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Sample records for bone cement beads

  1. 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

  2. THE STUDY OF OUTCOME OF CHRONIC PYOGEN IC LONG BONE OSTEOMYELITIS TREATED BY ANTIBIOTIC IMPREGNATED BONE CEMENT BEADS AND NAILS

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    Soumyajit

    2015-01-01

    Full Text Available OBJECTIVE: In developing country the incidence of chronic pyogenic infection of long bone is high among children and adults. This entity is difficult to be managed by conventional systemic antibiotics alone. Many treatment methods for long bone osteomyelitis were attempted but unfortunately the eradication of chronic osteomyelitis remains a problem. Local antibiotic therapy has been introduced by arthroplasty surgeons and subsequently this method has been tried for treating chronic osteomyelitis. Treatment of chronic osteomyelitis using antibiotic - impregnated bone cement beads or nail after thorough debride ment has become a good option of treatment. Therefore this prospective study has been designed to evaluate the effect of local antibiotic therapy in the form of bone cement beads or nail for eradication of chronic pyogenic long bone osteomyelitis. METHODS: Thirty patients with chronic osteomyelitis of metaphyseal and diaphyseal area of long bones were studied prospectively about outcome of treatment. The diagnosis of chronic osteomyelitis was made on the basis of clinical and radiological features and confirmed by deep aspiration, staining and culture sensitivity of the aspirate. Patients suffering from fungal or tubercular osteomyelitis were excluded. Also the patients with small bones osteomyelitis or open injury more than Gustilo type 2 were excluded. Antibiotic impregnated polymethylmethacrylate beads or nails were implanted after thorough debridement and wound closed primarily. Two dose of intervenous antibiotic were used, one before and another after operation. Beads or nails were removed at the end of six weeks. Patients were followed up for an average period of two years. RESULT: Out of thirty patients in this study, twenty eight patients were cured completely and two patients had persistent discharge till the last follow up visit. No organism found in six cases. No systemic adverse reactions were seen. CONCLUSION: The present study

  3. Spinal Epidural Abscess with Pyogenic Arthritis of Facet Joint Treated with Antibiotic-Bone Cement Beads - A Case Report -

    OpenAIRE

    Lee, Bong-Jin; Lee, Sung-Rak; Kim, Seong-Tae; Kim, Tae-Ho; Lee, Sang-Hoon

    2007-01-01

    Most epidural abscesses are a secondary lesion of pyogenic spondylodiscitis. An epidural abscess associated with pyogenic arthritis of the facet joint is quite rare. To the best of our knowledge, there is no report of the use of antibiotic-cement beads in the surgical treatment of an epidural abscess. This paper reports a 63-year-old male who sustained a 1-week history of radiating pain to both lower extremities combined with lower back pain. MRI revealed space-occupying lesions, which were l...

  4. 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

  5. Osteoconductivity and mechanical properties of a new bioactive bone cement

    Energy Technology Data Exchange (ETDEWEB)

    Shinzato, S.; Nakamura, T. [Kyoto Univ. (Japan). Dept. of Orthopaedic Surgery; Kokubo, T. [Kyoto Univ. (Japan). Dept. of Material Chemistry; Kitamura, Y. (Nippon Electric Glass Co. Ltd., Otsu)

    2001-07-01

    Osteoconductivity and mechanical properties of a new bioactive bone cement (designated GBC) consisting of high molecular weight polymethyl methacrylate (PMMA) as an organic matrix and bioactive glass beads as an inorganic filler have been evaluated. The bioactive beads consisting of MgO-CaO-SiO{sub 2}-P{sub 2}O{sub 5}CaF{sub 2} glass, have been newly designed and a novel PMMA powder was selected. The aim of the present study is to compare GBC's osteoconductivity and mechanical properties with cements consisting of the same matrix as GBC and either apatite- and wollastonite-containing glass-ceramic (AW-GC) powder (designated AWC) or sintered hydroxyapatite (HA) powder (designated HAC) and to examine effects of the amount of the bioactive glass beads filler added to GBC, and to decide the most suitable amount of the filler content. The bioactive glass beads added to the cements amounted 30, 40, 50, 60, and 70 wt%, and AW-GC powder and HA powder added to the cements amounted 70 wt%. Each cement was designated respectively GBC30, 40, 50, 60, 70, AWC70, and HAC70. The bending strength of GBC70 was significantly higher than that of AWC70 and HAC70. The compressive strength and the elastic modulus of bending of GBC increased as the glass beads content increased. The handling property of each GBC was comparable with that of conventional PMMA bone cement. Cements were packed into intramedullar canals of rat tibiae in order to evaluate osteoconductivity determined by an affinity index.

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

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    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. 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...

  8. 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 ...

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

    Science.gov (United States)

    Waanders, Daan; Janssen, Dennis; Mann, Kenneth A; Verdonschot, Nico

    2010-11-16

    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 the mechanical response of the cement-bone interface at various load levels in terms of plastic displacement and crack formation. Two FEA models were created, which were based on micro-computed tomography data of two physical cement-bone interface specimens. These models were subjected to tensile fatigue loads with four different magnitudes. Three deformation modes of the cement were considered: 'only creep', 'only damage' or 'creep and damage'. The interfacial plastic deformation, the crack reduction as a result of creep and the interfacial stresses in the bone were monitored. The results demonstrate that, although some models failed early, the majority of plastic displacement was caused by fatigue damage, rather than cement creep. However, cement creep does decrease the crack formation in the cement up to 20%. Finally, while cement creep hardly influences the stress levels in the bone, fatigue damage of the cement considerably increases the stress levels in the bone. We conclude that at low load levels the plastic displacement is mainly caused by creep. At moderate to high load levels, however, the plastic displacement is dominated by fatigue damage and is hardly affected by creep, although creep reduced the number of cracks in moderate to high load region. PMID:20692663

  10. Pre-packing of cost effective antibiotic cement beads for the treatment of traumatic osteomyelitis in the developing world - an in-vitro study based in Cambodia.

    Science.gov (United States)

    Noor, S; Gilson, A; Kennedy, K; Swanson, A; Vanny, V; Mony, K; Chaudhry, T; Gollogly, J

    2016-04-01

    The developing world often lacks the resources to effectively treat the most serious injuries including osteomyelitis following open fractures or surgical fracture treatment. Antibiotic cement beads are a widely accepted method of delivering antibiotics locally to the infected area following trauma. This study is based in Cambodia, a low income country struggling to recover from a recent genocide. The study aims to test the effectiveness of locally made antibiotic beads and analyse their effectiveness after being gas sterilised, packaged and kept in storage Different antibiotic beads were manufactured locally using bone cement and tested against MRSA bacteria grown from a case of osteomyelitis. Each antibiotic was tested before and after a process of gas sterilisation as well as later being tested after storage in packaging up to 42 days. The gentamicin, vancomycin, amikacin and ceftriaxone beads all inhibited growth of the MRSA on the TSB and agar plates, both before and after gas sterilisation. All four antibiotics continued to show similar zones of inhibition after 42 days of storage. The results show significant promise to produce beads with locally obtainable ingredients in an austere environment and improve cost effectiveness by storing them in a sterilised condition. PMID:26899719

  11. 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...

  12. Stiffness and strength of composite acrylic bone cements

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    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

  13. The functional performance of orthopaedic bone cement

    Energy Technology Data Exchange (ETDEWEB)

    Prendergast, P.J. [Trinity Coll., Dublin (Ireland). Dept. of Mechanical Engineering

    2001-07-01

    This paper presents a summary of our work on the functional behavior of polymethylmethacrylate as a fixation material for load-bearing implants. Experimental tests on models of hip reconstructions have shown that damage accumulation, in the form of growth of numerous microcracks, occurs in cement-fixated orthopaedic implants. To predict failure due to damage accumulation, fatigue tests of hand-mixed and vacuum-mixed cement are used to determine a relationship between the probability-of-failure, stress, and porosity of the cement. This relationship is then applied to the comparative analysis of orthopaedic implants using finite element analysis. Two implant systems are considered: femoral hip prostheses and glenoid replacement prostheses. It is shown how the complex and intricate stress patterns in the polymethylmethacrylate cement 'mantles' can be analyzed in terms of the probability-of-failure. This allows comparison of implants for pre-clinical testing purposes. The results complement those obtained from clinical studies where subsidence of the implant correlates with implant loosening [Karrholm et al. J. Bone Jt. Surg. Vol. 76B (1994) 912-916]. If subsidence is due to creep, then a correlation between damage accumulation and creep should exist. A basis for such a correlation in polymethylmetacrylate is proposed that links clinical findings of subsidence with our results with regard to damage accumulation. (orig.)

  14. 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.

  15. 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.

  16. Effect of vacuum-treatment on deformation properties of PMMA bone cement.

    Science.gov (United States)

    Zivic, Fatima; Babic, Miroslav; Grujovic, Nenad; Mitrovic, Slobodan; Favaro, Gregory; Caunii, Mihaela

    2012-01-01

    Deformation behavior of polymethyl methacrylate (PMMA) bone cement is explored using microindentation. Two types of PMMA bone cement were prepared. Vacuum treated samples were subjected to the degassing of the material under vacuum of 270 mbar for 35 s, followed by the second degassing under vacuum of 255 mbar for 35 s. Air-cured samples were left in ambient air to cool down and harden. All samples were left to age for 6 months before the test. The samples were then subjected to the indentation fatigue test mode, using sharp Vickers indenter. First, loading segment rise time was varied in order to establish time-dependent behavior of the samples. Experimental data showed that viscous part of the deformation can be neglected under the observed test conditions. The second series of microindentation tests were realized with variation of number of cycles and indentation hardness and modulus were obtained. Approximate hardness was also calculated using analysis of residual impression area. Porosity characteristics were analyzed using CellC software. Scanning electron microscopy (SEM) analysis showed that air-cured bone cement exhibited significant number of large voids made of aggregated PMMA beads accompanied by particles of the radiopaque agent, while vacuum treated samples had homogeneous structure. Air-cured samples exhibited variable hardness and elasticity modulus throughout the material. They also had lower hardness values (approximately 65-100 MPa) than the vacuum treated cement (approximately 170 MPa). Porosity of 5.1% was obtained for vacuum treated cement and 16.8% for air-cured cement. Extensive plastic deformation, microcracks and craze whitening were produced during indentation of air-cured bone cement, whereas vacuum treated cement exhibited no cracks and no plastic deformation. PMID:22100087

  17. Effect of porous polycaprolactone beads on bone regeneration: preliminary in vitro and in vivo studies

    OpenAIRE

    Byun, June-Ho; Lee, Han A Reum; Kim, Tae Ho; Lee, Jin Ho; Oh, Se Heang

    2014-01-01

    Background For the effective bone regeneration with appropriate pathological/physiological properties, a variety of bone fillers have been adapted as a therapeutic treatment. However, the development of ideal bone fillers is still remained as a big challenge in clinical practice. The main aims of this study are i) fabrication of a highly porous PCL beads; and ii) the estimation of the potential use of the porous PCL beads as a bone filler through preliminary animal study. Results The porous P...

  18. Use of an Italian pozzolanic cement for the solidification of bead ion exchange resins

    International Nuclear Information System (INIS)

    Granular ion-exchange resins represent a large portion of the medium-active wastes generated at nuclear power stations. The most common practice for their confinement is to mix them with cement paste and cast the mixture in a concrete shell. Such a procedure however does not prove successful in many cases, because of the extreme swelling to which the embedded resin can give rise. This phenomenon has been investigated carefully. In particular, measurements of the swelling pressure have been made together with evaluation of the volume changes of the resin beads due to ion exchange and of the weight increase as a function of relative humidity. The ion exchange capacity, which continues even after incorporation in the cement matrix has also been put into evidence. The conclusion was drawn that a three component diagram (water - dry resin- cement) has to be prepared every time in order to identify the region corresponding to the better formulations. With this in mind the optimum waste loading of 11.5 wt% of dry resin was chosen to incorporate a mixed bed resin (Amberlite IR 120 Na+ and IRA 400 Cl- in the weight ratio of 1:1) into an Italian pozzolanic cement (425 type). Several properties of the final waste form have been investigated, ranging from mechanical (crushing strength, tensile strength, flexural strength, ultrasonic pulse velocity, elastic modulus and Poisson ratio), to thermal stability, radiation stability, permeability, leachability and resistance to bacterial attack. Dimensional stability was also measured with the aim of examining the expansion phenomena which can take place in the presence of resin beads. The data obtained are encouraging for future application of the type 425 cement tested in the field of radwastes. An attempt to explain the performance of this binder, based on its intrinsic properties, was also made. (author)

  19. 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...

  20. Thermal Manifestations and Nanoindentation of Bone Cements for Orthopaedic Surgery

    Czech Academy of Sciences Publication Activity Database

    Hloch, Sergej; Monka, P.; Hvizdoš, P.; Jakubéczyová, D.; Kozak, D.; Čolič, K.; Kloc, J.; Magurová, D.

    2013-01-01

    Roč. 17, č. 1 (2013), s. 251-258. ISSN 0354-9836 Institutional support: RVO:68145535 Keywords : bone cement * exothermic behaviour * nanoindentation * porosity * osteonecrosis Subject RIV: FJ - Surgery incl. Transplants Impact factor: 0.962, year: 2013

  1. Bone-Cement: The new medical quick fix

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    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.

  2. Experimental study with domestic bone cement in the percutaneous vertebroplasty

    International Nuclear Information System (INIS)

    Objective: To study the feasibility of injecting domestic bone cement in the process of the percutaneous vertebroplasty. Methods: (1) Various types cement were disposed with domestic PMMA. The concretionary phases of cement were observed according to the stages and holding time. Then the most ideal ratio of the mixed cement was selected and ten cement columns were made with this ratio, which was taken as the trial group. The other ten referring to was taken as the contrast one. The biological mechanics was measured with a load and the data of the results were compared. (2) Twenty thoracic and lumbar adjacent bodies were removed intact from five human corpses. These bodies were divided into two groups, in one group PMMA were injected, the other was severed as the contrast one. Then in these twenty vertebral bodies the biological mechanics was measured and the treatment effect was evaluated. (3) In 12 healthy dogs PVP in lumber was tried so as to observe the operational difficulty during the process of injected this bone cement and CT was used to evaluate the result of PMMA, diffusion and the complications caused by it. Results: The most ideal ratio was 4:2.6:1 (g, ml, ml) between powder, monome and contrast. After injecting this kind of cement, the loading strength of these vertebral bodies was increased remarkably (P<0.01). Conclusion: Injecting domestic bone cement provides the theoretical foundations for the clinical application of PVP. (author)

  3. Amphotericin B cement beads: A good adjunctive treatment for musculoskeletal mucormycosis

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    Justin Arockiaraj

    2012-01-01

    Full Text Available Mucormycosis is one among the aggressive, invasive fungal infections usually seen in immunocompromised patients. Mucormycosis osteomyelitis is very rare. We present a patient with acute myeloid leukemia who complained of pain over the right proximal thigh. Plain radiograph revealed ill defined osteolytic lesion of proximal femur. MRI showed altered signal in proximal femur with focal collection and cortical breach. Biopsy and tissue culture diagnosed mucormycosis both histologically and microbiologically. He was treated with aggressive debridement, skeletal stabilization, and amphotericin antifungal cement beads. He recovered with no residual pain, minimal limb shortening, and no clinical or radiological evidence of recurrence at 3 years followup. The high index of suspicion, early diagnosis, aggressive surgical debridement, and adequate antifungal therapy play a significant role in the treatment of musculoskeletal mucormycosis.

  4. 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 ...

  5. Preclinical evaluation of strontium-containing bioactive bone cement

    International Nuclear Information System (INIS)

    Strontium (Sr) has become more attractive for orthopaedic applications as they can simultaneously stimulate bone formation and prevent bone loss. A Sr-containing bioactive bone cement (Sr-BC) has been designed to fix osteoporotic bone fracture. Sr is a trace element, so the safety of containing Sr is concerned when Sr-BC is implanted in human body. The preclinical assessment of biocompatibility of Sr-BC was conducted according to ISO 10993 standards. MTT assay showed that this bioactive bone cement was non-toxic to mouse fibroblasts, and it met the basic requirement for the orthopaedic implant. The three independent genetic toxicity studies including Ames, chromosome aberration and bone marrow micronucleus assays demonstrated absence of genotoxic components in Sr-BC, which reassured the safety concerns of this novel bone cement. The muscle implantation results in present study were also encouraging. The acute inflammation around the cement was observed at 1 week post-implantation; however, no significant difference was observed between control and Sr-BC groups. These responses may be attributed to the presence of the foreign body, but the tissue healed after 12 weeks implantation. In summary, the above preclinical results provide additional assurance for the safety of this implant. Sr-BC can be used as a potential alternative to the traditional bone cement. - Highlights: • Strontium-containing bioactive bone cement (Sr-BC) was designed. • The biocompatibility of Sr-BC was evaluated according ISO 10993 standards. • Preclinical results provide additional assurance for the safety of Sr-BC

  6. 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.

  7. Osteoplasty: Percutaneous Bone Cement Injection beyond the Spine

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    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.

  8. Antimicrobial activity of bone cements embedded with organic nanoparticles

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    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

  9. 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.

  10. Preparation and characterization of an injectable bone cement

    International Nuclear Information System (INIS)

    Self-setting calcium phosphate bone cements (CPBC) are attractive materials for bone defect reconstruction in non-stress-bearing areas because they can be molded into shape during implantation beside their excellent osteoconductivity and bone-replacement capability. The objective of this study is to locally produce and characterize bone cement made of tricalcium phosphate, dicalcium phosphate dihydrate, hydroxyapatite and calcium carbonate. An aqueous medium containing 3% disodium hydrogen phosphate solution was provided as the accelerator to make it a self-setting. The liquid to powder ratio was 0.35 ml/g. The paste was kneaded with the aid of a spatula between each addition to produce a paste of workable consistency. After a total mixing time of two minutes, the paste was firmly loaded into syringe. Injection was performed by a 10 ml syringe with 1.5 mm needle diameter into a mold to form cylindrical specimens of 6 mm radius and 12 mm height. Samples were soaked in simulated body fluid (SBF) for bioactivity study. X-ray diffraction (XRD) is used to analyze the phase of the precipitated cement. Mechanical properties were characterized by compressive test. The results showed that the bone cement successfully produced in-situ. Scanning electron micrograph showed that the cement was porous with size around 50 mm and the pores were almost interconnected. Studies on the setting characteristics and the compressive strength indicated that the properties were within the range of interest. (Author)

  11. 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

  12. 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

  13. 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.

  14. 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

  15. Wear and Mechanical Behaviour of Various Polymethylmethacrylate Bone Cements

    Czech Academy of Sciences Publication Activity Database

    Balko, J.; Ballóková, B.; Jakubéczyová, D.; Hvizdoš, P.; Hloch, Sergej; Kloc, J.; Monka, P.

    2013-01-01

    Roč. 13, č. 1 (2013), s. 34-43. ISSN 1335-8987 Institutional support: RVO:68145535 Keywords : bone cements * mixing * pin-on-plate * porosity * nano-hardness Subject RIV: JQ - Machines ; Tools http://www.imr.saske.sk/pmp/issue/1-2013/PMP_Vol13_No1_p_034-043.pdf

  16. 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

  17. 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

  18. 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.

  19. 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.

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

    International Nuclear Information System (INIS)

    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

  1. 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.

  2. 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.

  3. 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...

  4. 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.

  5. 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

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

    Czech Academy of Sciences Publication Activity Database

    Hloch, S.; Foldyna, Josef; Sitek, Libor; Zeleňák, Michal; Hlaváček, Petr; Hvizdoš, P.; Kloc, J.; Monka, P.; Monková, K.; Kozak, D.; Magurová, D.

    2013-01-01

    Roč. 20, č. 4 (2013), s. 593-598. ISSN 1330-3651 R&D Projects: GA MŠk ED2.1.00/03.0082 Institutional support: RVO:68145535 Keywords : bone cement * disintegration * water jet Subject RIV: JQ - Machines ; Tools Impact factor: 0.615, year: 2013 http://hrcak.srce.hr/index.php?show=clanak&id_clanak_jezik=157195

  7. Radiological Investigation of Bone Cement Layer Behaviour under Cyclic Loading

    Czech Academy of Sciences Publication Activity Database

    Kytýř, Daniel; Jiroušek, Ondřej; Dammer, J.

    Wuppertal : Institute static and dynamic of structures Bergischen Universitat Wuppertal, 2010 - (Harte, R.), s. 64-65 ISBN N. [Bilateral Czech/German Symposium /12./. Bremen (DE), 30.06.2010-03.07.2010] R&D Projects: GA ČR(CZ) GAP105/10/2305 Institutional research plan: CEZ:AV0Z20710524 Keywords : bone cement * cyclic loading * X-ray Subject RIV: FI - Traumatology, Orthopedics

  8. 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.

  9. 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

  10. 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.

  11. Microdamage assessment of bone-cement interfaces under monotonic and cyclic compression

    OpenAIRE

    Tozzi, Gianluca; Zhang, Qinghang; Tong, Jie

    2014-01-01

    Bone-cement interface has been investigated under selected loading conditions, utilising experimental techniques such as in situ mechanical testing and digital image correlation (DIC). However, the role of bone type in the overall load transfer and mechanical behaviour of the bone-cement construct is yet to be fully quantified. Moreover, microdamage accumulation at the interface and in the cement mantle has only been assessed on the exterior surfaces of the samples, where no volumetric inform...

  12. The use of bone cement for the localized, controlled release of the antibiotics vancomycin, linezolid, or fusidic acid: effect of additives on drug release rates and mechanical strength.

    Science.gov (United States)

    Jackson, John; Leung, Fay; Duncan, Clive; Mugabe, Clement; Burt, Helen

    2011-04-01

    Bone cement containing antibiotics is commonly used to treat orthopedic related infections. However, effective treatment (especially of resistant bacteria, methacillin-resistant Staphylococcus aureus (MRSA)) is compromised by very low levels of drug release so that typically less than 10% of loaded drug is released over a 6-week period. The objective of this study was to investigate the effect of incorporation of water soluble excipients (polyethylene glycol, sodium chloride, or dextran) into antibiotic-loaded cement on mechanical strength and drug release properties. Poly(methyl methylacrylate) cement implants containing various amounts of drug (vancomycin, linezolid or fusidic acid (all MRSA active)) and excipients were cast in the form of beads or films and characterized using differential scanning calorimetry. Mechanical strength as assessed by Young's modulus was determined by thermo-mechanical analysis. Drug release was measured by incubation in phosphate buffered saline with analysis by HPLC methods. The inclusion of sodium chloride up to 20% w/w caused only minor reductions in Young's modulus. Vancomycin and linezolid released very slowly from unmodified bone cement beads (less than 3% released by 4 weeks) whereas fusidic acid released more quickly (approximately 8% released by 4 weeks). The inclusion of sodium chloride or dextran in bone cement resulted in major increases in the release rate of vancomycin, linezolid and fusidic acid. These studies support the inclusion of sodium chloride and dextran in bone cement to increase the release rate of vancomycin, linezolid, or fusidic acid without compromising the mechanical strength of the composite material. PMID:25788111

  13. Microdamage assessment of bone-cement interfaces under monotonic and cyclic compression.

    Science.gov (United States)

    Tozzi, Gianluca; Zhang, Qing-Hang; Tong, Jie

    2014-11-01

    Bone-cement interface has been investigated under selected loading conditions, utilising experimental techniques such as in situ mechanical testing and digital image correlation (DIC). However, the role of bone type in the overall load transfer and mechanical behaviour of the bone-cement construct is yet to be fully quantified. Moreover, microdamage accumulation at the interface and in the cement mantle has only been assessed on the exterior surfaces of the samples, where no volumetric information could be obtained. In this study, some typical bone-cement interfaces, representative of different fixation scenarios for both hip and knee replacements, were constructed using mainly trabecular bone, a mixture of trabecular and cortical bone and mainly cortical bone, and tested under static and cyclic compression. Axial displacement and strain fields were obtained by means of digital volume correlation (DVC) and microdamage due to static compression was assessed using DVC and finite element (FE) analysis, where yielded volumes and strains (εzz) were evaluated. A significantly higher load was transferred into the cement region when mainly cortical bone was used to interdigitate with the cement, compared with the other two cases. In the former, progressive damage accumulation under cyclic loading was observed within both the bone-cement interdigitated and the cement regions, as evidenced by the initiation of microcracks associated with high residual strains (εzz_res). PMID:25283468

  14. 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...

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

    Czech Academy of Sciences Publication Activity Database

    Hloch, Sergej; Kloc, J.; Foldyna, Josef; Pude, F.; Smolko, I.; Zeleňák, Michal; Sitek, Libor; Hvizdoš, P.; Monka, P.; Monková, K.; Kozak, D.; Stoić, A.; Sedmak, A.; Milosevic, M.; Lehocká, D.; Mihalčinová, E.

    Ostrava : Ústav geoniky AV ČR, v.v.i, 2015 - (Sitek, L.; Klichová, D.), s. 37-54 ISBN 978-80-86407-56-2. [Vodní paprsek 2015 - výzkum, vývoj, aplikace. Velké Losiny (CZ), 06.10.2015-08.10.2015] R&D Projects: GA MŠk ED2.1.00/03.0082; GA MŠk(CZ) LO1406 Institutional support: RVO:68145535 Keywords : bone cement * ultrasonic pulsating water jet * revision arthroplasty Subject RIV: JQ - Machines ; Tools

  16. 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.)

  17. 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)

  18. 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)

  19. 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

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

    Science.gov (United States)

    Huh, Sun; Lee, Heon

    2014-01-01

    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. PMID:25053903

  1. 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.

  2. 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...

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

    International Nuclear Information System (INIS)

    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.

  4. 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 ...

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

    International Nuclear Information System (INIS)

    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 μl) 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 μl 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.)

  6. 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

  7. 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)

  8. Bone marrow mesenchymal stem cells, platelet-rich plasma and nanohydroxyapatite-type I collagen beads were integral parts of biomimetic bone substitutes for bone regeneration.

    Science.gov (United States)

    Lin, Bo-Nian; Whu, Shu Wen; Chen, Chih-Hwa; Hsu, Fu-Yin; Chen, Jyh-Cheng; Liu, Hsia-Wei; Chen, Chien-Hao; Liou, Hau-Min

    2013-11-01

    Platelet rich plasma (PRP), which includes many growth factors, can activate osteoid production, collagen synthesis and cell proliferation. Nanohydroxyapatite-type I collagen beads (CIB), which mimetic natural bone components, are not only flexible fillers for bone defect but also encourage osteogenesis. Bone marrow mesenchymal stem cells (BMSCs) are often used as an abundant cell source for tissue engineering. We used a rabbit model to combine PRP, CIB and BMSCs (CIB+PRP+BMSC) into a bone-like substitute to study its impact on bone regeneration, when compared to defect alone, PRP, CIB+PRP, and PRP+BMSC. CIB+PRP upregulated more alkaline phosphatase (ALP) activity in BMSCs than PRP alone at 4 weeks postoperation. CIB+PRP+BMSC and PRP+BMSC did not differ significantly in DNA content, total collagen content, and ALP activity at 8 weeks. In histological assay, both CIB+PRP+BMSC and PRP+BMSC showed more bone regeneration at 4 and 8 weeks. Higher trabecular bone volume in tissue volume (BV/TV) (31.15±2.67% and 36.93±1.01%), fractal dimension (FD) (2.30±0.18 and 2.65±0.02) and lower trabecular separation (Tb.Sp) (2.30±0.18 and 1.35±0.16) of CIB+PRP+BMSC than of other groups at 4 and 8 weeks, and approach to of bone tissue (BV/TV=24.35±2.13%; FD=2.65±0.06; Tb.Sp=4.19±0.95). CIB+PRP+BMSC significantly enhanced new bone formation at 4 week. Therefore, nanohydroxyapatite-type I collagen beads combined with PRP and BMSCs produced a bone substitute with efficiently improved bone regeneration that shows promise to repair bone defects. PMID:22744907

  9. 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

  10. 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.

  11. 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

  12. 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.

  13. Analysis of changes in bone cement damping factor and its effect on bone load

    Directory of Open Access Journals (Sweden)

    P. Postawa

    2007-07-01

    Full Text Available Purpose: The article presents the results of simulations and material-related investigations for bone cement used for alloplasty of hip joint. Mechanical properties of bone cements are of key importance for a successful surgery and further use of the joint as well as its behaviour during complex load which appears during patient’s walk.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 frequency and amplitude of vibrations. 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.Findings: During simulation investigations ADINA engineering environment has been used; it enabled, at the assumed boundary and initial conditions, to assess the stress which appears in individual cross-sections of the analysed bone and the implant fixed by means of bone cement. During the analysis the cross-sections have been presented and the values of the stress which appears in individual zones have been determined.Research limitations/implications: Due to high complexity, only the results of simulation software have been used, clinic trials will be possible not before thorough check and analysis of the obtained results.Practical implications: 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.

  14. Development of a biodegradable bone cement for craniofacial applications.

    Science.gov (United States)

    Henslee, Allan M; Gwak, Dong-Ho; Mikos, Antonios G; Kasper, F Kurtis

    2012-09-01

    This study investigated the formulation of a two-component biodegradable bone cement comprising the unsaturated linear polyester macromer poly(propylene fumarate) (PPF) and crosslinked PPF microparticles for use in craniofacial bone repair applications. A full factorial design was employed to evaluate the effects of formulation parameters such as particle weight percentage, particle size, and accelerator concentration on the setting and mechanical properties of crosslinked composites. It was found that the addition of crosslinked microparticles to PPF macromer significantly reduced the temperature rise upon crosslinking from 100.3°C ± 21.6°C to 102.7°C ± 49.3°C for formulations without microparticles to 28.0°C ± 2.0°C to 65.3°C ± 17.5°C for formulations with microparticles. The main effects of increasing the particle weight percentage from 25 to 50% were to significantly increase the compressive modulus by 37.7 ± 16.3 MPa, increase the compressive strength by 2.2 ± 0.5 MPa, decrease the maximum temperature by 9.5°C ± 3.7°C, and increase the setting time by 0.7 ± 0.3 min. Additionally, the main effects of increasing the particle size range from 0-150 μm to 150-300 μm were to significantly increase the compressive modulus by 31.2 ± 16.3 MPa and the compressive strength by 1.3 ± 0.5 MPa. However, the particle size range did not have a significant effect on the maximum temperature and setting time. Overall, the composites tested in this study were found to have properties suitable for further consideration in craniofacial bone repair applications. PMID:22499285

  15. 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

  16. Wear and Mechanical Properties of Various Bone Cements – Influence of Saline Environment

    Czech Academy of Sciences Publication Activity Database

    Balko, J.; Fides, M.; Sedlák, R.; Hvizdoš, P.; Hloch, Sergej; Kloc, J.; Monka, P.

    -, č. 662 (2015), s. 147-150. ISSN 1662-9795 Institutional support: RVO:68145535 Keywords : wear * saline * hardness * bone cement Subject RIV: JQ - Machines ; Tools http://www.scientific.net/KEM.662.147

  17. Mechanical and cytotoxicity testing of acrylic bone cement embedded with microencapsulated 2-octyl cyanoacrylate

    OpenAIRE

    Brochu, Alice B.W.; Gregory A. Evans; Reichert, William M.

    2013-01-01

    The water-reactive tissue adhesive 2-octyl cyanoacrylate (OCA) was microencapsulated in polyurethane shells and incorporated into Palacos R bone cement. The tensile and compressive properties of the composite material were investigated in accordance with commercial standards, and fracture toughness of the capsule-embedded bone cement was measured using the tapered double-cantilever beam geometry. Viability and proliferation of MG63 human osteosarcoma cells after culture with extracts from Pal...

