effect of layer penetration and post-heating.

    Science.gov (United States)

    Naghieh, S; Karamooz Ravari, M R; Badrossamay, M; Foroozmehr, E; Kadkhodaei, M

    2016-06-01

    In recent years, thanks to additive manufacturing technology, researchers have gone towards the optimization of bone scaffolds for the bone reconstruction. Bone scaffolds should have appropriate biological as well as mechanical properties in order to play a decisive role in bone healing. Since the fabrication of scaffolds is time consuming and expensive, numerical methods are often utilized to simulate their mechanical properties in order to find a nearly optimum one. Finite element analysis is one of the most common numerical methods that is used in this regard. In this paper, a parametric finite element model is developed to assess the effects of layers penetration׳s effect on inter-layer adhesion, which is reflected on the mechanical properties of bone scaffolds. To be able to validate this model, some compression test specimens as well as bone scaffolds are fabricated with biocompatible and biodegradable poly lactic acid using fused deposition modeling. All these specimens are tested in compression and their elastic modulus is obtained. Using the material parameters of the compression test specimens, the finite element analysis of the bone scaffold is performed. The obtained elastic modulus is compared with experiment indicating a good agreement. Accordingly, the proposed finite element model is able to predict the mechanical behavior of fabricated bone scaffolds accurately. In addition, the effect of post-heating of bone scaffolds on their elastic modulus is investigated. The results demonstrate that the numerically predicted elastic modulus of scaffold is closer to experimental outcomes in comparison with as-built samples. PMID:26874065

  10. Osteogenesis and angiogenesis properties of dental pulp cell on novel injectable tricalcium phosphate cement by silica doped

    Energy Technology Data Exchange (ETDEWEB)

    Su, Ying-Fang [Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan (China); Department of Stomatology, Chung Shan Medical University Hospital, Taichung, Taiwan (China); School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Lin, Chi-Chang, E-mail: chichang31@gmail.com [Department of Anatomy, Chung Shan Medical University, Taichung City, Taiwan (China); Huang, Tsui-Hsien; Chou, Ming-Yung [Department of Stomatology, Chung Shan Medical University Hospital, Taichung, Taiwan (China); School of Dentistry, Chung Shan Medical University, Taichung, Taiwan (China); Yang, Jaw-Ji, E-mail: jjyang@csmu.edu.tw [Department of Chemical and Materials Engineering, Tunghai University, Taichung, Taiwan (China); Shie, Ming-You, E-mail: eviltacasi@gmail.com [Department of Anatomy, Chung Shan Medical University, Taichung City, Taiwan (China)

    2014-09-01

    β-Tricalcium phosphate (β-TCP) is an osteoconductive material in clinical. In this study, we have doped silica (Si) into β-TCP and enhanced its bioactive and osteostimulative properties. To check its effectiveness, a series of Si-doped with different ratios were prepared to make new bioactive and biodegradable biocomposites for bone repair. Formation of the diametral tensile strength, ions released and weight loss of cements was considered after immersion. In addition, we also examined the behavior of human dental pulp cells (hDPCs) cultured on Si-doped β-TCP cements. The results showed that setting time and injectability of the Si-doped β-TCP cements were decreased as the Si content was increased. At the end of the immersion point, weight losses of 30.1%, 36.9%, 48.1%, and 55.3% were observed for the cement doping 0%, 10%, 20%, and 30% Si into β-TCP cements, respectively. In vitro cell experiments show that the Si-rich cements promote human dental pulp cell (hDPC) proliferation and differentiation. However, when the Si-doped in the cement is more than 20%, the amount of cells and osteogenesis protein of hDPCs was stimulated by Si released from Si-doped β-TCP cements. The degradation of β-TCP and osteogenesis of Si gives a strong reason to believe that these Si-doped β-TCP cements may prove to be promising bone repair materials. - Highlights: • The higher the Si in the cement, the shorter the setting time and the higher the DTS. • Si20-doped in TCP improved cell adhesion, proliferation and differentiation. • The Si ion stimulated collagen secreted from cells. • The Si released from substrate can promote osteogenic and angiogenic.

  11. Metaphyseal bone loss in revision knee arthroplasty.

    Science.gov (United States)

    Ponzio, Danielle Y; Austin, Matthew S

    2015-12-01

    The etiology of bone loss encountered during revision total knee arthroplasty (TKA) is often multifactorial and can include stress shielding, osteolysis, osteonecrosis, infection, mechanical loss due to a grossly loose implant, and iatrogenic loss at the time of implant resection. Selection of the reconstructive technique(s) to manage bone deficiency is determined by the location and magnitude of bone loss, ligament integrity, surgeon experience, and patient factors including the potential for additional revision, functional demand, and comorbidities. Smaller, contained defects are reliably managed with bone graft, cement augmented with screw fixation, or modular augments. Large metaphyseal defects require more extensive reconstruction such as impaction bone grafting with or without mesh augmentation, prosthetic augmentation, use of bulk structural allografts, or use of metaphyseal cones or sleeves. While each technique has advantages and disadvantages, the most optimal method for reconstruction of large metaphyseal bone defects during revision TKA is not clearly established. PMID:26362647

  12. Performance of Cement Containing Laterite as Supplementary Cementing Material

    Directory of Open Access Journals (Sweden)

    Abbas Bukhari, Z. S.

    2013-03-01

    Full Text Available The utilization of different industrial waste, by-products or other materials such as ground granulated blast furnace slag, silica fume, fly ash, limestone, and kiln dust, etc. as supplemen- tary cementing materials has received considerable attention in recent years. A study has been conducted to look into the performance of laterite as Supplementary Cementing Materials (SCM. The study focuses on compressive strength performance of blended cement containing different percentage of laterite. The cement is replaced accordingly with percentage of 2 %, 5 %, 7 % and 10 % by weight. In addition, the effect of use of three chemically different laterites have been studied on physical performance of cement as in setting time, Le-Chatlier expansion, loss on ignition, insoluble residue, free lime and specifically compressive strength of cement cubes tested at the age of 3, 7, and 28 days. The results show that the strength of cement blended with laterite as SCM is enhanced. Key words: Portland cement, supplementary cementing materials (SCM, laterite, compressive strength KUI – 6/2013 Received January 4, 2012 Accepted February 11, 2013

  13. Low-Temperature Additive Manufacturing of Biomimic Three-Dimensional Hydroxyapatite/Collagen Scaffolds for Bone Regeneration.

    Science.gov (United States)

    Lin, Kai-Feng; He, Shu; Song, Yue; Wang, Chun-Mei; Gao, Yi; Li, Jun-Qin; Tang, Peng; Wang, Zheng; Bi, Long; Pei, Guo-Xian

    2016-03-23

    Low-temperature additive manufacturing (AM) holds promise for fabrication of three-dimensional (3D) scaffolds containing bioactive molecules and/or drugs. Due to the strict technical limitations of current approaches, few materials are suitable for printing at low temperature. Here, a low-temperature robocasting method was employed to print biomimic 3D scaffolds for bone regeneration using a routine collagen-hydroxyapatite (CHA) composite material, which is too viscous to be printed via normal 3D printing methods at low temperature. The CHA scaffolds had excellent 3D structure and maintained most raw material properties after printing. Compared to nonprinted scaffolds, printed scaffolds promoted bone marrow stromal cell proliferation and improved osteogenic outcome in vitro. In a rabbit femoral condyle defect model, the interconnecting pores within the printed scaffolds facilitated cell penetration and mineralization before the scaffolds degraded and enhanced repair, compared to nonprinted CHA scaffolds. Additionally, the optimal printing parameters for 3D CHA scaffolds were investigated; 600-μm-diameter rods were optimal in terms of moderate mechanical strength and better repair outcome in vivo. This low-temperature robocasting method could enable a variety of bioactive molecules to be incorporated into printed CHA materials and provides a method of bioprinting biomaterials without compromising their natural properties. PMID:26930140

  14. Cement Formation

    DEFF Research Database (Denmark)

    Telschow, Samira; Jappe Frandsen, Flemming; Theisen, Kirsten;

    2012-01-01

    Cement production has been subject to several technological changes, each of which requires detailed knowledge about the high multiplicity of processes, especially the high temperature process involved in the rotary kiln. This article gives an introduction to the topic of cement, including......−liquid reactions are discussed, as are the influences of particles sizes on clinker phase formation. Furthermore, a mechanism for clinker phase formation in an industrial rotary kiln reactor is outlined....

  15. Graded infusion of bone cement in percutanceous vertebroplasty for osteoporotic vertebral compression fractures%分次灌注骨水泥技术治疗骨质疏松性椎体压缩骨折疗效观察

    Institute of Scientific and Technical Information of China (English)

    耿家金; 赵平; 牛和明; 张永强; 张强; 解平锋

    2013-01-01

    Objective To explore the safety and efficacy of graded infusion of bone cement in percutanceous vertebroplasty for osteoporotic vertebral compression fractures. Methods A total of 60 patients with osteoporotic vertebral compression fractures were treated by percutanceous vertebroplasty from March 2009 to March 2011. The cases were randomly and equally assigned to a group of once infusion of bone cement (n=30)(group A) and a control group of graded infusion of bone cement (n=30) in percutanceous vertebroplasty(group B). Results The duration of mean follow-up was 18 months (range from 12 to 24 months). Compared with those before operation, the general condition and symptoms were significantly improved, and the ODI and VAS of two group were dramatically reduced in three days of postoperative and final follow-up(P 0.05). Group comparison of two group did not find significant difference (P >0.05). Compared with group A, the rate of bone cement leakage of group B was lower (P <0.05). But there were no other complications. Conclusion Percutanceous vertebroplasty, with easy performance and safely, can effectively release the pain resulted from osteoporotic vertebral compression fractures and the short-term outcome is favorable. But the long-term effects need to be further observed. Graded infusion of bone cement in percutanceous vertebroplaty can reduce the leakage rate.%目的 探讨经皮椎体成形术中采用分次灌注骨水泥技术治疗骨质疏松性椎体压缩骨折的安全性与疗效.方法 自2009年3月~2011年3月对60例骨质疏松性椎体压缩骨折采用经皮椎体成形术治疗,随机分为一次灌注骨水泥技术组(A组)30例和分次灌注骨水泥技术组(B组)30例.结果 本组获随访12~24个月,平均18个月.两组术后症状均明显改善,VAS评分及ODI评分:术后3d及末次随访与术前比较,差异均有统计学意义(P<0.01),末次随访与术后3d比较,差异无统计学意义(P>0.05),两组组间比

  16. Effect of ZrO2 addition on the mechanical properties of porous TiO2 bone scaffolds

    International Nuclear Information System (INIS)

    This study aimed at the investigation of the effect of zirconium dioxide (ZrO2) addition on the mechanical properties of titanium dioxide (TiO2) bone scaffolds. The highly biocompatible TiO2 has been identified as a promising material for bone scaffolds, whereas the more bioinert ZrO2 is known for its excellent mechanical properties. Ultra-porous TiO2 scaffolds (> 89% porosity) were produced using polymer sponge replication with 0–40 wt.% of the TiO2 raw material substituted with ZrO2. Microstructure, chemical composition, and pore architectural features of the prepared ceramic foams were characterised and related to their mechanical strength. Addition of 1 wt.% of ZrO2 led to 16% increase in the mean compressive strength without significant changes in the pore architectural parameters of TiO2 scaffolds. Further ZrO2 additions resulted in reduction of compressive strength in comparison to containing no ZrO2. The appearance of zirconium titanate (ZrTiO4) phase was found to hinder the densification of the ceramic material during sintering resulting in poor intergranular connections and thus significantly reducing the compressive strength of the highly porous ceramic foam scaffolds. - Highlights: ► Open porous scaffold with porosity in the range of 89.0 to 92.8% produced. ► Adding 1 wt.% of ZrO2 led to 16% increase in strength without changing porosity. ► Further ZrO2 additions resulted in reduced compressive strength versus no ZrO2. ► Presence of zirconium titanate (ZrTiO4) phase found to hinder the densification. ► Appearance of ZrTiO4 resulted in poor intergranular connections.

  17. The influence of cement mantle thickness and stem geometry on fatigue damage in two different cemented hip femoral prostheses.

    Science.gov (United States)

    Ramos, A; Simões, J A

    2009-11-13

    Experimental models can be used for pre-clinical testing of cemented and other type of hip replacements. Total hip replacement (THR) failure scenarios include, among others, cement damage accumulation and the assessment of accurate stress and strain magnitudes at the cement mantle interfaces (stem-cement and cement-bone) can be used to predict mechanical failure. The aseptic loosening scenario in cemented hip replacements is currently not fully understood, and methods of evaluating medical devices must be developed to improve clinical performance. Different results and conclusions concerning the cement micro-cracking mechanism have been reported. The aim of this study was to verify the in vitro behavior of two cemented femoral stems with respect to fatigue crack formation. Fatigue crack damage was assessed at the medial, lateral, anterior and posterior sides of the Lubinus SPII and Charnley stems. All stems were loaded and tested in stair climbing fatigue loading during one million cycles at 2 Hz. After the experiments each implanted synthetic femur was sectioned and analyzed. We observed more damage (cracks per area) for the Lubinus SPII stem, mainly on the proximal part of the cement mantle. The micro-cracking formation initiated in the stem-cement interface and grew towards the direction of cortical bone of the femur. Overall, the cement-bone interface seems to be crucial for the success of the hip replacement. The Charnley stem provoked more damage on the cement-bone interface. A failure index (maximum length of crack/maximum thickness of cement) considered was higher for the cement-stem interface of the Lubinus SPII stem. For a cement mantle thickness higher than 5 mm, cracking initiated at the cement-bone interface and depended on the opening canal process (reaming procedure and instrumentation). The analysis also showed that fatigue-induced damage on the cement mantle, increasing proximally, and depended on the axial position of the stem. The cement

  18. Fabrication of HA/PLLA Composite Scaffolds for Bone Tissue Engineering Using Additive Manufacturing Technologies

    OpenAIRE

    Cruz, Fernando

    2010-01-01

    The main goal of the experimental work was to demonstrate the feasibility of producing HA/PLLA parts by selective laser sintering. The results were successful in proving that feasibility. In fact, the main results of the trials performed, have shown that: It is possible to produce bioceramic parts (HA based) by means of AMT - Additive Manufacturing Technologies, namely the Selective Laser Sintering (SLS) process, using a biocompatible/biodegradable polymer as binder; For that purpose it is ne...