  18. The use of antibiotic-impregnated cement beads in the management of sternal osteomyelitis after treatment for malignant lymphoma

    International Nuclear Information System (INIS)

    Currently, the majority of patients who develop Hodgkin's disease can be cured with radiotherapy and/or chemotherapy. A long follow up of cured patients has shown that the cumulative toxicity from treatment related complication rivals the mortality from Hodgkin's disease. We present a 38-year old male with Hodgkin's disease, treated with radiation and chemotherapy, who developed cardiac infarction and severe mediastinal fibrosis. After median sternotomy for cardiac bypass operation, he suffered from sternal osteitis and superior mediastinitis. A radical debridement must be avoided to protect the bypassed conduit embedded in the extended severe mediastinal fibrosis. Then after appropriate debridement and management of methicillin-resistant Staphylococcus aureus (MRSA) infection, latissimus dorsi myocutaneous flap transfer and use of vancomycin-impregnated cement beads achieved infection control. In this study we present our experience with bibliographical discussion. With the concept presented in this study, however, a consistent cure and prevention from subsequent infection-related morbidity and mortality were achieved even in the subset of the most severe, recalcitrant cases of sternal osteitis, and with an unacceptable rate of complications. This justifies the invasive nature of the procedure and suggests its application not only as a salvage operation for failures after previous interventions, but also as a primary approach for severe sternal osteomyelitis. (author)

  19. 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.

  20. 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

  1. 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

  2. Bioactive PMMA bone cement prepared by modification with methacryloxypropyltrimethoxysilane and calcium chloride.

    Science.gov (United States)

    Miyazaki, Toshiki; Ohtsuki, Chikara; Kyomoto, Masayuki; Tanihara, Masao; Mori, Akiko; Kuramoto, Kou-ichi

    2003-12-15

    Bone cement consisting of polymethylmethacrylate (PMMA) powder and methylmethacrylate (MMA) liquid is used extensively for fixation of implants such as artificial hip joints with living bone. This type of cement, however, does not show direct bonding to the living body, and hence the fixation is liable to loosen over a long implantation period. Bioactive materials have received much attention because of their capability for bone-bonding, i.e., bioactivity, when implanted in bony defects. Osteoconduction of the bioactive materials is caused by formation of a bone-like apatite layer through a surface reaction between the material and surrounding body fluid. The apatite formation can be induced by a silanol (Sibond;OH) group formed on the materials as well as a dissolution of calcium ion (Ca(2+)) from the material. Incorporation of alkoxysilane and calcium chloride (CaCl(2)) may provide PMMA bone cement with bioactivity, because alkoxysilane gives Sibond;OH after hydrolysis, whereas CaCl(2) releases Ca(2+). In this study, we investigated the potential on bioactivity of the modified PMMA bone cement with alkoxysilane and calcium chloride. PMMA powder was mixed with various amounts of CaCl(2), and MMA liquid with various amounts of 3-methacryloxypropyltrimethoxysilane (MPS). The mixed paste was immersed in a simulated body fluid (Kokubo solution) that has a similar concentration in inorganic constituents to human blood plasma. After soaking for various periods, apatite formation on the cement was examined. Apatite formation was observed by the addition of CaCl(2) with contents of 16 mass % and more. Incorporation of MPS accelerates the apatite formation. Setting time of the cement was significantly elongated after the addition of MPS, whereas compressive strength significantly decreased with increasing the contents of CaCl(2) and MPS. The hardened cement containing 20 mass % of CaCl(2) in the powder and 20 mass % of MPS in the liquid showed a tendency to be more

  3. 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.

  4. 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.

  5. 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

  6. Effect of heat generation from bone cement on bone tissue in total knee arthroplasty; Jinko kansetsu okikaeji no one cement no hatsunetsu ga seitai soshiki ni oyobosu eikyo ni kansuru kenkyu

    Energy Technology Data Exchange (ETDEWEB)

    Matsuda, M.; Uchida, T. [Kobe University, Kobe (Japan); Iwatsubo, T. [Kobe University, Kobe (Japan). Faculty of Engineering; Kurosawa, M.; Hashimoto, Y. [Kobe University, Kobe (Japan). Faculty of Medicine; Fukushima, H.

    1998-01-25

    Bone cement is often applied to fix the components in a surgical operation, such as TKA (total knee arthroplasty). In this paper, we consider the effect of heat generation from bone cement on bone tissue in TKA by using numerical simulation. First, we applied an axisymmetric model of tibia to finite element method and analyzed heat generation of bone cement. To confirm the results of analysis by experiment, we measured the temperature determined by 6 points i.e., 2 points each in component-cement interface, cement and bone-cement interface. As a result, the temperature determined by analysis agrees with that determined by experiment. Next, we proposed the evaluation formula of the bone necrosis. We constructed a bone necrosis map from the simulation. From the map, we found that the bone necrosis region was about 2 mm from the bone-cement interface. In addition, the bone necrosis is severe at the base of the tibial component. 7 refs., 15 figs., 3 tabs.

  7. 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...

  8. 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.

  9. Reinforcement of bone cement around prostheses by pre-coated wire coil: a preliminary study.

    Science.gov (United States)

    Kim, J K; Park, J B

    1994-01-01

    The longevity of the cemented total hip joint replacement depends on the integrity of the cement fixation with respect to the interfaces of the metal stem and bone, and stress/strain transmission and its distribution. A simple coil made of stainless steel wires was placed around a tapered stem in a simulated cement mantle to counteract the radial- and hoop-stress and static push-out mechanical tests were performed. The results show statistically significant increases in ultimate strain (+17.62%), ultimate load (+110.34%), stiffness (+117.63%), and fracture toughness (+153.63%) exhibited by the wire reinforcement over the control. Precoating with thin layer of polymethylmethacrylate may also enhance the mechanical properties of the reinforced cement mantle. This simple device may contribute to the longevity of the cement mantle by virtue of the enhanced mechanical properties, which in turn will be able to absorb more energy transmitted through the metal stem. PMID:8000291

  10. Effects of air abrasion with alumina or glass beads on surface characteristics of CAD/CAM composite materials and the bond strength of resin cements

    Directory of Open Access Journals (Sweden)

    ARAO Nobuaki

    2015-12-01

    Full Text Available ABSTRACT Objective The study aimed to evaluate effects of air abrasion with alumina or glass beads on bond strengths of resin cements to CAD/CAM composite materials. Material and Methods CAD/CAM composite block materials [Cerasmart (CS and Block HC (BHC] were pretreated as follows: (a no treatment (None, (b application of a ceramic primer (CP, (c alumina-blasting at 0.2 MPa (AB, (d AB followed by CP (AB+CP, and (e glass-beads blasting at 0.4 MPa (GBB followed by CP (GBB+CP. The composite specimens were bonded to resin composite disks using resin cements [G-CEM Cerasmart (GCCS and ResiCem (RC]. The bond strengths after 24 h (TC 0 and after thermal cycling (TC 10,000 at 4–60°C were measured by shear tests. Three-way ANOVA and the Tukey compromise post hoc tests were used to analyze statistically significant differences between groups (α=0.05. Results For both CAD/CAM composite materials, the None group exhibited a significant decrease in bond strength after TC 10,000 (p0.05. The AB+CP group showed a significantly higher bond strength after TC 10,000 than did the AB group for RC (p<0.05, but not for GCCS. The GBB+CP group showed the highest bond strength for both thermal cyclings (p<0.05. Conclusions Air abrasion with glass beads was more effective in increasing bond durability between the resin cements and CAD/CAM composite materials than was using an alumina powder and a CP.

  11. 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

  12. Monitoring of hardening and hygroscopic induced strains in a calcium phosphate bone cement using FBG sensor.

    Science.gov (United States)

    Bimis, A; Karalekas, D; Bouropoulos, N; Mouzakis, D; Zaoutsos, S

    2016-07-01

    This study initially deals with the investigation of the induced strains during hardening stage of a self-setting calcium phosphate bone cement using fiber-Bragg grating (FBG) optical sensors. A complementary Scanning Electron Microscopy (SEM) investigation was also conducted at different time intervals of the hardening period and its findings were related to the FBG recordings. From the obtained results, it is demonstrated that the FBG response is affected by the microstructural changes taking place when the bone cement is immersed into the hardening liquid media. Subsequently, the FBG sensor was used to monitor the absorption process and hygroscopic response of the hardened and dried biocement when exposed to a liquid/humid environment. From the FBG-based calculated hygric strains as a function of moisture concentration, the coefficient of moisture expansion (CME) of the examined bone cement was obtained, exhibiting two distinct linear regions. PMID:26807773

  13. (α'(H))-Dicalcium silicate bone cement doped with tricalcium phosphate: characterization, bioactivity and biocompatibility.

    Science.gov (United States)

    de Aza, Piedad N; Zuleta, Fausto; Velasquez, Pablo; Vicente-Salar, Nestor; Reig, Juan A

    2014-02-01

    The influence of phosphorus doping on the properties of (α'(H))-dicalcium silicate (C(2)S) bone cement was analyzed, in addition to bioactivity and biocompatibility. All the cements were composed of a solid solution of TCP in C(2)S ([Formula: see text]-C(2)S(ss)) as the only phase present. The compressive strength ranged from 3.8-16.3 MPa. Final setting times ranged from 10 to 50 min and were lower for cements with lower L/P content. Calcium silicate hydrate was the principal phase formed during the hydration process of the cements. The cement exhibited a moderate degradation and could induce carbonated hydroxyapatite formation on its surface and into the pores. The cell attachment test showed that the (α'(H))-C(2)SiO(4) solid solution supported human adipose stem cells adhesion and spreading, and the cells established close contacts with the cement after 24 h of culture. The novel (α'(H))-C(2)S(ss) cements might be suitable for potential applications in the biomedical field, preferentially as materials for bone/dental repair. PMID:24218299

  14. 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

  15. 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

  16. 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.

  17. 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.

  18. 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

  19. The effect of oligo(trimethylene carbonate) addition on the stiffness of acrylic bone cement.

    Science.gov (United States)

    Persson, Cecilia; López, Alejandro; Fathali, Hoda; Hoess, Andreas; Rojas, Ramiro; Ott, Marjam Karlsson; Hilborn, Jöns; Engqvist, Håkan

    2016-01-01

    With the increasing elderly population an increase in the number of bony fractures associated to age-related diseases such as osteoporosis also follows. The relatively high stiffness of the acrylic bone cements used in these patients has been suggested to give raise to a suboptimal load distribution surrounding the cement in vivo, and hence contribute to clinical complications, such as additional fractures. The aim of this study was to develop a low-modulus bone cement, based on currently used, commercially available poly(methyl methacrylate) (PMMA) cements for vertebroplasty. To this end, acrylate end-functionalized oligo(trimethylene carbonate) (oTMC) was incorporated into the cements, and the resulting compressive mechanical properties were evaluated, as well as the cytotoxic and handling properties of selected formulations. Sixteen wt%oTMC was needed in the vertebroplastic cement Osteopal V to achieve an elastic modulus of 1063 MPa (SD 74), which gave a corresponding compressive strength of 46.1 MPa (SD 1.9). Cement extracts taken at 1 and 12 hours gave a reduced MG-63 cell viability in most cases, while extracts taken at 24 hours had no significant effect on cell behavior. The modification also gave an increase in setting time, from 14.7 min (SD 1.7) to 18.0 min (SD 0.9), and a decrease in maximum polymerization temperature, from 41.5°C (SD 3.4) to 30.7°C (SD 1.4). While further evaluation of other relevant properties, such as injectability and in vivo biocompatibility, remains to be done, the results presented herein are promising in terms of approaching clinically applicable bone cements with a lower stiffness. PMID:26727581

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

    International Nuclear Information System (INIS)

    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

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

    Energy Technology Data Exchange (ETDEWEB)

    Ash, H E [Centre for Biomedical Engineering, University of Durham, Durham DH1 3LE (United Kingdom); Scholes, S C [Centre for Biomedical Engineering, University of Durham, Durham DH1 3LE (United Kingdom); Unsworth, A [Centre for Biomedical Engineering, University of Durham, Durham DH1 3LE (United Kingdom); Jones, E [Stryker Howmedica Osteonics, Raheen Industrial Estate, Limerick (Ireland)

    2004-08-07

    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. 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

  4. Effect of the sterilization process on physical and mechanical properties of the bonacryl bone cement

    International Nuclear Information System (INIS)

    The use of bone cements of poly(methyl methacrylate) (PMMA) to fix artificial prosthesis to the human body is a habitual method in orthopedic surgery. The hip and the knee joints have a very complex biomechanics and support high loads, for these reasons, acrylic bone cements have to comply with international standards in order to secure the biofuncionality and durability of the implant. In this work we report the effect of sterilization by ethylene oxide or gamma radiation on the BONACRYL Cuban cement. We determined how sterilization methods affect the molecular weight of the polymer as well as its quasi-static mechanical properties. The results demonstrated that the gamma radiation modifies the molecular weight of the PMMA although the compression and bending strength were not affected by the sterilization process applied. (authors)

  5. 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

  6. 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

  7. 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.

  8. 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

  9. 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)

  10. 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...

  11. The effect of unsaturated fatty acid and triglyceride oil addition on the mechanical and antibacterial properties of acrylic bone cements.

    Science.gov (United States)

    Persson, Cecilia; Robert, Elise; Carlsson, Elin; Robo, Céline; López, Alejandro; Godoy-Gallardo, Maria; Ginebra, Maria-Pau; Engqvist, Håkan

    2015-09-01

    Acrylic bone cements have an elastic modulus several times higher than the surrounding trabecular bone. This has been hypothesized to contribute to certain clinical complications. There are indications that the addition of specific fatty acids and triglyceride oils may reduce the elastic modulus of these types of cements. Some of these additives also appear to have inherent antibiotic properties, although this has never been evaluated in bone cements. In this study, several types of fatty acids and triglyceride oils were evaluated for use in acrylic bone cements. Their mechanical properties were evaluated under uniaxial compression testing and selected cements were then further characterized in terms of microstructure, handling and antibacterial properties using scanning electron microscopy, polymerization temperature measurements, agar diffusion tests and bactericidal activity assays of cement extracts. It was found that any of the evaluated fatty acids or triglyceride oils could be used to tailor the stiffness of acrylic bone cements, although at varying concentrations, which also depended on the type of commercial base cement used. In particular, the addition of very small amounts of linoleic acid (agar diffusion test as well as demonstrating 100% bactericidal activity against the same strain. PMID:25876889

  12. 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

  13. Material properties and in vitro biocompatibility of a newly developed bone cement

    OpenAIRE

    Elke Mitzner; Paco Albertus Hubert Maria Pelt; Christian Mueller; Angela Strohwig; Wolf-Dieter Mueller

    2009-01-01

    In this study mechanical properties and biocompatibility (In Vitro) of a new bone cement were investigated. A new platform technology named COOL is a variable composite of dissolved, chemically modified PMMA and different bioceramics. COOL cures at body temperature via a classical cementation reaction. Compressive strengths ranging from 3.6 ± 0.8 to 62.8 ± 1.3 MPa and bending strengths ranging from 9.9 ± 2.4 to 26.4 ± 3.0 MPa were achieved with different COOL formulations. Porosity varied bet...

  14. 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

  15. 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.

  16. 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

  17. 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

  18. 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.

  19. Damage accumulation, fatigue and creep behaviour of vacuum mixed bone cement.

    Science.gov (United States)

    Jeffers, Jonathan R T; Browne, Martin; Taylor, Mark

    2005-09-01

    The behaviour of bone cement under fatigue loading is of interest to assess the long-term in vivo performance. In this study, uniaxial tensile fatigue tests were performed on CMW-1 bone cement. Acoustic emission sensors and an extensometer were attached to monitor damage accumulation and creep deformation respectively. The S-N data exhibited the scatter synonymous with bone cement fatigue, with large pores generally responsible for premature failure; at 20 MPa specimens failed between 2 x 10(3) and 2 x 10(4) load cycles, while at 7 MPa specimens failed from 3 x 10(5) load cycles but others were still intact after 3 x 10(6) load cycles. Acoustic emission data revealed a non-linear accumulation of damage with respect to time, with increasing non-linearity at higher stress levels. The damage accumulation process was not continuous, but occurred in bursts separated by periods of inactivity. Damage in the specimen was located by acoustic emissions, and allowed the failure site to be predicted. Acoustic emission data were also used to predict when failure was not imminent. When this was the case at 3 million load cycles, the tests were terminated. Creep strain was plotted against the number of load cycles and a linear relationship was found when a double logarithmic scale was employed. This is the first time a brand of cement has been characterised in such detail, i.e. fatigue life, creep and damage accumulation. Results are presented in a manner that allows direct comparison with published data for other cements. The data can also be used to characterise CMW-1 in computational simulations of the damage accumulation process. Further evidence is provided for the condition-monitoring capabilities of the acoustic emission technique in orthopaedic applications. PMID:15860209

  20. 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

  1. 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.

  2. Antibacterial and bioactive composite bone cements containing surface silver-doped glass particles.

    Science.gov (United States)

    Miola, Marta; Fucale, Giacomo; Maina, Giovanni; Verné, Enrica

    2015-09-01

    A bioactive silica-based glass powder (SBA2) was doped with silver (Ag(+)) ions by means of an ion-exchange process. Scanning electron microscopy (SEM), energy dispersion spectrometry (EDS) and x-ray diffraction (XRD) evidenced that the glass powder was enriched with Ag(+) ions. However, a small amount of Ag2CO3 precipitated with increased Ag concentrations in the exchange solution. The minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC) of Ag-SBA2 towards Staphylococcus aureus were also evaluated and were respectively 0.05 mg ml(-1) and 0.2 mg ml(-1). Subsequently, Ag-SBA2 glass was used as filler (30%wt) in a commercial formulation of bone cement (Simplex(™) P) in order to impart both antibacterial and bioactive properties. The composite bone cement was investigated in terms of morphology (using SEM) and composition (using EDS); the glass powder was well dispersed and exposed on the cement surface. Bioactivity tests in simulated body fluid (SBF) evidenced the precipitation of hydroxyapatite on sample surfaces. Composite cement demonstrated antibacterial properties and a compressive strength comparable to the commercial formulation. PMID:26481324

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

    International Nuclear Information System (INIS)

    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, β-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-166Ho must be investigated in clinical trials to assure its efficacy and safety on spine tumors treatment (author)

  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. 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.

  6. 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.)

  7. 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

  8. 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

  9. Mechanical and thermal properties of castor oil polyurethane bone cement after gamma irradiation

    International Nuclear Information System (INIS)

    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)

  10. High resolution finite element modeling of cemented bone-implant interface using X-ray microtomography

    Czech Academy of Sciences Publication Activity Database

    Kytýř, Daniel; Jiroušek, Ondřej; Zlámal, Petr; Pokorný, D.; Dammer, J.

    Cardiff : ARUP, 2010 - (Middleton, J.), s. 467-471 ISBN 978-0-9562121-3-9. [International symposium on Computer methods in biomechanics and biomedial engineering /9./. Valencia (ES), 24.02.2010-27.02.2010] R&D Projects: GA ČR(CZ) GAP105/10/2305 Institutional research plan: CEZ:AV0Z20710524 Keywords : bone-cement interface * computed tomography * high-resolution models Subject RIV: FI - Traumatology, Orthopedics

  11. Experimental and numerical study of cemented bone-implant interface behaviour

    Czech Academy of Sciences Publication Activity Database

    Kytýř, Daniel; Doktor, Tomáš; Jiroušek, Ondřej; Zlámal, Petr; Pokorný, D.

    2011-01-01

    Roč. 15, č. 15 (2011), s. 5-13. ISSN 1971-8993 R&D Projects: GA ČR(CZ) GAP105/10/2305 Institutional research plan: CEZ:AV0Z20710524 Keywords : bone-cement interface * computed tomography * hip simulator * crack detection Subject RIV: FI - Traumatology, Orthopedics http://www.gruppofrattura.it/index.php?option=com_content&task=view&id=90&Itemid=284

  12. Experimental and numerical study of cemented bone-implant interface behaviour

    Czech Academy of Sciences Publication Activity Database

    Kytýř, Daniel; Doktor, Tomáš; Jiroušek, Ondřej; Zlámal, Petr; Pokorný, D.

    Trieste : Italian Group of Fracture, 2010 - (Iacoviello, F.; Cosmi, F.), s. 151-154 ISBN 978-88-95940-30-4. [Youth Symposium on Experimental Solid Mechanics /9./. Trieste (IT), 07.07.2010-10.07.2010] R&D Projects: GA ČR(CZ) GAP105/10/2305 Institutional research plan: CEZ:AV0Z20710524 Keywords : bone cement * cyclic loading * X-ray Subject RIV: JJ - Other Materials

  13. Disintegration of High Fatigue G Bone Cement and Palacos R+G® by Pulsating Water Jet

    Czech Academy of Sciences Publication Activity Database

    Hloch, S.; Foldyna, Josef; Hvizdoš, P.; Monka, P.; Ševčíková, X.; Magurová, D.; Kloc, J.; Zeleňák, Michal

    Zagreb : Croatian Assossiation of Production Engineering, 2013 - (Abele, E.; Udiljak, T.; Ciglar, D.), s. 124-127 ISBN 978-953-7689-02-5. [CIM 2013 Computer Integrated Manufacturing and High Speed Maching. Biograd (HR), 19.06.2013-22.06.2013] R&D Projects: GA MŠk ED2.1.00/03.0082 Institutional support: RVO:68145535 Keywords : pulsating water jet * jet bone cement * hardness Subject RIV: JQ - Machines ; Tools

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

    Czech Academy of Sciences Publication Activity Database

    Hloch, Sergej; Foldyna, Josef; Pude, F.; Kloc, J.; Zeleňák, Michal; Hvizdoš, P.; Monka, P.; Smolko, I.; Ščučka, Jiří; Kozak, D.; Sedmak, A.; Mihalčinová, E.

    2015-01-01

    Roč. 22, č. 6 (2015), s. 1609-1616. ISSN 1330-3651 R&D Projects: GA MŠk ED2.1.00/03.0082; GA MŠk(CZ) LO1406 Institutional support : RVO:68145535 Keywords : bone cement * revision arthroplasty * ultrasonic pulsating water jet Subject RIV: JQ - Machines ; Tools Impact factor: 0.579, year: 2014 http://www.tehnicki-vjesnik.com/web/public/archive

  15. 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...

  16. New starch-based thermoplastic hydrogels for use as bone cements or drug-delivery carriers

    OpenAIRE

    C.S. Pereira; Vásquez, Blanca; A.M. Cunha; Reis, R.L.; San Román, J.

    1998-01-01

    The development of new biodegradable hydrogels, based on corn starch/cellulose acetate blends, produced by free-radical polymerization with methyl methacrylate monomer (MMA) and/or an acrylic acid monomer (AA), is reported. The polymerization was initiated by a redox system consisting of a benzoyl peroxide and 4-dimethlyaminobenzyl alcohol at low temperature. These hydrogels may constitute an alternative to the materials currently used as bone cements or drug-delivery carriers. Swelling studi...

  17. 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

  18. Healing of segmental ulnar defects in dog using bioresorbable calcium phosphate cement added with recombinant human bone morphogenetic protein-2

    Energy Technology Data Exchange (ETDEWEB)

    Ohura, K.; Hamanishi, C. [Kinki Univ. School of Medicine, Osaka (Japan). Dept. of Orthopaedic Surgery; Irie, H. [Olympus Optical Co., Ltd., Tokyo (Japan)

    2001-07-01

    Bioresorbable calcium phosphate cement (BCPC) cylinders soaked with 100 {mu}g of rhBMP-2 were implanted into 21 mm segmental ulnar defects in dogs. New bone induced around cylinders united both bone segments in 3 weeks. As the cylinder dissolved, the induced bone was remodeled into the compact bone by 9 weeks. However, the cement cylinder implanted without BMP did not dissolve and that defect did not recover bone continuity in 9 weeks. Mechanical test at 9 weeks showed that the BMP group achieved 71% union and 63% of bone strength compared to normal ulna. However, other two groups, the implantation of the cylinder alone and no implantation, did not unite any case. The implantation of thin cylinders of BCPC soaked with small amount of rhBMP-2 repaired large bone defects of high mammal fast. Added with more BMP, it will be possible to apply this biocompatible composite even in clinical cases. (orig.)

  19. Carboxymethylation of ulvan and chitosan and their use as polymeric components of bone cements.

    Science.gov (United States)

    Barros, A A A; Alves, A; Nunes, C; Coimbra, M A; Pires, R A; Reis, R L

    2013-11-01

    Ulvan, extracted from the green algae Ulva lactuca, and chitosan, extracted from Loligo forbesis squid-pen, were carboxymethylated, yielding polysaccharides with an average degree of substitution of ∼98% (carboxymethyl ulvan, CMU) and ∼87% (carboxymethyl chitosan, N,O-CMC). The carboxymethylation was confirmed by Fourier transform infrared spectroscopy and quantified by conductimetric titration and 1H nuclear magnetic resonance. The average molecular weight increased with the carboxymethylation (chitosan, Mn 145→296 kDa and Mw 227→416 kDa; ulvan, Mn 139→261 kDa and Mw 368→640 kDa), indicating successful chemical modifications. Mixtures of the modified polysaccharides were tested in the formulation of polyacrylic acid-free glass-ionomer bone cements. Mechanical and in vitro bioactivity tests indicate that the inclusion of CMU in the cement formulation, i.e. 0.50:0.50 N,O-CMC:CMU, enhances its mechanical performance (compressive strength 52.4±8.0 MPa and modulus 2.3±0.3 GPa), generates non-cytotoxic cements and induces the diffusion of Ca and/or P-based moieties from the surface to the bulk of the cements. PMID:23816652

  20. 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.

  1. 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.

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

    International Nuclear Information System (INIS)

    Al-free glasses of general composition 0.340SiO2:0.300ZnO:(0.250-a-b)CaO:aSrO:bMgO:0.050Na2O:0.060P2O5 (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 release should be tuned to

  3. 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

  4. 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.

  5. Effect of Combined Calcium Hydroxide and Accelerated Portland Cement on Bone Formation and Soft Tissue Healing in Dog Bone Lesions

    Directory of Open Access Journals (Sweden)

    Khorshidi H

    2015-09-01

    Full Text Available Statement of Problem: Recent literatures show that accelerated Portland cement (APC and calcium hydroxide Ca (OH2 may have the potential to promote the bone regeneration. However, certain clinical studies reveal consistency of Ca (OH2, as one of the practical drawbacks of the material when used alone. To overcome such inconvenience, the combination of the Ca (OH2 with a bone replacement material could offer a convenient solution. Objectives: To evaluate the soft tissue healing and bone regeneration in the periodontal intrabony osseous defects using accelerated Portland cement (APC in combination with calcium hydroxide Ca (OH2, as a filling material. Materials and Methods: Five healthy adult mongrel dogs aged 2-3 years old (approximately 20 kg in weight with intact dentition and healthy periodontium were selected for this study. Two one-wall defects in both mesial and distal aspects of the 3rd premolars of both sides of the mandible were created. Therefore, four defects were prepared in each dog. Three defects in each dog were randomly filled with one of the following materials: APC alone, APC mixed with Ca (OH2, and Ca (OH2 alone. The fourth defect was left empty (control. Upon clinical examination of the sutured sites, the amount of dehiscence from the adjacent tooth was measured after two and eight weeks, using a periodontal probe mesiodistally. For histometric analysis, the degree of new bone formation was estimated at the end of the eighth postoperative week, by a differential point-counting method. The percentage of the defect volume occupied by new osteoid or trabecular bone was recorded. Results: Measurement of wound dehiscence during the second week revealed that all five APCs had an exposure of 1-2 mm and at the end of the study all samples showed 3-4 mm exposure across the surface of the graft material, whereas the Ca (OH2, control, and APC + Ca (OH2 groups did not show any exposure at the end of the eighth week of the study. The most

  6. 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.

  7. 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

  8. 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

  9. 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.

  10. 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

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

    International Nuclear Information System (INIS)

    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. - 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 show hydroxyapatite precipitates on the cement

  12. Preliminary analysis of volume material removal at bone cement disintegration by pulsating water jet

    Czech Academy of Sciences Publication Activity Database

    Lehocká, D.; Hloch, S.; Foldyna, Josef; Monka, P.; Monková, K.; Brezíková, K.

    Ostrava : Ústav geoniky AV ČR, 2013 - (Sitek, L.; Klichová, D.), s. 145-153 ISBN 978-80-86407-43-2. [Vodní paprsek 2013 - výzkum, vývoj, aplikace. Soláň, Karolinka (CZ), 22.10.2013-24.10.2013] R&D Projects: GA MŠk ED2.1.00/03.0082 Institutional support: RVO:68145535 Keywords : pulsating water jet * PMMA - bone cement * volume removal Subject RIV: JQ - Machines ; Tools

  13. 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

  14. 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

  15. Material properties and in vitro biocompatibility of a newly developed bone cement

    Directory of Open Access Journals (Sweden)

    Elke Mitzner

    2009-01-01

    Full Text Available In this study mechanical properties and biocompatibility (In Vitro of a new bone cement were investigated. A new platform technology named COOL is a variable composite of dissolved, chemically modified PMMA and different bioceramics. COOL cures at body temperature via a classical cementation reaction. Compressive strengths ranging from 3.6 ± 0.8 to 62.8 ± 1.3 MPa and bending strengths ranging from 9.9 ± 2.4 to 26.4 ± 3.0 MPa were achieved with different COOL formulations. Porosity varied between 31 and 43%. Varying the components of each formulation mechanical properties and porosity could be adjusted. In Vitro biocompatibility studies with primary human osteoblasts (pHOB in direct contact with different COOL formulations, did not reveal any signs of toxicity. In contrast to Refobacin® R, cells incubated with COOL showed similar density, viability and ALP activity compared to control, if specimen were added immediately to the cell monolayer after preparation. In conclusion, COOL has promising mechanical properties in combination with high biocompatibility In Vitro and combines different advantages of both CPCs and PMMA cements by avoiding some of the respective shortcomings.

  16. 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

  17. 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

  18. 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.

  19. 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

  20. 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

  1. 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.)

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

    International Nuclear Information System (INIS)

    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.)

  3. 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.

  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. 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. 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

  7. 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.)

  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. Percutaneous vertebroplasty in the treatment of vertebral body compression fracture with bone cement mixing and injection integrative system

    International Nuclear Information System (INIS)

    Objective: To evaluate the techniques and curative effects of percutaneous vertebroplasty (PVP) in vertebral compression fractures with bone cement mixing and injection integrative system. Methods: 108 patients with painful vertebral compression fractures (VCFs) were undergone PVP treatment in two years. There were 85 patients with osteoporotic VCFs and 31 patients with malignant VCFs. Polymethylmethacrylate (PMMA) were injected into the vertebral bodies via the bipedicular approach under fluoroscopic guidance with bone cement mixing and injection integrative system. Postvertebroplasty follow-up were achieved in six months. Results: Total 116 (100%) vertebral bodies (69 lumbar vertebrae and 47 thoracic vertebrae) were successfully injected with bone cement through bipedicular approach. Marked pain relief was achieved in 99 patients (91.7%). 95 patients (95.6%) had no pain reversion in the next six months. Only 9 patients (8.3%) had no pain relief. The extravasations of bone cement were observed in 12 patients (11%), with only 5(4.6%) had clinical symptoms. Conclusions: Percutaneous minimally vertebroplasty (PVP) is a minimally invasive and low complication method, with high efficacy for pain relief especially promising in the treatment of vertebral compression fractures. (authors)

  10. 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

  11. 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...

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

    Directory of Open Access Journals (Sweden)

    Guo H

    2012-07-01

    incorporation of WNFs into CPC improved the biological properties for wnf-CPC. Following the implantation of wnf-CPC into bone defects of rabbits, histological evaluation showed that wnf-CPC enhanced the efficiency of new bone formation in comparison with CPC, indicating excellent biocompatibility and osteogenesis of wnf-CPC. In conclusion, wnf-CPC exhibited promising prospects in bone regeneration.Keywords: calcium phosphate cement, degradability, cell and tissue responses, biocompatibility

  13. 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)

  14. Influence of artificially-induced porosity on the compressive strength of calcium phosphate bone cements.

    Science.gov (United States)

    Mouzakis, Dionysios; Zaoutsos, Stefanos Polymeros; Bouropoulos, Nikolaos; Rokidi, Stamatia; Papanicolaou, George

    2016-07-01

    The biological and mechanical nature of calcium phosphate cements (CPC's) matches well with that of bone tissues, thus they can be considered as an appropriate environment for bone repair as bone defect fillers. The current study focuses on the experimental characterization of the mechanical properties of CPCs that are favorably used in clinical applications. Aiming on evaluation of their mechanical performance, tests in compression loading were conducted in order to determine the mechanical properties of the material under study. In this context, experimental results occurring from the above mechanical tests on porous specimens that were fabricated from three different porous additives, namely albumin, gelatin and sodium alginate, are provided, while assessment of their mechanical properties in respect to the used porous media is performed. Additionally, samples reinforced with hydroxyapatite crystals were also tested in compression and the results are compared with those of the above tested porous CPCs. The knowledge obtained allows the improvement of their biomechanical properties by controlling their structure in a micro level, and finds a way to compromise between mechanical and biological response. PMID:26945808

  15. In vitro characterization and biomechanical optimization of a biodegradable particulate composite bone cement.

    Science.gov (United States)

    Gerhart, T N; Miller, R L; Kleshinski, S J; Hayes, W C

    1988-11-01

    We have developed a biodegradable particulate composite bone cement and used in vitro and in vivo methods for studying its suitability for orthopaedic applications. The composite matrix consists of gelatin, water, and sodium salicylate. The particulate phase is made up of powdered and particulate (355-600 microns diameter) tricalcium phosphate. Paraformaldehyde (0.1% to 0.5% by weight) is used as a matrix cross-linking agent. The effects of incubation time, particulate volume fraction, density of the individual particles, water content, concentration of crosslinking agent, and freeze-drying on the unconfined compressive strength and modulus of the particulate composite were measured. Compressive strengths of 7 MPa and moduli of 65 MPa could be achieved. Mechanical properties depended critically upon the water content of the particulate composite, with values of strength and modulus decreasing rapidly outside a range of 10-14% of specimen dry weight. High-density tricalcium phosphate particulate produced cement with twice the strength found with porous particulate. In a companion study we document in vivo performance of this particulate composite in an animal model system. PMID:3241009

  16. 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

  17. 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

  18. 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

  19. Gentamicin release from commercially-available gentamicin-loaded PMMA bone cements in a prosthesis-related interfacial gap model and their antibacterial efficacy

    Directory of Open Access Journals (Sweden)

    van der Mei Henny C

    2010-11-01

    Full Text Available Abstract Background Around about 1970, a gentamicin-loaded poly (methylmethacrylate (PMMA bone cement brand (Refobacin Palacos R was introduced to control infection in joint arthroplasties. In 2005, this brand was replaced by two gentamicin-loaded follow-up brands, Refobacin Bone Cement R and Palacos R + G. In addition, another gentamicin-loaded cement brand, SmartSet GHV, was introduced in Europe in 2003. In the present study, we investigated differences in gentamicin release and the antibacterial efficacy of the eluent between these four cement brands. Methods 200 μm-wide gaps were made in samples of each cement and filled with buffer in order to measure the gentamicin release. Release kinetics were related to bone cement powder particle characteristics and wettabilities of the cement surfaces. Gaps were also inoculated with bacteria isolated from infected prostheses for 24 h and their survival determined. Gentamicin release and bacterial survival were statistically analysed using the Student's t-test. Results All three Palacos variants showed equal burst releases but each of the successor Palacos cements showed significantly higher sustained releases. SmartSet GHV showed a significantly higher burst release, while its sustained release was comparable with original Palacos. A gentamicin-sensitive bacterium did not survive in the high gentamicin concentrations in the interfacial gaps, while a gentamicin-resistant strain did, regardless of the type of cement used. Survival was independent of the level of burst release by the bone cement. Conclusions Although marketed as the original gentamicin-loaded Palacos cement, orthopaedic surgeons should be aware that the successor cements do not appear to have the same release characteristics as the original one. Overall, high gentamicin concentrations were reached inside our prosthesis-related interfacial gap model. These concentrations may be expected to effectively decontaminate the prosthesis

  20. A new acoustic method to determine the setting time of calcium sulfate bone cement mixed with antibiotics

    International Nuclear Information System (INIS)

    A new method is described which can be used to determine the setting times of small amounts of high value bone cements. The test was developed to measure how the setting times of a commercially available synthetic calcium sulfate cement (Stimulan, Biocomposites, UK) in two forms (standard and Rapid Cure) varies with the addition of clinically relevant antibiotics. The importance of being able to accurately quantify these setting times is discussed. The results demonstrate that this new method, which is shown to correlate to the Vicat needle, gives reliable and repeatable data with additional benefits expressed in the article. The majority of antibiotics mixed were found to retard the setting reaction of the calcium sulfate cement. (paper)

  1. 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

  2. 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

  3. 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

  4. Injectable calcium phosphate cement and fibrin sealant recombined human bone morphogenetic protein-2 composite in vertebroplasty: an animal study

    OpenAIRE

    Qian, Guang; Dong, Youhai; Yang, Wencheng; Wang, Minghai

    2012-01-01

    Polymethylmethacrylate (PMMA) is currently the most commonly-used material, but it may induce adjacent vertebral fracture due to low degradation and high strength. Our study evaluated the feasibility of injectable calcium phosphate cement (ICPC) and fibrin sealant (FS) as an injectable compound carrier of human bone morphogenetic protein-2 (rhBMP-2) in New Zealand rabbits for vertebroplasty. Results showed ICPC/FS/rhBMP-2 composites induced alkaline phosphatase most effectively at 2 and 4 wee...

  5. 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

  6. Bone-bonding behavior under load-bearing conditions of an alumina ceramic implant incorporating beads coated with glass-ceramic containing apatite and wollastonite.

    Science.gov (United States)

    Li, Z L; Kitsugi, T; Yamamuro, T; Chang, Y S; Senaha, Y; Takagi, H; Nakamura, T; Oka, M

    1995-09-01

    Alumina ceramic with a porous surface coated with glass-ceramic containing apatite and wollastonite (AW-GC) was implanted in a state of press-fit under load-bearing conditions in the femoral condylus of the mongrel dog and compared with a non-glass-ceramic-coated alumina ceramic. A trapezoid alumina ceramic implant (7 x 10 x 5 mm) with a lateral recess (0.9 mm deep) coated with alumina ceramic beads (mean diameter, 750 microns) in a single layer was prepared. The alumina ceramic beads were bonded to the alumina ceramic substratum using an identical alumina binder. The thickness of coating was 10-50 microns (mean, 30 microns). The surface of the beads and the substratum of the alumina implant were coated with AW-GC. A pull-out test and histologic examination were performed at 4, 8, and 24 weeks after implantation. The interfacial shear load was significantly increased from 8 to 24 weeks in both groups. The shear load of the glass-ceramic-coated implant was significantly greater than that of the noncoated implant at every stage. The interface shear load of the noncoated implant was 12.13 +/- 2.76 kg at 4 weeks, 13.92 +/- 4.18 kg at 8 weeks, and 24.17 +/- 5.17 kg at 24 weeks after implantation. The interface shear load of the glass-ceramic-coated implant was 17.96 +/- 2.81 kg at 4 weeks, 24.92 +/- 9.87 kg at 8 weeks, and 34.83 +/- 4.12 kg at 24 weeks after implantation. Histologic examination showed more ingrown bone tissue in the glass-ceramic-coated implants. It is suggested that AW-GC stimulated the bone ingrowth.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:8567706

  7. 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

  8. 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.

  9. Evaluation of colloidal silica suspension as efficient additive for improving physicochemical and in vitro biological properties of calcium sulfate-based nanocomposite bone cement.

    Science.gov (United States)

    Borhan, Shokoufeh; Hesaraki, Saeed; Ahmadzadeh-Asl, Shaghayegh

    2010-12-01

    In the present study new calcium sulfate-based nanocomposite bone cement with improved physicochemical and biological properties was developed. The powder component of the cement consists of 60 wt% α-calcium sulfate hemihydrate and 40 wt% biomimetically synthesized apatite, while the liquid component consists of an aqueous colloidal silica suspension (20 wt%). In this study, the above mentioned powder phase was mixed with distilled water to prepare a calcium sulfate/nanoapatite composite without any additive. Structural properties, setting time, compressive strength, in vitro bioactivity and cellular properties of the cements were investigated by appropriate techniques. From X-ray diffractometer analysis, except gypsum and apatite, no further phases were found in both silica-containing and silica-free cements. The results showed that both setting time and compressive strength of the calcium sulfate/nanoapatite cement improved by using colloidal silica suspension as cement liquid. Meanwhile, the condensed phase produced from the polymerization process of colloidal silica filled the micropores of the microstructure and covered rodlike gypsum crystals and thus controlled cement disintegration in simulated body fluid. Additionally, formation of apatite layer was favored on the surfaces of the new cement while no apatite precipitation was observed for the cement prepared by distilled water. In this study, it was also revealed that the number of viable osteosarcoma cells cultured with extracts of both cements were comparable, while silica-containing cement increased alkaline phosphatase activity of the cells. These results suggest that the developed cement may be a suitable bone filling material after well passing of the corresponding in vivo tests. PMID:20972610

  10. 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

  11. 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.

  12. 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

  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. 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

  15. 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.

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

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    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

  17. Peen treatment on a titanium implant: effect of roughness, osteoblast cell functions, and bonding with bone cement

    Directory of Open Access Journals (Sweden)

    Khandaker M

    2016-02-01

    Full Text Available Morshed Khandaker,1,4 Shahram Riahinezhad,1 Fariha Sultana,1 Melville B Vaughan,2,4 Joshua Knight,2 Tracy L Morris3,4 1Department of Engineering & Physics, 2Department of Biology, 3Department of Mathematics and Statistics, 4Center for Interdisciplinary Biomedical Education and Research, University of Central Oklahoma, Edmond, OK, USA Abstract: Implant failure due to poor integration of the implant with the surrounding biomaterial is a common problem in various orthopedic and orthodontic surgeries. Implant fixation mostly depends upon the implant surface topography. Micron to nanosize circular-shaped groove architecture with adequate surface roughness can enhance the mechanical interlock and osseointegration of an implant with the host tissue and solve its poor fixation problem. Such groove architecture can be created on a titanium (Ti alloy implant by laser peening treatment. Laser peening produces deep, residual compressive stresses in the surfaces of metal parts, delivering increased fatigue life and damage tolerance. The scientific novelty of this study is the controlled deposition of circular-shaped rough spot groove using laser peening technique and understanding the effect of the treatment techniques for improving the implant surface properties. The hypothesis of this study was that implant surface grooves created by controlled laser peen treatment can improve the mechanical and biological responses of the implant with the adjoining biomaterial. The objective of this study was to measure how the controlled laser-peened groove architecture on Ti influences its osteoblast cell functions and bonding strength with bone cement. This study determined the surface roughness and morphology of the peen-treated Ti. In addition, this study compared the osteoblast cell functions (adhesion, proliferation, and differentiation between control and peen-treated Ti samples. Finally, this study measured the fracture strength between each kind of Ti samples

  18. 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

  19. 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.

  20. 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.

  1. 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

  2. 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.

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

    International Nuclear Information System (INIS)

    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

  4. 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.

  5. 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

  6. 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

  7. 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

  8. 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.

  9. 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

  10. 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.

  11. 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

  12. Evaluation of damage progression and mechanical behavior under compression of bone cements containing core-shell nanoparticles by using acoustic emission technique.

    Science.gov (United States)

    Pacheco-Salazar, O F; Wakayama, Shuichi; Sakai, Takenobu; Cauich-Rodríguez, J V; Ríos-Soberanis, C R; Cervantes-Uc, J M

    2015-06-01

    In this work, the effect of the incorporation of core-shell particles on the fracture mechanisms of the acrylic bone cements by using acoustic emission (AE) technique during the quasi-static compression mechanical test was investigated. Core-shell particles were composed of a poly(butyl acrylate) (PBA) rubbery core and a methyl methacrylate/styrene copolymer (P(MMA-co-St)) outer glassy shell. Nanoparticles were prepared with different core-shell ratio (20/80, 30/70, 40/60 and 50/50) and were incorporated into the solid phase of bone cement at several percentages (5, 10 and 15 wt%). It was observed that the particles exhibited a spherical morphology averaging ca. 125 nm in diameter, and the dynamic mechanical analysis (DMA) thermograms revealed the desired structuring pattern of phases associated with core-shell structures. A fracture mechanism was proposed taking into account the detected AE signals and the scanning electron microscopy (SEM) micrographs. In this regard, core-shell nanoparticles can act as both additional nucleation sites for microcracks (and crazes) and to hinder the microcrack propagation acting as a barrier to its growth; this behavior was presented by all formulations. Cement samples containing 15 wt% of core-shell nanoparticles, either 40/60 or 50/50, were fractured at 40% deformation. This fact seems related to the coalescence of microcracks after they surround the agglomerates of core-shell nanoparticles to continue growing up. This work also demonstrated the potential of the AE technique to be used as an accurate and reliable detection tool for quasi-static compression test in acrylic bone cements. PMID:25792411

  13. 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.)

  14. Development of highly-filled, bioactive acrylic-based composite bone cements for orthopedic and craniofacial surgery: Tuning of material properties after incorporation of calcium phosphate and antimicrobial fillers

    Science.gov (United States)

    Rodriguez, Lucas Carlos

    Bone cements are used in a variety of healthcare specialties ranging from orthopedics to dentistry to craniofacial surgery to spinal disc reconstruction. These materials need characteristics which mimic their surrounding tissues. Currently available materials have struggled to maintain these necessary characteristics. Poly (methyl methacrylate) is a very high strength bio-inert polymer which has been utilized in healthcare since the 1940's. Calcium phosphate cements are well established as being bone mimicking, but cannot sustain the compressive loads in a weight bearing application. This study sought to solve the problem of currently available bone cements by filling calcium phosphates and antimicrobials into an acrylic polymer matrix. The intended outcome was a material capable of retaining high mechanical stability from the acrylic polymer phase, while becoming sufficiently bone mimicking and antimicrobial. This thesis work presented, characterizes the material properties of the developed materials and eventually isolates a material of interest for future studies.

  15. 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

  16. 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.

  17. Bone Marrow Nails Created by Percutaneous Osteoplasty for Long Bone Fracture: Comparisons Among Acrylic Cement Alone, Acrylic-Cement–Filled Bare Metallic Stent, and Acrylic-Cement–Filled Covered Metallic Stent

    International Nuclear Information System (INIS)

    Purpose: This study was designed to compare the strength among bone marrow nails created to treat long bone fractures using interventional procedures. Methods: Twelve resected intact tibiae of healthy swine were used. A circumferential bone fracture was made in nine tibiae and restored with the following created bone marrow nails: acrylic cement alone (ACA) (n = 3), acrylic-cement–filled bare metallic stent (AC-FBMS) (n = 3), and acrylic-cement–filled covered metallic (AC-FCMS) stent (n = 3). The remaining intact tibiae (n = 3) were used as controls. Results: A bone marrow nail was successfully achieved within 30 min in all swine. The maximum injection volume of acrylic cement for creating ACA, AC-FBMS, and AC-FCMS was 1.7 ± 0.3, 3.2 ± 0.4, and 2.9 ± 0.4 mL, respectively. The thickness of bone marrow nail created in the ACA, AC-FBMS, and AC-FCMS groups was 3.6 ± 1.0, 10.3 ± 0.26, and 9.6 ± 0.32 mm, respectively (AC-FBMS group versus AC-FCMS group, p = 0.038), probably because of leakage of acrylic cement surrounding the interstices. The maximum bending power (kilonewton) and bending strength (newton/mm2) in the normal long bone, ACA, AC-FBMS, and AC-FCMS groups were: 1.70 ± 0.25 and 79.2 ± 16.1; 0.21 ± 0.11 and 8.8 ± 2.8; 0.46 ± 0.06 and 18.2 ± 1.6; and 0.18 ± 0.04 and 7.8 ± 2.7, respectively. Conclusions: Although the maximum bending power and bending strength of AC-FBMS were not satisfactory, it was the most robust of the three marrow nails for restoring fractured long bone.

  18. 先锋霉素珠链治疗小儿慢性化脓性骨髓炎%freatment of Bone and Soft Tissue Infectiont in Children with Cephalorldine or Cefazoline-PMMA "Beads Chain"

    Institute of Scientific and Technical Information of China (English)

    郭达新

    1989-01-01

    Experiments in vitro and in vivo revealed that Cephaloridine or Cefazoline combined with Polymethylmethacrylate (PMMA)will release,in the body continuously,a therapeutic concentration inhibiting several kinds of pathogenic bacteria for at least 8 weeks,This drug-combination has been successfully made in form of beads which are later made into a chain,so call "beads-chain".From 1985 to 1987,32 children with aucte or chronic osteomyelitis were treated with Cephaloridine or Cefazoline-PMMA "beads-chain".Among them,31 were cured.After a thourough debridement,the "beadschain" is imbedded in the sutured wound along its whole length of the tract leaving two beads extending outside the skin.7 days later,2 of 3 beads are pulled out and removed every other day,and this chain will be removed completely within 2 to 3 weeks and the sinus will heal in 4 of 5 days.This is a new method in the treatment of acute of chronic osteomyelitis and also in the prevention of bone and soft tissue infections in open fractures.%1985年至1987年底,在彻底清除病灶的基础上,应用先锋霉素珠链治疗小儿慢性骨髓炎27例,全部治愈.本文结合临床资料,对小儿慢性骨髓炎的病因、发病年龄、病程,放射学、细菌学、白细胞、血沉变化等病理特点进行了综合分析;结合实验研究与临床应用结果,对先锋霉素珠链治疗骨髓炎的作用机制与治疗效果,影响疗效的因素及值得注意的问题等,进行了详细讨论.

  19. Preparation, characterization and investigation of in vitro and in vivo biological properties of strontium-modified calcium phosphate cement for bone defect repair

    Directory of Open Access Journals (Sweden)

    Reza Masaeli

    2015-12-01

    Full Text Available Background and Aims: The aim of this study was to evaluate the invitro and invivo performance of a 3 wt% of strontium additive hydroxyapatite calcium phosphate cements (CPC. Materials and Methods: The prepared calcium phosphate cement was characterized with XRD, FTIR, setting time, STA and in vitro and in vivo biological analyses. The MTT assay ALP activities as in vitro study and radiological and histological examinations as in vivo study between the three groups of 3 wt% Sr-HA/CPC, CPC and control were performed and compared. Data were analyzed using T-test and One-way ANOVA. Results: XRD analysis demonstrated that by increasing the ratio of Powder/Liquid (P/L, the crystallinity of the prepared cement increased. The substitution of strontium instead of calcium in CPC could also alter the crystal structure, including some structural disorder. However, in the CPC with no strontium hydroxyapatite (Sr-HA, no significant increase in the crystallinity was observed. SEM observations revealed CPC with increasing P/L ratio, the formation of hydroxyapatite crystals arising from the interaction of solid and liquid phase of cement was decreased. Also, the addition of Sr within Ca site culminated in a dramatic increase in crystallinity of hydroxyapatite. In vitro biological properties ascertained that addition of 3 wt. % Sr-HA into CPC enhanced MTT assay and ALP activity, which could be due to the presence of strontium ions. The histological study showed that greater remodeling was seen at 4 weeks after implantation when the 3 wt% Sr-HA/CPC was used. Conclusion: The obtained results cleared that CPC can be a potential candidate as a carrier with strontium additives for bone remodeling and regeneration.

  20. Influencing Factors on the Interface Microhardness of Lightweight Aggregate Concrete Consisting of Glazed Hollow Bead

    OpenAIRE

    Gang Ma; Yu Zhang; Zhu Li

    2015-01-01

    Lightweight aggregate concrete consisting of glazed hollow bead (GHB) as lightweight aggregate is studied for the influence of nanosilica (NS) content, prewetting time for GHB, water-cement ratio, and curing humidity, on the interface structure between GHB and cement paste. This research analyzed the influences of various factors on the interface zone structure by measuring microhardness (HV) and hydration degree of cement paste (HD) nearby the interface zone (1 mm) between GHB and cement pas...

  1. 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

  2. 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

  3. 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.

  4. 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

  5. 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

  6. 持续闭式引流(VSD)结合骨水泥抗生素链珠治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染%Treatment of early postoperative infection of lumbar fracture internal fixation of pedicle screw rod system with vacuum sealing drainage(VSD)combined with antibiotic bone cement chain

    Institute of Scientific and Technical Information of China (English)

    朱余龙; 朱海涛; 丁德刚; 徐亮

    2014-01-01

    目的:探讨持续闭式引流(VSD)结合骨水泥抗生素链珠治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染的临床疗效。方法2010年3月一2014年3月,使用持续闭式引流(VSD)结合骨水泥抗生素链珠治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染11例,随访其临床效果。结果11例患者均得到随访,随访时间8—12月,平均10.5月。手术后感染治愈,无一例需取出原内固定物重新或者更换固定材料。结论持续闭式引流(VSD)结合骨水泥抗生素链珠治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染操作简单、安全有效,可以作为治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染手段之一。%Objective: To investigate the efficacy of the treatment of early postoperative infection of umbar fracture internal fixation of pedicle screw rod system with VSD combined with antibiotic bone cement chain. Methods: from 2010 March to 2014 March, the use of continuous closed drainage (VSD) combined with antibiotic bone cement bead chain, lumbar fracture internal fixation of pedicle screw rod system treatment of early postoperative infection in 11 cases, folow-up clinical results. Results: 11 patients were folowed up from 8-12 months, with an average of 8.5 months. Cured of infection after surgery, no case of need to remove or replace the original re-fixed within the implant material. Conclusion: The continuous closed drainage (VSD) combined with antibiotic bone cement beads chain to treat early infection is simple, safe and effective treatment of lumbar fracture internal fixation of pedicle screw rod system can be used as a means of early postoperative infection.

  7. 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.

  8. 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

  9. 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

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

    International Nuclear Information System (INIS)

    Bioactivity, osteogenicity and mechanical properties of α-tricalcium phosphate (α-TCP) based phosphates cements can be improved by adding tricalcium silicate (C3S); however, the addition of C3S 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/C3S composite bone cement under high energy X-ray generated by a synchrotron source within the first 72h. The results showed that the addition of C3S induces the precipitation of nanosized CDHA at early times depending on the added content. Calculated crystallite sizes showed that the higher the content of C3S, 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)

  12. 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)

  13. 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

  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. The effect of pulsed jet lavage in vertebroplasty on injection forces of PMMA bone cement: an animal study

    OpenAIRE

    Boger, Andreas; Benneker, Lorin M.; Krebs, Jörg; Boner, Vanessa; Heini, Paul F.; Gisep, Armando

    2009-01-01

    Percutaneous vertebroplasty, comprising of the injection of polymethylmethacrylate (PMMA) into vertebral bodies, is an efficient procedure to stabilize osteoporotic compression fractures as well as other weakening lesions. Besides fat embolism, cement leakage is considered to be one of the major and most severe complications during percutaneous vertebroplasty. The viscosity of the PMMA during injection plays a key role in this context. It was shown in vitro that the best way to lower the risk...

  16. A Magnetic Bead Actuator

    NARCIS (Netherlands)

    Derks, R.; Prins, M.W.J.; Wimberger-Friedl, R.

    2006-01-01

    Actuation principles of superparamagnetic beads applicable on biosensing (at single beads and chain orderning) are studied in this report. This research can be used to develop new techniques that are able to accelerate bio-assays. An experimental setup containing a sub-microliter fluid volume surrou

  17. Physical and chemical characterization of pastes of bone cements with ZrO{sub 2}; Caracterizacion fisica y quimica de pastas de cementos oseos con ZrO{sub 2}

    Energy Technology Data Exchange (ETDEWEB)

    Quinto H, A. [Instituto Tecnologico de Zacatepec, A.P. 45, 62900 Zacatepec, Morelos (Mexico); Pina B, M.C. [Instituto de Investigaciones en Materiales, Universidad Nacional Autonoma de Mexico, A.P. 70-360, 04510 Mexico D.F. (Mexico)

    2003-07-01

    Setting times and temperature of sixteen calcium phosphate cements added with ZrO{sub 2} were evaluated. Their behaviors were analysed to be used like injectable formulations in surgery of bone. Two cements of calcium phosphates enriched with ZrO{sub 2} with the best characteristics in setting times and temperature, were mechanically tested after 1 and 7 days of prepared. Density was determined using a pycnometer, chemical composition was determined by X-ray diffraction and the molecular structure was determined by infrared spectroscopy. (Author)

  18. Sealing ability of mineral trioxide aggregate, calcium phosphate and polymethylmethacrylate bone cements on root ends prepared using an Erbium: Yttriumaluminium garnet laser and ultrasonics evaluated by confocal laser scanning microscopy

    Directory of Open Access Journals (Sweden)

    C Sabari Girish

    2013-01-01

    Full Text Available Background: Surgical endodontic therapy comprises of exposure of the involved root apex, resection of the apical end of the root, preparation of a class I cavity, and insertion of a root end filling material. Mineral trioxide aggregate (MTA is now the gold standard among all root end filling materials. MTA is however difficult to handle, expensive and has a very slow setting reaction. Aim: (1 To compare the sealing ability of MTA, polymethylmethacrylate (PMMA bone cement and CHITRA Calcium phosphate cement (CPC when used as root end filling material using Rhodamine B dye evaluated under a confocal laser scanning microscope. (2 To compare the seal of root ends prepared using an ultrasonic retroprep tip and an Er: YAG laser using three different root end filling materials. Statistical Analysis: Statistical analysis was performed using a one-way ANOVA and a two-way ANOVA, independent samples t-test and Scheffe′s post hoc test using SPSS Version 16 for Windows. Results: All the three materials, namely MTA, PMMA BONE CEMENT and CHITRA CPC, showed microleakage. Comparison of microleakage showed maximum peak value of 0.86 mm for MTA, 0.24 mm for PMMA bone cement and 1.37 mm for CHITRA CPC. The amount of dye penetration was found to be lesser in root ends prepared using Er: YAG laser when compared with ultrasonics, but the difference was found to be not statistically significant. Conclusion: PMMA bone cement is a better material as root end filling material to prevent apical microleakage. MTA still continues to be a gold standard root end filling material showing minimum microleakage. Er: YAG laser is a better alternative to ultrasonics for root end preparations.

  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. 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

  1. Osteogenic capacity of nanocrystalline bone cement in a weight-bearing defect at the ovine tibial metaphysis

    Directory of Open Access Journals (Sweden)

    Mittlmeier T

    2012-06-01

    Full Text Available Christoph Harms,1 Kai Helms,1 Tibor Taschner,1 Ioannis Stratos,1 Anita Ignatius,5 Thomas Gerber,2 Solvig Lenz,3 Stefan Rammelt,6 Brigitte Vollmar,4 Thomas Mittlmeier11Department of Trauma and Reconstructive Surgery, 2Department for Materials Research and Nanostructures, Institute for Physics, 3Department of Oral and Maxillofacial Plastic Surgery, 4Institute for Experimental Surgery, University of Rostock, Rostock, 5Institute of Orthopaedic Research and Biomechanics, University of Ulm, Ulm, 6Clinic of Trauma and Reconstructive Surgery, University Hospital "Carl Gustav Carus", Dresden, GermanyAbstract: The synthetic material Nanobone® (hydroxyapatite nanocrystallines embedded in a porous silica gel matrix was examined in vivo using a standardized bone defect model in the ovine tibial metaphysis. A standardized 6 × 12 × 24-mm bone defect was created below the articular surface of the medial tibia condyles on both hind legs of 18 adult sheep. The defect on the right side was filled with Nanobone®, while the defect on the contralateral side was left empty. The tibial heads of six sheep were analyzed after 6, 12, and 26 weeks each. The histological and radiological analysis of the defect on the control side did not reveal any bone formation after the total of 26 weeks. In contrast, the microcomputed tomography analysis of the defect filled with Nanobone® showed a 55%, 72%, and 74% volume fraction of structures with bone density after 6, 12, and 26 weeks, respectively. Quantitative histomorphological analysis after 6, and 12 weeks revealed an osteoneogenesis of 22%, and 36%, respectively. Hematoxylin and eosin sections demonstrated multinucleated giant cells on the surface of the biomaterial and resorption lacunae, indicating osteoclastic resorptive activity. Nanobone® appears to be a highly potent bone substitute material with osteoconductive properties in a loaded large animal defect model, supporting the potential use of Nanobone® also in

  2. 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

  3. 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

  4. In-bead screening

    DEFF Research Database (Denmark)

    2013-01-01

    The present invention relates to screening of one-bead-one-compound (OBOC) combinatorial libraries which is useful for the discovery of compounds displaying molecular interactions with a biological or a physicochemical system, such as substrates and inhibitors of enzymes and the like. The invention...... provides a method for screening a library of compounds for their interaction with a physico- chemical or biological system and a corresponding kit for performing the method of screening a one-bead-one-compound library of compounds....

  5. 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

  6. 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

  7. 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

  8. Acute intraoperative reactions during the injection of calcium sulfate bone cement for the treatment of unicameral bone cysts: a review of four cases.

    Science.gov (United States)

    Nystrom, Lukas; Raw, Robert; Buckwalter, Joseph; Morcuende, Jose A

    2008-01-01

    Unicameral bone cysts can predispose patients to pathologic fracture and deformities of growth. Treatment options vary from continuous decompression with transcortical placement of a cannulated screw to percutaneous aspiration and injection of medical-grade calcium sulfate. From 2005 to 2007, we treated 22 patients with unicameral bone cysts using aspiration and injection of calcium sulfate. Three patients experienced acute laryngospasm and one patient developed tachyarrhythmia, temporarily, associated with injection of calcium sulfate. All reactions occurred in patients under age 18 without predisposing risk factors and resolved spontaneously with supportive care. Although the mechanism is unclear, we hypothesize that these reactions are either due to the nociceptive stimulus of the calcium sulfate injection or a systemic calcium bolus. Clinicians using this product for this indication should be aware that such reactions may occur. We suggest endotracheal intubation and communication to the anesthesiologist about the time of the injection in preparation for these idiopathic responses. Further research is necessary to determine exactly how this reaction occurs and how it can be avoided. PMID:19223954

  9. 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

  10. 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 an...... overview of cement production, selected cement properties, and clinker phase relations. An extended summary of laboratory-scale investigations on clinkerization reactions, the most important reactions in cement production, is provided. Clinker formations by solid state reactions, solid−liquid and liquid...