  19. Biofabrication of customized bone grafts by combination of additive manufacturing and bioreactor knowhow

    International Nuclear Information System (INIS)

    This study reports on an original concept of additive manufacturing for the fabrication of tissue engineered constructs (TEC), offering the possibility of concomitantly manufacturing a customized scaffold and a bioreactor chamber to any size and shape. As a proof of concept towards the development of anatomically relevant TECs, this concept was utilized for the design and fabrication of a highly porous sheep tibia scaffold around which a bioreactor chamber of similar shape was simultaneously built. The morphology of the bioreactor/scaffold device was investigated by micro-computed tomography and scanning electron microscopy confirming the porous architecture of the sheep tibiae as opposed to the non-porous nature of the bioreactor chamber. Additionally, this study demonstrates that both the shape, as well as the inner architecture of the device can significantly impact the perfusion of fluid within the scaffold architecture. Indeed, fluid flow modelling revealed that this was of significant importance for controlling the nutrition flow pattern within the scaffold and the bioreactor chamber, avoiding the formation of stagnant flow regions detrimental for in vitro tissue development. The bioreactor/scaffold device was dynamically seeded with human primary osteoblasts and cultured under bi-directional perfusion for two and six weeks. Primary human osteoblasts were observed homogenously distributed throughout the scaffold, and were viable for the six week culture period. This work demonstrates a novel application for additive manufacturing in the development of scaffolds and bioreactors. Given the intrinsic flexibility of the additive manufacturing technology platform developed, more complex culture systems can be fabricated which would contribute to the advances in customized and patient-specific tissue engineering strategies for a wide range of applications. (paper)

  20. Biofabrication of customized bone grafts by combination of additive manufacturing and bioreactor knowhow.

    Science.gov (United States)

    Costa, Pedro F; Vaquette, Cédryck; Baldwin, Jeremy; Chhaya, Mohit; Gomes, Manuela E; Reis, Rui L; Theodoropoulos, Christina; Hutmacher, Dietmar W

    2014-09-01

    This study reports on an original concept of additive manufacturing for the fabrication of tissue engineered constructs (TEC), offering the possibility of concomitantly manufacturing a customized scaffold and a bioreactor chamber to any size and shape. As a proof of concept towards the development of anatomically relevant TECs, this concept was utilized for the design and fabrication of a highly porous sheep tibia scaffold around which a bioreactor chamber of similar shape was simultaneously built. The morphology of the bioreactor/scaffold device was investigated by micro-computed tomography and scanning electron microscopy confirming the porous architecture of the sheep tibiae as opposed to the non-porous nature of the bioreactor chamber. Additionally, this study demonstrates that both the shape, as well as the inner architecture of the device can significantly impact the perfusion of fluid within the scaffold architecture. Indeed, fluid flow modelling revealed that this was of significant importance for controlling the nutrition flow pattern within the scaffold and the bioreactor chamber, avoiding the formation of stagnant flow regions detrimental for in vitro tissue development. The bioreactor/scaffold device was dynamically seeded with human primary osteoblasts and cultured under bi-directional perfusion for two and six weeks. Primary human osteoblasts were observed homogenously distributed throughout the scaffold, and were viable for the six week culture period. This work demonstrates a novel application for additive manufacturing in the development of scaffolds and bioreactors. Given the intrinsic flexibility of the additive manufacturing technology platform developed, more complex culture systems can be fabricated which would contribute to the advances in customized and patient-specific tissue engineering strategies for a wide range of applications.

  1. Biomechanical effects of kyphoplasty-assisted versus traditional bone cement augmentation on the loosened sacral screws%后凸成形和传统钉道骨水泥强化对骶骨钉松动的生物力学作用

    Institute of Scientific and Technical Information of China (English)

    周冬长; 王丽冰; 曾丽雯; 黄阳亮; 于滨生

    2011-01-01

    BACKGROUND: Kyphoplasty-assisted bone cement augmentation can be used in lumbar pedicle screw fixation of osteoporotic patients.OBJECTIVE: To assess the fixation strengths of loosened sacral screws augmented with kyphoplasty-assisted and traditional bone cement techniques.METHODS: Fresh sacra were harvested from nine osteoporotic cadavers. After testing bilaterally placed unicortical and bicortical pedicle screws, two unicortical pedicle screws with the traditional and kyphoplasty-assisted cement augmentations were established on the same sacrum. Following 2000 cyclic compression loading to screw head on a MTS machine, their maximum pull-out forces were recorded and compared. RESULTS AND CONCLUSION: The bone mineral densities of nine specimens were ranged from 0.61 to 0.77 g/cm2 (0.71 g/cm2 in average). The mean maximum pull-out forces of unicortical and bicortical screws, and traditional and kyphoplasty-assisted cement screws were 203, 325, 437, and 565 N, respectively. The pull-out force was significantly higher in bicortical screw compared with unicortical (P < 0.05); however, these two fixations exhibited markedly lower pull-out strength compared with two cement augmentation techniques (P < 0.05). The pull-out strength was significantly higher in kyphoplasty-assisted cement augmentation group compared with traditional bone cement technique (P < 0.05). In addition, a significant positive correlation was exhibited between bone mineral density and pull-out force for the four fixations (P < 0.05). Results demonstrated that traditional and kyphoplasty-assisted cement augmentations can serve as the salvage technique for loosening sacral screw. However, kyphoplasty-assisted augmentation can provide higher stability.%背景:后凸成形骨水泥强化可应用于骨质疏松患者的腰椎椎弓根钉固定.目的:评价松动的骶骨钉经后凸成形和传统钉道骨水泥强化后的固定强度.方法:纳入9具骨质疏松症患者的新鲜尸体标本.在同

  2. Acetabular defect reconstruction with impacted morsellized bone grafts or TCP/HA particles. A study on the mechanical stability of cemented cups in an artificial acetabulum model.

    NARCIS (Netherlands)

    Bolder, S.B.T.; Verdonschot, N.J.J.; Schreurs, B.W.; Buma, P.

    2002-01-01

    In revision surgery of the acetabulum bone defects can be filled with impacted human morsellized bone grafts. Because of a worldwide limited availability of human bone, alternatives are being considered. In this study we compared the initial stability of acetabular cups after reconstructing a cavita

  3. 注入骨水泥治疗胸腰椎骨质疏松性骨折:成熟技术中的常见问题%Bone cement injection for the treatment of thoracolumbar osteoporotic fractures:Common problems in the mature technology

    Institute of Scientific and Technical Information of China (English)

    韩卫东; 黄爱军; 陈丽萍

    2013-01-01

      背景:注入骨水泥是胸腰椎骨质疏松性骨折常用的固定方法之一。目的:评估注入骨水泥内固定胸腰椎骨质疏松性骨折的生物力学性能以及固定效果。方法:选取骨质疏松胸腰椎标本,测定骨密度以及最大压力载荷、位移、刚度等力学性能指标,建立骨折模型,注入骨水泥固定后,再次测定最大压力载荷、位移、刚度指标,比较注入骨水泥固定前后生物性能的变化,同时与椎弓根螺钉固定胸腰椎骨质疏松性骨折的生物学性能进行比较。对注入骨水泥固定胸腰椎骨质疏松性骨折的患者进行随访观察,通过评估患者缓解疼痛程度、胸腰椎体高度恢复程度以及骨水泥注入量和骨水泥外渗等情况,明确注入骨水泥固定治疗的效果。结果与结论:生物力学实验测定注入骨水泥固定胸腰椎骨质疏松性骨折后的最大载荷为2285 N,比骨折前承受的最大载荷1954 N强度增加了近16.9%,注入骨水泥固定胸腰椎骨质疏松性骨折后的刚度为427 N,比骨折前刚度349 N增加了近22.1%,显示出良好的生物性能。对应用注入骨水泥固定胸腰椎骨质疏松性骨折的患者以及应用闭合复位注入骨水泥固定胸腰椎骨质疏松性骨折的患者进行随访观察,结果发现2种方法均可以使患者的疼痛得到明显的缓解,而闭合复位注入骨水泥固定胸腰椎骨质疏松性骨折时骨水泥注入量、局部后凸角以及椎体高度恢复情况均更好,表明闭合复位辅助下注入骨水泥固定是胸腰椎骨质疏松性骨折安全有效的治疗方法。%  BACKGROUND: Bone cement injection is one of the commonly used methods for the treatment of thoracolumbar osteoporotic fractures. OBJECTIVE: To evaluate biomechanical properties and fixed effects of bone cement injection for the treatment of thoracolumbar osteoporotic fractures. METHODS: The specimens of

  4. Amino acid containing glass-ionomer cement for orthopedic applications

    Science.gov (United States)

    Wu, Wei

    Amino acid containing glass-ionomer cements were synthesized, formulated, and evaluated for orthopedic application. The formulation of different amino acid containing glass-ionomer bone cements was optimized, and conventional and resin-modified glass-ionomer bone cements were compared. Properties of interest included handling characteristics, physical and chemical properties, and mechanical strength of the bone cement. The study was based on the synthesis of different vinyl containing amino acids, different polyelectrolytes containing these amino acid residues, and different resin-modified polyelectrolytes, as well as formulation and evaluation of conventional and resin-modified glass-ionomer bone cements using these polyelectrolytes. Systematic preparation of polyelectrolytes and formulation of glass-ionomer bone cements were essential features of this work, since we anticipated that the mechanical properties of the glass-ionomer bone cements could be strongly affected by the nature of the polyelectrolytes and formulation. Mechanical properties were evaluated in a screw driven mechanical testing machine, and structure-property relationships were determined by scanning electron microscopic (SEM) observation of the fracture surface of the specimens. How the structure of polyelectrolytes, such as different amino acid residues, molecular weight, different modifying resin, and formulation of glass-ionomer bone cement, affected the mechanical properties was also studied.

  5. geneX®骨水泥强化椎弓根螺钉体内的实验研究%The experiment study of geneX® bone cement augmentation of pedicle screw in animal model

    Institute of Scientific and Technical Information of China (English)

    张树芳; 江建明; 陈荣春; 朱青安; 黄志平

    2015-01-01

    目的:通过动物实验,评估新型带负电荷硫酸钙/β-磷酸三钙复合骨水泥(geneX®)用于强化体内椎弓根螺钉的生物力学性质变化及可行性。方法选取6只健康山羊腰椎L1~5双侧共30个椎弓根随机分为3组:geneX®组,聚甲基丙烯酸甲酯骨水泥(Polymethylmethacrylate,PMMA)组,空白对照组,每组10个椎弓根。术后3个月处死动物取材行Mirco-CT检查、组织学检查及生物力学实验。结果轴向拔出力实验:geneX®组(803±155) N, PMMA组为(994±122) N,两者差异无统计学意义(P>0.05)。两组均明显高于对照组的(524±118) N,差异具有统计学意义(P<0.05)。组织学观察及Mirco-CT显示geneX®组中螺钉周围骨水泥已经完全降解、吸收,骨小梁排列致密,成熟骨小梁附近可见大量新生骨组织,明显优于对照组及PMMA组。结论 geneX®骨水泥可有效强化椎弓根螺钉内固定的强度,其强化作用随时间推移而增强,对防止骨质疏松症患者内固定的拔出发生率有重要意义。%Objective To evaluate the long-term in vivo biomechanical effects of a newly developed biphasic calcium composite bone cement (geneX®)with a negative surface charge augmentation of pedicle screw. Methods Bilateral pedicles of lumbar vertebrae (L1~5) of 6 female sheep were fi xed with pedicle screws. One pedicle of each vertebral body was treated with a screw augmented with either geneX®(geneX® group) or PMMA (PMMA group) and the contralateral pedicle was treated with a screw without any augmentation (control group). Three months later, the sheep were killed and biomechanical tests, micro-CT analysis and histological observation were conducted on the isolated specimen vertebrae. Results Both the axial and vertical stabilities of the pedicle screws in geneX® group were significantly enhanced compared with those in the control group (P<0.05). Micro-CT reconstruction and analysis showed that there were more bone

  6. Composite cements containing natural pozzolan and granulated blast furnace slag

    OpenAIRE

    Irassar, E. F.; Rahhal, V. F.; Donza, H. A.; Menéndez, G.; Bonavetti, V. L.

    2006-01-01

    For reasons of market demand and Portland cement production,the manufacture of cements with two or more separately ground additions to produce customized cements is becoming common practice.When pozzolan or slag content in this type of cements is high, however, the initial strength of the resulting product may be adversely impacted. This problem can be minimized by activating one or both of the replacement materials. The present study analyzes the effect of Portland cement additions such as p...