  11. 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)

  12. 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

  13. Changes in bone mineral density (BMD) around the cemented Exeter stem: a prospective study in 18 women with 5 years follow-up

    DEFF Research Database (Denmark)

    Damborg, Frank; Nissen, Nis; Jørgensen, Hans R I;

    2008-01-01

    BACKGROUND AND PURPOSE: THA changes the pattern of strain distribution in the proximal femur. We quantified the changes in BMD for 5 years after insertion of the cemented Exeter stem in women. METHODS: 18 women aged 55-79 years, undergoing unilateral THA with the cemented Exeter stem, were included...

  14. 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

  15. 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

  16. Coated Aerogel Beads

    Science.gov (United States)

    Littman, Howard (Inventor); Plawsky, Joel L. (Inventor); Paccione, John D. (Inventor)

    2014-01-01

    Methods and apparatus for coating particulate material are provided. The apparatus includes a vessel having a top and a bottom, a vertically extending conduit having an inlet in the vessel and an outlet outside of the vessel, a first fluid inlet in the bottom of the vessel for introducing a transfer fluid, a second fluid inlet in the bottom of the vessel for introducing a coating fluid, and a fluid outlet from the vessel. The method includes steps of agitating a material, contacting the material with a coating material, and drying the coating material to produce a coated material. The invention may be adapted to coat aerogel beads, among other materials. A coated aerogel bead and an aerogel-based insulation material are also disclosed.

  17. The effect of adding tobramycin to Simplex P cement on femoral stem micromotion as measured by radiostereometric analysis

    OpenAIRE

    Bohm, Eric; Petrak, Martin; Gascoyne, Trevor; Turgeon, Thomas

    2012-01-01

    Background Previous in vitro research on addition of antibiotics to bone cement has found no statistically significant deterioration in mechanical properties. However, no clinical studies have compared the performance of tobramycin-laden bone cement with that of standard bone cement (Simplex P). Patients and Methods 23 patients (25 hips) were randomized to receive an Exeter (Stryker Orthopaedics) femoral stem cemented with either Simplex P (standard) or Simplex T (tobramycin-laden) cement. Th...

  18. 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...

  19. Health hazards of cement dust

    International Nuclear Information System (INIS)

    ven in the 21st century, millions of people are working daily in a dusty environment. They are exposed to different types of health hazards such as fume, gases and dust, which are risk factors in developing occupational disease. Cement industry is involved in the development of structure of this advanced and modern world but generates dust during its production. Cement dust causes lung function impairment, chronic obstructive lung disease, restrictive lung disease, pneumoconiosis and carcinoma of the lungs, stomach and colon. Other studies have shown that cement dust may enter into the systemic circulation and thereby reach the essentially all the organs of body and affects the different tissues including heart, liver, spleen, bone, muscles and hairs and ultimately affecting their micro-structure and physiological performance. Most of the studies have been previously attempted to evaluate the effects of cement dust exposure on the basis of spirometry or radiology, or both. However, collective effort describing the general effects of cement dust on different organ and systems in humans or animals, or both has not been published. Therefore, the aim of this review is to gather the potential toxic effects of cement dust and to minimize the health risks in cement mill workers by providing them with information regarding the hazards of cement dust. (author)

  20. 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

  1. 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

  2. Acoustic probing of elastic behavior and damage in weakly cemented granular media

    OpenAIRE

    Langlois, Vincent; Jia, X.

    2014-01-01

    International audience We investigate the elastic behavior and damage of weakly cemented granular media under external load with ultrasound. The cementation controlled experiments are performed by freezing the capillary liquid at the bead contact in a dense glass or polymeric [poly(methyl methacrylate)] bead pack wet by tetradecane of volume fraction φ = 0.1%–4%. When the pendular rings are solidified, an abrupt increase by a factor of 2 in the compressional wave velocity is observed. We i...

  3. Failure of cemented granular materials under simple compression - Experiments and numerical simulations

    OpenAIRE

    Delenne, Jean-Yves; Topin, Vincent; Radjai, Farhang

    2009-01-01

    We investigate the strength and failure properties of a model cemented granular material under simple compressive deformation. The particles are LECA beads coated by a controlled volume fraction of silicone. The beads are mixed with a joint seal paste (the matrix) and moulded to obtain dense cemented granular samples of cylindrical shape. Several samples are prepared for different volume fractions of the matrix, controlling the porosity, and silicone coating upon which depends the effective p...

  4. Alternative Fuels in Cement Production

    DEFF Research Database (Denmark)

    Larsen, Morten Boberg

    The substitution of alternative for fossil fuels in cement production has increased significantly in the last decade. Of these new alternative fuels, solid state fuels presently account for the largest part, and in particular, meat and bone meal, plastics and tyre derived fuels (TDF) accounted for...... the most significant alternative fuel energy contributors in the German cement industry. Solid alternative fuels are typically high in volatile content and they may differ significantly in physical and chemical properties compared to traditional solid fossil fuels. From the process point of view......, considering a modern kiln system for cement production, the use of alternative fuels mainly influences 1) kiln process stability (may accelerate build up of blockages preventing gas and/or solids flow), 2) cement clinker quality, 3) emissions, and 4) decreased production capacity. Kiln process stability in...

  5. 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

  6. 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

  7. Injectable citrate-modified Portland cement for use in vertebroplasty

    OpenAIRE

    Wynn-Jones, Gareth; Shelton, Richard M.; Hofmann, Michael P

    2014-01-01

    The injectability of Portland cement (PC) with several citrate additives was investigated for use in clinical applications such as vertebroplasty (stabilization of a fractured vertebra with bone cement) using a syringe. A 2-wt % addition of sodium or potassium citrate with PC significantly improved cement injectability, decreased cement setting times from over 2 h to below 25 min, while increasing the compressive strength to a maximum of 125 MPa. Zeta-potential measurements indicated that the...

  8. Correlation of pull-out strength of cement-augmented pedicle screws with CT-volumetric measurement of cement.

    OpenAIRE

    Fölsch, Christian; Goost, Hans; Figiel, Jens; Paletta, Jürgen R. J.; Schultz, Wolfgang; Lakemeier, Stefan

    2012-01-01

    BACKGROUND: Cement augmentation of pedicle screws increases fixation strength in an osteoporotic spine. This study was designed to determine the cement distribution and the correlation between the pull-out strength of the augmented screw and the cement volume within polyurethane (PU) foam. METHODS: Twenty-eight cannulated pedicle screws (6×45 mm) (Peter Brehm, Erlangen, Germany) with four holes at the distal end of the screw were augmented with the acrylic Stabilit ER Bone Cement Vertebr...

  9. 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

  10. Microfabricated Passive Magnetic Bead separators

    DEFF Research Database (Denmark)

    Hansen, Mikkel Fougt; Lund-Olesen, Torsten; Smistrup, Kristian;

    2006-01-01

    The use and manipulation of functionalized magnetic beads for bioanalysis in lab-on-a-chip systems is receiving growing interest. We have developed microfluidic systems with integrated magnetic structures for the capture and release of magnetic beads. The systems are fabricated in silicon by deep...

  11. 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

  12. 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

  13. 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.

  14. 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

  15. Gastroretentive delivery systems: hollow beads.

    Science.gov (United States)

    Talukder, R; Fassihi, R

    2004-04-01

    The objective of this study was to develop a floatable multiparticulate system with potential for intragastric sustained drug delivery. Cross-linked beads were made by using calcium and low methoxylated pectin (LMP), which is an anionic polysaccharide, and calcium, LMP, and sodium alginate. Beads were dried separately in an air convection type oven at 40 degrees C for 6 hours and in a freeze dryer to evaluate the changes in bead characteristics due to process variability. Riboflavin (B-2), tetracycline (TCN), and Methotrexate (MTX) were used as model drugs for encapsulation. Ionic and nonionic excipients were added to study their effects on the release profiles of the beads. The presence of noncross linking agents in low amounts (less than 2%) did not significantly interfere with release kinetics. For an amphoteric drug like TCN, which has pH dependent solubility, three different pHs (1.5, 5.0, and 8.0) of cross-linking media were used to evaluate the effects of pH on the drug entrapment capacity of the beads. As anticipated, highest entrapment was possible when cross-linking media pH coincided with least drug solubility. Evaluation of the drying process demonstrated that the freeze-dried beads remained buoyant over 12 hours in United States Pharmacopeia (USP) hydrochloride buffer at pH 1.5, whereas the air-dried beads remained submerged throughout the release study. Confocal laser microscopy revealed the presence of air-filled hollow spaces inside the freeze dried beads, which was responsible for the flotation property of the beads. However, the release kinetics from freeze dried beads was independent of hydrodynamic conditions. Calcium-pectinate-alginate beads released their contents at much faster rates than did calcium-pectinate beads (100% in 10 hours vs. 50% in 10 hours). It appears that the nature of cross-linking, drying method, drug solubility, and production approach are all important and provide the opportunity and potential for development of a

  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. 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

  18. 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.

  19. CEMENT SLURRIES FOR GEOTHERMAL WELLS CEMENTING

    Directory of Open Access Journals (Sweden)

    Nediljka Gaurina-Međimurec

    1994-12-01

    Full Text Available 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, pipe corrosion and expensive well repairs. Cementing temperature conditions are important because bot-tomhole circulating temperatures affect slurry thickening time, arheology, set time and compressive strength development. Knowing the actual temperature which cement encounters during placement allows the selection of proper cementing materials for a specific application. Slurry design is affected by well depth, bottom hole circulating temperature and static temperature, type or drilling fluid, slurry density, pumping time, quality of mix water, fluid loss control, flow regime, settling and free water, quality of cement, dry or liquid additives, strength development, and quality of the lab cement testing and equipment. Most Portland cements and Class J cement have shown suitable performances in geot-hermal wells. Cement system designs for geothermal wells differ from those for conventional high temperature oil and gas wells in the exclusive use of silica flour instead of silica sand, and the avoidance of fly ash as an extender. In this paper, Portland cement behaviour at high temperatures is described. Cement slurry and set cement properties are also described. Published in literature, the composition of cement slurries which were tested in geothermal conditions and which obtained required compressive strength and water permeability are listed. As a case of our practice geothermal wells Velika Ciglena-1 and Velika Ciglena-la are described.

  20. 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

  1. 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

  2. Gelatin-Modified Bone Substitute with Bioactive Molecules Enhance Cellular Interactions and Bone Regeneration.

    Science.gov (United States)

    Teotia, Arun Kumar; Gupta, Ankur; Raina, Deepak Bushan; Lidgren, Lars; Kumar, Ashok

    2016-05-01

    In this work, we have synthesized injectable bone cement incorporated with gelatin to enhance cellular interaction. Human osteosarcoma Saos-2 cells derived bone morphogenetic proteins (BMP's) and a bisphosphonate (zoledronic acid (0.2 mM)) were also incorporated to cement. In vitro studies conducted using Saos-2 demonstrated enhanced cell proliferation on gelatin (0.2%w/v) cement. The differentiation of C2C12 mouse myoblast cells into bone forming cells showed 6-fold increase in ALP levels on gelatin cement. Polymerase chain reaction (PCR) for bone biomarkers showed osteoinductive potential of gelatin cement. We investigated efficacy for local delivery of these bioactive molecules in enhancing bone substitution qualities of bone cements by implanting in 3.5 mm critical size defect in tibial metaphysis of wistar rats. The rats were sacrificed after 12 weeks and 16 weeks post implantation. X-ray, micro-CT, histology, and histomorphometry analysis were performed to check bone healing. The cement materials slowly resorbed from the defect site leaving HAP creating porous matrix providing surface for bone formation. The materials showed high biocompatibility and initial bridging was observed in all the animals but maximum bone formation was observed in animals implanted with cement incorporated with zoledronic acid followed by cement with BMP's compared to other groups. PMID:27077816

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

    目的 探讨对伴骨质疏松症的退行性脊柱侧弯病人行后路减压、骨水泥强化钉道椎弓根内固定融合治疗的临床疗效.方法 2006-10-2009-07收治伴骨质疏松症的退变性脊柱侧弯患者18例,女11例,男7例,平均年龄64.5岁,均冠状面畸形,Cobb's角>15°或合并椎体旋转半脱位以及合并椎体骨质疏松性病理性骨折.手术采取部分椎板切除,松解神经根以充分减压,骨水泥强化钉道的椎弓根长节段钉棒系统进行矫形,记录手术前后Cobb's角、前凸角,手术前后进行ODI评分.结果 所有病例切口均Ⅰ期愈合,无感染或深静脉血栓等近期并发症;进行24~54个月随访(平均36个月),未出现断钉、断棒,及椎弓根钉拔出、松动、融合节段假关节形成或感染等远期并发症.患者术后冠状面Cobb's角均低于术前(P<0.05),腰椎矢状面前凸角均高于术前(P<0.05),ODI综合评分均低于术前(P<0.05).结论 在充分减压消除症状的基础上,用骨水泥强化钉道进行侧弯的矫形,可以获得脊柱平衡并能够避免矫形的丢失.%Objective To evaluate the clinical effect of the treatment that part or full laminecto-my and correction with posterior long segment pedicle screw/rod internal fixation system by augmentation and restoration with bone cement in the screw tract and posterolateral or intervertebral spinal fusion, about degenerative scoliolosis accompanying with osteoporosis. Methods Eighteen patients, 11 females and 7 males (average age of 643 years),with degenerative scoliosis accompanying by osteoporosis were selected from our hospital, between October 2006 and July 2009. The patients were treated with 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 or intervertebral spinal fusion. Result All cases were followed up for 36 months (range 24-54 months). No

  8. 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

  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. [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

  11. Research on Properties of Foamed Concrete Reinforced with Small Sized Glazed Hollow Beads

    OpenAIRE

    Hu, Chi; Li, Hui; Liu, Zhongwei; Wang, Qingyuan

    2016-01-01

    Foamed concrete (400 kg/m3) was prepared through a physical foaming method using ordinary Portland cement (42.5R), vegetable protein foaming agent, fly ash, and glazed hollow beads (GHB, K46) as raw materials. The performance of cement paste as well as the structure and distribution of air voids was characterized by rheometry, SEM, and XRD analyses with imaging software. The effects of GHBs on the compressive strength and thermal conductivity of the foamed concrete sample were also explored. ...

  12. Glass bead cultivation of fungi

    DEFF Research Database (Denmark)

    Droce, Aida; Sørensen, Jens Laurids; Giese, H.;

    2013-01-01

    Production of bioactive compounds and enzymes from filamentous fungi is highly dependent on cultivation conditions. Here we present an easy way to cultivate filamentous fungi on glass beads that allow complete control of nutrient supply. Secondary metabolite production in Fusarium graminearum...

  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. 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

  15. Increased antibiotic release and equivalent biomechanics of a spacer cement without hard radio contrast agents.

    Science.gov (United States)

    Bitsch, R G; Kretzer, J P; Vogt, S; Büchner, H; Thomsen, M N; Lehner, B

    2015-10-01

    We compared a novel calcium carbonate spacer cement (Copal® spacem) to well-established bone cements. Electron microscopic structure and elution properties of the antibiotics ofloxacin, vancomycin, clindamycin, and gentamicin were examined. A knee wear simulator model for articulating cement spacers was established. Mechanical tests for bending strength, flexural modulus, and compressive and fatigue strength were performed. The electron microscopic analysis showed a microporous structure of the spacer cement, and this promoted a significantly higher and longer antibiotic elution. All spacer cement specimens released the antibiotics for a period of up to 50days with the exception of the vancomycin loading. The spacer cement showed significantly less wear scars and fulfilled the ISO 5833 requirements. The newly developed spacer cement is a hydrophilic antibiotic carrier with an increased release. Cement without hard radio contrast agents can improve tribological behaviour of spacers, and this may reduce reactive wear particles and abrasive bone defects. PMID:26219491

  16. 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

  17. 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

  18. Combination of modified mixing technique and low frequency ultrasound to control the elution profile of vancomycin-loaded acrylic bone cement

    Science.gov (United States)

    Wendling, A.; Mar, D.; Wischmeier, N.; Anderson, D.

    2016-01-01

    Objectives The objective of this study was to determine if combining variations in mixing technique of antibiotic-impregnated polymethylmethacrylate (PMMA) cement with low frequency ultrasound (LFUS) improves antibiotic elution during the initial high phase (Phase I) and subsequent low phase (Phase II) while not diminishing mechanical strength. Methods Three batches of vancomycin-loaded PMMA were prepared with different mixing techniques: a standard technique; a delayed technique; and a control without antibiotic. Daily elution samples were analysed using flow injection analysis (FIA). Beginning in Phase II, samples from each mix group were selected randomly to undergo either five, 15, 45, or 0 minutes of LFUS treatment. Elution amounts between LFUS treatments were analysed. Following Phase II, compression testing was done to quantify strength. A-priori t-tests and univariate ANOVAs were used to compare elution and mechanical test results between the two mix groups and the control group. Results The delayed technique showed a significant increase in elution on day one compared with the standard mix technique (p DOI: 10.1302/2046-3758.52.2000412 PMID:26843512

  19. Developement of Spherical Polyurethane Beads

    Institute of Scientific and Technical Information of China (English)

    K. Maeda; H. Ohmori; H. Gyotoku

    2005-01-01

    @@ 1Results and Discussion We established a new method to produce the spherical polyurethane beads which have narrower distribution of particle size. This narrower distribution was achieved by the polyurethane prepolymer which contains ketimine as a blocked chain-extending agent. Firstly, the prepolymer is dispersed into the aqueous solution containing surfactant. Secondaly, water comes into the inside of prepolymer as oil phase. Thirdly, ketimine is hydrolyzed to amine, and amine reacts with prepolymer immediately to be polyurethane.Our spherical polyurethane beads are very suitable for automotive interior parts especially for instrument panel cover sheet producing under the slush molding method, because of good process ability, excellent durability to the sunlight and mechanical properties at low temperature. See Fig. 1 ,Fig. 2 and Fig. 3 (Page 820).

  20. Direct friction measurement in draw bead testing

    DEFF Research Database (Denmark)

    Olsson, David Dam; Bay, Niels; Andreasen, Jan Lasson

    2005-01-01

    The application of draw beads in sheet metal stamping ensures controlled drawing-in of flange parts. Lubrication conditions in draw beads are severe due to sliding under simultaneous bending. Based on the original draw bead test design by Nine [1] comprehensive studies of friction in draw beads...... have been reported in literature. A major drawback in all these studies is that friction is not directly measured, but requires repeated measurements of the drawing force with and without relative sliding between the draw beads and the sheet material. This implies two tests with a fixed draw bead tool...... and a freely rotating tool respectively, an approach, which inevitably implies large uncertainties due to scatter in the experimental conditions. In order to avoid this problem a new draw bead test is proposed by the authors measuring the friction force acting on the tool radius directly by a build...

  1. 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

  2. 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

  3. Injectable citrate-modified Portland cement for use in vertebroplasty.

    Science.gov (United States)

    Wynn-Jones, Gareth; Shelton, Richard M; Hofmann, Michael P

    2014-11-01

    The injectability of Portland cement (PC) with several citrate additives was investigated for use in clinical applications such as vertebroplasty (stabilization of a fractured vertebra with bone cement) using a syringe. A 2-wt % addition of sodium or potassium citrate with PC significantly improved cement injectability, decreased cement setting times from over 2 h to below 25 min, while increasing the compressive strength to a maximum of 125 MPa. Zeta-potential measurements indicated that the citrate anion was binding to one or more of the positively charged species causing charged repulsion between cement particles which dispersed aggregates and caused the liquefying effect of the anion. Analysis of the hydrating phases of PC indicated that the early strength producing PC phase (ettringite) developed within the first 2 h of setting following addition of the citrate anion, while this did not occur in the control cement (PC only). Within 24 h ettringite developed in PC as well as calcium-silicate-hydrate (C-S-H), the major setting phase of PC, whereas cements containing citrate did not develop this phase. The evidence suggested that in the presence of citrate the cements limited water supply appeared to be utilized for ettringite formation, producing the early strength of the citrate cements. The present study has demonstrated that it is possible to modify PC with citrate to both improve the injectability and crucially reduce the setting times of PC while improving the strength of the cement. PMID:24711245

  4. Acoustic probing of elastic behavior and damage in weakly cemented granular media.

    Science.gov (United States)

    Langlois, V; Jia, X

    2014-02-01

    We investigate the elastic behavior and damage of weakly cemented granular media under external load with ultrasound. The cementation controlled experiments are performed by freezing the capillary liquid at the bead contact in a dense glass or polymeric [poly(methyl methacrylate)] bead pack wet by tetradecane of volume fraction ϕ = 0.1%-4%. When the pendular rings are solidified, an abrupt increase by a factor of 2 in the compressional wave velocity is observed. We interpret the data in terms of effective medium models in which the contact stiffnesses are derived by either a bonded contact model [P. J. Digby, J. Appl. Mech. 48, 803 (1981)] or a cemented contact model [J. Dvorkin, A. Nur, and H. Yin, Mech. Mater. 18, 351 (1994)]. The former fails to quantitatively account for the results with a soft cement relative to the grain, whereas the latter considering the mechanical properties of the cement does apply. Moreover, we monitor the irreversible behavior of the cemented granular packs under moderate uniaxial loading (1.3 MPa) with the correlation method of ultrasound scattering. The damage of the cemented materials is accompanied by a compressional wave velocity decrease up to 60%, likely due to the fractures induced at the grain-cement interfaces. PMID:25353594

  5. 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

  6. 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.

  7. Effectiveness of the Top-Down Nanotechnology in the Production of Ultrafine Cement (~220 nm)

    OpenAIRE

    Byung-Wan Jo; Sumit Chakraborty; Ki Heon Kim; Yun Sung Lee

    2014-01-01

    The present investigation is dealing with the communition of the cement particle to the ultrafine level (~220 nm) utilizing the bead milling process, which is considered as a top-down nanotechnology. During the grinding of the cement particle, the effect of various parameters such as grinding time (1–6 h) and grinding agent (methanol and ethanol) on the production of the ultrafine cement has also been investigated. Performance of newly produced ultrafine cement is elucidated by the chemical c...

  8. Beads, beaded-fibres and fibres: Tailoring the morphology of poly(caprolactone) using pressurised gyration.

    Science.gov (United States)

    Hong, Xianze; Edirisinghe, Mohan; Mahalingam, Suntharavathanan

    2016-12-01

    This work focuses on forming bead on string poly(caprolactone) (PCL) by using gyration under pressure. The fibre morphology of bead on string is an interesting feature that falls between bead-free fibres and droplets, and it could be effectively controlled by the rheological properties of spinning dopes and the major processing parameters of the pressurised gyration system which are working pressure and rotating speed. Bead products were not always spherical in shape and tended to be more elliptical, therefore both their width and length were measured. The average bead width and length produced spanned a range 145-660μm and 140-1060μm, respectively. The average distance between two adjacent beads (i.e. inter-bead distance) and the bead size (width and length) are shown to be a function of processing parameters and polymer concentration. An interesting morphology i.e. beads with short fibre was observed when using a high polymer concentration. Bead on string structure agglomeration was promoted by a low polymer concentration. Formation of droplets or agglomerated bead on string is promoted below 5wt% polymer concentration, and beads with short fibre were present in the microstructure beyond a polymer concentration of 20wt%. PMID:27612839

  9. ULTRA-LIGHTWEIGHT CEMENT

    International Nuclear Information System (INIS)

    The objective of this project is to develop an improved ultra-lightweight cement using ultra-lightweight hollow glass spheres (ULHS). Work reported herein addresses Task 1: Assess Ultra-Lightweight Cementing Issues, Task 2: Review Russian Ultra-Lightweight Cement Literature, Task 3: Test Ultra-Lightweight Cements, and Task 8: Develop Field ULHS Cement Blending and Mixing Techniques. Results reported this quarter include: 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; laboratory tests comparing ULHS slurries to foamed slurries and sodium silicate slurries for two different applications; and initial laboratory studies with ULHS in preparation for a field job

  10. Mechanics of bone/PMMA composite structures: an in vitro study of human vertebrae.

    Science.gov (United States)

    Race, Amos; Mann, Kenneth A; Edidin, Avram A

    2007-01-01

    The goal of this study was to provide material property data for the cement/bone composite resulting from the introduction of PMMA bone cement into human vertebral bodies. A series of quasistatic tensile and compressive mechanical tests were conducted using cement/bone composite structures machined from cement-infiltrated vertebral bodies. Experiments were performed both at room temperature and at body temperature. We found that the modulus of the composite structures was lower than bulk cement (p<0.0001). For compression at 37( composite function)C: composite =2.3+/-0.5GPa, cement =3.1+/-0.2GPa; at 23( composite function)C: composite =3.0+/-0.3GPa, cement =3.4+/-0.2GPa. Specimens tested at room temperature were stiffer than those tested at body temperature (p=0.0004). Yield and ultimate strength factors for the composite were all diminished (55-87%) when compared to cement properties. In general, computational models have assumed that cement/bone composite had the same modulus as cement. The results of this study suggest that computational models of cement infiltrated vertebrae and cemented arthroplasties could be improved by specifying different material properties for cement and cement/bone composite. PMID:16797554

  11. Expanded polylactide bead foaming - A new technology

    Science.gov (United States)

    Nofar, M.; Ameli, A.; Park, C. B.

    2015-05-01

    Bead foaming technology with double crystal melting peak structure has been recognized as a promising method to produce low-density foams with complex geometries. During the molding stage of the bead foams, the double peak structure generates a strong bead-to-bead sintering and maintains the overall foam structure. During recent years, polylactide (PLA) bead foaming has been of the great interest of researchers due to its origin from renewable resources and biodegradability. However, due to the PLA's low melt strength and slow crystallization kinetics, the attempts have been limited to the manufacturing methods used for expanded polystyrene. In this study, for the first time, we developed microcellular PLA bead foams with double crystal melting peak structure. Microcellular PLA bead foams were produced with expansion ratios and average cell sizes ranging from 3 to 30-times and 350 nm to 15 µm, respectively. The generated high melting temperature crystals during the saturation significantly affected the expansion ratio and cell density of the PLA bead foams by enhancing the PLA's poor melt strength and promoting heterogeneous cell nucleation around the crystals.

  12. Porous bead packings for gas chromatography

    Science.gov (United States)

    Pollock, G. E.; Woeller, F. H.

    1979-01-01

    Porous polyaromatic packing beads have low polarity, high efficiency, short retention time, and may be synthesized in size range of 50 to 150 micrometers (100 to 270 mesh). Mechanically strong beads may be produced using various materials depending on elements and compounds to be identified.

  13. GSS pedicle screw fixation combined with two-stage bone cement perfusion for thoracolumbar fractures%GSS椎弓根螺钉内固定并二期伤椎骨水泥灌注治疗胸腰椎骨折

    Institute of Scientific and Technical Information of China (English)

    宋洁富; 李利军; 常峰; 荆志振

    2012-01-01

    Objective To explore the efficacy and safety of surgical treatment of thoracolumbar fractures by GSS pedicle screw fixation combined with two-stage bone cement perfusion. Methods From March 2005 to October 2010, 31 patients with thoracolumbar bursting fractures were treated with posterior GSS pedicle screw fixation. The patients were reviewed by X-ray and CT scan 3-18 months postoperatively. Once "eggshell phenomenon" appeared, bone cement was used in the injured vertebral body before removing the fixators. Injured vertebral height and Cobb' s angle were measured preoperatively, postoperatively and at the final follow-up. Results No leakage of bone cement happened in all the patients. The internal fixators were removed 12-18 months postoperatively. Then the patients were followed up for 1-3 years. Fractured vertebral height and Cobb' s angle were significantly improved after surgery. Conclusion GSS combined with two-stage bone cement perfusion for thoracolumbar fractures can achieve a good therapeutic effect. It can be taken as an attempt at the treatment of thoracolumbar fractures.%目的 探讨GSS椎弓根螺钉内固定结合二期伤椎骨水泥灌注治疗胸腰椎骨折的有效性和安全性.方法 2005年3月~2010年10月共31例胸腰椎爆裂性骨折患者行后路GSS椎弓根螺钉内固定治疗,术后3~18个月根据X线及CT复查情况,出现"蛋壳现象"的患者在取出内固定前行伤椎骨水泥灌注,记录术前、术后及末次随访时的伤椎高度及X线片测量的Cobb角角度.结果 本组患者均未出现骨水泥渗漏,术后12~18个月取出内固定后再随访1~3年.术后伤椎椎体高度及Cobb角与术前相比有明显改善.结论 GSS椎弓根螺钉内固定结合二期伤椎骨水泥灌注治疗胸腰椎骨折可达到良好的治疗效果,可作为治疗胸腰椎骨折的新的尝试.

  14. 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

  15. 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.

  16. [Morphological analysis of bone dynamics and metabolic bone disease. Histomorphometric concepts of bone remodeling and modeling].

    Science.gov (United States)

    Takahashi, Hideaki E

    2011-04-01

    In tissue level turnover of bone cells, bone remodeling shows a sequential events of activation, resorption, reversal and formation. This may be observed as secondary osteons in the cortical bone and trabecular packets in the cancellous bone. Microcracks are repaired by targeted remodeling, and calcium is released by non-targeted remodeling. In macromodeling, a macroscopic size of a bone increases with growth, without changing its basic figure. In micromodelimg, a shift of trabecula, a minishift, is biomechnically controlled. New lamellar bone is added parallel to compressive and tensile force, and bone resorption occurs at the opposite surface of formation. In minimodeling new lamellar bone is formed with a sequence of activation, then directly formation, without scalloping at the cement line between newly formed bone and its basic bone. PMID:21447918

  17. Effectiveness of the Top-Down Nanotechnology in the Production of Ultrafine Cement (~220 nm

    Directory of Open Access Journals (Sweden)

    Byung-Wan Jo

    2014-01-01

    Full Text Available The present investigation is dealing with the communition of the cement particle to the ultrafine level (~220 nm utilizing the bead milling process, which is considered as a top-down nanotechnology. During the grinding of the cement particle, the effect of various parameters such as grinding time (1–6 h and grinding agent (methanol and ethanol on the production of the ultrafine cement has also been investigated. Performance of newly produced ultrafine cement is elucidated by the chemical composition, particle size distribution, and SEM and XRD analyses. Based on the particle size distribution of the newly produced ultrafine cement, it was assessed that the size of the cement particle decreases efficiently with increase in grinding time. Additionally, it is optimized that the bead milling process is able to produce 90% of the cement particle <350 nm and 50% of the cement particle < 220 nm, respectively, after 6.3 h milling without affecting the chemical phases. Production of the ultrafine cement utilizing this method will promote the construction industries towards the development of smart and sustainable construction materials.

  18. Influencing Factors on the Interface Microhardness of Lightweight Aggregate Concrete Consisting of Glazed Hollow Bead

    Directory of Open Access Journals (Sweden)

    Gang Ma

    2015-01-01

    Full Text Available Lightweight aggregate concrete consisting of glazed hollow bead (GHB as lightweight aggregate is studied for the influence of nanosilica (NS content, prewetting time for GHB, water-cement ratio, and curing humidity, on the interface structure between GHB and cement paste. This research analyzed the influences of various factors on the interface zone structure by measuring microhardness (HV and hydration degree of cement paste (HD nearby the interface zone (1 mm between GHB and cement paste at different periods of aging. Due to the sampling limitation, the interface zone in this test is within 1 mm away from the surface of lightweight aggregate. The HD of cement paste was determined through chemically combined water (CCW test. The results were expected to reflect the influence of various factors on the interface zone structure. Results showed that the rational control of the four factors studied could fully mobilize the water absorption and desorption properties of GHB to improve the characteristics of the interfacial transition zone.

  19. ULTRA-LIGHTWEIGHT CEMENT

    International Nuclear Information System (INIS)

    The objective of this project is to develop an improved ultra-lightweigh cement using ultralight hollow glass spheres (ULHS). Work reported herein addresses Task 1: Assess Ultra-Lightweight Cementing Problems, Task 2: Review Russian Ultra-Lightweight Cement Literature, and Task 3: Test Ultra-Lightweight Cements. Results reported this quarter include a review and summary surface pipe and intermediate casing cementing conditions historically encountered in the US and establishment of average design conditions for ULHS cements. Russian literature concerning development and use of ultra-lightweight cements employing either nitrogen or ULHS was reviewed, and a summary is presented. Quality control testing of materials used to formulate ULHS cements in the laboratory was conducted to establish baseline material performance standards. A testing protocol was developed employing standard procedures as well as procedures tailored to evaluate ULHS. This protocol is presented and discussed. finally, results of initial testing of ULHS cements is presented along with analysis to establish cement performance design criteria to be used during the remainder of the project

  20. Development of multi-walled carbon nanotubes reinforced monetite bionanocomposite cements for orthopedic applications

    International Nuclear Information System (INIS)

    In this study, we present results of our research on biodegradable monetite (DCPA, CaHPO4) cement with surface-modified multi-walled carbon nanotubes (mMWCNTs) as potential bone defect repair material. The cement pastes showed desirable handling properties and possessed a suitable setting time for use in surgical setting. The incorporation of mMWCNTs shortened the setting time of DCPA and increased the compressive strength of DCPA cement from 11.09 ± 1.85 MPa to 21.56 ± 2.47 MPa. The cytocompatibility of the materials was investigated in vitro using the preosteoblast cell line MC3T3-E1. An increase of cell numbers was observed on both DCPA and DCPA-mMWCNTs. Scanning electron microscopy (SEM) results also revealed an obvious cell growth on the surface of the cements. Based on these results, DCPA-mMWCNTs composite cements can be considered as potential bone defect repair materials. - Highlights: • A monetite bone cement for orthopedic applications is reported. • Incorporation of MWCNTs into monetite bone cement is discussed. • Surface functionalized MWCNTs can improve the mechanical strength of monetite cement. • MWCNTs have no impacts on the cytocompatibility of monetite cements

  1. Pullout strength of pedicle screws with cement augmentation in severe osteoporosis: A comparative study between cannulated screws with cement injection and solid screws with cement pre-filling

    Directory of Open Access Journals (Sweden)

    Lee Yen-Chen

    2011-02-01

    Full Text Available Abstract Background Pedicle screws with PMMA cement augmentation have been shown to significantly improve the fixation strength in a severely osteoporotic spine. However, the efficacy of screw fixation for different cement augmentation techniques, namely solid screws with retrograde cement pre-filling versus cannulated screws with cement injection through perforation, remains unknown. This study aimed to determine the difference in pullout strength between conical and cylindrical screws based on the aforementioned cement augmentation techniques. The potential loss of fixation upon partial screw removal after screw insertion was also examined. Method The Taguchi method with an L8 array was employed to determine the significance of design factors. Conical and cylindrical pedicle screws with solid or cannulated designs were installed using two different screw augmentation techniques: solid screws with retrograde cement pre-filling and cannulated screws with cement injection through perforation. Uniform synthetic bones (test block simulating severe osteoporosis were used to provide a platform for each screw design and cement augmentation technique. Pedicle screws at full insertion and after a 360-degree back-out from full insertion were then tested for axial pullout failure using a mechanical testing machine. Results The results revealed the following 1 Regardless of the screw outer geometry (conical or cylindrical, solid screws with retrograde cement pre-filling exhibited significantly higher pullout strength than did cannulated screws with cement injection through perforation (p = 0.0129 for conical screws; p = 0.005 for cylindrical screws. 2 For a given cement augmentation technique (screws without cement augmentation, cannulated screws with cement injection or solid screws with cement pre-filling, no significant difference in pullout strength was found between conical and cylindrical screws (p >0.05. 3 Cement infiltration into the open cell of

  2. Vertebroplasty: Magnetic Resonance Findings Related to Cement Leakage Risk

    Energy Technology Data Exchange (ETDEWEB)

    Koh, Y.H.; Han, D.; Cha, J.H.; Seong, C.K.; Kim, J.; Choi, Y.H. [Dept. of Radiology, Seoul Municipal Boramae Hospital, Seoul (Korea, republic of)

    2007-04-15

    Purpose: To find magnetic resonance (MR) findings predicting cement leakage in patients receiving percutaneous vertebroplasty (PVP) due to osteoporotic compression fractures. Material and Methods: MR was done in 43 patients (age 52-89 years) before PVP (56 vertebrae), which was done via a bipedicular approach with fluoroscopic monitoring. Shortly after the procedure, a non-contrast-enhanced computed tomography (CT) scan was done at the vertebroplasty sites for evaluation of bone cement leakage. The following MR findings of fractured vertebral bodies were retrospectively reviewed for correlation with leakage risk: severity of bone-marrow edema, presence of a T2-weighted low-signal-intensity line, percentage residual vertebral body height, presence of either a vacuum or cystic change within the vertebral body, and presence of a cortical disruption. Results: After PVP, cement leakage was detected in 35 vertebrae (62.5%). Leakage was most frequently observed in the anterior external vertebral venous plexus (46%). Cement leakage rate increased when there was a cortical disruption (P = 0.037), especially at the endplates, while it decreased when there was a vacuum or a cystic change within the fractured vertebra (P 0.019). Other MR findings were not related to the risk of cement leakage. Conclusion: The risk of cement leakage in PVP increases when MR shows cortical disruption in a fractured vertebral body, especially at the endplates. It decreases when MR shows a vacuum or cystic change within the body. Keywords Cement leakage, MR imaging, spine, vertebroplasty.

  3. Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution

    Directory of Open Access Journals (Sweden)

    Atsushi Komemushi

    2012-01-01

    Full Text Available Purpose. To assess differences in dose distribution of a vertebral body injected with bone cement as calculated by radiation treatment planning system (RTPS and actual dose distribution. Methods. We prepared two water-equivalent phantoms with cement, and the other two phantoms without cement. The bulk density of the bone cement was imported into RTPS to reduce error from high CT values. A dose distribution map for the phantoms with and without cement was calculated using RTPS with clinical setting and with the bulk density importing. Actual dose distribution was measured by the film density. Dose distribution as calculated by RTPS was compared to the dose distribution measured by the film dosimetry. Results. For the phantom with cement, dose distribution was distorted for the areas corresponding to inside the cement and on the ventral side of the cement. However, dose distribution based on film dosimetry was undistorted behind the cement and dose increases were seen inside cement and around the cement. With the equivalent phantom with bone cement, differences were seen between dose distribution calculated by RTPS and that measured by the film dosimetry. Conclusion. The dose distribution of an area containing bone cement calculated using RTPS differs from actual dose distribution.

  4. Does Vertebroplasty Affect Radiation Dose Distribution?: Comparison of Spatial Dose Distributions in a Cement-Injected Vertebra as Calculated by Treatment Planning System and Actual Spatial Dose Distribution

    International Nuclear Information System (INIS)

    Purpose. To assess differences in dose distribution of a vertebral body injected with bone cement as calculated by radiation treatment planning system (RTPS) and actual dose distribution. Methods. We prepared two water-equivalent phantoms with cement, and the other two phantoms without cement. The bulk density of the bone cement was imported into RTPS to reduce error from high CT values. A dose distribution map for the phantoms with and without cement was calculated using RTPS with clinical setting and with the bulk density importing. Actual dose distribution was measured by the film density. Dose distribution as calculated by RTPS was compared to the dose distribution measured by the film dosimetry. Results. For the phantom with cement, dose distribution was distorted for the areas corresponding to inside the cement and on the ventral side of the cement. However, dose distribution based on film dosimetry was undistorted behind the cement and dose increases were seen inside cement and around the cement. With the equivalent phantom with bone cement, differences were seen between dose distribution calculated by RTPS and that measured by the film dosimetry. Conclusion. The dose distribution of an area containing bone cement calculated using RTPS differs from actual dose distribution

  5. Hydroxyapatite composite resin cement augmentation of pedicle screw fixation.

    Science.gov (United States)

    Turner, Alexander W L; Gillies, R Mark; Svehla, Martin J; Saito, Masanobu; Walsh, William R

    2003-01-01

    Pedicle screw stability is poor in osteopenic vertebrae attributable, in part, to low screw-bone interface strength. The current authors examined cement augmentation using a low curing temperature hydroxyapatite and bis-phenol-A glycidol methacrylate-based composite resin. This cement may stiffen the screw-bone interface and reduce the harmful effects associated with polymethylmethacrylate regarding temperature and toxic monomer. Thirty-five lumbar vertebrae from human cadavers were instrumented with pedicle screws, with one pedicle previously injected with cement and the other as the control. Caudocephalad toggling of +/- 1 mm for 1600 cycles was applied to the pedicle screws, and the resulting forces supported by the implant-bone interface were captured by a load cell. A curve was constructed from the peak caudal load for each cycle and three mechanical measures parameterized this curve: (1) initial load; (2) rate of load decay during the first 400 cycles; and (3) final load. The initial load increased by 16% as a result of cement augmentation, the final load increased by 65%, and the rate of load decay decreased by 59%. Cement augmentation of pedicle screws increased the stiffness and stability of the screw-bone interface. PMID:12579026

  6. Clinical Efficacy of Bone Cement Hemiarthroplasty Combined with Wire Cerclage in Treatment of Elderly Pa-tients with Intertrochanteric Fracture%骨水泥半髋置换加钢丝环扎术治疗老年粗隆间骨折疗效探讨

    Institute of Scientific and Technical Information of China (English)

    谌思; 金伟

    2015-01-01

    Objective To investigate the clinical efficacy of bone cement hemiarthroplasty combined with wire cerclage in treatment of elderly patients with intertrochanteric fracture. Methods A total of 63 elderly patients with in-tertrochanteric fracture during October 2010 and October 2013 were randomly divided into dynamic hip screw group (DHS group, n = 21), proximal femoral nail antirotation group (PFNA group, n = 21) and bone cement hemiarthroplasty com-bined with wire cerclage group (FHR group, n = 21). The operation time, intraoperative bleeding volume, full weight bearing time, fracture healing time, Harris score and postoperative adverse reaction in the three groups were compared. Results In FHR group, the operation time was significantly longer than that of other groups (P 0. 05). The incidence rate of adverse reaction in FHR group was significantly lower than those in DHS and PFNA groups (P 0.05)。 FHR 组患者术后不良反应发生率显著低于 DHS 组和 PFNA 组(P <0.01)。结论骨水泥半髋置换加钢丝环扎术治疗老年粗隆间骨折耗时较长,术中出血量较多但术后不良反应较少且恢复较快。

  7. Immobilization in cement of ion exchange resins from Spanish nuclear reactors

    International Nuclear Information System (INIS)

    Ion exchange materials used at nuclear power plants can be immobilized in cements less expensive than polymer matrices. Cement solidification of spent ion exchange resins shows swelling and cracking troubles (during setting time, or of storage). The objective of this study was to select the types of cement that produce the best quality on immobilization of three kinds of resins and to set up cement formulations containing the maximum possible loading of resin. Four cements were selected to carried out the study. After a study of hydration-dehydration phenomena of ion exchange resins, a systematic work has been carried out on immobilization. Tests were performed to study compressive strength and underwater stability by changing water/cement ratio and resin/cement ratio. Mixtures made with water, cement and resin only were loaded with 10% by weight dry resin. Mixtures with higher loadings show poor workability. Tests were carried out by adding organic plasticizers and silica products to improve waste loading. Plasticizers reduced water demand and silica products permit the use of more water. Leaching tests have been performed at 40OC. In conclusion Blast Furnace Slag is the best cement for immobilization of ion exchange resin both bead and powdered form for mechanical strength, stability and leaching

  8. Cementos óseos acrílicos modificados con hidroxiapatita/acetato de vinilo: caracterización mecánica, termoanálitica y bioactividad in vitro Acrylic bone cement modified whit hydroxiapatyte/vinyl acetate: mechanical, thermoanalytical characterization and in vitro bioactivity

    Directory of Open Access Journals (Sweden)

    Nayrim B. Guerra

    2010-06-01

    Full Text Available Los cementos óseos se han convertido en los últimos años en biomateriales de gran utilidad en la fijación de prótesis y en la reconstrucción del hueso. El objetivo de este trabajo es evaluar las propiedades termoanalíticas tales como temperatura máxima de polimerización y tiempo de fraguado en cementos óseos acrílicos modificados con hidroxiapatita/acetato de vinilo, determinar la resistencia a la compresión axial y realizar ensayos de bioactividad in vitro. Diferentes contenidos de acetato de vinilo fueron incorporados en cementos óseos acrílicos cargados todos con un 30 % de hidroxiapatita CORALINA® HAP-200. Las propiedades mecánicas y los parámetros de curado fueron evaluados cumpliendo lo establecido en la Norma ISO 5833 descrita para cementos óseos acrílicos. Se determinaron los parámetros termoanalíticos, obteniéndose tiempos de fraguados entre 3 y 6 minutos y los valores de temperaturas máximas de polimerización oscilan entre 66 y 88 °C. Se obtuvo formulaciones con valores de resistencia a la compresión superiores a lo establecido en la Norma ISO 5833. Se demostró la bioactividad de las formulaciones mediante la inmersión de las muestras en fluido biológico simulado, observándose en la superficie de las mismas la nucleación y el crecimiento de cristales con morfología similar a las apatitas biológicas.Bone cements have become biomaterials of great utility in the prosthesis fixation and as substitutes to the bone. The objective of this study is to evaluate the thermo analytical properties such as setting time and peak temperature of polymerization of acrylic bone cement modified with hydroxyapatite/vinyl acetate, to determine the compression strengths and perform in vitro bioactivity tests. Amounts of vinyl acetate component were incorporated in different percentages in acrylic bone cements, all loaded with 30 % of hydroxyapatite CORALINA® HAP-200. Curing parameters and mechanical properties were

  9. Femoral and obturator nerves palsy caused by pelvic cement extrusion after hip arthroplasty

    OpenAIRE

    Pawel Zwolak; Peer Eysel; Joern William-Patrick Michael

    2011-01-01

    Cement extrusion into the pelvis with subsequent palsy of the obturator and femoral nerves is a rare entity after hip replacement surgery. Cemented fixation of the acetabular cup has been considered as a safe and reliable standard procedure with very good long term results. We present a case of fifty year old female patient after hip arthroplasty procedure which suffered an obturator and femoral nerve palsy caused by extrusion of bone cement into the pelvis. Postoperative X-rays and CT-scan ...

  10. 冻干硬脑膜内骨形成蛋白-自固化磷酸钙复合移植修复骨缺损%Repairing bone defects using bone morphogenetic protein and calcium phosphate cement combined with freeze-dried dura mater

    Institute of Scientific and Technical Information of China (English)

    邹国耀; 吴恒烜

    2009-01-01

    背景:骨形成蛋白和自固化磷酸钙各自有着良好的成骨能力,冻干硬脑膜内骨形成蛋白和自固化磷酸钙复合移植存在优化成骨效能的可能性.目的:以冻干硬脑膜为膜材料,观察膜内充填材料骨形成蛋白复合自固化磷酸钙移植修复节段性骨缺损的效果.设计、时间及地点:随机分组设计,动物体内组织病理学对照观察,于2006-07/2007-07在广西医科大学动物实验室完成.对象:健康成年新西兰大白兔28只,雌雄不限,体质量1.5~2.5 kg.方法:实验兔28只,其中4只用于取硬脑膜.其余24只随机分成A,B两大组,每组12只.A组制造双侧兔桡骨中段10 mm的骨缺损.一侧骨缺损用骨形成蛋白、自固化磷酸钙、冻干硬脑膜复合移植修复,为骨形成蛋白组, 另一侧不予处理作为空白对照组.B组制造单侧兔桡骨中段10 mm的骨缺损,用骨髓、自固化磷酸钙、冻干硬脑膜复合移植修复称骨髓组.主要观察指标:于术后第1,2,4,6,8,10,12周分别行双侧桡骨X射线检查.观察骨缺损处的新骨形成及骨修复情况.并于术后第2,4,8,12周切取标本行组织学检查及成骨面积分析.结果:在术后第4,8,12周,骨形成蛋白组的成骨面积大于骨髓组(P<0.05),而在实验早期(术后2周)两组间差异无显著性意义(P>0.05);在实验的各个时期,骨形成蛋白组和骨髓组的成骨面积均明显大于空白组(P<0.01).X射线结果显示,骨形成蛋白组在10~12周出现明显骨痂塑形现象;组织学病理切片结果显示,骨形成蛋白组在12周时桡骨可见成熟骨髓,骨缺损处为成熟的板层骨连接.结论:骨形成蛋白复合自固化磷酸钙与冻干硬脑膜移植具有良好的成骨作用.%BACKGROUND: Both bone morphogenetic protein (BMP) and calcium phosphate cement (CPC) have excellent osteogenic capability, so, it is possible to optimize osteogenic efficiency by combing BMP, CPC and freeze-dried dura mater (FDDM

  11. Bone cement-augmented pedicle screw fixation for lumbar spondylolisthesis combined with osteoporosis:1-year follow-up%骨水泥强化椎弓根螺钉置入固定骨质疏松性腰椎滑脱:1年随访

    Institute of Scientific and Technical Information of China (English)

    丁权; 陈勇

    2015-01-01

    BACKGROUND:For patients with lumbar spondylolisthesis combined with osteoporosis, appropriate fixation system for effective reset and good fixation stability is currently a hot issue of clinical concern. Pedicle screw screw-rod system after bone cement perfusion can achieve the effective fixation between pedicle screw system and the vertebral bone. OBJECTIVE:To observe the therapeutic effect of bone cement-augmented pedicle screw on patients with lumbar spondylolisthesis combined with osteoporosis. METHODS:17 cases of lumbar spondylolisthesis combined with osteoporosis were identified by bone density test. They received the posterior open reduction and internal fixation, and implanted with 68 bone cement-augmented pedicle screws. Their repair effects were observed by short-term fol ow-up. Patients were evaluated using low back pain Visual Analog Scale and lower limb Oswestry Disability Index before treatment, 1 week, 3 months and 1 year after treatment. Vertebral height, intervertebral height, screw loosening and bone cement leakage were observed using imaging. RESULTS AND CONCLUSION:Compared with pre-treatment, low back pain Visual Analog Scale score and lower limb Oswestry Disability Index were significantly improved at 1 week, 3 months and 1 year after treatment (P0.05), which indicated that clinical repair effect could be effectively maintained. At 3 months of fol ow-up, one screw loosening occurred in two patients. During fixation, mild bone cement leakage appeared in seven vertebral bodies with screw fixation, no symptoms or subsequent complications were observed. There were no significant differences in vertebral height and intervertebral height before and after treatment and during fol ow-up (P>0.05). These results suggest that bone cement-augmented pedicle screw for patients with lumbar spondylolisthesis combined with osteoporosis can effectively reset vertebral slippage, effectively provide good anti-pul-out force for a long term, and the effect was

  12. BeadArray expression analysis using bioconductor.

    Directory of Open Access Journals (Sweden)

    Matthew E Ritchie

    2011-12-01

    Full Text Available Illumina whole-genome expression BeadArrays are a popular choice in gene profiling studies. Aside from the vendor-provided software tools for analyzing BeadArray expression data (GenomeStudio/BeadStudio, there exists a comprehensive set of open-source analysis tools in the Bioconductor project, many of which have been tailored to exploit the unique properties of this platform. In this article, we explore a number of these software packages and demonstrate how to perform a complete analysis of BeadArray data in various formats. The key steps of importing data, performing quality assessments, preprocessing, and annotation in the common setting of assessing differential expression in designed experiments will be covered.

  13. Biocompatibility of alendronate-loaded acrylic cement for vertebroplasty

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    T Calvo-Fernández

    2010-10-01

    Full Text Available This paper reports a biological evaluation of a non-resorbable acrylic cement loaded with alendronate for the treatment of osteoporotic vertebral compression fractures. The cement formulation was based on polymethyl methacrylate and acrylic monomers; one of these had covalently linked vitamin E residues. The same cement in the absence of alendronate was used as a control. The setting of the charged cement presented a maximum polymerization temperature of 44ºC, a setting time of 24 min, a residual monomer content lower than 3 wt.%, a compressive strength of 99±10 MPa and an elastic modulus of 1.2±0.2 GPa. Cytotoxicity studies using human osteoblast cultures revealed that the leachable substances of the alendronate loaded cement collected between 1 and 7 days decreased cell viability to values lower than 80%. However, morphological changes and cellular damage in cells produced by the extracts decreased with the leak time. Cell adhesion and growth on charged cement was significantly lower than on the control. Implantation of the cement paste in the intra-femoral cavity of rabbits showed that initially the osteogenic activity was evident for the cement charged with alendronate, and the osteosynthesis process took place mainly in the trabeculae and was manifested by the presence of a non-mineralised osseous spicule. The interface between material and adjacent bone tissue was initially characterized by a variable fibrous response that in many cases it appeared reduced to thin connective tissue after a 24-week-period.

  14. Intramedullary cement osteosynthesis (IMCO): a pilot study in sheep.

    Science.gov (United States)

    Mirzasadeghi, Alireza; Narayanan, Sri Subanesh; Ng, Min Hwei; Sanaei, Reza; Cheng, Chen Hui; Bajuri, Mohd Yazid; Shukur, Mohammad Hassan

    2014-01-01

    The application of bone substitutes and cements has a long standing history in augmenting fractures as a complement to routine fracture fixation techniques. Nevertheless, such use is almost always in conjunction with definite means of fracture fixation such as intramedullary pins or bone plates. The idea of using biomaterials as the primary fixation bears the possibility of simultaneous fixation and bone enhancement. Intramedullary recruitment of bone cements is suggested in this study to achieve this goal. However, as the method needs primary testings in animal models before human implementation, and since the degree of ambulation is not predictable in animals, this pilot study only evaluates the outcomes regarding the feasibility and safety of this method in the presence of primary bone fixators. A number of two sheep were used in this study. Tibial transverse osteotomies were performed in both animals followed by external skeletal fixation. The medullary canals, which have already been prepared by removing the marrow through proximal and distal drill holes, were then injected with calcium phosphate cement (CPC). The outcomes were evaluated postoperatively by standard survey radiographs, morphology, histology and biomechanical testings. Healing processes appeared uncomplicated until week four where one bone fracture recurred due to external fixator failure. The results showed 56% and 48% cortical thickening, compared to the opposite site, in the fracture site and proximal and distal diaphyses respectively. This bone augmentative effect resulted in 264% increase in bending strength of the fracture site and 148% increase of the same value in the adjacent areas of diaphyses. In conclusion, IMCO, using CPC in tibia of sheep, is safe and biocompatible with bone physiology and healing. It possibly can carry the osteopromotive effect of the CPCs to provide a sustained source of bone augmentation throughout the diaphysis. Although the results must be considered

  15. Single bead-based electrochemical biosensor

    OpenAIRE

    LIU, CHANGCHUN; Schrlau, Michael G.; Bau, Haim H.

    2009-01-01

    A simple, robust, single bead-based electrochemical biosensor was fabricated and characterized. The sensor’s working electrode consists of an electrochemically-etched platinum wire, with a nominal diameter of 25 μm, hermetically heat-fusion sealed in a pulled glass capillary (micropipette). The sealing process does not require any epoxy or glue. A commercially available, densely functionalized agarose bead was mounted on the tip of the etched platinum wire. The use of a pre-functionalized bea...

  16. Advanced cementation concepts

    International Nuclear Information System (INIS)

    The purpose of this programme of work was to investigate whether improvements could be made to existing formulations for cement suitable for the immobilization of intermediate level radioactive waste. Two additives were selected, microsilica and limestone flour. Improvements to the cement were only slight. (author)

  17. Acupressure Bead in the Eustachian Tube.

    Science.gov (United States)

    Igarashi, Kazunori; Matsumoto, Yu; Kakigi, Akinobu

    2015-08-01

    In this article, we aim to enlighten practitioners and patients involved with acupressure beads and to contribute to their safer use by reporting a unique case of insidious intrusion of an acupressure bead into the eustachian tube. A metallic object was found in the eustachian tube of a patient while conducting a magnetic resonance imaging (MRI) examination. The object was later confirmed to be an auricular acupressure bead, and was successfully removed by performing a tympanoplasty and a canal wall down mastoidectomy. The bead was assumed to have passed through an existing perforation of the tympanic membrane. According to previously published literature, tympanic membrane perforations exist in ∼1% of the population. Therefore, middle-ear foreign bodies are relatively common occurrences for otolaryngologists. However, metallic objects such as acupressure beads are especially important in the sense that they can cause severe burns during MRI. To avoid potential complications, acupressure-bead practitioners should be aware of the possibility that intrusions through the tympanic membrane could go unnoticed. PMID:26276456

  18. Microscope-controlled glass bead blasting: a new technique

    Directory of Open Access Journals (Sweden)

    Peter Kotschy

    2011-01-01

    Full Text Available Peter Kotschy1, Sascha Virnik2, Doris Christ3, Alexander Gaggl21Private Practice, Vienna, Austria; 2Department of Oral and Maxillofacial Surgery, Central Hospital, Klagenfurt, Austria; 3Klagenfurt, AustriaObjective: The aim of periodontal therapy is the healing of periodontal inflammation; the protection of the attachment and the alveolar bone; and the regeneration of the periodontal structures. In the therapy of periodontitis, supra- and subgingival scaling and root planing plays a main role. The procedure described combines perfect root cleaning without scaling and root planing and minimal invasive periodontal surgery without a scalpel.Material and methods: Glass beads of 90 µm were used with the kinetic preparation unit PrepStart® under a pressure of 0.5–5 bar. This technique was practised only under visual control using the OPMI® PRO Magis microscope. Seven examinations were carried out at baseline after 3, 6, 12, 18, 24, and 36 months.Results: Time shows a statistically significant influence on all of the considered target variables (P < 0.0001 for all. As the according estimate is negative, probing depth decreases over time. The major decrease seems to be during the first 6 months. Considering probing depth, plaque on the main effect root shows significant influence (again, P < 0.0001 for all. Observations with high probing depth at the beginning were faster than those with low probing depth. The same characteristic appears by attachment level. Patients with more loss of attachment show more gain.Conclusions: Using microscope-controlled glass bead blasting results in a perfectly clean root surface using visual control (magnification 20×. Microscope-controlled glass bead blasting is therefore a good alternative to periodontal surgery.Keywords: periodontal therapy, microscope, periodontitis

  19. Modified femoral pressuriser generates a longer lasting high pressure during cement pressurisation

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    Kjellson Fred

    2011-10-01

    Full Text Available Abstract Background The strength of the cement-bone interface in hip arthroplasty is strongly related to cement penetration into the bone. A modified femoral pressuriser has been investigated, designed for closer fitting into the femoral opening to generate higher and more constant cement pressure compared to a commercial (conventional design. Methods Femoral cementation was performed in 10 Sawbones® models, five using the modified pressuriser and five using a current commercial pressuriser as a control. Pressure during the cementation was recorded at the proximal and distal regions of the femoral implant. The peak pressure and the pressure-time curves were analysed by student's t-test and Two way ANOVA. Results The modified pressuriser showed significantly and substantially longer durations at higher cementation pressures and slightly, although not statistically, higher peak pressures compared to the conventional pressuriser. The modified pressuriser also produced more controlled cement leakage. Conclusion The modified pressuriser generates longer higher pressure durations in the femoral model. This design modification may enhance cement penetration into cancellous bone and could improve femoral cementation.

  20. Fixação de fraturas ilíacas em cães com parafusos, fios de aço e cimento ósseo de polimetilmetacrilato Canine iliac fracture fixation with screws, orthopedic wire and polymethylmethacrylate bone cement

    Directory of Open Access Journals (Sweden)

    Claudio Roehsig

    2008-09-01

    Full Text Available O presente trabalho teve como objetivo verificar a recuperação da locomoção e o tempo para cicatrização óssea de fraturas ilíacas fixadas com parafusos, fios de aço e cimento ósseo de polimetilmetacrilato. Dezesseis cães de ambos os sexos, com peso de 1,8 a 16kg e idade entre sete meses e 11 anos, foram submetidos à osteossíntese da fratura de ílio, provocadas por acidente automobilístico. Em dois animais, realizou-se osteossíntese bilateral, totalizando 18 ossos ilíacos operados. A abordagem ao ílio foi lateral e quando necessária estendida caudalmente através da osteotomia do trocanter maior. As fraturas foram reduzidas e, em cada segmento ósseo, foram implantados dois a três parafusos e banda de tensão com fio de aço entre os parafusos adjacentes à linha de fratura. Sobre esses implantes aplicou-se cimento ósseo misturado com cefazolina sódica e após o endurecimento prosseguiu-se com a síntese dos tecidos moles com suturas rotineiramente utilizadas na clinica cirúrgica. No período pós-operatório, foram realizadas avaliações até 90 dias após a osteossíntese e observou-se locomoção apropriada em 15 animais. Avaliações radiográficas demonstraram sinais de completa consolidação óssea entre 60 e 90 dias. Falha da estabilização ocorreu em dois casos, obrigando a reintervenção cirúrgica em um deles. A partir dos resultados obtidos, é possível concluir que, em cães com até 16kg de peso, a fixação de fraturas ilíacas utilizando parafusos cimentados com PMMA constitui uma eficiente técnica, que proporciona adequada estabilidade, precoce recuperação funcional e cicatrização óssea.The present study aimed to verify the time for locomotion recovery and bone healing in canine iliac fractures fixated with screws, orthopedic wires and methylmetacrylate bone cement. Sixteen dogs from both genders accidentally hit by a car and showing iliac fractures were included. Dogs aged from 7 months to 11

  1. Femoral and obturator nerves palsy caused by pelvic cement extrusion after hip arthroplasty.

    Directory of Open Access Journals (Sweden)

    Pawel Zwolak

    2011-05-01

    Full Text Available Cement extrusion into the pelvis with subsequent palsy of the obturator and femoral nerves is a rare entity after hip replacement surgery. Cemented fixation of the acetabular cup has been considered as a safe and reliable standard procedure with very good long term results. We present a case of fifty year old female patient after hip arthroplasty procedure which suffered an obturator and femoral nerve palsy caused by extrusion of bone cement into the pelvis. Postoperative X-rays and CT-scan of the pelvis demonstrated a huge mass consisted of bone cement in close proximity of femoral and obturator nerves. The surgery charts reported shallow and weak bony substance in postero-superior aspect of the acetabulum. This weak bony acetabular substance may have caused extrusion of bone cement during press-fitting of the polyethylene cup into the acetabulum, and the following damage of the both nerves produced by polymerization of bone cement. The bone cement fragment has been surgically removed 3 weeks after arthroplasty. The female patient underwent intensive postoperative physical therapy and electro stimulation which resulted in full recovery of the patient to daily routine and almost normal electromyography results.