  7. Inlfuence of Additives on Shrinkage and Early-age Crack Resistance of Slag Cement Concrete%外加剂对矿渣水泥混凝土收缩与早期抗裂的影响

    Institute of Scientific and Technical Information of China (English)

    韩静云; 宋旭艳; 郜志海

    2016-01-01

    选用木钠减水剂、UEA-H膨胀剂、早强剂、柠檬酸缓凝剂以常用掺量外掺入矿粉水泥中,检测其化学收缩和干缩性能,同时将各掺量的外加剂分别引入到矿渣水泥混凝土中,检测其抗压强度以及早期抗裂性能,结果表明:木钠减水剂增加矿渣水泥的早期化学收缩,也增大矿渣水泥胶砂的干缩值;UEA-H膨胀剂增加矿渣水泥的化学收缩,并能降低矿渣水泥胶砂的干缩;早强剂则在早期就大幅度增加矿渣水泥的化学收缩,对胶砂体系干缩性能影响与基准矿渣水泥体系相当;柠檬酸缓凝剂能降低矿渣水泥的化学收缩值,但会提高胶砂体系的干缩值。木钠减水剂、UEA-H膨胀剂和早强剂都能提高矿渣水泥混凝土的早期抗裂性能,其中早强剂在所选用的几种外加剂中效果最好,而缓凝剂对矿渣水泥混凝土早期抗裂性能具有不利影响。%Sodium ligninsulfonate water reducer, UEA-H expansive agent, early strength agent and citric acid retarder could be introduced into slag cement, and then chemical shrinkage and dry shrinkage of system may be tested. After slag concrete with various additives respectively can be prepared, its compressive strength and early crack resistance may be determined. The results can show that: sodium ligninsulfonate water reducer can increase early chemical shrinkage and dry shrinkage of slag cement. UEA-H expansive agent can increase chemical shrinkage and reduce dry shrinkage of slag cement. Early strength agent can substantially increase early chemical shrinkage of slag cement. Inlfuence of early strength agent on dry shrinkage of slag cement may be similar to fundamental slag cement. Citric acid retarder can reduce chemical shrinkage of slag cement, but may improve dry shrinkage of cement system. Sodium ligninsulfonate water reducer, UEA-H expansive agent, early strength agent could improve early cracking resistance of slag concrete

  8. ULTRA-LIGHTWEIGHT CEMENT

    Energy Technology Data Exchange (ETDEWEB)

    Fred Sabins

    2001-10-23

    The objective of this project is to develop an improved ultra-lightweight cement using ultra-lightweight hollow glass spheres (ULHS). Work reported herein addresses tasks performed in the fourth quarter as well as the other three quarters of the past year. The subjects that were covered in previous reports and that are also discussed in this report include: Analysis of field laboratory data of active cement applications from three oil-well service companies; Preliminary findings from a literature review focusing on problems associated with ultra-lightweight cements; Summary of pertinent information from Russian ultra-lightweight cement literature review; and Comparison of compressive strengths of ULHS systems using ultrasonic and crush methods Results reported from the fourth quarter include laboratory testing of ULHS systems along with other lightweight cement systems--foamed and sodium silicate slurries. These comparison studies were completed for two different densities (10.0 and 11.5 lb/gal) and three different field application scenarios. Additional testing included the mechanical properties of ULHS systems and other lightweight systems. Studies were also performed to examine the effect that circulation by centrifugal pump during mixing has on breakage of ULHS.

  9. 不同量骨水泥强化新型空心椎弓根螺钉的体外生物力学研究%Influence of the volume of bone cement on the reinforcement of a novel canulated pedicle screw: a biomechanical study in vitro

    Institute of Scientific and Technical Information of China (English)

    刘瑶瑶; 代飞; 孙东; 罗飞; 张泽华; 许建中

    2012-01-01

    Objective To evaluate the bone cement distribution and biomechanical stability of self-designed bone cement injectable canulated pedicle screw (CICPS). Methods CICPS, DTPSTM and solid pedicle screws were implanted into osteoporotic bone models (density: 0. 16 g/cm3, n = 7) according to the clinical standard procedure. Four different volumes of bone cement (1,2,3 and 5 ml) were used to reinforce CICPS and DTPSTM , respectively, and the solid pedicle screws were used as control. X-ray and CT were applied to observe the bone cement distribution in different groups. Maximum axial pullout strength test was used to analyze the relationship between the bone cement volume and maximum axial pullout strength, and the biomechanical stabilities of CICPS, DTPS and solid pedicle screws were compared. Results X-ray showed that there was no bone cement rear leakage in all screws. Three-dimensional reconstruction of X-ray and CT showed bone cement well and widely distributed through the three side holes of the CICPS in bone models. Bone cement flowed out mainly through the proximal side hole of the DTPSTM But rarely through the distal side hole. The maximum axial pullout strength of each group was as follows: solid pedicle screws; (28.5 ±4.0) N; CICPS: 1 ml (140.3 ±15.9) N, 2 ml (197. 1 ±9.8) N, 3 ml (215.4 ±10.7) N and 5 ml (237.0 ±23.6) N; and DTPSTM: 1 ml (114. 3 ± 17.7) N, 2 ml (180.5 ±13.6) N, 3 ml (207.2 ±30.0) N and 5 ml (291.3 ± 25. 1) N. The maximum axial pullout strength of the CICPS and DTPSTM after reinforced by bone cement was significantly greater than that of the control group, and the strength increased along with the increase of bone cement volume. When the volume of bone cement was 1, 2 and 3 ml, the biomechanical stability of the CICPS was higher than that of the DTPSTM ( P <0. 05 ). When the volume of bone cement was 5 ml, the biomechanical stability of the DTPSTM Was higher than that of the CICPS (P <0. 05). Conclusion It is effective to enhance the

  10. Time reduction in well construction with the addition of glass microspheres and thixotropic agents in cement slurries in zonal isolation at Solimoes Basin; Reducao do tempo de construcao de pocos de petroelo na Bacia do Solimoes atraves da utilizacao de microsferas de vidro e agentes tixotropicos nas fases de cimentacao

    Energy Technology Data Exchange (ETDEWEB)

    Ferreira, Cledeilson R.L.; Duque, Luis H.; Steffan, Rodolfo H.P.; Guimaraes, Zacarias [Baker Hyghes, Houston, TX (United States); Corregio, Fabio; Augusto, Marcelo; Mendes, Sandro C. [Petroleo Brasileiro S.A. (PETROBRAS), Rio de Janeiro, RJ (Brazil)

    2012-07-01

    One of the problems faced by the oil industry during the well construction is the damage effect of the hydrostatic head of cement slurries on unconsolidated reservoirs, trending to a necessity of lightweight cementing slurries with high resistance for zonal isolation. This paper presents experiences with lightweight cementing slurries obtained by the addition of glass microspheres and thixotropic agents in oil and gas wells located at Solimoes Basin - Amazon Basin, Brazil, which led to 100% time reduction on well construction when compared with the standard cementing procedures, besides the benefit of no reservoir damage. It also includes lab tests, cement slurry designs, case histories and results that allow a complete evaluation of the technique that can be applied in other similar environments. (author)

  11. Meat and bone meal and mineral feed additives may increase the risk of oral prion disease transmission

    Science.gov (United States)

    Johnson, Christopher J.; McKenzie, Debbie; Pedersen, Joel A.; Aiken, Judd M.

    2011-01-01

    Ingestion of prion-contaminated materials is postulated to be a primary route of prion disease transmission. Binding of prions to soil (micro)particles dramatically enhances peroral disease transmission relative to unbound prions, and it was hypothesized that micrometer-sized particles present in other consumed materials may affect prion disease transmission via the oral route of exposure. Small, insoluble particles are present in many substances, including soil, human foods, pharmaceuticals, and animal feeds. It is known that meat and bone meal (MBM), a feed additive believed responsible for the spread of bovine spongiform encephalopathy (BSE), contains particles smaller than 20 μm and that the pathogenic prion protein binds to MBM. The potentiation of disease transmission via the oral route by exposure to MBM or three micrometer-sized mineral feed additives was determined. Data showed that when the disease agent was bound to any of the tested materials, the penetrance of disease was increased compared to unbound prions. Our data suggest that in feed or other prion-contaminated substances consumed by animals or, potentially, humans, the addition of MBM or the presence of microparticles could heighten risks of prion disease acquisition.

  12. A New Type of Biphasic Calcium Phosphate Cement as a Gentamicin Carrier for Osteomyelitis

    Directory of Open Access Journals (Sweden)

    Wen-Yu Su

    2013-01-01

    Full Text Available Osteomyelitis therapy is a long-term and inconvenient procedure for a patient. Antibiotic-loaded bone cements are both a complementary and alternative treatment option to intravenous antibiotic therapy for the treatment of osteomyelitis. In the current study, the biphasic calcium phosphate cement (CPC, called α-TCP/HAP (α-tricalcium phosphate/hydroxyapatite biphasic cement, was prepared as an antibiotics carrier for osteomyelitis. The developed biphasic cement with a microstructure of α-TCP surrounding the HAP has a fast setting time which will fulfill the clinical demand. The X-ray diffraction and Fourier transform infrared spectrometry analyses showed the final phase to be HAP, the basic bone mineral, after setting for a period of time. Scanning electron microscopy revealed a porous structure with particle sizes of a few micrometers. The addition of gentamicin in α-TCP/HAP would delay the transition of α-TCP but would not change the final-phase HAP. The gentamicin-loaded α-TCP/HAP supplies high doses of the antibiotic during the initial 24 hours when they are soaked in phosphate buffer solution (PBS. Thereafter, a slower drug release is produced, supplying minimum inhibitory concentration until the end of the experiment (30 days. Studies of growth inhibition of Staphylococcus aureus and Pseudomonas aeruginosa in culture indicated that gentamicin released after 30 days from α-TCP/HAP biphasic cement retained antibacterial activity.

  13. Preparation and evaluation of high temperature cement slurry loss reduction additive DRF-120L%高温水泥浆降失水剂DRF-120L的制备及评价

    Institute of Scientific and Technical Information of China (English)

    于永金; 刘硕琼; 刘丽雯; 靳建洲; 袁进平; 齐奉忠

    2011-01-01

    The cement fluid loss reduction additives used in China generally have the deficiency of weak salinity tolerance and poor thermal stability. To solve this problem, considering molecular structure, excellent performance monomers were selected, and then the salt tolerant and thermostable fluid loss reduction additive DRF-120L was prepared according to free radical polymerization in aqueous solution. DRF-120L is a type of copolymer and its main chain contains sulfonic group and dicarboxyl groups, which improves the adsorption capacity to cement particle, so the capacity of controlling fluid loss was improved. The initiator amount, reaction temperature, monomer mass fraction were investigate, and the optimum polymerization conditions was determined. Finally DRF-120L was synthesized with temperature resistance of up to 200 °C .API fluid loss both in fresh water cement slurry and saline water cement slurry can be controlled under 100 ml under high temperature. DRF-120L has little effect on development ofcement strength under high temperature. Both conventional density cement slurry and high density cement slurry mixed mainly with DRF-120L have good comprehensive properties. Therefore, DRF-120L can satisfy the requirement of high temperature and deep well cementing.%目前国内使用的合成聚合物类降失水剂普遍存在抗高温、抗盐能力差的问题,为解决这一问题,从分子结构入手,优选出性能优异的聚合单体,采用水溶液自由基共聚合法制备了抗高温、抗盐降失水剂DRF-120L.DRF-120L分子主链上引入了磺酸基及双羧基等多种官能团,提高了降失水剂对水泥粒子的吸附能力,从而提高了降失水剂在高温下控制水泥浆失水的能力.分别考察了引发剂加量、反应温度及单体浓度等因素对降失水剂性能的影响,确定了聚合反应的最佳合成条件,制备出了抗温达到200℃的降失水剂DRF- 120L.DRF-120L在高温下能将淡水水泥浆及含盐

  14. Magnesium substitution in brushite cements: Efficacy of a new biomaterial loaded with vancomycin for the treatment of Staphylococcus aureus infections.

    Science.gov (United States)

    Cabrejos-Azama, Jatsue; Alkhraisat, Mohammad Hamdan; Rueda, Carmen; Torres, Jesús; Pintado, Concepción; Blanco, Luis; López-Cabarcos, Enrique

    2016-04-01

    Staphylococcus aureus is the most relevant pathogen associated with bone infection that sometimes appears after implant surgery, thus compromising a successful treatment. The aim of this work was to assess the effectiveness of brushite cements, doped with magnesium, as a new vancomycin carrier system against S.aureus infections. We performed an "in vitro" study to evaluate vancomycin release from the cements by measuring its antimicrobial activity against a strain of S.aureus. We have used two methods to load the cements with vancomycin: i) adsorption from a solution and ii) incorporation of the antibiotic into the solid phase during the cement synthesis. Furthermore, the compression strength of the loaded samples was measured to detect changes in the mechanical properties of the system. The "in vitro" study showed that the sustained release of vancomycin depends on the concentration of magnesium in the cement matrix. In addition, the standardized antibacterial assay revealed that the release of vancomycin from the cements may be helpful to prevent infections in bone regeneration procedures.

  15. Sustainable Development of the Cement Industry and Blended Cements to Meet Ecological Challenges

    OpenAIRE

    Konstantin Sobolev

    2003-01-01

    The world production of cement has greatly increased in the past 10 years. This trend is the most significant factor affecting technological development and the updating of manufacturing facilities in the cement industry. Existing technology for the production of cement clinker is ecologically damaging; it consumes much energy and natural resources and also emits pollutants. A new approach to the production of blended or high-volume mineral additive (HVMA) cement helps to improve its ecologi...