  2. An Ice Block: A Novel Technique of Successful Prevention of Cement Leakage Using an Ice Ball

    Energy Technology Data Exchange (ETDEWEB)

    Uri, Ishaq Fahmi, E-mail: uri.isaac@gmail.com [The Royal National Orthopaedic Hospital (United Kingdom); Garnon, Julien, E-mail: juliengarnon@gmail.com; Tsoumakidou, Georgia, E-mail: georgia.tsoumakidou@chru-strasbourg.fr; Gangi, Afshin, E-mail: gangi@unistra.fr [Hôpital Universitaire de Strasbourg, Service d’Imagerie Interventionnelle (France)

    2015-04-15

    We report three cases of painful bone metastases with extraosseous invasion treated with cementoplasty and cryoablation. Due to significant cortical loss in all cases, the ice ball was used simultaneously during cementoplasty to deter potential cement leakage. This was achieved by direct application of the ice ball against the cortical surface, resulting in adequate consolidation and successful containment of the cement within the treated bones. To the authors’ knowledge, this is the first report to describe such a combined technique.

  3. An Ice Block: A Novel Technique of Successful Prevention of Cement Leakage Using an Ice Ball

    International Nuclear Information System (INIS)

    We report three cases of painful bone metastases with extraosseous invasion treated with cementoplasty and cryoablation. Due to significant cortical loss in all cases, the ice ball was used simultaneously during cementoplasty to deter potential cement leakage. This was achieved by direct application of the ice ball against the cortical surface, resulting in adequate consolidation and successful containment of the cement within the treated bones. To the authors’ knowledge, this is the first report to describe such a combined technique

  4. Cement Embolus Trapped in the Inferior Vena Cava Filter during Percutaneous Vertebroplasty

    OpenAIRE

    Li, Zhi; Ni, Rui-fang; Zhao, Xin; Yang, Chao; Li, Ming-Ming

    2013-01-01

    A 58-year-old female patient, diagnosed with adenocarcinoma of the lung, underwent percutaneous vertebroplasty at the L4 vertebral body due to painful spinal metastases. Because of deep venous thrombosis of the left femoral and iliac veins, an inferior vena cava filter had been placed before vertebroplasty. Bone cement migrated into the venous bloodstream and then was being trapped within the previously placed filter. This case illustrates that caval filter could capture the bone cement and p...

  5. 硫酸钙骨水泥增强骨质疏松股骨粗隆间骨折内固定的有限元分析%Finite-Element Analysis of Injectable Calcium Sulfate Bone Cement Augmentation with Dynamic Hip Screw System for the Treatment of Osteoporotic Intertrochanteric Fractures

    Institute of Scientific and Technical Information of China (English)

    于晓巍; 王楠; 汤亭亭

    2009-01-01

    通过有限元分析,研究硫酸钙对稳定型骨质疏松股骨粗隆间骨折内固定增强的影响.建立骨质疏松股骨稳定型粗隆阅骨折有限元模型,模拟动力髋螺钉(DHS)固定及硫酸钙增强的DHS固定,分析硫酸钙对DHS固定的增强效果.有限元分析显示,硫酸钙增强后,股骨头部的松质骨最大应力减少了35%,提示螺钉切割出股骨头的可能性减小;而股骨骨折面最大应力从3.7 MPa减少到1.8 MPa,提示硫酸钙增强提高了DHS固定的稳定性.研究结果表明,硫酸钙骨水泥能有效增强骨质疏松性骨折内固定的稳定性,具有较好的临床应用前景.%The mechanical performance of the dynamic hip screw (DHS) system augmented with calcium sulfate bone cement (CSC) for the fixation of stable osteoporotic intertrochanteric fracture was evaluated by means of finite element analysis (FEA). Finite element model was used to simulate the stable osteoporotic intertrochanteric fracture with DHS fixation or DHS fixation plus CSC augmentation and the stress distribution was analyzed. With cement augmentation, 35% reduction of the maximum stress was found in the femur head, suggesting reduced possibility of screw cut-outs. Maximum stress at the fracture plane was also decreased from 3.7 MPa to 1.8 MPa, which indicates improved fixation after CSC augmentation. These results indicate that calcium sulfate cement is effective in augmenting fixation in osteoporotic bone. Calcium sulfate cement has potential application in the treatment of osteoporotic fractures.

  6. 骨水泥填塞动力髋螺钉主钉孔:抗弯曲和抗扭转强度%Dynamic hip screw hole filled by bone cement: Anti-flexion and anti-torsion strength

    Institute of Scientific and Technical Information of China (English)

    郑海; 李神; 郭艳龙

    2010-01-01

    目的:评价髋关节后侧入路加骨水泥填塞后内侧支撑植骨治疗转子间骨折的临床效果.方法:应用计算机检索Science Direct数据库、Ei数据库1960-01/2009-10期间的相关文章,检索词为"bone cement,Intertrochanteric fracture",并限定文章语言种类为English.同时计算机检索中国期刊全文数据库、中国生物医学文献数据库等1994-01/2009-10期间的相关文章,检索词为"转子间骨折,髋内翻,髋关节后侧入路,主钉孔植入骨水泥",并限定文章语言种类为中文.此外还手工查阅相关专著数部.纳入有关股骨转子间骨折治疗方式研究,骨水泥治疗股骨转子间骨折的基础与临床实验.结果:股骨转子间骨折手术治疗方法都为外侧或前侧入路行动力髋钢板系统、动力髋螺钉、股骨近端髓内钉常规内固定.动力髋螺钉是治疗股骨转子间骨折的标准内固定,具有较强的抗旋转功能,符合生物力学要求.但螺钉松动、拔出和断裂等并发症发生率较高.采用骨水泥强化松质骨钉道后,骨水泥强化不仅增加螺钉把持力,有利于尾钉加压;同时也扩大了骨.钉接触界面,应力被分散传递至更大的钉-骨界面区域,明显提高动力髋螺钉固定的抗弯曲和抗扭转强度,整体提高骨折稳定性.骨水泥的强化机制在于通过充填于骨小梁闯隙与周围松质骨微观交锁,形成松质骨-骨水泥-螺钉的整体结构.结论:使用骨水泥填塞动力髋螺钉,可明显增强动力髋螺钉固定的抗弯曲和抗扭转强度,整体提高骨折稳定性.

  7. The Beads of Translation: Using Beads to Translate mRNA into a Polypeptide Bracelet

    Science.gov (United States)

    Dunlap, Dacey; Patrick, Patricia

    2012-01-01

    During this activity, by making beaded bracelets that represent the steps of translation, students simulate the creation of an amino acid chain. They are given an mRNA sequence that they translate into a corresponding polypeptide chain (beads). This activity focuses on the events and sites of translation. The activity provides students with a…

  8. Tympanoplasty with ionomeric cement

    DEFF Research Database (Denmark)

    Kjeldsen, A D; Grøntved, A M

    2000-01-01

    isolated erosion of the long incus process have been treated with a new surgical technique in which the ossicular chain was rebuilt with ionomeric cement. The results in hearing performance (mean pure-tone average (PTA) 0.5, 1 and 2 kHz) were evaluated pre- and post-surgery, and compared to those in a...... > 10 dB, in 4 there was a slight improvement and in 2 a decline. The difference was not statistically significant. Hearing improvement using ionomeric cement in type II tympanoplasty was satisfactory. Reconstruction of the ossicular chain with ionomeric cement is recommended, as the procedure is easy...

  9. ULTRA-LIGHTWEIGHT CEMENT

    Energy Technology Data Exchange (ETDEWEB)

    Fred Sabins

    2003-01-31

    The objective of this project is to develop an improved ultra-lightweight cement using ultra-lightweight hollow glass spheres (ULHS). This report discusses testing that was performed for analyzing the alkali-silica reactivity of ULHS in cement slurries. DOE joined the Materials Management Service (MMS)-sponsored joint industry project ''Long-Term Integrity of Deepwater Cement under Stress/Compaction Conditions.'' Results of the project contained in two progress reports are also presented in this report.

  10. Beaded streams of Arctic permafrost landscapes

    Directory of Open Access Journals (Sweden)

    C. D. Arp

    2014-07-01

    Full Text Available Beaded streams are widespread in permafrost regions and are considered a common thermokarst landform. However, little is known about their distribution, how and under what conditions they form, and how their intriguing morphology translates to ecosystem functions and habitat. Here we report on a Circum-Arctic inventory of beaded streams and a watershed-scale analysis in northern Alaska using remote sensing and field studies. We mapped over 400 channel networks with beaded morphology throughout the continuous permafrost zone of northern Alaska, Canada, and Russia and found the highest abundance associated with medium- to high-ice content permafrost in moderately sloping terrain. In the Fish Creek watershed, beaded streams accounted for half of the drainage density, occurring primarily as low-order channels initiating from lakes and drained lake basins. Beaded streams predictably transition to alluvial channels with increasing drainage area and decreasing channel slope, although this transition is modified by local controls on water and sediment delivery. Comparison of one beaded channel using repeat photography between 1948 and 2013 indicate relatively stable form and 14C dating of basal sediments suggest channel formation may be as early as the Pleistocene–Holocene transition. Contemporary processes, such as deep snow accumulation in stream gulches effectively insulates river ice and allows for perennial liquid water below most beaded stream pools. Because of this, mean annual temperatures in pool beds are greater than 2 °C, leading to the development of perennial thaw bulbs or taliks underlying these thermokarst features. In the summer, some pools stratify thermally, which reduces permafrost thaw and maintains coldwater habitats. Snowmelt generated peak-flows decrease rapidly by two or more orders of magnitude to summer low flows with slow reach-scale velocity distributions ranging from 0.1 to 0.01 m s−1, yet channel runs still move water

  11. 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

  12. Asphalt cement poisoning

    Science.gov (United States)

    Asphalt; Pavement ... The substances in asphalt that can be harmful are: Hydrocarbons Industrial glues Industrial solvents Tar ... Asphalt is found in: Road paving materials Roofing materials Tile cements Asphalt may also be used for ...

  13. Biphasic products of dicalcium phosphate-rich cement with injectability and nondispersibility

    Energy Technology Data Exchange (ETDEWEB)

    Ko, Chia-Ling [Advanced Medical Devices and Composites Laboratory, Department of Fiber and Composite Materials, Feng Chia University, Taichung, 407, Taiwan (China); Dental Medical Devices and Materials Research Center, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan (China); Chen, Jian-Chih [Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan (China); Department of Orthopaedics, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan (China); Hung, Chun-Cheng; Wang, Jen-Chyan [Dental Medical Devices and Materials Research Center, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan (China); Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan (China); Tien, Yin-Chun [Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan (China); Department of Orthopaedics, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan (China); Chen, Wen-Cheng, E-mail: wencchen@fcu.edu.tw [Advanced Medical Devices and Composites Laboratory, Department of Fiber and Composite Materials, Feng Chia University, Taichung, 407, Taiwan (China)

    2014-06-01

    In this study, a calcium phosphate cement was developed using tetracalcium phosphate and surface-modified dicalcium phosphate anhydrous (DCPA). This developed injectable bone graft substitute can be molded to the shape of the bone cavity and set in situ through the piping system that has an adequate mechanical strength, non-dispersibility, and biocompatibility. The materials were based on the modified DCPA compositions of calcium phosphate cement (CPC), where the phase ratio of the surface-modified DCPA is higher than that of the conventional CPC for forming dicalcium phosphate (DCP)-rich cement. The composition and morphology of several calcium phosphate cement specimens during setting were analyzed via X-ray diffractometry and transmission electron microscopy coupled with an energy dispersive spectroscopy system. The compressive strength of DCP-rich CPCs was greater than 30 MPa after 24 h of immersion in vitro. The reaction of the CPCs produced steady final biphasic products of DCPs with apatite. The composites of calcium phosphate cements derived from tetracalcium phosphate mixed with surface-modified DCPA exhibited excellent mechanical properties, injectability, and interlocking forces between particles, and they also featured nondispersive behavior when immersed in a physiological solution. - Highlights: • Bone cement precursor with nanocrystals is characterized. • DCP-rich CPCs with nanocrystals exhibited biphasic product phases. • Nanocrystals in cement significantly affected the interlocking ability. • Nanocrystals in cement exhibited higher strength and anti-dispersion. • DCP-rich CPCs increase the potential of bioresorption after reaction.

  14. Biphasic products of dicalcium phosphate-rich cement with injectability and nondispersibility

    International Nuclear Information System (INIS)

    In this study, a calcium phosphate cement was developed using tetracalcium phosphate and surface-modified dicalcium phosphate anhydrous (DCPA). This developed injectable bone graft substitute can be molded to the shape of the bone cavity and set in situ through the piping system that has an adequate mechanical strength, non-dispersibility, and biocompatibility. The materials were based on the modified DCPA compositions of calcium phosphate cement (CPC), where the phase ratio of the surface-modified DCPA is higher than that of the conventional CPC for forming dicalcium phosphate (DCP)-rich cement. The composition and morphology of several calcium phosphate cement specimens during setting were analyzed via X-ray diffractometry and transmission electron microscopy coupled with an energy dispersive spectroscopy system. The compressive strength of DCP-rich CPCs was greater than 30 MPa after 24 h of immersion in vitro. The reaction of the CPCs produced steady final biphasic products of DCPs with apatite. The composites of calcium phosphate cements derived from tetracalcium phosphate mixed with surface-modified DCPA exhibited excellent mechanical properties, injectability, and interlocking forces between particles, and they also featured nondispersive behavior when immersed in a physiological solution. - Highlights: • Bone cement precursor with nanocrystals is characterized. • DCP-rich CPCs with nanocrystals exhibited biphasic product phases. • Nanocrystals in cement significantly affected the interlocking ability. • Nanocrystals in cement exhibited higher strength and anti-dispersion. • DCP-rich CPCs increase the potential of bioresorption after reaction

  15. The use of calcium phosphate cement in vertebroplasty of the base of odontoid process.

    Science.gov (United States)

    Zapałowicz, Krzysztof; Wojdyn, Maciej; Zieliński, Krzysztof Włodzimierz; Snopkowska-Wiaderna, Dorota

    2013-01-01

    The authors describe the use of bone cement containing calcium phosphate for vertebroplasty of the cavity in the base of odontoid process. A 23-year-old female patient was operated on by incision in lateral cervical area (anterior open access). After a blunt dissection, the working cannula (Kyphon) was introduced under fluoroscopic guidance through the C2 vertebral body to the cavity in the base of the odontoid process. Intraoperatively, biopsy of the lesion was taken and histo-pathological examination excluded the presence of neoplasm. The cavity, presumably haemangioma, was successfully filled with calcium phosphate bone cement KyphOsTM FS (Ky-phon). The proper filling without paravertebral cement leak was confirmed by postoperative computed tomography (CT). The CT and magnetic resonance imaging performed 9 months after the procedure showed that cement was still present in the cavity. This is the first use of calcium phosphate cement to conduct the vertebroplasty of C2 vertebra. PMID:24375006

  16. Bone tumor

    Science.gov (United States)

    Tumor - bone; Bone cancer; Primary bone tumor; Secondary bone tumor ... The cause of bone tumors is unknown. They often occur in areas of the bone that grow rapidly. Possible causes include: Genetic defects ...

  17. Bone Grafts

    Science.gov (United States)

    A bone graft transplants bone tissue. Surgeons use bone grafts to repair and rebuild diseased bones in your hips, knees, spine, and sometimes other bones and joints. Grafts can also repair bone loss caused by some ...

  18. 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

  19. Black holes as beads on cosmic strings

    OpenAIRE

    Ashoorioon, Amjad; B. Mann, Robert

    2014-01-01

    We consider the possibility of formation of cosmic strings with black holes as beads. We focus on the simplest setup where two black holes are formed on a long cosmic string. It turns out the in absence of a background magnetic field and for observationally viable values for cosmic string tensions, $\\mu

  20. Metallic gold beads in hyaluronic acid

    DEFF Research Database (Denmark)

    Pedersen, Dan Sonne; Tran, Thao Phuong; Smidt, Kamille;

    2013-01-01

    exploiting macrophage-induced liberation of gold ions (dissolucytosis) from gold surfaces. Injecting gold beads in hyaluronic acid (HA) as a vehicle into the cavities of the brain can delay clinical signs of disease progression in the MS model, experimental autoimmune encephalitis (EAE). This study...... effects of hyaluronic acid....

  1. 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.

  2. Microwave assisted preparation of magnesium phosphate cement (MPC) for orthopedic applications: A novel solution to the exothermicity problem

    International Nuclear Information System (INIS)

    There are two interesting features of this paper. First, we report herein a novel microwave assisted technique to prepare phosphate based orthopedic cements, which do not generate any exothermicity during setting. The exothermic reactions during the setting of phosphate cements can cause tissue damage during the administration of injectable compositions and hence a solution to the problem is sought via microwave processing. This solution through microwave exposure is based on a phenomenon that microwave irradiation can remove all water molecules from the alkaline earth phosphate cement paste to temporarily stop the setting reaction while preserving the active precursor phase in the formulation. The setting reaction can be initiated a second time by adding aqueous medium, but without any exothermicity. Second, a special emphasis is placed on using this technique to synthesize magnesium phosphate cements for orthopedic applications with their enhanced mechanical properties and possible uses as drug and protein delivery vehicles. The as-synthesized cements were evaluated for the occurrences of exothermic reactions, setting times, presence of Mg-phosphate phases, compressive strength levels, microstructural features before and after soaking in (simulated body fluid) SBF, and in vitro cytocompatibility responses. The major results show that exposure to microwaves solves the exothermicity problem, while simultaneously improving the mechanical performance of hardened cements and reducing the setting times. As expected, the cements are also found to be cytocompatible. Finally, it is observed that this process can be applied to calcium phosphate cements system (CPCs) as well. Based on the results, this microwave exposure provides a novel technique for the processing of injectable phosphate bone cement compositions. - Highlights: • A microwave assisted system for bone cement manufacturing • A solution to exothermicity problem of acid–base reaction based bone cement

  3. MTA versus Portland cement: review of literature

    Directory of Open Access Journals (Sweden)

    Naiana Viana Viola

    2011-10-01

    Full Text Available Introduction: Both Mineral Trioxide Aggregate (MTA and Portland cement (PC have been highlighted because of their favorable biological properties, with extensive applications in Endodontics, including the possibility of using into root canal filling. Objective: This article reviews literature related to MTA and PC comparing their physical, chemical and biological properties, as well as their indications. Literature review: Literature reports studies revealing the similarities between these materials’ properties, including both biocompatibility and bone repair induction. Moreover, there is the need for the development of a root canal sealer based on these materials (MTA and PC. Conclusion: MTA and CP show promissory perspective both in Dentistry and Endodontics.

  4. Approaching prehistoric skills: experimental drilling in the context of bead manufacturing

    Directory of Open Access Journals (Sweden)

    Maria Gurova

    2013-12-01

    Full Text Available From the very Early Neolithic in the Balkans two categories of objects are recognized as having been involved in prehistoric drilling activities. The first is beads and other decorative and prestigious items made of bone, shell, pottery and various minerals. The second comprises toolkits of micro-perforators/borers found among the flint assemblages of several sites. This paper presents experiments in drilling different materials with the aim of testing several practical issues. A series of micro-borers were produced and used for manual and mechanical drilling (with a pump drill. Various samples (mainly prepared thin plates of minerals and rocks were used, ranging in hardness (on Mohs scale from 3 (marble, limestone, calcite to 6.5 (amazonite, nephrite. Biominerals were also used: aragonite (shells and apatite (bones. Actual bead production was approached by manufacturing 16 delicate beads of 5 different materials using fine sand and water abrasion. Though not conclusive, the experimental work was instructive in many of the parameters, procedures and technical details of prehistoric drilling.

  5. Motion of beads in an oscillatory rotating fluid: micro-bead-beating

    Science.gov (United States)

    Nadim, Ali; Sterling, James; Doebler, Robert

    2008-11-01

    One method for mechanical lysis of biological cells and spores is to mix them with a suspension of beads and vigorously ``shake'' the mixture. The precise mechanisms of lysis are not understood but lysis is thought to result from collisions between the beads and the cells and the associated stresses exerted on the cells. For instance, in the micro-bead-beater^TM instrument from Claremont BioSolutions LLC (Upland, CA), the ``shaking'' occurs when a small cartridge filled with a mixture of cells/spores and 100-micron beads is driven at high frequencies in a small arc trajectory. In this presentation, we describe our initial modeling effort aimed at understanding this system via analysis of the trajectories of beads within such an instrument. The equations governing the motion of non-neutrally-buoyant spherical beads in an oscillatory rotating flow are derived and analyzed numerically. The resulting trajectories are found to be quite complex and very different from those in a steadily rotating fluid. A catalog of possible trajectories at various values of the governing dimensionless parameters is presented.

  6. New Nanoparticles Dispersing Beads Mill with Ultra Small Beads and its Application

    International Nuclear Information System (INIS)

    Two of the major problems related to nanoparticle dispersion with a conventional beads mill are re-agglomeration and damage to the crystalline structure of the particles. The Ultra Apex Mill was developed to solve these problems by enabling the use of ultra-small beads with a diameter of less than 0.1mm. The core of this breakthrough development is centrifugation technology which allows the use of beads as small as 0.015mm. When dispersing agglomerated nanoparticles the impulse of the small beads is very low which means there is little influence on the particles. The surface energy of the nanoparticles remains low so the properties are not likely to change. As a result, stable nanoparticle dispersions can be achieved without re-cohesion. The Ultra Apex Mill is superior to conventional beads mills that are limited to much larger bead sizes. The technology of the Ultra Apex Mill has pioneered practical applications for nanoparticles in various fields: composition materials for LCD screens, ink-jet printing, ceramic condensers and cosmetics.

  7. Small bowel obstruction due to ingested superabsorbent beads

    Directory of Open Access Journals (Sweden)

    Hao D. Pham

    2015-05-01

    Full Text Available Superabsorbent water beads have found many uses as household decorative items, crafts, and other industrial uses. We report a case of ingestion of several LiquiBlock Rainbow brand superabsorbent beads by a ten month old girl leading to small bowel obstruction requiring laparotomy and removal of the beads.

  8. Vibrational investigation of calcium-silicate cements for endodontics in simulated body fluids

    Science.gov (United States)

    Taddei, Paola; Modena, Enrico; Tinti, Anna; Siboni, Francesco; Prati, Carlo; Gandolfi, Maria Giovanna

    2011-05-01

    Calcium-silicate MTA (Mineral Trioxide Aggregate) cements have been recently developed for oral and endodontic surgery. This study was aimed at investigating commercial (White ProRoot MTA, White and Grey MTA-Angelus) and experimental (wTC-Bi) accelerated calcium-silicate cements with regards to composition, hydration products and bioactivity upon incubation for 1-28 days at 37 °C, in Dulbecco's Phosphate Buffered Saline (DPBS). Deposits on the surface of the cements and the composition changes during incubation were investigated by micro-Raman and ATR/FT-IR spectroscopy, and pH measurements. Vibrational techniques disclosed significant differences in composition among the unhydrated cements, which significantly affected the bioactivity as well as pH, and hydration products of the cements. After one day in DPBS, all the cements were covered by a more or less homogeneous layer of B-type carbonated apatite. The experimental cement maintained a high bioactivity, only slightly lower than the other cements and appears a valid alternative to commercial cements, in view of its adequate setting time properties. The bioactivity represents an essential property to favour bone healing and makes the calcium-silicate cements the gold standard materials for root-apical endodontic surgery.

  9. Biomechanical analysis of different types of pedicle screw augmentation: a cadaveric and synthetic bone sample study of instrumented vertebral specimens.

    Science.gov (United States)

    Chao, Kuo-Hua; Lai, Yu-Shu; Chen, Wen-Chuan; Chang, Chia-Ming; McClean, Colin J; Fan, Chang-Yuan; Chang, Chia-Hao; Lin, Leou-Chyr; Cheng, Cheng-Kung

    2013-10-01

    This study aims to determine the pull-out strength, stiffness and failure pull-out energy of cement-augmented, cannulated-fenestrated pedicle screws in an osteoporotic cadaveric thoracolumbar model, and to determine, using synthetic bone samples, the extraction torques of screws pre-filled with cement and those with cement injected through perforations. Radiographs and bone mineral density measurements from 32 fresh thoracolumbar vertebrae were used to define specimen quality. Axial pull-out strength of screws was determined through mechanical testing. Mechanical pull-out strength, stiffness and energy-to-failure ratio were recorded for cement-augmented and non-cement-augmented screws. Synthetic bone simulating a human spinal bone with severe osteoporosis was used to measure the maximum extraction torque. The pull-out strength and stiffness-to-failure ratio of cement pre-filled and cement-injected screws were significantly higher than the non-cement-augmented control group. However, the cement pre-filled and cement-injected groups did not differ significantly across these values (p=0.07). The cement pre-filled group had the highest failure pull-out energy, approximately 2.8 times greater than that of the cement-injected (pcement-injected group had a greater maximum extraction torque than the cement pre-filled group, but was statistically insignificant (p=0.17). The initial fixation strength of cannulated screws pre-filled with cement is similar to that of cannulated screws injected with cement through perforations. This comparable strength, along with the heightened pull-out energy and reduced extraction torque, indicates that pedicle screws pre-filled with cement are superior for bone fixation over pedicle screws injected with cement. PMID:23669371

  10. PART II. HYDRATED CEMENTS

    Directory of Open Access Journals (Sweden)

    Milan Drabik

    2014-09-01

    Full Text Available Essential focus of the study has been to acquire thermoanalytical events, incl. enthalpies of decompositions - ΔH, of technological materials based on two types of Portland cements. The values of thermoanalytical events and also ΔH of probes of technological compositions, if related with the data of a choice of minerals of calcium-silicate-sulfate-aluminate hydrates, served as a valued input for the assessment of phases present and phase changes due to the topical hydraulic processes. The results indicate mainly the effects of "standard humidity" or "wet storage" of the entire hydration/hydraulic treatment, but also the presence of cement residues alongside calcium-silicate-sulfate-aluminate hydrates (during the tested period of treatment. "A diluting" effect of unhydrated cement residues upon the values of decomposition enthalpies in the studied multiphase system is postulated and discussed

  11. Stability and interbody fusion of augmented pedicle screws with bone cement for lumbar spondylolisthesis accompanied with osteoporosis%骨水泥螺钉强化固定伴骨质疏松腰椎滑脱症的稳定性及椎间融合

    Institute of Scientific and Technical Information of China (English)

    姚珍松; 丁金勇; 唐永超; 陈康; 江晓兵; 梁德; 晋大祥; 庄洪; 张顺聪; 杨志东

    2016-01-01

    背景:对于骨质疏松严重的腰椎滑脱症患者,复位时易发生螺钉松动、拔出,或者修复后容易出现复位丢失及内固定失败,因此修复过程中提高椎弓根螺钉固定强度非常重要。目前有关骨水泥螺钉强化技术应用于伴骨质疏松腰椎滑脱症患者的报道较少。目的:探讨聚甲基丙烯酸甲酯骨水泥强化椎弓根螺钉置入内固定在伴骨质疏松腰椎滑脱症中的应用价值。方法:将2009年6月至2011年6月收治的27例伴骨质疏松的腰椎滑脱症患者纳入回顾性分析,均行聚甲基丙烯酸甲酯骨水泥强化椎弓根螺钉置入内固定治疗。采用 Oswestry 功能障碍指数、目测类比评分评价功能障碍与疼痛程度,治疗后以影像学检查评估内固定与融合情况,记录并发症。结果与结论:患者获得15-37个月随访。末次随访 Oswestry 功能障碍指数、目测类比评分均显著优于治疗前,差异有显著性意义(P <0.05)。治疗后影像学结果显示所有患者的骨水泥与骨质界面结合紧密,螺钉及骨水泥位置良好,未发生有症状的骨水泥渗漏,末次随访无内固定失败,患者均获椎间融合。提示聚甲基丙烯酸甲酯骨水泥可增加骨质疏松椎体中椎弓根螺钉的把持力,骨水泥钉道强化固定伴骨质疏松的腰椎滑脱症安全有效,可得到满意的固定稳定性及椎间融合。%BACKGROUND: In lumbar spondylolisthesis patients with severe osteoporosis, screw is easily loose and pul s out during reposition, or loss of reduction and internal fixation failure easily occur after repair. Therefore, it is very important to elevate the intensity of pedicle screw fixation during repair. At present, few studies concern application of bone cement screw enhancement technology in lumbar spondylolisthesis patients with osteoporosis. OBJECTIVE: To investigate the clinical value of augmented pedicle screw with

  12. Technology Roadmaps: Cement

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    To support its roadmap work focusing on key technologies for emissions reductions, the International Energy Agency (IEA) also investigated one particular industry: cement. Cement production includes technologies that are both specific to this industry and those that are shared with other industries (e.g., grinding, fuel preparation, combustion, crushing, transport). An industry specific roadmap provides an effective mechanism to bring together several technology options. It outlines the potential for technological advancement for emissions reductions in one industry, as well as potential cross-industry collaboration.

  13. Concrete = aggregate, cement, water?

    International Nuclear Information System (INIS)

    Concrete for the Temelin nuclear power plant is produced to about 70 different formulae. For quality production, homogeneous properties of aggregates, accurate proportioning devices, technological discipline and systematic inspections and tests should be assured. The results are reported of measuring compression strength after 28 days for different concrete samples. The results of such tests allow reducing the proportion of cement, which brings about considerable savings. Reduction in cement quantities can also be achieved by adding ash to the concrete mixes. Ligoplast, a plasticizer addition is used for improving workability. (M.D). 8 figs

  14. Mechanics research of bone cement augmentation on pedicle screw in revision of internal lumbar fixation%椎弓根螺钉骨水泥强化技术在腰椎内固定翻修手术中的力学研究

    Institute of Scientific and Technical Information of China (English)

    陈路; 廖琦; 龚玉琴

    2014-01-01

    目的:评价骨水泥强化技术在钉道扩大时对椎弓根螺钉固定强度的影响,为腰椎内固定翻修选择可靠的补救技术提供依据。方法选用成人尸体腰椎标本40个,观察组进行骨水泥强化,对照组普通方法置钉,进行生物力学检测。结果两种固定方法的最大轴向拔出力及最大旋出扭矩具有显著性差异(P<0.001),并提示弱相关。结论(1)在腰椎内固定翻修手术中,对椎弓根螺钉进行骨水泥强化可以有效提高椎弓根螺钉的固定强度。(2)钉道本身的骨质量对进行强化后的椎弓根螺钉固定强度影响有限。%Objective To evaluate the effect of bone cement augmentation technique on fixation strength of pedicle screw dur-ing trajectory expansion,to provide the basis of reliable remedial technique selection for revision of internal lumbar fixation.Methods A total of 40 lumbar vertebrae and 80 pedicles were obtained to stimulate the trajectory of pedicle needing revision after internal lumbar fixation surgery. 40 lumbar vertebrae were randomly divided into Group A and Group B ,with 20 simple fixed sides and 20 augmented fixed sides in each group. In Group A,pedicles on both sides of all the specimens were determined for the maximum axial pullout of strength;while in Group B,pedicles on both sides of all the specimens were detected for the maximum rotary torque,and differences between the two sides were compared. Results (1) There was significant difference between the two fixations,indicating a weak correlation. Conclusion (1)It was confirmed that in revision of internal lumbar fixation,bone cement augmentation on pedicle screw can effectively improve the strength of pedicle screw. (2)Maximum axial pullout of strength and maximum rotary torque in reinforced group were weakly correlated with those in the control group ,suggesting the bone quality of the trajectory had limited influence on the strength of reinforced pedicle screw

  15. Cementing a wellbore using cementing material encapsulated in a shell

    Energy Technology Data Exchange (ETDEWEB)

    Aines, Roger D.; Bourcier, William L.; Duoss, Eric B.; Spadaccini, Christopher M.; Cowan, Kenneth Michael

    2016-08-16

    A system for cementing a wellbore penetrating an earth formation into which a pipe extends. A cement material is positioned in the space between the wellbore and the pipe by circulated capsules containing the cement material through the pipe into the space between the wellbore and the pipe. The capsules contain the cementing material encapsulated in a shell. The capsules are added to a fluid and the fluid with capsules is circulated through the pipe into the space between the wellbore and the pipe. The shell is breached once the capsules contain the cementing material are in position in the space between the wellbore and the pipe.