  16. 负压吸引引流技术联合抗生素骨水泥链珠治疗慢性骨髓炎%Continuous Vacuum Sealing Drainage Combined with Antibiotic Bone Cement Renju for Chronic Osteomyeliti

    Institute of Scientific and Technical Information of China (English)

    李宗原; 王军; 王陶; 石波; 杨衡; 张定伟

    2014-01-01

    Objective To study the effect of combination of continuous vacuum sealing drainage (VSD) combined with antibiotic bone cement renju for chronic osteomyeliti. Methods From April 2012 to April 2013, Fifty-three patients of chronic osteomyeliti of the author’s hospital were randomly divided into two groups. The treatment group (21 cases) was treated with VSD with antibiotic bone cement renju. The control group (32 cases) was treated with antibiotic bone cement renju. The evaluation in-dex were compared, such as length of stay, average operation time ,dressing change frequency, the number of operations, healing time, recurrence rate, et al. Results There were no difference in length of stay, average operation time, the number of opera-tions. The healing time, dressing change frequency of the treatment group were significantly less than the control group (P < 0. 05). Conclusions In the treatment of chronic osteomyelitis, VSD combined with antibiotic bone cement renju had advantages of promoting wound growth, reducing the number of change of dressing and the time of rehabilitation.%目的:探讨负压吸引引流技术(VSD)联合抗生素骨水泥链珠治疗慢性骨髓炎的临床疗效。方法选取笔者所在医院自2012年4月至2013年4月收治的53例慢性骨髓炎患者,随机分为观察组(VSD +抗生素链珠组)21例和对照组(抗生素链珠组)32例,观察组采用持续负压封闭引流联合抗生素骨水泥链珠填充,结合全身抗生素应用治疗。对照组经骨窗安放抗生素骨水泥链珠。比较两组患者住院天数,平均每次手术时间,换药次数、手术次数,创面愈合时间,复发率等指标。结果在住院天数、手术平均时间、手术次数方面两组患者无统计学差异,在换药次数、创面愈合时间方面观察组少于对照组(P <0.01)。结论 VSD 联合抗生素骨水泥链珠治疗慢性骨髓炎效果理想,可减少换药次数、缩短创面愈合时间。

  17. Development of Clinical Cement of Nanoapatite and Polyamide Composite

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    A new type of inorganicorganic biomimetic bone cement consisting of nanohydroxyapatite and polyamide 66 composite was investigated. This cement can be handled as paste and easily shaped into any contour. Nanoapatite and polyamide composite cement has a reasonable setting time, excellent washout resistance, high mechanical strength and bioactivity, and it is easily handled and shaped, which can be developed as a clinical cement. It can be predicted that nanoapatite/polymer composite cement would be a new trend of biomedical material, showing a promising prospect.

  18. Supporting screws combined with bone cement filling for reconstructing tibial bone defect in knee arthroplasty%支撑螺钉结合骨水泥填充重建膝关节置换术中胫骨平台骨缺损

    Institute of Scientific and Technical Information of China (English)

    黄海; 张喜才

    2014-01-01

    Objective To observe the clinical effect of supporting screws combined with bone cement filling on reconstructing tibial bone defect in knee arthroplasty.Methods Thirty-one patients (47 lateral tibial plateau structural bone defect) underwent total knee replacement.After conventional tibial osteotomy,2 or 3 pieces of supporting screws were screwed according to bone defect area,and bone cement was pressurely filled,and then the tibial prosthesis was installed.The knee rehabilitation training was strengthened and the effect was regular followed up after the operation.Results Thirty-one patients were followed up for 1-5 years,average 2.8 years.The pain of the knee completely disappeared after operation,and the stability and function of the knee were good.The KSS knee score were 87 to 95 points,an average of 92.4 points,which were significantly improved after operation (t =6.41,P < 0.01).In the last follow-up through X-ray examination,there were no prosthesis loosening or signs of infection,no bone cement filling zone interface lucency or supporting screw loosening,displacement or other complications.Conclusions Supporting screws combined with bone cement filling technique can effectively resolve the tibial knee replacement of large bone defects,and the short-term curative effect is satisfactory.So it is one of the ideal methods for senile patients.%目的 观察支撑螺钉结合骨水泥填充重建膝关节置换术中胫骨平台骨缺损的临床疗效.方法 对31例47侧重度胫骨平台结构性骨缺损患者行全膝关节置换术,常规胫骨平台截骨,截骨后根据骨缺损面积,拧入2~3枚支撑螺钉,加压填充骨水泥,安置胫骨骨水泥假体.术后加强膝关节功能康复训练并定期随访疗效.结果 31例患者术后随访1~5年,平均2.8年,术后疼痛完全消失,膝关节稳定性及功能均良好.膝关节KSS评分87~95分,平均92.4分,较术前显著改善(t=6.41,P<0.01).术后末次随访复查X线片未见

  19. A Blended Cement Containing Blast Furnace Slag and Phosphorous Slag

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Blended cement containing blast furnace slag(BFS) and phosphorous slag(PS) is a new kind of cement.The total content of blended materials could increase if two additives were used. Using the same admixtures, the properties of the blended cement with 70% additives could reach the standard of 525-grade slag cement according to GB.The strength of cement with 80% additives could reach the standard of 425-grade slag cement.The tests of strength, pore structure,hydration products,inhibiting alkali-aggregate reaction, resistance to sulfate corrosion of BFS-PSC were performed.

  20. Microstructure of Steel Fiber Reinforced Polymer-cement-based Composites

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Mercury intrusion porosimetry was used to measure the pore structure of steel fiber reinforced polymer-cement-based composite.The results indicate that the large pore volume decreases by 57.8%-51.2% and by 87.1%-88% with the addition of steel fibers and polymers respectively.When both steel fibers and polymers are simultaneously added,the large pore volume decreases by 88.3%-90.1%.As a surface active material,polymer has a favorable water-reduced and forming-film effect,which is contributed to the decrease of the thickness of water film and the improvement of the conglutination between the fibers and the matrix.Polymers could form a microstructure network.This network structure and the bone structure of cement hydration products penetrate each other and thus the interpenetrating network with sticky aggregate and steel fiber inside forms.

  1. 腰椎内固定中两种椎弓根钉加强技术与骨水泥的应用%Two strengthening pedicle screw techniques and bone cement in lumbar internal fixation

    Institute of Scientific and Technical Information of China (English)

    江泽华; 朱如森; 袁建军; 邵高升; 张学利

    2013-01-01

    BACKGROUND:Screw loosening and shedding may occur after osteoporosis associated with lumbar degenerative disease treated with pedicle screw fixation. Application of pedicle screw enhanced with cured materials can improve the therapeutic effect. OBJECTIVE:To compare the clinical effect of pedicle screws enhanced with poly(methyl methacrylate) and injectable calcium sulfate cement in the lumbar internal fixation of osteoporosis. METHODS:Sixty-one patients diagnosed with osteoporosis combined with lumbar spondylolisthesis, lumbar spinal instability, and severe lumbar spinal stenosis were col ected. Al patients were divided into two groups according to the treatment method:poly(methyl methacrylate) bone cement enhanced pedicle screw group and calcium sulfate bone cement enhanced pedicle screw group. RESULTS AND CONCLUSION:There were no significant differences in the operation time, blood loss, preoperative and postoperative visual analog scale score, Japanese Orthopedic Association scores and the Japanese Orthopedic Association score improvement rate between two groups (P>0.05). The results showed that two patients had bone cement leakage in poly(methyl methacrylate) group which had no neurological symptoms caused by new symptoms during fol ow-up period. The bone mineral density was not improved gradual y in poly(methyl methacrylate) group with fol ow-up time prolonging;however, in calcium sulfate group, the bone mineral density was increased significantly after treatment, and the change of bone mineral density was linearly related with Japanese Orthopaedic Association score improvement rate in calcium sulfate group. No screw loosening, pul ing out or neurological dysfunction occurred in both groups. The results indicate that like poly(methyl methacrylate), balcium sulfate bone cement can increase the stability of pedicle screws.%背景:骨质疏松伴腰椎退行性病变行椎弓根钉固定骨质疏松的椎体后可能会出现螺钉的松动、脱落,使用

  2. Swine deep bedding ashes as a mineral additive for cement based mortar Cinzas de cama sobreposta de suínos como adição mineral em argamassas de cimento

    Directory of Open Access Journals (Sweden)

    Melissa Selaysim Di Campos

    2008-04-01

    Full Text Available The sustainability of intensive swine production demands alternative destinations for the generated residues. Ashes from swine rice husk-based deep bedding were tested as a mineral addition for cement mortars. The ashes were obtained at 400 to 600ºC, ground and sieved through a 325 mesh sieve (# 0.045 mm. The characterization of the ashes included the determination of the index of pozzolanic activity with lime. The ashes were also tested as partial substitutes of Portland cement. The mortars were prepared using a cement:sand proportion of 1:1.5, and with water/cement ratio of 0.4. Three percentages of mass substitution of the cement were tested: 10, 20 and 30%. Mortar performances were assessed at 7 and 28 days determining their compressive strength. The chosen condition for calcinations at the laboratory scale was related to the maximum temperature of 600ºC since the resulting ashes contained vitreous materials and presented satisfactory values for the pozzolanic index under analysis. The pozzolanic activity indicated promising results for ashes produced at 600ºC as a replacement of up to 30% in cement masses.A sustentabilidade das regiões de produção intensiva de suínos requer destinos alternativos para os resíduos gerados. Cinzas de cama sobreposta de suínos à base casca de arroz, foram testadas como adição mineral em substituição ao cimento. As cinzas foram obtidas nas temperaturas de 400 a 600ºC, moídas e passadas por peneira ABNT 325 (# 0,045 mm. A caracterização de cinzas incluiu a determinação do índice de atividade pozolânica com a cal. As cinzas também foram testadas como substitutos parciais de cimento Portland. As argamassas foram preparadas na proporção cimento:areia de 1:1,5 e com fator água-cimento de 0,4. Três porcentagens de substituição do cimento comercial foram usadas: 10, 20 e 30% em massa. O desempenho das argamassas foi avaliado aos 7 e aos 28 dias com a determinação da resistência

  3. Injectable Premixed Cement of Nanoapatite and Polyamide Composite

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    A new type of injectable premixed bone cement consisting of nano-hydroxyapatite (n-HA) and polyamide 66(PA66) composite is investigated. This cement can be handled as paste and easily shaped, which can set in air, in physiological saline solution and in blood. The setting time, injectability and compressive strength of the cement largely depend on the ratio of liquid to powder (L/P). Moreover, the content of n-HA in composite also affects the compressive strength and injectability of the cement. The premixed composite cement can remain stable in the package for a long period and harden only after delivery to the defects site. The results suggest that injectable premixed cement has a reasonable setting time, reasonable viscosity for injecting, excellent washout resistance and high mechanical strength, which can be developed for root canal filling, sealing and various bone defects augmentation.

  4. Effect of additives on the performance of recycled fine aggregate cement mortar%外加剂对再生细骨料水泥砂浆性能的影响

    Institute of Scientific and Technical Information of China (English)

    王复星; 李国忠; 陈娟

    2014-01-01

    The effect of additives on the mechanical properties and water resistance of recycled fine aggregate cement mortar is studied. The result shows that the 28d flexural strength, compressive strength and osmotic pressure of cement mortar samples compared with the blank sample are increased by15.6%, 35.5%, 41.1%when silicone waterproofing agent is 0.2wt%, naphdalin series water reducer is wt1.0%,polycarboxylate super plasticizer is 0.8wt%.%研究了外加剂对再生细骨料水泥砂浆力学性能、防水性能的影响。结果表明:当有机硅防水剂掺量0.2 wt%、萘系减水剂1.0 wt%、聚羧酸减水剂0.8 wt%时,水泥砂浆试样与空白试样相比,其28 d抗折强度、抗压强度、渗透压力分别提高15.6%、35.5%、41.1%。实验中利用SEM对砂浆试样断面微观形貌进行了观察分析,同时利用XRD对水化产物进行了物相鉴定。

  5. Less harmful acidic degradation of poly(lactic-co-glycolic acid) bone tissue engineering scaffolds through titania nanoparticle addition

    OpenAIRE

    Liu, Huinan; Slamovich, Elliott B; Webster, Thomas J

    2006-01-01

    In the last 10 years, biodegradable aliphatic polyesters, such as poly(lactic-co-glycolic acid) (PLGA), have attracted increasing attention for their use as scaffold materials in bone tissue engineering because their degradation products can be removed by natural metabolic pathways. However, one main concern with the use of these specific polymers is that their degradation products reduce local pH, which in turn induces an inflammatory reaction and damages bone cell health at the implant site...