  16. Bone Biopsy

    Science.gov (United States)

    ... Physician Resources Professions Site Index A-Z Bone Biopsy Bone biopsy uses a needle and imaging guidance ... limitations of Bone Biopsy? What is a Bone Biopsy? A bone biopsy is an image-guided procedure ...

  17. Clinical application of augmented pedicle screw fixation with bone cement in lumber spondylolisthesis accompanied with osteoporosis%骨水泥强化椎弓根螺钉在腰椎滑脱伴骨质疏松椎体中的临床应用

    Institute of Scientific and Technical Information of China (English)

    李鹏; 毛克亚; 王岩; 肖嵩华; 张永刚; 张西峰; 张雪松; 程自申; 毛克政

    2011-01-01

    目的 探讨骨水泥强化椎弓根螺钉在腰椎滑脱伴骨质疏松患者的手术方法和疗效.方法 2008年7月至2010年11月年期间收治腰椎滑脱伴骨质疏松患者12例,平均68岁.骨质疏松按Jikei分级Ⅱ级4例,Ⅲ级8例.所有患者行经椎弓根螺钉内固定,术中采用骨水泥强化提高螺钉稳定性,植入椎弓根螺钉共26枚,观察椎弓根螺钉术中及术后的稳定性.结果 患者未发生手术并发症,腰腿痛症状改善明显,术后VAS评分较术前比较改善明显.12例患者均获得随访,随访时间8-16个月,平均14个月.12例均获得骨性融合,X线片显示内固定无松动、断裂或脱落,螺钉周围未见透亮线出现.结论 经椎弓根骨水泥强化椎弓根螺钉,固化椎体的同时增加了椎弓根螺钉界面把持力,能够满足腰椎滑脱伴骨质疏松患者脊椎后路固定手术对力学稳定的要求.%Objective To explore the surgical method and efficacy of augmented pedicle screw fixation with bone cement for the treatment of lumber spondyiolisthesis accompanied with osteoporosis. Methods Twelve lumber spondyiolisthesis patients accompanied with osteoporosis were collected and treated from July 2008 to November 2010, with an average age of 68 years old. According to Jikei scale for osteoporosis, 4 patients were in stage II and 8 patients were in stage III. All patients were treated with internal fixations of pedicle screws and the stabilities of screws were augmented by bone cement augment during operations. Twenty-six pedicle screws were instrumented in this study. The stabilities of pedicle screws during and after the operation were observed. Results There were no operative complications. The symptoms of waist and leg pain were clearly alleviated. The VAS scores after operations were clearly ameliorated compared to those before the operation. All 12 patients were followed up for 8-16 months, with a mean of 14 months. All 12 patients achieved bone unions. The X

  18. Nursing of nail fixation combined with bone cement replantation treatment of femoral shaft nonunion.%交锁髓内钉固定结合骨泥回植治疗股骨干骨折不愈合的护理

    Institute of Scientific and Technical Information of China (English)

    柯阳芳; 邓月兴; 李文英; 黄瑞生; 樊仕才

    2009-01-01

    目的:探讨交锁髓内钉固定结合扩髓之骨泥回植治疗股骨干骨折不愈合的围手术期护理特点.方法:交锁髓内钉固定并将扩髓时产生的骨泥回植于骨折端治疗股骨干骨折不愈合29例,其中男23例,女6例.年龄26~54岁,平均39.5岁.术后48 h拔引流管,使用抗生素预防感染3 d,所有患者均未行外固定,摄X线片根据骨折稳定情况进行关节功能锻炼.结果:29例平均骨性愈合时间为47周,膝关节功能较术前明显改善,无感染、肢体短缩、旋转或成角畸形,无内固定断裂等并发症.结论:交锁髓内钉固定结合扩髓之骨泥回植治疗股骨干骨折不愈合,术前心理辅导、术前准备、术中配合监护、术后康复训练等环节护理对手术成功至关重要.%Objective:Discussion the characteristics of perioperative nursing of locked reamed intramedullary nailing for replantation of the bone cement treatment of femoral shaft fracture nonunion. Methods:Care line locked intramedullary reaming and nailing of the bone cement when replantation in the treatment of femoral shaft fracture nonunion in 29 cases, male 23 cases, six cases of women; age 26-54 years old, average 39.5 years old.After surgery 48h the drainage tube out, the use of antibiotics to prevent infection in 3 d, not all patients with external fixation line, taken X-ray conducted in accordance with the stability of articular fracture functional exercise.Results:Average of 29 cases of bone healing time for 47 weeks, pre-operative knee function improved significantly compared with no infection, limb shortening, rotation or angulation deformity, no complications such as fracture fixation. Conclusion:Locked reamed intramedullary nailing for replantation of the bone cement treatment of femoral shaft fracture nonunion of perioperative nursing, with emphasis on pre-operative psychological, preoperative preparation, intraoperative with guardianship, such as postoperative rehabilitation

  19. The mechanical effect of the existing cement mantle on the in-cement femoral revision.

    LENUS (Irish Health Repository)

    Keeling, Parnell

    2012-08-01

    Cement-in-cement revision hip arthroplasty is an increasingly popular technique to replace a loose femoral stem which retains much of the original cement mantle. However, some concern exists regarding the retention of the existing fatigued and aged cement in such cement-in-cement revisions. This study investigates whether leaving an existing fatigued and aged cement mantle degrades the mechanical performance of a cement-in-cement revision construct.

  20. A Biomimetic Hip Joint Simulator and its Application in in vitro Study of the Integrity of Replacement Cemented Hip

    Institute of Scientific and Technical Information of China (English)

    Liu Chao-zong; S.M.Green; N.D.Watkins; A.W.McCaskie

    2005-01-01

    A biomimetic hip joint simulator that can be used to evaluate the outcome of the cemented total hip replacement has been designed, manufactured and evaluated. The simulator produces motion in the extension/flexion plane, with a socket to rotate internal/externally. At the same time a dynamic loading cycle is applied. A validation test was performed on a cemented femoral stem within a novel composite femur. The bone quality has a strong effect on the stem migration and on the integrity of the interfaces. The migration of the stem is a combination of 3-D translation and rotation of the stem. Under the same loading conditions, weak bone allows more stem migration than strong bone. There is a great decrease in the strength of the stem-cement interface after the dynamic test, and the weak bone composite exhibited a greater reduction in interfacial strength than the strong bone composite. The decrease of the interfacial strength indicates that the primary bonding between the stem and the cement mantle had deteriorated and the integrity of stem-cement interface was damaged.The study demonstrates the value of using a hip joint simulator to investigate stem migration and interface integrity within the cemented hip replacement, suggesting that method can be used for in vitro evaluation of the biomaterials used in the cemented hip replacements.

  1. Defect detection of the weld bead based on electromagnetic sensing

    International Nuclear Information System (INIS)

    Characterization of flaws of weld bead is imperative for high-quality welding. Methods of weld bead inspection include radiographic, ultrasonic and vision inspection. However, such methods are costly and time consuming. The proposed sensor is light, low-cost and fast. This paper summarizes our work on weld bead monitoring and defect detection using an electromagnetic sensor. Measurements are acquired in the form of S-Parameters, specifically measuring changes in the reflected coefficient S11. The weld bead is scanned using the sensor and any form of weld bead defection such as undercutting and excessive penetration is detected and identified.

  2. A novel adjuvant: polymerised serum albumin beads

    International Nuclear Information System (INIS)

    There is an ongoing need to develop new vaccine formulations. To complement accumulating knowledge on the structure of antigens and their interaction with cells of the immune system, new vaccine vehicles to optimise the immunogenic potential of the antigen must be developed. Associated with this adjuvanticity, should be minimal adverse side effects. This study was initiated to develop a vaccine vehicle, consisting of covalently cross-linked serum albumin beads, themselves non-immunogenic, containing virus. Following inoculation, in vivo proteolysis of the beads would allow a gradual release of antigen for sustained immunostimulation. This system might have application in virus vaccine programmes to improve low immunogenic vaccines, to allow optimal delivery of the recently derived synthetic virus subunit peptides as well as for inactivated virus vaccine preparations. 35S-methionine labelled Blue Tongue Virus was used in this study

  3. Superparamagnetic bead interactions with functionalized surfaces characterized by an immunomicroarray

    DEFF Research Database (Denmark)

    Skottrup, Peter Durand; Hansen, Mikkel Fougt; Moresco, Jacob Lange;

    2010-01-01

    Magneto-resistive sensors capable of detecting superparamagnetic micro-/nano-sized beads are promising alternatives to standard diagnostic assays based on absorbance or fluorescence and streptavidin-functionalized beads are widely used as an integral part of these sensors. Here we have developed an...... SiO2 performed better than polyethylene glycol-modified surfaces Two beads, Masterbeads and M-280 beads, were found to give superior results compared with other bead types. Antibody/ antigen interactions, Illustrated by C-reactive protein, were best performed with Masterbeads The results provide...... important information concerning the surface binding properties of streptavidin-functionalized beads and the immunomicroarray can be used when optimizing the performance of bead-based biosensors....

  4. Trivalent chromium sorption on alginate beads

    OpenAIRE

    Araújo, M. Manuela; Teixeira, J.A.

    1997-01-01

    The applicability of trivalent chromium removal from aqueous solutions using calcium alginate beads was studied. The equilibrium isotherms were plotted at two temperatures. The relationship between the chromium sorbed and the calcium released was determined as well as the effect of alginate amount and initial pH on the equilibrium results. Chromium sorption kinetics were evaluated as a function of chromium initial concentration and temperature. Transport properties of trival...

  5. RF Bead Pull Measurements of the DQW

    CERN Document Server

    Jaume, Guillaume

    2015-01-01

    This report was written within the framework of the CERN Summer Student Program. It is focused on the Radio Frequency study of the Double Quarter Wave Crab Cavity [1] considered for the crab-crossing scheme of the LHC Luminosity upgrade [2]. HFSS simulation [3] and Bead-Pull Measurements technique were used for the characterization of the higher-order terms of the main deflecting mode.

  6. Multi-loaded ceramic beads/matrix scaffolds obtained by combining ionotropic and freeze gelation for sustained and tuneable vancomycin release.

    Science.gov (United States)

    Hess, Ulrike; Mikolajczyk, Gerd; Treccani, Laura; Streckbein, Philipp; Heiss, Christian; Odenbach, Stefan; Rezwan, Kurosch

    2016-10-01

    For a targeted release against bacteria-associated bone diseases (osteomyelitis) ceramic beads with a high drug loading capacity, loaded with vancomycin as model antibiotic, are synthesized as drug carrier and successfully incorporated in an open porous hydroxyapatite matrix scaffold via freeze gelation to prevent bead migration at the implantation site and to extend drug release. We demonstrate that the quantity of loaded drug by the hydroxyapatite and β-tricalcium phosphate beads, produced by ionotropic gelation, as well as drug release can be tuned and controlled by the selected calcium phosphate powder, sintering temperature, and high initial vancomycin concentrations (100mg/ml) used for loading. Bead pore volume up to 68mm(3)/g, with sufficiently large open pores (pore size of up to 650nm with open porosity of 72%) and high surface area (91m(2)/g) account likewise for a maximum drug loading of 236mg/g beads or 26mg/sample. Multi-drug loading of the beads/matrix composite can further increase the maximum loadable amount of vancomycin to 37mg/sample and prolong release and antibacterial activity on Bacillus subtilis up to 5days. The results confirmed that our approach to incorporate ceramic beads as drug carrier for highly increased drug load in freeze-gelated matrix scaffolds is feasible and may lead to a sustained drug release and antibacterial activity. PMID:27287153

  7. Produktie van cement

    NARCIS (Netherlands)

    Smit JRK; Coenen PWHG; Matthijsen AJCM; LAE; TAUW

    1995-01-01

    This document on cement production has been published within the SPIN project. In this project information has been collected on industrial plants or industrial processes to afford support to governmental policy on emission reduction. This document contains information on the processes, emission sou

  8. Spray drying of bead resins: feasibility tests

    International Nuclear Information System (INIS)

    Rockwell International has developed a volume reduction system for low-level reactor wastes based on drying the wastes in a heated-air spray dryer. The drying of slurries of sodium sulfate, boric acid, and powdered ion exchange resins was demonstrated in previous tests. The drying of bead ion exchange resins can be especially difficult due to the relatively large size of bead resins (about 500 to 800 microns) and their natural affinity for water. This water becomes part of the pore structure of the resins and normally comprises 50 t 60 wt % of the resin weight. A 76-cm-diameter spray dryer was used for feasibility tests of spray drying of cation and anion bead resins. These resins were fed to the dryer in the as-received form (similar to dewatered resins) and as slurries. A dry, free-flowing product was produced in all the tests. The volume of the spray-dried product was one-half to one-third the volume of the as-received material. An economic analysis was made of the potential cost savings that can be achieved using the Rockwel spray dryer system. In-plant costs, transportation costs, and burial costs of spray-dried resins were compared to similar costs for disposal of dewatered resins. A typical utility producing 170 m3 (6,000 ft3) per year of dewatered resins can save $600,000 to $700,000 per year using this volume reduction system

  9. Confidence HIGH VISCOSITY BONE CEMENT SYSTEM AND POSTURAL REDUCTION IN TREATING ACUTE SEVERE OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES%Confidence高黏度骨水泥椎体成形系统结合体位复位治疗急性重度骨质疏松性椎体压缩骨折

    Institute of Scientific and Technical Information of China (English)

    李波; 王群波; 余雨; 杜维; 邵高海

    2011-01-01

    目的 探讨应用Confidence高黏度骨水泥椎体成形系统结合体位复位治疗急性重度骨质疏松性椎体压缩骨折(osteoporotic vertebral compression fracture,OVCF)的临床效果.方法 回顾分析2004年6月-2009年6月采用Confidence高黏度骨水泥及其椎体成形系统结合体位复何治疗34例急性重度OVCF患者的临床资料.男14例,女20例;年龄62~88岁,平均72.6岁.均为单椎体骨折.损伤节段:T114例,T1210例,L115例,L24例,L31例.骨密度测定T值均≤-2.5,提示骨质疏松.伤后至入院时间2~72 h.术前先对压缩椎体行腰椎过伸位复位7~14 d,术中采用单侧穿刺,经椎弓根入路,每个椎体注射骨水泥2~6 mL,平均3.2 mL.结果 术中3例(8.8%)椎体出现不同程度骨水泥渗漏,其中2例椎体渗漏全椎间隙,1例椎体渗漏至椎旁软组织;均无临床症状,末行处理.患者均无肺栓塞、感染和神经损伤等并发症发生.34例均获随访,随访时间12~38个月,平均18.5个月.术后31例术前疼痛症状完全缓解,3例部分缓解;未见伤椎再骨折、骨与骨水泥界面松动及相邻椎体骨折发生.术后3 d及未次随访时伤椎前中柱椎体高度、后凸Cobb角及疼痛视觉模拟评分(VAS)均较术前显著改善(P0.05).结论 Confidence高黏度骨水泥椎体成形系统具有瞬间高黏度、可注射时间长、定向可控注射等优点,降低了骨水泥渗漏风险,术前结合体何复位治疗急性重度OVCF疗效较好.%Objective To evaluate the effectiveness of Confidence high viscosity bone cement system and postural reduction in treating acute severe osteoporotic vertebral compression fracture (OVCF).Methods Between June 2004 and June 2009, 34 patients with acute severe OVCF were treated with Confidence high viscosity bone cement system and postural reduction.There were 14 males and 20 females with an average age of 72.6 years (range, 62-88 years).All patients had single thoracolumbar fracture, including 4

  10. 骨水泥强化椎弓根螺钉固定治疗伴骨质疏松腰椎管狭窄症临床应用%Clinical application of bone cement augmentation of pedicle screws in lumbar spinal canal stenosis with osteoporosis

    Institute of Scientific and Technical Information of China (English)

    孙治国; 王浩; 赵喜滨; 袁宏

    2015-01-01

    Objective To investigate the clinical application of bone cement augmentation of pedicle screws in lumbar spinal canal stenosis with osteoporosis.Methods From June 2010 to June 2013,13 patients ( 4 males,9 females ) of lumbar spinal canal stenosis with osteoporosis were recruited,with an average age of 68 years old ( range: 61-77 years ).Nine cases were in stage two.Four cases were in stage three.Assessing osteoporosis according to Jikei,there were 4 cases of stage Ⅱ and 9 cases of Ⅲ.Bone cement augmentation of the screw channel was conducted before pedicle screw ifxation.Thirty-six bone cement augmented pedicle screws were implanted.Using X-ray during and after the operation to compare pedicle screw positions and observe the stability.Visual analogue scores ( VAS ) was applied to evaluate low back pain and leg pain 1 day before surgery,7 days and 3 months postoperatively.Results Complications due to the bone cement leakage,heat-induced effects and toxicity in the screw implantation process did not occur.The low back pain and leg pain symptoms were improved signiifcantly 1 week postoperatively.VAS were ( 2.20 ± 1.18 ) points and ( 2.32 ± 0.35 ) points respectively,with statistical signiifcance comparing with preoperative condition (P<0.05 ).VAS were ( 1.82 ± 0.15 ) points and ( 1.14 ± 0.44 ) points in 3 months postoperatively,with no statistical significance comparing with the condition 1 week postoperatively (P>0.05 ).Thirteen patients were followed up.The average followed up time was 14 months ( range: 8-16 months ).Thirteen cases obtained bony fusion.X-ray showed no loosening,fracture or falling of the internal fixation.No radiolucent lines appeared around the screws.Conclusions Application of bone cement augmentation of pedicle screws in lumbar spinal canal stenosis with osteoporosis can receive satisfactory short-term clinical outcomes.%目的 探讨骨水泥强化椎弓根螺钉在腰椎管狭窄伴骨质疏松患者的临床疗效.方法 2010年6

  11. Mechanical property and in vitro biocompatibility of brushite cement modified by polyethylene glycol

    International Nuclear Information System (INIS)

    Brushite (dicalcium phosphate dihydrate, DCPD) cement, owing to its high solubility in physiological condition and ability to guide new bone formation, is widely used to treat bone defects. In the present study, we have evaluated the effects of poly ethylene glycol (PEG) addition on the setting time, compressive strength and in vitro biocompatibility of brushite cement. The brushite cements were prepared by mixing β-tricalcium phosphate [β-TCP, Ca3(PO4)2] and monocalcium phosphate monohydrate [MCPM, Ca(H2PO4)2 ⋅ H2O]. PEG was introduced at 2.0 and 5.0 wt% with the liquid. Introduction of PEG resulted in marginal increase in both initial and final setting time, however, significantly affected the compressive strength. Effects of PEG incorporation on in vitro biocompatibility of brushite cements were studied by using human fetal osteoblast cells (hFOB) cells. Field emission scanning electron microscope (FESEM) images and immunohistochemical analysis indicated that pure and PEG incorporated brushite cement facilitates cell adhesion, proliferation and differentiation. Fewer cells expressed vinculin protein with increased PEG content in the cement. Cell proliferation was found to decrease with increased PEG concentration while the cell differentiation increased with PEG content. Our results provide a better understanding of in vitro biocompatibility of PEG added brushite cements that can be used to customize the cement compositions based on application need. - Highlights: ► Setting time was not altered for brushite cement with PEG addition. ► hFOB cell proliferation was found to decrease with increased PEG concentration in brushite cement. ► Enhanced ALP activity was noticed with addition of PEG in brushite cements.

  12. Alpha-tricalcium phosphate cement in the reconstruction of bone defects in rats Cimento de alfa-tricálcio-fosfato na reconstrução de defeitos ósseos em ratos

    Directory of Open Access Journals (Sweden)

    João Gabriel Souza Pinto

    2011-04-01

    Full Text Available PURPOSE: To evaluate the ability of a mixture of α-TCP and autogenous bone (AB vs. α-TCP alone and AB alone to promote new bone formation and tissue repair in bone defects. METHODS: Bone defects surgically created in 15 male Wistar rats were divided into four groups: Group I (AB, Group II (α-TCP, Group III (α-TCP+AB assessed by light microscopy, and Group IV (α-TCP+AB assessed by scanning electron microscopy. Bone repair findings were assessed at 30, 60, and 120 days postoperatively. RESULTS: The histological findings obtained in Groups I (p=0.459, II (p=0.368, and III (p=0.459 and at 30 days (p=0.717, 60 days (p=0.717, and 120 days (p=0.779 did not show statistically significant differences. Scanning electron microscopy revealed direct contact between the α-TCP+AB implant and the bone tissue at 120 days. CONCLUSION: The α-TCP implant is effective alternative bone substitutes for the treatment of critical size bone defects.OBJETIVO: Avaliar a capacidade da mistura de α-TCP e osso autógeno (OA Vs somente α-TCP e somente OA em promover a neoformação óssea e reparo tecidual em defeitos ósseos. MÉTODOS: Foram criados cirurgicamente defeitos ósseos em 15 ratos Wistar machos, distribuídos em quatro grupos: Grupo I (OA, Grupo II (α-TCP, Grupo III (α-TCP + OA avaliado por microscopia de luz e Grupo IV (α-TCP + OA avaliado por microscopia eletrônica de varredura. Os resultados da reparação óssea foram avaliados em 30, 60 e 120 dias. RESULTADOS:os achados histológicos obtidos nos grupos I (p = 0,459, II (p = 0,368 e III (p = 0,459 e aos 30 dias (p = 0,717, 60 dias (p = 0,717, e 120 dias (p = 0,779 não apresentaram diferenças estatisticamente significativas. A análise por microscopia eletrônica de varredura revelou contacto direto entre o implante de α-TCP + AO e o tecido ósseo aos 120 dias. CONCLUSÃO: O implante de α-TCP é alternativa eficaz como substitutos ósseos para o tratamento de defeitos ósseos de tamanho crítico.

  13. Spatial distribution of the trace elements zinc, strontium and lead in human bone tissue ☆

    OpenAIRE

    Pemmer, B.; Roschger, A.; Wastl, A.; Hofstaetter, J.G.; Wobrauschek, P.; Simon, R.; Thaler, H. W.; Roschger, P; Klaushofer, K.; Streli, C.

    2013-01-01

    Trace elements are chemical elements in minute quantities, which are known to accumulate in the bone. Cortical and trabecular bones consist of bone structural units (BSUs) such as osteons and bone packets of different mineral content and are separated by cement lines. Previous studies investigating trace elements in bone lacked resolution and therefore very little is known about the local concentration of zinc (Zn), strontium (Sr) and lead (Pb) in BSUs of human bone. We used synchrotron radia...

  14. 骨水泥强化椎弓根钉固定联合椎体成形术治疗重度骨质疏松性脊柱骨折%Pedicle screw fixation strengthened with bone cement combined with vertebroplasty for the treatment of severe osteoporotic fractures

    Institute of Scientific and Technical Information of China (English)

    胡明; 李大伟; 黄凤山; 刘玉川; 杨达宇; 马远征

    2011-01-01

    Objective To explore the peri-operative treatment and clinical efficacy of pedicle screw fixation strengthened with bone cement combined with vertebroplasty for the treatment of severe osteoporotic fractures. Methods The clinical data of 15 patients with severe vertebral osteoporotic compression fractures were retrospectively analyzed from August 2005 to April 2009. The average age of the patients was 63. 1 years old. They had no severe basal diseases. They were all treated with posterior pedicle screw fixation strengthened with bone cement combined with vertebroplasty. All patients were followed up for 10-38 months (21 months in average) after the operation. Results All patients could tolerate the surgery and the average operating time was 106. 7 ±5. 3 min. The average bleeding volume was 370 ± 6. 1 ml. The twist and back pain were significantly ameliorated after the surgery. The height of vertebral body recovered back to 90% after operation. The height loss was not obvious during the following up. Conclusion The efficacy of pedicle screw fixation strengthened with bone cement combined with vertebroplasty for the treatment of severe osteoporotic fractures is good at correcting fracture and maintaining the recovering effect of the vertebra. The key point of this therapy is the surgical indication and osteoporotic medicine treatment.%目的 探讨骨水泥强化椎弓根钉固定联合椎体成形术治疗严重骨质疏松性椎体压缩骨折的围术期处理和临床疗效.方法 回顾分析2005年8月~ 2009年4月收治的15例严重骨质疏松性椎体压缩骨折患者的临床资料,平均63.1岁,无重大基础病存在,经脊柱后入路椎弓根钉撑开复位,钉道采用骨水泥灌注加强并行经伤椎椎体成形术.术后随访10~ 38个月,平均21月.结果 均耐受手术,平均手术时间为106.7±5.3min;平均失血量为370±6.1ml,术后腰背痛明显改善,椎体高度恢复至90%左右,随访椎体高度

  15. Effects of vascular distribution in the thoracolumbar vertebral body and puncture in the safe zone on bone cement leakage%胸腰段椎体内血管分布与安全区内穿刺减少骨水泥的渗漏*

    Institute of Scientific and Technical Information of China (English)

    唐志宏; 邹国耀; 肖颖; 高旭; 吴岳

    2013-01-01

    BACKGROUND: According to the research, bone cement leakage has been mostly connected with vertebral venous return in the vertebroplasty treatment for vertebral compression fractures. OBJECTIVE: To analyze the vascular distribution of the thoracolumbar vertebral body, providing the theoretical basis for the prevention of bone cement leakage during the implementation of vertebroplasty. METHODS: There were 100 vertebral compression fracture patients, 30 of whom with T11 vertebra fracture,17 with T12 vertebra fracture, 25 with L1 vertebra fracture, and 28 with L2 RESULTS AND CONCLUSION: There was no significant difference in the distribution of venous grooves of the four groups. The data indicated that the course of venous grooves and the scope of safe zone among the vertebral body remained relatively constant. No statistical difference was noted in the average height of vertebra, vertebral pedicle or venous grooves plane in the vertebra, giving evidence that vertebral pedicle lies in the top 2/3 of the vertebra and venous grooves lies in the top 2/3 of the vertebral pedicle. There were constant safe zones in the thoracolumbar vertebral body. Improving the angle of puncture during the implementation of vertebroplasty contributes to the decrease of bone cement leakage. with CT before operation to detect the distribution of venous grooves, the position of safe zone and venous grooves in the vertebra.%  背景:研究发现骨水泥渗漏大多与椎体成形治疗椎体压缩性骨折中椎体静脉回流相关。目的:分析胸腰段椎体血管分布规律,为施行椎体成形治疗时预防骨水泥渗漏提供理论依据。方法:选择100例胸腰段压缩性骨折患者,其中T11椎体骨折组30例,T12椎体骨折组17例,L1椎体骨折组25例,L2结果与结论:各组椎体血管沟角度分布差异无显著性意义,表明椎体间血管沟走向及安全区范围相对恒定。各组椎体平均高度、椎弓根平均高度和血管

  16. 骨水泥强化与常规椎弓根螺钉固定治疗老年退行性腰椎疾病的比较%Comparison of bone cement augmented with traditional pedicle screw in the treatment of degenerative lumbar disease

    Institute of Scientific and Technical Information of China (English)

    吴志彬; 刘宏建; 尚国伟; 贾杰; 魏琛; 王俊魁; 周权发; 皮国富; 王义生

    2015-01-01

    目的 比较骨水泥强化与常规椎弓根螺钉固定治疗老年退行性腰椎疾病的疗效.方法 回顾性分析2013年5月至2015年5月采用腰椎融合术治疗40例老年退行性腰椎疾病患者资料,根据置入椎弓根螺钉的椎体内是否注入骨水泥分为常规组(未置入骨水泥,20例,男5例,女15例;年龄平均73.2岁;腰椎间盘突出 12例,腰椎管狭窄8例)和骨水泥强化组(置入骨水泥,20例,男6例,女14例;年龄平均73.7岁;腰椎间盘突出12例,腰椎管狭窄8例),螺钉分别置入L3、L4、L5及S1共170个椎体.分别评估术前、术后30天及末次随访的Oswestry功能障碍指数、固定节段上位相邻椎间隙高度、固定节段上位相邻椎体变形指数、固定节段Cobb角、固定节段椎体上缘终板及相邻上位椎体下缘终板凹陷角度.结果 40例患者经3~24个月随访,平均随访12.2个月.末次随访Oswestry功能障碍指数常规组及骨水泥强化组评分分别为13.0%±4.9%和11.0%±8.0%,两组比较差异无统计学意义.末次随访与术后30 d的平均Cobb角的变化值常规组及骨水泥强化组分别为5.53°±1.64°、2.15°±0.97°.骨水泥强化组术后30 d出现上终板凹陷角度增大,末次随访时相邻上位椎体下终板凹陷角度、椎体变形指数及相邻椎间隙均减小,且前两项指标的改变程度明显大于常规组.结论 骨水泥强化与常规椎弓根螺钉固定均能缓解患者症状,但骨水泥强化椎弓根螺钉能明显提高老年患者内固定术后椎体的稳定性.%Objective To compare post-operative clinical outcomes between bone cement augmented pedicle screw and traditional pedicle screw in treatment of degenerative lumbar disease.Methods Data of 40 cases with lumbar degenerative disease who had surgery from May 2013 to May 2015 were retrospectively analyzed.They were divided into two groups according to whether the bone cement was injected in the vertebral body with pedicle

  17. Masquelet Technique for Treatment of Posttraumatic Bone Defects

    OpenAIRE

    Tak Man Wong; Tak Wing Lau; Xin Li; Christian Fang; Kelvin Yeung; Frankie Leung

    2014-01-01

    Masquelet technique, which is the use of a temporary cement spacer followed by staged bone grafting, is a recent treatment strategy to manage a posttraumatic bone defect. This paper describes a series of 9 patients treated with this technique of staged bone grafting following placement of an antibiotic spacer to successfully manage osseous long bone defects. The injured limbs were stabilized and aligned at the time of initial spacer placement. In our series, osseous consolidation was succe...

  18. Multiple characterization study on porosity and pore structure of calcium phosphate cements

    OpenAIRE

    Pastorino Carraz, David; Canal Barnils, Cristina; Ginebra Molins, Maria Pau

    2015-01-01

    Characterization of the intricate pore structure of calcium phosphate cements is a key step to successfully link the structural properties of these synthetic bone grafts with their most relevant properties, such as in vitro or in vivo behaviour, drug loading and release properties, or degradation over time. This is a challenging task due to the wide range of pore sizes in calcium phosphate cements, compared to most other ceramic biomaterials. This work provides a critical assessment of three ...

  19. Utilization of Alternative Fuels in Cement Pyroprocessing : the Messebo Factory case study in Ethiopia

    OpenAIRE

    Ebuy Teka, Axumawi

    2015-01-01

    Energy costs and environmental standards encouraged cement manufacturers worldwide to evaluate to what extent conventional fuels (Furnace oil, Coal and Petcock) can be replaced by alternative fuels in cement production, i.e. biomass or processed waste materials like sewage sludge, MSW (municipal solid waste), Refuse Derived Fuels (RDF), Tire Derived Fuel (TDF), Plastic Derived Fuel (PDF), Biomass Derived Fuels (BDF), meat and bone meal (MBM), etc.  High temperature of >1500 C, long residen...

  20. US cement industry

    Energy Technology Data Exchange (ETDEWEB)

    Nisbet, M.A.