  6. Preparation and characterization of nano-hydroxyapatite/carboxymethychitosan-sodium alginate bone cement composite material%纳米羟基磷灰石/羧甲基壳聚糖-海藻酸钠复合骨水泥的性能

    Institute of Scientific and Technical Information of China (English)

    肖海军; 薛锋; 何志敏; 金粉勤; 沈玉春

    2011-01-01

    BACKGROUND: Bone adhesives have more or few shortcomings themselves at present.OBJECTIVE: To develop a new kind of bioactive bone cement that can be used as fracture adhesion.METHODS: Nano-hydroxyapatite/carboxymethychitosan-sodium alginate bone cement composite material as solid phase wasprepared through a co-precipitation method, and citric acid derivant as liquid phase was prepared for solution. By optimizedexperimentation in situ setting, the appropriate prescription of the cement was screened out according to the test of setting time,compressive strength, tensile strength, anti -washout ability, and microstructure and crystal construction of the cement werecharacterized by using Fourier transform infrared spectroscopy and scanning electron microscope.RESULTS AND CONCLUSION: When the mass ratio of nano-hydroxyapatite/carboxymethychitosan-sodium alginate was 65/35(among carboxymethychitosan/sodium alginate 4∶1) and liquid/solid was 1.0∶ 0.5 (g: mL), the prepared cement was paste-likewith good plasti city and anti -washout ability; the setting time was 12 to 18 minutes; the compressive strength was (4.5±2.1) MPa;the tensile strength of the femoral head of pigs had no difference at 25 ℃ and 37 ℃ in vitro (P > 0.05); the tensile strength at2 hours was 94% similar as that at 24 hours after the setting; the range of the porous structure was 100-300 μm;Nano-hydroxyapatite was well-distributed in the porous structure. The nano-hydroxyapatite/carboxymethychitosan-sodiumalginate bone cement has good biological activity, appropriate compressive strength, and preferable adhesive strength.%背景:目前普遍使用的黏合剂对粉碎骨折块进行黏合复位或多或少都存在一些缺陷.目的:研制具有黏接骨骼作用的生物活性骨水泥.方法:应用共沉淀法制备纳米羟基磷灰石/羧甲基壳聚糖-海藻酸钠复合材料作为骨水泥的固相粉体,将柠檬酸衍生物配制成溶液作为液相.通过优化实验,从骨水泥

  7. Reinforcement of osteosynthesis screws with brushite cement.

    Science.gov (United States)

    Van Landuyt, P; Peter, B; Beluze, L; Lemaître, J

    1999-08-01

    The fixation of osteosynthesis screws remains a severe problem for fracture repair among osteoporotic patients. Polymethyl-methacrylate (PMMA) is routinely used to improve screw fixation, but this material has well-known drawbacks such as monomer toxicity, exothermic polymerization, and nonresorbability. Calcium phosphate cements have been developed for several years. Among these new bone substitution materials, brushite cements have the advantage of being injectable and resorbable. The aim of this study is to assess the reinforcement of osteosynthesis screws with brushite cement. Polyurethane foams, whose density is close to that of cancellous bone, were used as bone model. A hole was tapped in a foam sample, then brushite cement was injected. Trabecular osteosynthesis screws were inserted. After 24 h of aging in water, the stripping force was measured by a pull-out test. Screws (4.0 and 6.5 mm diameter) and two foam densities (0.14 and 0.28 g/cm3) were compared. Cements with varying solid/liquid ratios and xanthan contents were used in order to obtain the best screw reinforcement. During the pull-out test, the stripping force first increases to a maximum, then drops to a steady-state value until complete screw extraction. Both maximum force and plateau value increase drastically in the presence of cement. The highest stripping force is observed for 6.5-mm screws reinforced with cement in low-density foams. In this case, the stripping force is multiplied by 3.3 in the presence of cement. In a second experiment, cements with solid/liquid ratio ranging from 2.0 to 3.5 g/mL were used with 6.5-mm diameter screws. In some compositions, xanthan was added to improve injectability. The best results were obtained with 2.5 g/mL cement containing xanthan and with 3.0 g/mL cements without xanthan. A 0.9-kN maximal stripping force was observed with nonreinforced screws, while 1.9 kN was reached with reinforced screws. These first results are very promising regarding screw

  8. [Cement augmentation of pedicle screws : Pros and cons].

    Science.gov (United States)

    Schnake, K J; Blattert, T R; Liljenqvist, U

    2016-09-01

    Cement augmentation of pedicle screws biomechanically increases screw purchase in the bone. However, clinical complications may occur. The pros and cons of the technique are discussed from different clinical perspectives. PMID:27514827

  9. Biomechanical analysis of a novel perfusional pedicle screw augmentation with bone cement in osteo-porotic vertebra%可灌注骨水泥椎弓根螺钉的生物力学研究

    Institute of Scientific and Technical Information of China (English)

    杨惠林; 王志荣; 王根林; 朱若夫; 吴树华; 王以进; 唐天驷

    2009-01-01

    Objective To clarify the biomechanical stability of novel perfusional pedicle screw (NPPS) in spinal vertebrae with osteoporosis. Methods Forty-two vertebrae (T to L) obtained from 6 for-malin preserved cadavers (5 males and 1 females; mean age, 73 years) were used. The mean bone mineral density was (0.696±0.14) g/cm2. The NPPS was inserted into one pediele of each vertebra, then early-dough-time cement 2 ml was perfused with the bone cement pusher and perfusion tube under X-ray into the verte-bra body through the hollow part of NPPS, and the control screw, an improved CD2 screw, was inserted into the contralateral pedicle. Three vertebrae were chose to observe the distribution of cement, and the other 39 vertebrae were randomly divided into three groups to make the pull-out test, rotating-out torque test, and cyclic bending resistance test respectively. Ten novel perfusional pedicle screws and ten control screws were respectively examined by three-point bend test. Results Cement perfused around the side holes of the distal screw in all vertebral body and no cement leakage occurred. The mean maximum force at pull-out was (760± 178) N for the NPPS and (355±87) N for the control screw. The mean maximum rotating-out torque was (1.347±0.377) N'm for the NPPS and (0.488±0.205) N'm for the control screw. In cyclic bending resistance test, the NPPS was found to withstand a greater number of cycles or greater loading before loosening. About 30.8% (4/13) of the NPPS became loosing (displacement>2.000 mm), the mean load of the loosening screws was (150±46) N and the mean displacement of the non-loosening screws was (0.661±0.289) mm. All of the control screws were loosening among 50-200 N before 800 cycles. Conclusion The manipulation of NPPS is simple with the application of cement pusher and perfusion tube. It is effective in the control of cement leakage and could enhance the fixation stability of the pedicel screw significantly in osteoporotic vertebrae. The

  10. 椎体成形术或后凸成形术生物活性充填材料的体内降解%The degradation of bioactive bone cement for vertebroplasty or kyphoplasty in vivo

    Institute of Scientific and Technical Information of China (English)

    朱雪松; 陈晓庆; 陈春茂; 王根林; 顾勇; 耿德春; 张志明; 杨惠林

    2010-01-01

    目的 观察磷酸钙骨水泥(CPC)和硫酸钙骨水泥(CSC)在椎体内的演变过程,为椎体成形术或后凸成形术中寻找更为合适的充填材料.方法 对24只成年雌性绵羊的L2~L5椎体制作骨缺损,随机注入CPC、CSC和聚甲基丙烯酸甲酯(PMMA),其中剩余的椎体作为空白对照,并以L6椎体作正常对照.术后2周、12周和24周分别随机处死其中8只绵羊,进行大体观察、生物力学测试、不脱钙组织学分析.结果 CSC组和CPC组椎体被填充材料明显增强,但CSC组椎体力学性能自2~12周呈现下降趋势,而到24周时又出现回升.CPC组椎体力学性能自2~24周呈上升趋势.12周时3组新骨形成量差异不明显,CSC已被大部分吸收;植入24周时新骨形成量CSC组>空白组>CPC组,CPC出现了明显的吸收,而CSC仅有少量残留.结论 CSC与CPC初期均能明显增强椎体;随着时间的推移,CSC在体内降解迅速,而CPC在体内降解缓慢.%Objective To observe the degradation of calcium phosphate cements (CPC) and calcium sulfate cement (CSC) in vertebras, and explore the ideal filler for vertebroplasty and kyphoplasty.Methods Bone voids were created in L2-L5 vertebras of 24 female mature sheep. CPC, CSC and polymethylmethacrylate (PMMA) were injected into one bone void randomly, and the remaining voids served as the blank control, and L6 vertebra served as the normal control. Eight sheep were sacrificed at the 2nd,12th and 24th week after operation randomly. Gross observation, biomechanical test and undecalcified bone histology analyses were performed. Results Biomechanical analysis showed that the vertebras could be augmented by CPC and CSC. The mechanical properties of CSC group were decreased from the 2nd to 12th week, and increased from the 12th to 24th week after operation. The mechanical properties of CPC group were increased from the 2nd to 24th week, however, but lower than PMMA group. Histology analysis revealed CSC was mostly

  11. The clinical effects of osteoporosis of lumbar degenerative disease by injectable calcium sulfate bone cement to strengthen pedicle screw internal fixation%骨质疏松腰椎退行性疾病的手术治疗分析

    Institute of Scientific and Technical Information of China (English)

    孔祥瑞; 刘德政; 刘海峰; 杨计策; 赵志超

    2015-01-01

    ObjectiveTo explore the clinical effects of osteoporosis of lumbar degenerative disease by injectable calcium sulfate bone cement to strengthen pedicle screw internal fixation. Methods 82 cases of patients with lumbar degenerative dis-ease of osteoporosis word randomly divided into experiment group(41 cases) and control group(41 cases). The control group were treated by transpedicle screws fixation, the experiment group were treated by injectable calcium sulfate bone cement to strengthen pedicle screw internal fixation. The time of operation, mean bleeding volum, the scores of VAS, ODI, JOA were com-pared for the two groups. ResultsThe time of operation, mean bleeding volum for the experiment group were better than the control group; There was no significant difference on the scores of VAS, ODI, JOA; The scores of VAS, ODI for the experiment group were lower than the control group postoperation for 1 week, 2 months, 12 months; The scores of JOA for the experiment group were higher than the control group postoperation for 1 week, 2 months, 12 months. ConclusionIt can improve the scores of VAS, ODI, JOA for the patients with osteoporosis of lumbar degenerative disease by injectable calcium sulfate bone cement to strengthen pedicle screw internal fixation. It is worthy of clinical promotion.%目的:探讨可注射硫酸钙骨水泥强化椎弓根钉内固定治疗骨质疏松腰椎退行性疾病的临床疗效。方法:按照随机数字表法将我院收治的82例骨质疏松腰椎退行性疾病患者均分为实验组和对照组,对照组给予单纯椎弓根内固定治疗,实验组给予可注射硫酸钙骨水泥强化椎弓根钉内固定治疗。比较两组患者手术时间、术中出血量以及治疗前后疼痛视觉模拟评分(VAS)、Oswestry 功能障碍指数(ODI)、JOA 腰椎病疗效评分变化情况。结果:实验组患者手术时间和术中出血量显著高于对照组;两组患者术前 VAS 评分、ODI 评分、JOA

  12. Biomechanics study on the femoral neck with side hole hollow nail combined with bone cement%股骨颈带侧孔空心钉添加骨水泥的生物力学实验探究

    Institute of Scientific and Technical Information of China (English)

    闫作

    2014-01-01

    objective To study the healing effects by applying femoral neck with side hole hollow nail combined with bone cement for the promotion of fracture.Methods 58 adult femoral neck specimens were seletced based on the maximum axial pull output (F-Max) in experimental group, 12 femoral neck in bored after the hollow screw directly into the center of the axial, the other 12 femoral neck in the center of the axial drilling will polymethacrylate again after infusion of bone cement into side holes with hollow screw. To pull out the experiment, the hollow nail pulling power of the maximum axial and screw in the process of cycle resistance to bending experiment in loose could withstand the maximum load were determined.Results In PMMA bone cement injection hole hollow nail was signiifcantly higher than that of the maximum axial force ,which was higher than pure hollow nail maximum axial pull output, the difference was statistically signiifcant (P<0.05). Conclusion For hip osteoporosis fracture, the side holes by using methyl methacrylate hollow nail ifxed the fracture end, can signiifcantly reduce the risk of femoral head loose, falling off, and improve the stability of the ifxed the fracture end, accelerate fracture healing.%目的:探讨股骨颈带侧孔空心钉添加骨水泥对骨折愈合的促进效果。方法选取58具成人尸体股骨颈标本,依据最大轴向拔出力(F-max)进行实验分组,12个股骨颈在轴向正中钻孔后将空心钉直接置入,另12个股骨颈在轴向正中钻孔将聚甲基丙烯酸酯骨水泥输注后再置入带侧孔空心钉。进行拔出实验,对空心钉最大轴向的拔出力及周期抗屈实验过程中螺钉在松动时所能承受的最大负荷进行测定。结果注入PMMA骨水泥侧孔空心钉最大轴向力显著高于高于单纯空心钉最大轴向拔出力,对比差异有统计学意义(P<0.05)。结论对于髋部骨质疏松骨折来说,采用加入聚甲基丙烯酸甲酯侧孔

  13. 21 CFR 888.3790 - Wrist joint metal constrained cemented prosthesis.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Wrist joint metal constrained cemented prosthesis... constrained cemented prosthesis. (a) Identification. A wrist joint metal constrained cemented prosthesis is a... as cobalt-chromium-molybdenum, and is limited to those prostheses intended for use with bone...

  14. Bone response and mechanical strength of rabbit femoral defects filled with injectable CaP cements containing TGF-beta 1 loaded gelatin microparticles.

    NARCIS (Netherlands)

    Link, D.P.; Dolder, J. van den; Beucken, J.J.J.P van den; Wolke, J.G.C.; Mikos, A.G.; Jansen, J.A.

    2008-01-01

    This study focused at the potential of transforming growth factor beta 1 (TGF-beta 1) loaded gelatin microparticles to enhance the bone response and mechanical strength of rabbit femoral defects filled with injectable calcium phosphate (CaP)/gelatin microparticle composites. Therefore, TGF-beta1 loa

  15. [Burns caused by cement mortar (based on expert opinion)].

    Science.gov (United States)

    Kleinhans, D

    1984-01-01

    A 35-year-old farmer with scars on his right arm, following erosion obviously due to wet cement (case of an expert opinion), was examined. Cement water had continuously soaked his shirt while he was planing a freshly applied wet cement ceiling with his right arm upwards. The cement did not contain special additives, so the normal alkalinity of wet cement and occlusion effects caused the erosion. The farmer sued the manufacturer of the cement for damages because of missing warning notices. The court decided in his favor.

  16. DMTA method in determining strength parameters of acrylic cements

    Directory of Open Access Journals (Sweden)

    J. Koszkul

    2007-05-01

    Full Text Available Purpose: The paper presents the results of investigations of dynamic properties for bone cement with different fillers by means of DMTA method. Addition of any substance causes the change in mechanical properties. Pure PALAMED® material and material filled with four different fillers have been analysed.Design/methodology/approach: One of the methods of thermal analysis for polymeric materials has been used for investigations. DMTA method is based on the analysis of the signal (reaction from the deformed material under particular conditions, at the changeable ambient temperature as well as vibrations frequency and amplitude. DMTA thermograms give information on change in storage modulus E’ and the mechanical loss factor tgδ, which is responsible for dissipation of energy during deformation. Pure cement as well as the cement filled with: BiO-OSS and PORESORB bone graft substitute materials, Al2O3 ceramic material and powdered animal bones. Method of specimen preparation and proportion in which the specimens were prepared are presented in the text.Practical implications: As it results from the literature analysis, no investigations of such a wide group of fillers, both organic and inorganic have been carried out yet. The investigations enabled the storage modulus and tgδ to be determined for each of the prepared materials, thus to indicate the material whose properties enable this material to be used in further alloplasty surgeries for hip joint. Practical application of the results of the investigations described in this paper will be possible after long and comprehensive clinical trials.Originality/value: Original value of this paper are the results of tests since such an analysis has never been conducted by scientific environment working on this subject.

  17. Influence of relation CaO/SiO{sub 2} mixtures of anhydrous cement and mineral additives on the formation of CSH and combat the retrogression; Influencia da relacao CaO/SiO{sub 2} de misturas anidras de cimento e aditivos minerais na formacao do C-S-H e no combate a retrogressao

    Energy Technology Data Exchange (ETDEWEB)

    Anjos, Marcos A.S. [Instituto Federal de Educacao, Ciencia e Tecnologia do Rio Grande do Norte (IFRN), Natal, RN (Brazil); Martinelli, Antonio E.; Melo, Dulce M.A.; Souza, Pablo P.D. [Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN (Brazil); Renovato, Tiago

    2012-07-01

    Temperatures above de 110 deg C cause cracks in the cement placed on the annular, and lost of hydraulic insulation; this crack is occasioned by the phenomenon of retrogression of the compressive resistance due to the conversion of the hydrated calcium silicate in phases calcium-rich, caused by the high temperatures in the wells. This paper presents the results of an experimental study aimed to investigate the influence of the molar ratio of different mixtures CaO/SiO{sub 2} Portland cement (CP) and minerals additives in the formation of CSH and retrogression of cement slurries subjected to high temperature and pressure. For both cement slurries were formulated with the addition of sugarcane biomass waste, silica flour and metakaolin in different concentrations of additives. The results of compressive strength and XRD showed that the use of cement slurries with molar ratio CaO/SiO{sub 2} near one can minimize the effect of retrogression when pulps are subjected to temperatures of 280 deg C and 17.2 MPa. (author)

  18. Chloride ingress in cement paste and mortar

    DEFF Research Database (Denmark)

    Jensen, Ole Mejlhede; Hansen, Per Freiesleben; Coats, Alison M.;

    1999-01-01

    In this paper chloride ingress in cement paste and mortar is followed by electron probe microanalysis. The influence of several paste and exposure parameters on chloride ingress are examined (e.g., water-cement ratio, silica fume addition, exposure time, and temperature), The measurements...

  19. 活性CPC/BMSCs用于牙槽嵴保存的实验研究%Active Porous Calcium Phosphate Cement with Bone Marrow Stromal Cells in Alveolar Ridge Preservation

    Institute of Scientific and Technical Information of China (English)

    谭鸾君; 王磊; 黄远亮

    2011-01-01

    目的:研究体外培养的毕格犬骨髓基质细胞(bone marrow stromal cells,BMSCs)与活性多孔磷酸钙(calcium phosphate cement,CPC)复合物应用于牙槽嵴保存的可行性.方法:将体外培养的毕格犬第2代BMSCs接种于活性CPC上,形成活性CPC/BMSCs复合物.拔除4只毕格犬双侧下颌骨的第二、三、四前磨牙,随机选取一侧植入活性CPC/BMSCs,另一侧分别为空白对照、自体骨、活性CPC.分别于术后第4周和第10周取材,硬组织切片和CT扫描分析牙槽嵴的高度变化.结果:第10周时,活性CPC/BMSCs组牙槽嵴高度的减少值较对侧的CPC组、自体骨组、空白对照组牙槽嵴高度的减少值低(P<0.05),差别有统计学意义.硬组织切片显示第10周时活性CPC/BMSCs组具有良好的新骨形成.结论:活性CPC/BMSCs有利于牙槽嵴保存.%Objective: To examine the efficancy of active porous calcium phosphate cement together with bone marrow stromal cells (BMSCs) in alveolar ridge preservation. Methods: The 2nd,3rd,4th premolars in both sides of mandible of 4 beagle dogs were extracted and 24 extraction wounds were created. Randomly, one side of the mandible wounds were implanted by BMSCs with the growth factor/porous CPC composite. The opposite side of wounds were implanted by CPC,autologus bone, or keep void respectively. After four and ten weeks, the beagles were sacrificed. The gross specimens were examined, CT sean images, and mineralized specimen preparations were prepared. Results: CT analysis showed that alveolar ridge in each group experienced some degree of alveolar absorption. After ten weeks, the alveolar ridge height reduction values in active-CPC group was smaller than the CPC group, autogenous bone group, and blank group respectively (P<0.05). The difference has statistical significance. Tissue slides also revealed an effective osteogensis in those wounds implanted with active-Cpc. Conclusions: The BMSCs/active CPC complex is favorable for

  20. Efeito da adição de cinza da casca de arroz em misturas cimento-casca de arroz Effect of the addition of rice husk ash in cement-rice husk mixtures

    Directory of Open Access Journals (Sweden)

    Loris L. Zucco

    2008-06-01

    based cement mixtures. Thus, different mixes cement-rice husk with and without the addition of ash were evaluated in order to highlight the influence of its components (husk; ash, which could otherwise be excluded or be underestimated. Cylindrical samples (test of simple compression and traction by diametrical compression and samples extracted from manufactured pressed board (test of bending and parallel compression to the surface, were used to evaluate the behavior of different mixtures of components (rice hush; RHA - rice husk ahs. The results of the mechanical tests showed, in general, there is not a statistical difference between the mixtures, which are associated with the chemical suppressive effect of the rice husk ash. The mixture of rice husk of 10 mm, with an addition of 35% of the rice husk ash, is notable for allowing the highest consumption of rice husk and rice husk ash, to reduce 25% the consumption of cement and to allow the storage (without emissions to the atmosphere, around 1.9 ton of CO2 per ton of cement consumed, thus contributing to the reduction of CO2 emissions, which can stimulate rural constructions under an ecological point of view.

  1. 骨水泥聚合反应与冷却对骨骼肌热损伤的关系%Relationship between Cooling and Thermal Injury on Skeletal Muscle Induced by Bone Cement Pol-ymerization

    Institute of Scientific and Technical Information of China (English)

    曹建飞; 张晟; 叶海明; 王超; 熊奡; 辛风; 张波

    2014-01-01

    Objective To establish the model of polymethylmethacrylate curing process in surrounding skeletal muscle,to research the thermal injury to muscle cells and evaluate the effect of fluid cooling with 4℃ saline. Methods There weere 12 SD rats in each group. Group A were injected with 1 mL bone cement in the left gluteus maximus,while group B were injected with 1 mL bone cement in the right gluteus maximus and continuous irrigation cooling with 4℃ saline at the same time. The temperature at the muscle-cement interface of both groups were recorded with needle thermometer. Each 4 of the Rats in both groups were euthanized at 1,4,7 days following the injury. The muscle at the muscle-cement interface was sectioned,stained with hematoxylin,and submitted to histological analysis. Results The maximum temperature of both groups respectively were (61. 58 ±2. 75)℃ and(44. 73 ±2. 03)℃. The time with temperature above 40 ℃ were(227. 83 ±22. 21)s and(53. 33 ±15. 79)s(P ﹤0. 01). Time from start of mixing to maximum temperature were(571. 67 ±7. 92)s and(575 ±8. 00)s( P ﹥0. 05). In histology,compared with group A,the muscle tissue of group B had lighter morphological changes,less inflammatory cell infiltration and shorter tissue repair time. Conclusion Bone cement polymerization can cause thermal injury to the surrounding skeletal muscle,continuous irrigation cooling with 4 ℃ saline can significantly reduce the the maximum temperature ,shorten seconds with temperature above 40 ℃,reduce inflammatory cell infiltration and shorten tissue repair time. It will have value in preventing postoperative infection.%目的:模拟骨水泥外溢在周围骨骼肌中的固化放热过程,研究其聚合放热对骨骼肌的损伤作用及加予4℃生理盐水局部灌注冷却对损伤的影响。方法选取健康清洁级SD大鼠12只,雌雄不限,体重220~250 g,采用左右侧对照,分别在左右侧臀大肌注入现配骨水泥1 mL,同时右侧加予4

  2. 骨水泥钉道强化联合空心侧孔椎弓根螺钉治疗伴骨质疏松症的腰椎退行性病变的临床疗效观察%Comparison of the clinical effect of PMMA bone cement augmented screw passageway and bone cement-injectable cannulated pedicle screw in treatment of degenerative lumbar disease with osteoporosis

    Institute of Scientific and Technical Information of China (English)

    刘松明; 宋洁富; 荆志振

    2016-01-01

    目的:比较空心侧孔椎弓根螺钉和骨水泥钉道( PMMA)强化方法应用于伴骨质疏松症的腰椎退行性病变的临床效果。方法选取伴骨质疏松症的腰椎退行性病变患者48例,男21例,女27例;年龄54~78岁,平均64.5岁。其中腰椎管狭窄症17例,腰椎间盘突出症18例,退行性腰椎滑脱症8例,腰椎退行性侧凸5例。按手术方式分为两组,A组23例采用空心侧孔椎弓根螺钉+PMMA。 B组25例采用PMMA行钉道强化+普通椎弓根螺钉内固定术。比较两组手术时间、出血量、住院时间。采用疼痛视觉模拟量表( visual analogue scale,VAS)评分,Oswestry功能障碍指数( Oswestry disability index,ODI)评价患者术后疼痛和功能恢复情况。术前及术后1、3、6、12个月及术后每年行X线检查评估椎间隙高度丢失、内固定失败率和椎间植骨融合率。结果48例患者均得到随访,随访时间1~3.5年。 A组手术时间、出血量、住院时间显著优于B组(均P<0.05)。 A组、B组植骨融合率分别为92.1%、91.2%,两组差异无统计学意义( P>0.05)。A组发生螺钉断裂1例,B组未出现此类情况(P<0.05)。 B组发生内固定松动、螺钉拔出内固定失败1例, A组未发生此类情况(P<0.05)。 A组椎间隙高度丢失(2.7±1.7)mm,B组椎间隙高度丢失(3.7±2.1)mm,两组差异有统计学意义(P<0.05)。根据VAS评分和ODI,两组患者术后疼痛与功能均得到改善,A组效果优于B组(均P<0.05)。结论空心侧孔椎弓根螺钉+PMMA强化内固定用于伴骨质疏松症的腰椎退行性病变是一种具有较好安全性和有效性的方法。%Objective To compare the clinical effect of PMMA bone cement augmented screw passageway and bone cement-injectable cannulated pedicle screw in treatment of degenerative lumbar disease with osteoporosis. Methods

  3. Comparative study of bone cement injectable canulated pedicle screw and conventional screw path-augmentation with bone cement in treatment of lumbar spondylolisthesis with osteoporosis%新型可注射骨水泥椎弓根螺钉与骨水泥钉道强化在治疗腰椎滑脱伴骨质疏松中的比较研究

    Institute of Scientific and Technical Information of China (English)

    代飞; 刘瑶瑶; 孙东; 徐美涛; 许建中

    2014-01-01

    目的:比较新型可注射骨水泥椎弓根螺钉( bone cement injectable canulated pedicle screw , CICPS)和传统骨水泥钉道强化方法应用于治疗腰椎滑脱伴骨质疏松患者的临床疗效。方法2011年7月~2013年11月序贯纳入腰椎滑脱伴骨质疏松患者( T<-2.5)43例,随机分为2组,A组20例采用CICPS行后路滑脱复位植骨融合内固定术。B组23例采用传统骨水泥钉道强化内固定术。比较2组手术时间、出血量、住院时间。采用疼痛视觉模拟量表(visual analogue scale, VAS)评分,Oswestry功能障碍指数(Oswestry disability index, ODI)评价患者术后疼痛和功能恢复。术前及术后1、3、6、12个月及术后每年行X线和CT检查评估椎间隙高度丢失、内固定失败率和椎间植骨融合率。结果43例患者均得到随访,随访时间为6~33个月,平均16.5个月。 A组手术时间、出血量、住院时间显著低于B组(P<0.05)。 A组和B组植骨融合率分别为94.6%、90.2%,2组比较差异无统计学意义(P>0.05)。 B组发生内固定松动、螺钉拔出3例,A组未发生此类情况。A组椎间隙高度丢失(2.3±1.2)mm,B组椎间隙高度丢失(3.6±2.2) mm,2组比较差异有统计学意义(P<0.05)。根据VAS评分和ODI,2组患者术后疼痛与功能均得到改善,A组效果优于B组(P<0.05)。结论 CICPS强化内固定稳定性是一种具有较好安全性和有效性的新方法。%Objective To compare the clinical effect of bone cement injectable canulated pedicle screw (CICPS) and conven-tional screw path-augmentation with bone cement in the treatment of lumbar spondylolisthesis with osteoporosis patients.Methods From July 2011 to November 2013, sequential 43 patients with osteoporosis (T≤-2.5) and lumbar spondylolisthesis were randomly divided into 2 groups.Group A of 20 cases were treated with CICPS and group B of

  4. UTILIZATION OF AGARWOOD DISTILLATION WASTE IN OILWELL CEMENT AND ITS EFFECT ON FREE WATER AND POROSITY

    OpenAIRE

    Arina Sauki; Muhammad Hazman Md. Shahid; Ku Halim Ku Hamid; Azlinda Azizi; Siti Khatijah Jamaludin; Tengku Amran Tengku Mohd; Nur Hashimah Alias

    2013-01-01

    The intent of this research is to utilize the waste produced by distillation process of Agarwood oil and convert it into a profitable oilwell cement additive. Common problem during oilwell cementing is free wáter separation. This problem could weaken cement at the top, gas migration problem and non uniform density of cement slurry that are even worst in cementing deviated well. Another concern on cementing design is the porosity of the hardened cement. If the cement is too porous, it can lead...

  5. Spatial analysis of cement production and consumption in Turkey

    OpenAIRE

    Beygo, Cem; Cakmak, Goksenin

    1998-01-01

    After 1950?s, the rapid urbanization of Turkey stimulated the production and consumption of cement and the number of cement factories increased since then. In addition, construction of highways, bridges, dams and industrialization also contribute to the consumption of cement. Construction industry became a locomotif of the economy of the country and cement industry is the most element of the construction industry. This study analyzes the growth of population and urbanization according to new ...

  6. Low pH Cements

    Energy Technology Data Exchange (ETDEWEB)

    Savage, David; Benbow, Steven [Quintessa Ltd., Henley-on-Thames (United Kingdom)

    2007-05-15

    speciation of silicon at pH 10 has a significant impact upon the solubility of montmorillonite and would thus constitute a logical choice of pH limit for cement-derived pore fluids, but it is unlikely that cement-based grouts could be developed to meet this limit. Control of mass transport by diffusion processes serves as a significant constraint over the amount of bentonite that can be degraded. Computer simulations indicate that porosity reduction is likely at the interface between cement and bentonite. However, it is not clear how the transport properties of bentonite may be modified due to mineral alteration processes. There are considerable uncertainties concerning the precise mechanism of the rate of montmorillonite dissolution at elevated pH. The rate of dissolution may be inhibited by the presence of dissolved Si (and perhaps Al), but this mechanism has yet to be confirmed at high pH. The type of secondary minerals assumed to form from cement-bentonite interaction will also have a significant impact upon the rate of montmorillonite dissolution. Low-pH cement systems have received little attention thus far regarding the development of models for the chemical evolution of pore fluids. Low Ca/Si CSH gels show preferential leaching of Si, which is in marked contrast with gels of greater Ca/Si ratio. Models apparently capable of predicting pore fluid composition coexisting with low Ca/Si CSH gels are a modified Berner model and a solid-solution model proposed by Sugiyama and Fujita. The solubility of silica in pore fluids coexisting with low Ca/Si gels may exceed that of amorphous silica, and may pose problems regarding the stability of montmorillonite in relation to framework silicates such as feldspars. However, the potential rate of conversion of montmorillonite to feldspar under repository conditions is uncertain. It is necessary to use additives such as super plasticiser to improve the workability of low-pH cements. These organic additives have the potential to

  7. 兔股骨节段缺损模型研究磷酸钙骨水泥骨愈合性能%Bone Healing Capacity of Calcium Phosphate Cement Cylinder in a Rabbit Femur Segmental Defect Model

    Institute of Scientific and Technical Information of China (English)

    王大伟; 潘朝晖; 赵玉祥; 栾兆新

    2015-01-01

    Objective:To investigate the bone healing capacity of calcium phosphate cement ( CPC) cylinder in a rabbit femur seg-mental defect model by comparing the influence of muscle or periosteum as wrapping material.Methods: Pre-hardened CPC cylinder was prepared.Three specimens were analyzed by scanning electron microscopy and X-ray diffraction to characterize its microstructure and chemical composition.Sixty adult rabbits were randomly assigned to four groups,then received a defect size of 15 mm osteotomy within the femurs.The 8-hole plate was fixed with three screws in the proximal and distal part of the defect, respectively.In group A, the fem-oral defects were left alone;in group B, the defects with retained periosteum; in group C, the defects were grafted with CPC cylinder wrapped by muscle;and in group D, the defects were grafted with CPC cylinder wrapped by periosteum.Five rabbits from each group were sacrificed at 4, 8 and 12 weeks postoperatively.The samples were evaluated with radiological, biomechanical and histological meth-ods.Results:Irregular particles were seen on the surface of specimens, the pore size was approximately 10 μm.The peak locations for the hydroxyapatite were seen in the X-ray diffraction patterns of the specimens.Group A showed a few radiographic evidence of new bone formation within the boundary of the defect at 4 weeks.Three bone defects bridged at 8 weeks and 4 bone defects bridged at 12 weeks. Group B showed radiographic evidence of new bone formation at 4 weeks.Four bone defects bridged at 8 weeks and 5 bone defects bridged at 12 weeks.Group C showed discernable interface between the CPC cylinder and both femoral cut ends at 4 weeks, which became invisi-ble at 8 weeks.Defects bridged by continuous callus beside the CPC cylinder in 4 rabbits and completely surrounded in 1 rabbit at 12 weeks.Group D showed better quality of new bone formation, the CPC cylinders were surrounded by new bone at 12 weeks.However, all CPCs retained their

  8. Application of Prednisolone Combined with Low-dose Ephedrine in the Prevention of Bone Cement Implantation Syndrome%氢化泼尼松联合小剂量麻黄碱在预防骨水泥植入综合征中的应用

    Institute of Scientific and Technical Information of China (English)

    王世英; 孔玲; 马志明; 肖远莉

    2011-01-01

    Objective: To investigate the effect of prednisolone combined with low-dose ephedrine in the prevention of bone cement implantation syndrome in order to find a simple and effective method for reducing toxicity of bone cement. Method: 40 patients with hip-joint replacement surgery were randomly divided into two groups ( n = 20) ; group A was with prophylactic use of prednisolone 0. 5 mg·kg-1 and ephedrine 5mg before the implantation of bone cement,and group B was used as the control group. Blood pressure,heart rate and blood oxygen saturation before the anesthesia and at 0,3,5,10 and 30 min after the bone cement implantation were recorded. Result: Compared with those before anesthesia, the systolic and diastolic blood pressure of group B was declined immediately while heart rate was significantly increased at 0,3 and 5min after the bone cement implantation ( P <0. 01) . Compared with that of group A, blood pressure of group B showed more notable decrease at 0,3 and 5 min after the bone cement implantation (P <0. 05). Conclusion:Prophylactic use of prednisolone with low-dose ephedrine before the bone cement implantation can significantly reduce hemodynamic fluctuation during the surgery.%目的:观察氢化泼尼松联合小剂量麻黄碱预防骨水泥植入综合征的效果,以期找到简单有效的减小骨水泥毒性的方法.方法:择期行髋关节置换手术的患者40例,随机分为两组(n=20):A组在骨水泥植入前预防性应用氢化泼尼松0.5mg·kg-1和麻黄碱5 mg;B组注入0.9%氯化钠注射液3ml.记录麻醉前、骨水泥植入即刻、骨水泥植入后3,5,10,30 min等各个阶段的血压、心率、血氧饱和度.结果:与麻醉前相比,B组的收缩压和舒张压在骨水泥植入即刻、骨水泥植入后3,5 min均出现明显下降、心率均明显增快(P<0.01);与A组相比,B组在骨水泥植入即刻、骨水泥植入后3,5 min出现了更为明显的血压下降(P<0.05).结论:在植入骨水泥以前预防

  9. Cementation of Loose Sand Particles based on Bio-cement

    Institute of Scientific and Technical Information of China (English)

    RONG Hui; QIAN Chunxiang

    2014-01-01

    Loose sand particles could be cemented to sandstone by bio-cement (microbial induced magnesium carbonate). The bio-sandstone was firstly prepared, and then the compressive strength and the porosity of the sandstone cemented by microbial induced magnesium carbonate were tested to characterize the cementation effectiveness. In addition, the formed mineral composition and the microstructure of bio-sandstone were analyzed by X-ray diffraction (XRD) and scanning electron microscopy (SEM), respectively. The experimental results show that the feasibility of binding loose sand particles using microbial induced magnesium carbonate precipitation is available and the acquired compressive strength of bio-sandstone can be excellent at certain ages. Moreover, the compressive strength and the porosity could be improved with the increase of microbial induced magnesium carbonate content. XRD results indicate that the morphology of magnesium carbonate induced by microbe appears as needles and SEM results show that the cementation of loose sand particles to sandstone mainly relies on the microbial induced formation of magnesium carbonate precipitation around individual particles and at particle-particle contacts.

  10. Influence of the tibial stem design on bone density after cemented total knee arthroplasty: a prospective seven-year follow-up study.

    Science.gov (United States)

    Hernandez-Vaquero, Daniel; Garcia-Sandoval, Manuel A; Fernandez-Carreira, Jose M; Gava, Richard

    2008-02-01

    We prospectively measured the changes in bone mineral density (BMD) in the proximal tibia of 20 total knee arthroplasties, ten with cruciform stems and ten with cylindrical stems. The measurements were made one, four and seven years after surgery. We observed a uniform density decrease in three regions of interest from one to seven years of follow-up. Cylindrical stems showed an asymmetrical density decrease between the three regions of interest, with no change in the central region, a slight decrease in the lateral region, and large decrease in the medial region. Multivariate analysis with general linear model showed the stem type factor as statistically significant for medial region of interest (p = 0.006). The cylindrical stem produces heterogeneous BMD changes under the tibial platform in knee arthroplasties, and this could be a potential risk factor for asymmetrical subsidence of this component. PMID:17115154

  11. Calcium phosphate cement II induces osteogenesis and repairs tendon-bone interface injury:a biomechanical analysis%自固化磷酸钙人工骨Ⅱ型诱导成骨及修复腱骨界面损伤的生物力学分析

    Institute of Scientific and Technical Information of China (English)

    李小飞; 谢文瑾; 盛路新; 袁西

    2015-01-01

    背景:自固化磷酸钙人工骨Ⅱ型与重组人骨形态发生蛋白均有一定的成骨诱导作用,存在修复腱骨界面损伤的可能。目的:探讨自固化磷酸钙人工骨Ⅱ型的成骨诱导作用及修复腱骨界面损伤生物力学情况。方法:35只成年健康的新西兰白兔,随机选取5只,处死后取双侧肩关节腱骨界面标本作为正常对照。剩余30只构建腱骨界面损伤模型后,随机等分为实验组和模型组,模型组不填塞任何药物,实验组填塞自固化磷酸钙人工骨Ⅱ型进行修复。结果与结论:填塞自固化磷酸钙人工骨Ⅱ型后,兔损伤腱骨界面明显恢复,且随时间的延长,修复效果更佳,骨形态发生蛋白2表达水平也随之增加,损伤腱骨界面最大抗拉强度以及最大刚度明显增加。表明利用自固化磷酸钙人工骨Ⅱ型复合重组人骨形态发生蛋白对腱骨界面损伤进行修复具有良好的成骨诱导作用,可以促进损伤的修复。%BACKGROUND:Both calcium phosphate cement II and recombinant human bone morphogenetic protein have certain osteoinductive effects, which have the possibility of repairing tendon-bone interface injury. OBJECTIVE: To investigate the osteoinductive effect of calcium phosphate cement II and its biomechanics analysis of repairing tendon-bone interface injury. METHODS:Five out of 35 adult healthy New Zealand white rabbits were randomly selected and their bilateral shoulder joint tendon-bone interface specimens were taken as normal control group after being sacrificed. The remaining 30 rabbits were used to make animal models of tendon-bone interface injury and then randomly divided into experimental and model groups. Rabbits in the model group had no treatment, and those in the experimental group were treated with calcium phosphate cement II. RESULTS AND CONCLUSION: After repair with calcium phosphate cement II, the injured tendon-bone interface of rabbits was

  12. Evaluation of the chemical modifications in petroleum asphalt cement with the addition of polypropylene; Avaliacao das modificacoes quimicas no cimento asfaltico de petroleo com a adicao de polipropileno

    Energy Technology Data Exchange (ETDEWEB)

    Marcondes, C.P.; Sales, M.J.A.; Resck, I.S., E-mail: mjsales@unb.b [Universidade de Brasilia (LabPol/UnB), DF (Brazil). Inst. de Quimica. Lab. de Pesquisa em Polimeros; Farias, M.M.; Souza, M.V.R. [Universidade de Brasilia (UnB), DF (Brazil). Dept. de Engenharia Civil e Ambiental

    2010-07-01

    Studies show that the common distress mode in the Brazilian highway network are fatigue cracks and plastic deformation, which are associated with the type of material used in the pavement layers, structural project, excessive traffic load and weathering. To minimize these defects, research on modifiers such as polymers, added to asphalt binders have been developed to provide physical, chemical and rheological improvement. This paper investigates chemical modifications of the binders with the addition of PP by FTIR, NMR and DSC. FTIR spectra of pure and modified binder showed no differences in absorption. NMR analysis showed no strong chemical bonds between the binder and PP. DSC curve of PP showed a melting temperature of 160 deg C ({Delta}H = 94J/g) and the pure binder presented an endothermic transition between 20 and 40 deg C ({Delta}H = 2J/g). In the DSC curves of mixtures, these transitions are not significant, indicating possible interactions between asphalt binder and PP. (author)

  13. INFLUENCE OF WINE ACID ON RHEOLOGICAL PROPERTIES OF WELL BORE CEMENT SLURRIES AND HARDENED CEMENT PROPERTIES

    Directory of Open Access Journals (Sweden)

    Nediljka Gaurina-Međimurec

    1989-12-01

    Full Text Available Adaptation of commercial types of domestic cements for use in cementing the deep wells is a process by which Yugoslav oil industry tends to solve problems of completion of those wells independently. In order to design a domestic, cheep and effective retarder, tests of applicability of wine acid on cement slurries have been carried out. Besides examining the necessary wine acid content to achieve desirable Theological properties, the influence of this additive on properties of hardened cement samples has been tested too (the paper is published in Croatian.

  14. Asphalt cement poisoning

    Science.gov (United States)

    ... petroleum material that hardens when it cools. Asphalt cement poisoning occurs when someone swallows asphalt. If hot ... found in: Road paving materials Roofing materials Tile cements Asphalt may also be used for other purposes.

  15. Conditioning of radioactive waste solutions by cementation

    International Nuclear Information System (INIS)

    For the cementation of the low and intermediate level evaporator concentrates resulting from the reprocessing of spent fuel numerous experiments were performed to optimize the waste form composition and to characterize the final waste form. Concerning the cementation process, properties of the waste/cement suspension were investigated. These investigations include the dependence of viscosity, bleeding, setting time and hydration heat from the waste cement slurry composition. For the characterization of the waste forms, the mechanical, thermal and chemical stability were determined. For special cases detailed investigations were performed to determine the activity release from waste packages under defined mechanical and thermal stresses. The investigations of the interaction of the waste forms with aqueous solutions include the determination of the Cs/Sr release, the corrosion resistance and the release of actinides. The Cs/Sr release was determined in dependence of the cement type, additives, setting time and sample size. (orig./DG)

  16. Cemented total hip prosthesis: Radiographic and scintigraphic evaluation

    International Nuclear Information System (INIS)

    Conventional radiographs, technetium-99m bone scans, and gallium-67 scans were reviewed in 44 patients who had undergone cemented total hip joint replacement and were imaged because of suspicion of prosthesis loosening or infection. A complete radiolucent line of 2 mm or wider along the bone-cement interface or metal-cement lucency on conventional radiographs was used as the criterion for prosthetic loosening with or without infection and proved to be 54% sensitive and 96% specific. Scintigraphic criteria for prosthetic loosening were increased focal uptake of the radiopharmaceutical for the femoral component and increased focal or diffuse uptake for the acetabular component. For bone scintigraphy, sensitivity was 73% and specificity was 96%. Combining the results of conventional radiographs and bone scans increased sensitivity to 84% and decreased specificity to 92% for the diagnosis of loosening, infection, or both. The study also showed that Ga-67 scintigraphy has a low sensitivity for the detection of infection

  17. Preliminary experimental results of radiofrequency-cement-augmented and cannulated pedicle screws

    Directory of Open Access Journals (Sweden)

    Goost H

    2011-01-01

    Full Text Available The risk of cut-out of a pedicle screw is high in the presence of osteoporotic bone. In cadaver studies it was found that cement augmentation of pedicle screws markedly increases pullout forces. However, the use of conventional low viscosity vertebroplasty or kyphoplasty cement is associated with the risk of cement extravasation. The risk might be reduced by using high viscosity, radiofrequency-activated bone cement. After performing DEXA scans, six fresh-frozen vertebral bodies of different bone densities were obtained from cadavers. Two pedicle screws (WSI Expertise-Inject, Peter Brehm, Germany were placed in the pedicles. About 3 ml of radiofrequency-activated, ultra-high viscosity cement (ER2 Bone Cement, DFine Europe GmbH, Germany was injected through the right pedicle. The left pedicle screw was left uncemented and served as control. Axial pullout tests were performed using a material testing device (Zwick/Roell Zmartpro, Ulm, Germany. The tests revealed that cementaugmented pedicle screws were able to withstand markedly higher pullout forces. Extravasation of cement did not occur. The value of the study is limited by the fact that only six samples were investigated. Further cadaver studies and clinical evaluation will be needed in the future. However, this pilot study showed that combining cannulated pedicle screws with ultra-high viscosity bone cement is a successful approach. Revision due to cut-out and complications secondary to cement extravasation can be reduced by this method.

  18. In vivo effects of modification of hydroxyapatite/collagen composites with and without chondroitin sulphate on bone remodeling in the sheep tibia.

    Science.gov (United States)

    Schneiders, Wolfgang; Reinstorf, Antje; Biewener, Achim; Serra, Alexandrè; Grass, Renè; Kinscher, Michael; Heineck, Jan; Rehberg, Sebastian; Zwipp, Hans; Rammelt, Stefan

    2009-01-01

    The addition of chondroitin sulphate (CS) to bone cements with calcium phosphate has lead to an enhancement of bone remodeling and an increase in new bone formation in small animals. The goal of this study was to verify the effect of CS in bone cements in a large animal model simulating a clinically relevant situation of a segmental cortical defect of a critical size on bone-implant interaction and bone remodeling. The influence of adding CS to hydroxyapatite/collagen (HA/Col) composites on host response was assessed in a standard sheep tibia model. A midshaft defect of 3 cm was created in the tibiae of 14 adult female sheep. The defect was filled with a HA/Col cement cylinder in seven animals and with a CS-modified hydroxyapatite/collagen (HA/Col/CS) cement cylinder in seven animals. In all cases the tibia was stabilized with an interlocked universal tibial nail. The animals in each group were analyzed with X-rays, CT scans, histology, immunohistochemistry, and enzymehistochemistry, as well as histomorphometric measurements. The X-ray investigation showed a significantly earlier callus reaction around the HA/Col/CS implants compared to HA/Col alone. The amount of newly formed bone at the end point of the experiment was significantly larger around HA/Col/CS cylinders both in the CT scan and in the histomorphometric analysis. There were still TRAP-positive osteoclasts around the HA/Col implants after 3 months. The number of osteopontin-positive osteoblasts and the direct bone contact were significantly higher around HA/Col/CS implants. We conclude that addition of CS enhances bone remodeling and new bone formation around HA/Col composites.

  19. A Comprehensive Study of Osteogenic Calcium Phosphate Silicate Cement: Material Characterization and In Vitro/In Vivo Testing.

    Science.gov (United States)

    Gong, Tianxing; Wang, Zhiqin; Zhang, Yixi; Zhang, Yubiao; Hou, Mingxiao; Liu, Xinwei; Wang, Yu; Zhao, Lejun; Ruse, N Dorin; Troczynski, Tom; Häfeli, Urs O

    2016-02-18

    Vertebral compression fractures can be successfully restored by injectable bone cements. Here the as-yet unexplored in vitro cytotoxicity, in vivo biodegradation, and osteoconductivity of a new calcium phosphate silicate cements (CPSC) are studied, where monocalcium phosphate (MCP; 5, 10, and 15 wt%) is added to calcium silicate cement (CSC). Setting rate and compressive strength of CPSC decrease with the addition of MCP. The crystallinity, microstructure, and porosity of hardened CPSC are evaluated by X-ray diffractometer, Fourier transform infrared spectroscopy, and microcomputed tomography (CT). It is found that MCP reacts with calcium hydroxide, one of CSC hydration products, to precipitate apatite. While the reaction accelerates the hydration of CSC, the formation of calcium silicate hydrate gel is disturbed and highly porous microstructures form, resulting in weaker compressive strength. In vitro studies demonstrate that CPSC is noncytotoxic to osteoblast cells and promotes their proliferation. In the rabbit tibia implantation model, clinical X-ray and CT scans demonstrate that CPSC biodegrades slower and osseointegrates better than clinically used calcium phosphate cement (CPC). Histological studies demonstrate that CPSC is osteoconductive and induces higher bone formation than CPC, a finding that might warrant future clinical studies. PMID:26677175

  20. Neutron Scattering Studies of Cement

    Science.gov (United States)

    Allen, Andrew

    2010-03-01

    Despite more than a century of research, basic questions remain regarding both the internal structure and the role of water in Ordinary Portland cement (OPC) concrete, the world's most widely used manufactured material. Most such questions concern the primary hydration product and strength-building phase of OPC paste, the calcium silicate hydrate (C-S-H) gel. When cement and water are mixed, this phase precipitates as clusters of nanoscale (nearly amorphous) colloidal particles with an associated water-filled inter-particle pore system. Most attempts to characterize the C-S-H gel and the behavior of the associated water involve drying or other processes that, themselves, change the bound water content within and around the gel. Neutron scattering methods do not suffer from this disadvantage. Furthermore, the neutron isotope effect and the neutron's sensitivity to molecular motion have enabled considerable progress to be made in recent years by: (i) determining the C-S-H composition, density and gel structure in small-angle neutron scattering (SANS) H/D contrast variation studies; (ii) elucidating the changing state of water within cement as hydration progresses using quasielastic neutron scattering (QENS); and (iii) measuring the production and consumption of nanoscale calcium hydroxide (CH), a by-product of cement hydration that co-exists with the C-S-H gel, using inelastic neutron scattering (INS). These experiments have provided new insights into the physics and chemistry of cement hydration, and have implications for the design of new concretes with pozzolanic cement additions that are intended to address environmental concerns and sustainability issues.

  1. Glass Polyalkenoate Cements Designed for Cranioplasty Applications: An Evaluation of Their Physical and Mechanical Properties.

    Science.gov (United States)

    Khader, Basel A; Curran, Declan J; Peel, Sean; Towler, Mark R

    2016-01-01

    Glass polyalkenoate cements (GPCs) have potential for skeletal cementation. Unfortunately, commercial GPCs all contain, and subsequently release, aluminum ions, which have been implicated in degenerative brain disease. The purpose of this research was to create a series of aluminum-free GPCs constructed from silicate (SiO₂), calcium (CaO), zinc (ZnO) and sodium (Na₂O)-containing glasses mixed with poly-acrylic acid (PAA) and to evaluate the potential of these cements for cranioplasty applications. Three glasses were formulated based on the SiO₂-CaO-ZnO-Na₂O parent glass (KBT01) with 0.03 mol % (KBT02) and 0.06 mol % (KBT03) germanium (GeO₂) substituted for ZnO. Each glass was then mixed with 50 wt % of a patented SiO₂-CaO-ZnO-strontium (SrO) glass composition and the resultant mixtures were subsequently reacted with aqueous PAA (50 wt % addition) to produce three GPCs. The incorporation of Ge in the glass phase was found to result in decreased working (142 s to 112 s) and setting (807 s to 448 s) times for the cements manufactured from them, likely due to the increase in crosslink formation between the Ge-containing glasses and the PAA. Compressive (σc) and biaxial flexural (σf) strengths of the cements were examined at 1, 7 and 30 days post mixing and were found to increase with both maturation and Ge content. The bonding strength of a titanium cylinder (Ti) attached to bone by the cements increased from 0.2 MPa, when placed, to 0.6 MPa, after 14 days maturation. The results of this research indicate that Germano-Silicate based GPCs have suitable handling and mechanical properties for cranioplasty fixation. PMID:27023623

  2. Silk fibroin-compound bone cement/recombinant human bone morphogenetic protein-2 to repair sheep vertebral defects%丝素蛋白/双相磷酸钙/半水硫酸钙/重组人骨形态发生蛋白-2骨水泥的制备及修复椎体骨缺损的实验研究

    Institute of Scientific and Technical Information of China (English)

    王根林; 陈广东; 朱雪松; 朱志军; 谢瑞娟; 卢神州; 张波; 夏太宝; 杨惠林

    2015-01-01

    目的 研制丝素蛋白(SF)/双相磷酸钙(BCP)/半水硫酸钙(CSH)/重组人骨形态发生蛋白-2(rhBMP-2)骨水泥,并探讨其在绵羊椎体内的成骨作用. 方法 制备SF/BCP/CSH/rhBMP-2骨水泥,分别在12只绵羊的L2 L3、L4椎体内制作直径为6.0mm、深度为10 mm的圆柱型骨缺损模型,在3个缺损处随机植入SF/BCP/CSH/rhBMP-2骨水泥作为实验组,植入聚甲基丙烯酸甲酯(PMMP)作为对照组,另一椎体缺损处不植入任何材料作为空白对照组.术后3、6个月分别随机处死6只绵羊进行CT、组织学和生物力学检查.结果 CT和组织学检查显示:术后3个月实验组椎体密度与正常椎体相似,骨缺损修复基本完成,术后6个月骨缺损修复完成;对照组术后3、6个月时PMMP无降解,并与骨之间结合疏松,表面无新骨形成;空白对照组术后3、6个月时骨缺损一直存在.生物力学测试显示:术后3、6个月时实验组椎体抗压强度和刚度与正常椎体相比差异无统计学意义(P>0.05). 结论 SF/BCP/CSH/rhBMP-2骨水泥具有良好的成骨作用,在成骨过程中能维持椎体的力学性能,有望成为经皮椎体强化术的一种可降解、具成骨作用的填充剂.%Objective To prepare compound bone cement of silk fibroin/biphasic calcium phosphate/alpha-calcium sulphate hemihydrate/recombinant human bone morphogenetic protein-2 (SF/BCP/CSH/rhBMP-2) and to study its osteogenesis capacity for sheep vertebral defects.Methods Compound bone cement SF/BCP/CSH/rhBMP-2 was prepared and a cylindrical bone defect (6.0 mm in diameter and 10 mm in depth) was created at lumbar vertebrae 2,3 and 4 by open operation in 12 sheep.The injured lumbar vertebrae in each sheep were randomly divided into 3 study groups.The experimental group was implanted with the SF/BCP/CSH/rhBMP-2,the control group with polymethylmethacrylate (PMMA),and the blank control group with nothing.At 3 and 6 months postoperation,6 random sheep were sacrificed for