    1997-12-31

    This paper describes the cement and concrete industry, and provides data on energy use and carbon dioxide emissions. The potential impact of an energy tax on the industry is briefly assessed. Opportunities identified for reducing carbon dioxide emissions include improved energy efficiency, alternative fuels, and alternative materials. The key factor in determining CO{sub 2} emissions is the level of domestic production. The projected improvement in energy efficiency and the relatively slow growth in domestic shipments indicate that CO{sub 2} emissions in 2000 should be about 5% above the 1990 target. However, due to the cyclical nature of cement demand, emissions will probably be above target levels during peak demand and below target levels during demand troughs. 7 figs., 2 tabs.

  1. 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

  2. Investigation the parameters for torsion ductility of bead wire

    International Nuclear Information System (INIS)

    Torsion testing is used to determine the quality of steel wire used for beads in pneumatic tires. However, strain aging (dynamic and static) caused by interstitial carbon and nitrogen atoms bound to mobile dislocations increases yield strength and decreases bead formability. Processing parameters of bead wire, such as line speed, lead bath temperature and wire diameter, were investigated, and theoretical calculations were made to estimate the effect of these parameters on strain aging. Nitrogen concentration was measured in bead wire samples with varying numbers of twists to failure during torsion testing. Surface morphologies of twisted bead wires were examined by scanning electron microscopy. Experimental data showed that torsional properties of bead wire were a function of stress relief temperature on and theoretical calculations showed that line speed and temperature have to be optimized for optimum torsion ductility.

  3. Injectable hybrid delivery system composed of gellan gum, nanoparticles and gentamicin for the localized treatment of bone infections

    NARCIS (Netherlands)

    Posadowska, Urszula; Brzychczy-Włoch, Monika; Drożdż, Anna; Krok-Borkowicz, Małgorzata; Wlodarczyk-Biegun, Gosia; Dobrzyński, Piotr; Chrzanowski, Wojciech; Pamuła, Elżbieta

    2016-01-01

    Objectives: Bone infections are treated with antibiotics administered intravenously, antibiotic-releasing bone cements or collagen sponges placed directly in the infected area. These approaches render limited effectiveness due to the lack of site specificity and invasiveness of implanting cements

  4. Tympanoplasty with ionomeric cement.

    Science.gov (United States)

    Kjeldsen, A D; Grøntved, A M

    2000-01-01

    Patients with isolated erosion of the long incus process suffer from severe hearing loss caused by lack of continuity of the ossicular chain. This study is a retrospective evaluation of the hearing results using two different surgical procedures. Since January 1993, 12 consecutive patients with isolated erosion of the long incus process have been treated with a new surgical technique in which the ossicular chain was rebuilt with ionomeric cement. The results in hearing performance (mean pure-tone average (PTA) 0.5, 1 and 2 kHz) were evaluated pre- and post-surgery, and compared to those in a group of 20 historical controls who underwent surgery in 1991 and 1992 using incus autograft interposition. Among the 12 index patients, 7 (58%) achieved improvement in PTA of > 10 dB, in 3 there was no difference and in 2 a slight decline. Among the 20 controls, 14 (70%) achieved improvement in PTA of > 10 dB, in 4 there was a slight improvement and in 2 a decline. The difference was not statistically significant. Hearing improvement using ionomeric cement in type II tympanoplasty was satisfactory. Reconstruction of the ossicular chain with ionomeric cement is recommended, as the procedure is easy to perform, presents less risk of damage to the stapes and cochlea, requires less extensive surgery and does not exclude other surgical methods in cases of reoperation. PMID:10909000

  5. Detection of ''beading faults'' in welded tubes

    International Nuclear Information System (INIS)

    In the steel tube industry the word ''beading'' refers to a highly localised leak affecting the welded zone. During the pneumatic test its flow rate is generally very low no more than a few thousandths of a mm3/second. Detection of such a fault by this test is consequently slow, and those which are choked or at the limit of leakage may escape detection. For greater safety, the tube technician is now using non-destructive testing methods such as eddy-currents and ultrasonics

  6. Bone Grafts

    Science.gov (United States)

    ... repair and rebuild diseased bones in your hips, knees, spine, and sometimes other bones and joints. Grafts can also repair bone loss caused by some types of fractures or cancers. Once your body accepts the bone ...

  7. Barium aluminate cement: its application

    International Nuclear Information System (INIS)

    The technology of manufacturing barium aluminate cement from barium sulfate and alumina, using a rotary kiln for firing the clinker is described. The method of granulation of the homogenized charge was used. Conditions of using the ''to mud'' method in industry were indicated. The physical and chemical properties of barium aluminate cement are determined and the quality of several batches of cement prepared on a semi-industrial scale and their suitability for making highly refractory concretes are tested. The optimal composition of the concretes is determined as a function of the mixing water and barium aluminate cement contents. Several experimental batches of concretes were used in the linings of furnaces in the steel industry. The suitability of these cements for use in fields other than steelmaking is examined. It is established that calcium aluminate cement has certain limited applications

  8. Development of temper bead welding by under water laser welding

    International Nuclear Information System (INIS)

    Toshiba has developed temper bead welding by under water laser welding as SCC counter measure for aged components in PWR and BWR nuclear power plants. Temper bead welding by under water laser welding technique recovers toughness of low alloy steel reactor vessel by employing proper the number of cladding layers and their welding conditions. In this report, some evaluation results of material characteristics of temper bead welded low alloy steel are presented. (author)

  9. Artemisia arborescens L essential oil loaded beads: Preparation and characterization

    OpenAIRE

    Lai, Francesco; Loy, Giuseppe; Manconi, Maria; Manca, Maria Letizia; Fadda, Anna Maria

    2007-01-01

    The purpose of this work was to prepare sodium alginate beads as a device for the controlled release of essential oil for oral administration as an antiviral agent. Different formulations were prepared with sodium alginate as a natural polymer and calcium chloride or glutaraldehyde as a cross-linking agent. Loading capacities of between 86% and 100% were obtained in freshly prepared beads by changing exposure time to the cross-linking agent. Drying of the calcium alginate beads caused only a ...

  10. Analysis of Femoral Components of Cemented Total Hip- Arthroplasty

    CERN Document Server

    Singh, Shantanu

    2014-01-01

    In cemented Total Hip Arthroplasty (THA), material chosen for femoral stem and cross section of stem itself, proved to be critical parameters for, stress distribution in the femoral components, interfacial stresses and micro movements. Titanium alloy (Ti6Al4V), when used as a material for femoral stem, recorded large displacement as compared to Chromium alloy (CoCrMo) stems. This large displacement in case of Ti6Al4V caused the stem to bend inside the cement mantle, thus destroying it. Thus, CoCrMo proved to be a better in cemented THA. Failure in THA may occur at cement-stem or cement-bone interface, thus interfacial stresses and micro movements were analysed in the present study. Comparison between trapezium and circular cross section showed that, femoral stem with trapezium cross section underwent lesser amount of sliding and debonding, at both interfaces, as compared to circular cross section. Moreover, trapezium cross section also generated lower peak stresses in femoral stem and cortical femur. The pres...

  11. 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.

  12. Subcutaneous ectopic osteogenesis induced by porous calcium phosphate cement and gelatin sponge as the carrier of recombinant bone morphogenetic protein-2 in rats:A comparative study%两种材料复合rhBMP-2诱导大鼠皮下异位成骨的比较研究

    Institute of Scientific and Technical Information of China (English)

    李想; 董纪元; 彭江; 汪爱媛; 睢翔; 赵斌; 刘道宏

    2011-01-01

    Objective To analyze the difference in subcutaneous ectopic osteogenesis induced by porous calcium phosphate cement (CPC) and gelatin sponge as a carrier of recombinant bone morphogenetic protein-2 (rhBMP-2). Methods Thirty Sprague Dawley rats with an average body weight of 200g were divided into groups A-D. CPC+rhBMP-2, CPC, gelatin sponge+rhBMP-2, and gelatin sponge were implanted into the rats after anesthesia. Ten rats were killed 2, 4 and 8 weeks after they were fed under sterile environment. Bone tissue samples were collected from the implantation sites. Tissue mineral density (TMD) and trabecular thickness were detected with micro-CT scanner and analyzed with SPSS 1 OX) statistical software. Bone tissue was fixed in 4% paraformaldehyde for 2 days, embedded in paraffin, and cut into sections. The sections were stained with H&E to observe their histological change. Results The tissue mineral density and trabecular thickness of the samples with rhBMP-2 were higher in two experimental groups 2,4 and 8 weeks after implantation, which increased with the prolongation of time (P<0.05). Conclusion Porous CPC can be used as a carrier of rhBMP-2 for osteogenesis.%目的 分析多孔自固化磷酸钙骨水泥(Calcium Phosphate Cement,CPC)和明胶海绵复合重组人骨形态发生蛋白(Recombinantion Humen Bone Morphogenetic Protein-2,rhBMP-2)诱导大鼠皮下异位成骨的区别.方法 平均质量200g SD大鼠30只,麻醉后分别植入A:多孔CPC复合rhBMP-2(2μg);B:多孔CPC;C:明胶海绵复合rhBMP-2(2μg);D:空白明胶海绵,无菌喂养后分别于2、4、8周各处死10只.对植入部位组织取材,分别进行micro-CT扫描,并使用Micview V2.1三维重建处理软件扫及ABA骨形态分析软件检测,记录组织骨密度(Tissue Mineral Density,TMD)及骨小梁厚度(Trabecular Thickness,Tb.Th).运用SPSS10.0统计软件进行统计学分析.后行甲醛固定2周,石蜡包埋切片,HE染色进行组织学观察.结果 在2、4、8

  13. Surgical Results of Lumbar Interbody Fusion Using Calcium Phosphate Cement

    OpenAIRE

    HIRASAWA, Motohiro; Mure, Hideo; Toi, Hiroyuki; Nagahiro, Shinji

    2014-01-01

    Clinical and radiological outcomes of lumbar interbody fusion using artificial fusion cages filled with calcium phosphate cements (CPCs) were retrospectively reviewed. Between 2002 and 2011, 25 patients underwent lumbar interbody fusion at Tokushima University Hospital, and 22 patients were enrolled in this study. Of these, 5 patients received autologous local bone grafts and 17 received CPC. Japan Orthopedic Association (JOA) score was used for clinical outcome assessments. Lumbar radiograph...

  14. Possible Usage of Cannulated Pedicle Screws without Cement Augmentation

    Directory of Open Access Journals (Sweden)

    Teyfik Demir

    2014-01-01

    Full Text Available Background: The use of pedicle screws is becoming increasingly popular for spinal surgery practice as the technology advances. Screw pullout due to bone quality and loading conditions is one of the most common problems observed after pedicle screw fixation. Several solutions were studied to prevent screw pullout. These can be investigated under three main categories: screw design, expandable screws and cement augmentation.

  15. [Haemotoxicity of dental luting cements].

    Science.gov (United States)

    Anders, A; Welker, D

    1989-06-01

    A glass ionomer luting cement (AquaCem) shows a relatively low haemolytic activity in comparison with two zinc phosphate cements. Especially the initial irritation by this cement is smaller. Although it is possible that AquaCem particularly, in unfavourable cases, may damage the pulpa dentin system; this is due to the slowly decrease of the haemolytic activity with increasing of the probes. We found that Adhesor showed in dependence of the batches a varying quality. PMID:2626769

  16. Ormosil Beads for Insulation of Ground Cryogenic Storage Tanks Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Organically modified silica (Ormosil) aerogel beads developed at Aspen Aerogels, Inc. offer several advantages for retrofitting perlite insulation in NASA's ground...

  17. Fast Drug Release Using Rotational Motion of Magnetic Gel Beads

    Directory of Open Access Journals (Sweden)

    Jun-Ichi Takimoto

    2008-03-01

    Full Text Available Accelerated drug release has been achieved by means of the fast rotation of magnetic gel beads. The magnetic gel bead consists of sodium alginate crosslinked by calcium chlorides, which contains barium ferrite of ferrimagnetic particles, and ketoprofen as a drug. The bead underwent rotational motion in response to rotational magnetic fields. In the case of bead without rotation, the amount of drug release into a phosphate buffer solution obeyed non-Fickian diffusion. The spontaneous drug release reached a saturation value of 0.90 mg at 25 minutes, which corresponds to 92% of the perfect release. The drug release was accelerated with increasing the rotation speed. The shortest time achieving the perfect release was approximately 3 minutes, which corresponds to 1/8 of the case without rotation. Simultaneous with the fast release, the bead collapsed probably due to the strong water flow surrounding the bead. The beads with high elasticity were hard to collapse and the fast release was not observed. Hence, the fast release of ketoprofen is triggered by the collapse of beads. Photographs of the collapse of beads, time profiles of the drug release, and a pulsatile release modulated by magnetic fields were presented.

  18. Non-constrictive bead immobilization leading to decreased and uniform shear stress in microfluidic bead-based ELISA

    CERN Document Server

    Mitra, Kinshuk; Chidambaram, Preethi; Maharry, Aaron P; Xu, Ronald X; Tweedle, Michael F

    2014-01-01

    Microfluidic biosensors have been utilized for sensing a wide range of antigens using numerous configurations. Bead based microfluidic sensors have been a popular modality due to the plug and play nature of analyte choice and the favorable geometry of spherical sensor scaffolds. While constriction of beads against fluid flow remains a popular method to immobilize the sensor, it results in poor fluidic regimes and shear conditions around sensor beads that can affect sensor performance. We present an alternative means of sensor bead immobilization using poly-carbonate membrane. This system results in several orders of magnitude lower variance of flow radially around the sensor bead. Shear stress experienced by our non-constrictive immobilized bead was three orders of magnitude lower. We demonstrate ability to quantitatively sense EpCAM protein, a marker for cancer stem cells and operation under both far-red and green wavelengths with no auto-fluorescence.

  19. Effect of calcium triphosphate cement on proximal humeral fracture osteosynthesis: a finite element analysis.

    Science.gov (United States)

    Kennedy, Jim; Feerick, Emer; McGarry, Patrick; FitzPatrick, David; Mullett, Hannan

    2013-08-01

    PURPOSE. To measure the effect of void-filling calcium triphosphate cement on the loads at the implant-bone interface of a proximal humeral fracture osteosynthesis using a finite element analysis. METHODS. Finite element models of a 3-part proximal humeral fracture fixed with a plate with and without calcium triphosphate cement augmentation were generated from a quantitative computed tomography dataset of an intact proximal humerus. Material properties were assigned to bone fragments using published expressions relating Young's modulus to local Hounsfield number. Boundary conditions were then applied to the model to replicate the physiological loads. The effect of void-filling calcium triphosphate cement was analysed. RESULTS. When the void was filled with calcium triphosphate cement, the pressure gradient of the bone surrounding the screws in the medial fracture fragment decreased 97% from up to 21.41 to 0.66 MPa. Peak pressure of the fracture planes decreased 95% from 6.10 to 0.30 MPa and occurred along the medial aspect. The mean stress in the screw locking mechanisms decreased 78% from 71.23 to 15.92 MPa. The angled proximal metaphyseal screw had the highest stress. CONCLUSION. Augmentation with calcium triphosphate cement improves initial stability and reduces stress on the implant-bone interface. PMID:24014777

  20. Chemo-physical modeling of cement mortar hydration: Role of aggregates

    International Nuclear Information System (INIS)

    Graphical abstract: - Abstract: After mixing of the cement with water, most of the anhydride products sustain the hydration process and this leads to the hydrate products, e.g. CSH, Ca(OH)2, Afm and Aft. The mentioned hydration process is a highly complex phenomenon involving the chemically based thermo-activation inside the cement mortars during the early age hydration process. The chemo-thermal hydration reactions drasticaly increase at the early age of hydration after the mixing action and then it becomes less important and turns to be nearly asymptotic. The progress of the hydration phenomenon drives the material properties change during the very early age of cement hydration. Regarding the mortar and concrete, such hydration process would not be homogeneous through the cement matrix due to the aggregates presence. These inclusions will affect the temperature distribution as well as degree of hydration. In the current contribution, the chemical and thermal hydration have been firstly investigated by means of SEM observations using replica method and secondly by the 3D-FEM numerical experiments including two different case studies using glass beads as aggregates. The numerical experiments match fairly good the experimental measurements obtained using a pseudo-adiabatic testing setup for the case studies herein. The scanning electron microscopy (SEM) images observation demonstrates the gap spaces around the glass beads next to the external surfaces. These gaps can be essentially seen for the multi-glass beads case study. The role of the temperature and degree of hydration gradients are clearly obtained using the numerical samples. Some fresh routes and outlooks have been afterwards discussed

  1. Bone remodelling after hip prostheses surgery: normal evolution patterns by bone scintigraphy

    International Nuclear Information System (INIS)

    Evaluation of hip prostheses is a common task in nuclear medicine practice. Physicians usually have problems to differentiate between changes in bone remodelling related to surgical procedures and complications like infection or loosening. Aim: To assess changes in bone remodelling after hip prostheses surgery by bone scintigraphy, and to determine normal evolution patterns of tracer uptake. To relate changes in bone remodelling with type of prostheses and clinical outcome. Materials and Methods: We studied 18 patients (6 males, mean age 68±10 years) who receipt a hip prostheses. Every patient underwent 3 bone scintigraphies, at 3 months, 1 year and 2 years after surgical implant of hip prostheses. Twelve prostheses were non-cemented, 3 were cemented and 3 hybrids. A semi-quantification of tracer uptake was performed, obtaining an uptake index from the average counts per pixel of regions of interest (ROIs) drawn around sacroiliac joints, acetabulum, greater trochanter, calcar, femur shaft, tip, and opposite normal femur. Sacroiliac joints and opposite normal femur were selected as reference areas. The uptake index was calculated by the formula: (ROI-reference)/reference. Clinical follow-up was performed at 3 months, 6 months, 1 year and 2 years. Results: While tracer uptake indexes of non-cemented prostheses decreased significantly in greater trochanter, calcar, femur shaft, and tip between 3 months-1 year studies, 1 year-2 years studies and between 3 months and 2 years studies (t-student, p<0.05), tracer uptake indexes did not decrease in acetabulum, opposite normal femur, and sacroiliac joint. On the contrary, cemented and hybrid prostheses did not show any significant difference in studied areas during the follow-up. All patients presented good clinical outcome, without pain and with correct mobility of the leg. Conclusion: These preliminary results indicate that, when non-cemented hip prostheses are implanted, there are important bone remodelling changes at 3

  2. Respiratory Health among Cement Workers in Ethiopia

    OpenAIRE

    Zeleke, Zeyede K.

    2011-01-01

    Background: Little is known on dust exposure and respiratory health among cement cleaners. There are only a few follow-up studies on respiratory health among cement factory workers and also studies on acute effects of cement dust exposure are limited in numbers. Objective: This study aimed at assessing cement dust exposure and adverse respiratory health effects among Ethiopian cement production workers, with particular focus on cement cleaners. Method: The first paper was...

  3. Cement embolus trapped in the inferior vena cava filter during percutaneous vertebroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Li, Zhi; Ni, Rui Fang; Zhao, Xin; Yang, Chao; Li, Ming Ming [First Affiliated Hospital of Soochow University, Suzhou (China)

    2013-06-15

    A 58-year-old female patient, diagnosed with adenocarcinoma of the lung, underwent percutaneous vertebroplasty at the L4 vertebral body due to painful spinal metastases. Because of deep venous thrombosis of the left femoral and iliac veins, an inferior vena cava filter had been placed before vertebroplasty. Bone cement migrated into the venous bloodstream and then was being trapped within the previously placed filter. This case illustrates that caval filter could capture the bone cement and prevent it from migrating to the pulmonary circulation.

  4. Cement embolus trapped in the inferior vena cava filter during percutaneous vertebroplasty

    International Nuclear Information System (INIS)

    A 58-year-old female patient, diagnosed with adenocarcinoma of the lung, underwent percutaneous vertebroplasty at the L4 vertebral body due to painful spinal metastases. Because of deep venous thrombosis of the left femoral and iliac veins, an inferior vena cava filter had been placed before vertebroplasty. Bone cement migrated into the venous bloodstream and then was being trapped within the previously placed filter. This case illustrates that caval filter could capture the bone cement and prevent it from migrating to the pulmonary circulation.

  5. Expansive failure reactions and their prevention in the encapsulation of phenol formaldehyde type ion exchange resins in cement based systems

    International Nuclear Information System (INIS)

    Lewatit DN is a phenol formaldehyde based ion exchange resin used to remove radioactive caesium from liquid waste streams such as fuel cooling ponds and effluents. This paper presents the results of a study of the encapsulation of the bead form of the resin in cement with particular reference to the mechanisms of its interaction with the encapsulant. When incorporated in pure ordinary Portland cement (OPC) at loadings in excess of 15 wt % an unstable product results due to expansion of the systems and at higher waste loadings failure results after only a few days. Evidence from differential scanning calorimetry, X-ray diffraction and scanning electron microscopy all indicate the cause of the expansive reaction to be the formation of crystals of calcium salts around and within the resin beads. Addition of BFS and sodium hydroxide prevent the formation of these salts by removal of calcium hydroxide from the system in other reactions. (author)

  6. Thermal Shock-resistant Cement

    Energy Technology Data Exchange (ETDEWEB)

    Sugama T.; Pyatina, T.; Gill, S.

    2012-02-01

    We studied the effectiveness of sodium silicate-activated Class F fly ash in improving the thermal shock resistance and in extending the onset of hydration of Secar #80 refractory cement. When the dry mix cement, consisting of Secar #80, Class F fly ash, and sodium silicate, came in contact with water, NaOH derived from the dissolution of sodium silicate preferentially reacted with Class F fly ash, rather than the #80, to dissociate silicate anions from Class F fly ash. Then, these dissociated silicate ions delayed significantly the hydration of #80 possessing a rapid setting behavior. We undertook a multiple heating -water cooling quenching-cycle test to evaluate the cement’s resistance to thermal shock. In one cycle, we heated the 200 and #61616;C-autoclaved cement at 500 and #61616;C for 24 hours, and then the heated cement was rapidly immersed in water at 25 and #61616;C. This cycle was repeated five times. The phase composition of the autoclaved #80/Class F fly ash blend cements comprised four crystalline hydration products, boehmite, katoite, hydrogrossular, and hydroxysodalite, responsible for strengthening cement. After a test of 5-cycle heat-water quenching, we observed three crystalline phase-transformations in this autoclaved cement: boehmite and #61614; and #61543;-Al2O3, katoite and #61614; calcite, and hydroxysodalite and #61614; carbonated sodalite. Among those, the hydroxysodalite and #61614; carbonated sodalite transformation not only played a pivotal role in densifying the cementitious structure and in sustaining the original compressive strength developed after autoclaving, but also offered an improved resistance of the #80 cement to thermal shock. In contrast, autoclaved Class G well cement with and without Class F fly ash and quartz flour failed this cycle test, generating multiple cracks in the cement. The major reason for such impairment was the hydration of lime derived from the dehydroxylation of portlandite formed in the autoclaved

  7. Minimally Invasive Pedicle Screw Fixation Combined with Vertebroplasty with Calcium Phosphate Bone Cement in the Treatment of Thoracolumbar Burst Fracture%微创椎弓根钉内固定联合磷酸钙骨水泥椎体成形术治疗胸腰椎爆裂性骨折

    Institute of Scientific and Technical Information of China (English)

    顾宇彤; 梁朝革; 张亮; 林红; 周健

    2015-01-01

    目的:评估微创椎弓根钉内固定(微小切口非空心椎弓根钉技术)联合磷酸钙骨水泥经皮穿刺椎体成形术(percutaneous vertebroplasty ,PVP)治疗胸腰椎爆裂性骨折的疗性和安全性。方法:采用微创椎弓根钉内固定联合磷酸钙骨水泥 PVP术治疗23例单节段胸腰椎新鲜爆裂性骨折且无神经症状的患者,伤椎位于 T11~L2,均属A3型骨折。记录手术时间、术中出血量、骨水泥注射量和住院天数。记录术前及术后即刻、1个月、2个月、3个月、6个月、1年、2年的腰背痛评分,计算并比较各时点的椎体高度压缩率、恢复率、椎体后凸角、椎体后凸矫正率。结果:磷酸钙骨水泥平均注射量为4.9(3.8~6.4)mL,平均手术时间92(75~120) min ,平均出血量52(40~75) mL ,平均住院5.6(4~7) d ,术后平均随访26(24~29)个月。VAS评分由术前的(8.8±1.2)分下降至术后即刻的(1.8±0.6)分及术后2年的(0.4±0.5)分,差异均有显著统计学意义(P<0.001)。高度压缩率由术前的(50.4±7.2)%显著下降至术后即刻的(6.2±1.5)%及术后2年的(6.9±1.4)%,差异均有显著统计学意义(P<0.001)。后凸角由术前的(22.6±1.8)°下降至术后即刻的(3.2±1.7)°及术后2年的(5.1±1.5)°,差异均有显著统计学意义( P<0.001)。随访过程中术后高度恢复率、后凸矫正率无明显减小;未出现螺钉松动、断钉或断棒。结论:微创椎弓根钉内固定联合磷酸钙骨水泥PV P术是治疗胸腰椎爆裂性骨折的安全、有效的方法。%Objective:To evaluate the efficacy and safety of minimally invasive pedicle screw fixation combined with percutaneous vertebroplasty(PVP) with calcium phosphate bone cement in the treatment of acute thoracolumbar burst fracture . Methods:Twenty‐three patients

  8. Physicochemical properties and biocompatibility of chitosan oligosaccharide/gelatin/calcium phosphate hybrid cements

    International Nuclear Information System (INIS)

    A bone substitute material was developed consisting of a chitosan oligosaccharide (COS) solution in a liquid phase and gelatin (GLT) containing calcium phosphate powder in a solid phase. The physicochemical and biocompatible properties of the hybrid cements were evaluated. The addition of COS to cement did not affect the setting time or diametral tensile strength of the hybrid cements, whereas GLT significantly prolonged the setting time and decreased the strength slightly. The setting reaction was inhibited by the addition of GLT to the initial mixture, but not by COS. However, the presence of GLT appreciably improved the anti-washout properties of the hybrid cement compared with COS. COS may promote the cement's biocompatibility as an approximate twofold increase in cell proliferation for 10% COS-containing cements was observed on day 3 as compared with the controls. The combination of GLT and COS was chosen due to the benefits achieved from several synergistic effects and for their clinical applications. Cement with 5% GLT and 10% COS may be a better choice among cements in terms of anti-washout properties and biological activity.

  9. Impact of stem-broach sizing on the cement mantle of Lubinus SP II stems. A CT scan analysis.

    Science.gov (United States)

    Scheerlinck, Thierry; de Mey, Johan; Deklerck, Rudi

    2009-06-01

    Lubinus SP II stems are cemented either line-to-line with the largest broach or one-size undersized. The purpose of this study was to compare both implantation techniques. We used 18 polymeric stem replicas cemented line-to-line and undersized in paired cadaveric femora and analyzed them with CT scan images. Cementing Lubinus stems line-to-line resulted in higher medullary canal-filling indices (28.26 +/- 4.10%), thinner cement mantles (3.29 +/- 0.40 mm), more cement defects (5.12 +/- 1.69%) and more areas of thin cement (23.81 +/- 7.13%) than undersizing (respectively: 23.61 +/- 4.24%, 3.62 +/- 0.43 mm, 1.48 +/- 2.04%, 15.11 +/- 5.93%). In both settings, over 80% of areas of thin or deficient cement were supported by cortex. Using a line-to-line technique, adequate stem alignment was achieved without distal centralizer. Undersizing the stem and using a distal centralizer reduced the incidence of distal cement defects by a factor 10. While stems cemented line-to-line might have mechanical advantages, undersizing and using distal centralizers reduced potential pathways for debris migration to the bone-cement interface. PMID:19681321

  10. Periprosthetic fracture fixation in osteoporotic bone.

    Science.gov (United States)

    Lenz, Mark; Lehmann, Wolfgang; Wähnert, Dirk

    2016-06-01

    Fixation techniques of periprosthetic fractures are far from ideal although the number of this entity is rising. The presence of an intramedullary implant generates its own fracture characteristics since stiffness is altered along the bone shaft and certain implant combinations affect load resistance of the bone. Influencing factors are cement fixation of the implant, intramedullary locking and extramedullary or intramedullary localization of the implant and the cortical thickness of the surrounding bone. Cerclage wires are ideally suited to fix radially displaced fragments around an intramedullary implant but they are susceptible to axial and torsional load. Screws should be added if these forces have to be neutralized. Stability of the screw fixation itself can be enhanced by embracement configuration around the intramedullary implant. Poor bone stock quality, often being present in metaphyseal areas limits screw fixation. Cement augmentation is an attractive option in this field to enhance screw purchase. PMID:27338227

  11. Estudo comparativo do uso isolado de plasma rico em plaquetas e combinado com cimento de alfa-fosfato tricálcico no reparo ósseo em ratos Comparative study on use of platelet-rich plasma alone and in combination with alpha-tricalcium phosphate cement for bone repair in rats

    Directory of Open Access Journals (Sweden)

    Alessandra Deise Sebben

    2012-01-01

    Full Text Available OBJETIVOS: Avaliar o efeito do cimento α-TCP combinado com PRP sobre a osteogênese, comparando os resultados com PRP utilizado isoladamente. MÉTODOS: Foi confeccionado defeito bilateral no fêmur de ratos e preenchido com um dos dois tipos de tratamentos (PRP ou α-TCP+PRP, sendo avaliado em quatro e oito semanas. As imagens radiográficas forneceram valores da área da lesão, e a histologia (coloração Picrosirius indicou a área de neoformação óssea. RESULTADOS: As médias referentes à área de lesão do grupo α-TCP+PRP (2,64mm² ± 2,07 e 1,91mm² ± 0,93; quatro e oito semanas, respectivamente demonstraram numericamente melhores resultados, porém não significativos (p > 0,05, em comparação com aqueles observados no grupo PRP (5,59mm² ± 2,69 e 3,23mm² ± 1,46; quatro e oito semanas, respectivamente. As médias de neoformação óssea foram de 62,7% ± 12,1% e 79,01% ± 6,25 no grupo PRP, e 73,3% ± 12,7 e 85,86% ± 10,45 no grupo α-TCP+PRP, em quatro e oito semanas, respectivamente (p > 0,05. CONCLUSÃO: Os dados deste estudo sugerem que o tratamento com cimento α-TCP combinado com PRP não demonstra diferença significativa quando comparado ao PRP isolado. Entretanto, há um possível efeito precoce sobre a regeneração óssea quando os dois biomateriais são aplicados em conjunto.OBJECTIVES: To evaluate the effect of alpha-tricalcium phosphate (α-TCP cement combined with platelet-rich plasma (PRP on osteogenesis, and to compare the results with use of PRP alone. METHODS: A bilateral defect was produced in rat femurs and was filled with one of two types of treatments (PRP or α-TCP + PRP. The outcomes were evaluated after four and eight weeks. Radiographic images provided values for the lesion area, and histology (picrosirius staining indicated the area of ​​new bone formation. RESULTS: The means relating to the lesion area of the α-TCP + PRP group (2.64 ± 2.07 and 1.91 ± 0.93 mm², after four and eight weeks

  12. Bone graft materials in fixation of orthopaedic implants in sheep

    DEFF Research Database (Denmark)

    Babiker, Hassan

    2013-01-01

    bone and includes bone collagen, morphogenetic proteins and growth factors. The combination of DBM with CB and with allograft might improve the healing potential of these grafts around non-cemented orthopaedic implants and thereby the implant fixation. Study I investigates the effect of HA...

  13. Malignant transformation of a unicameral bone cyst in a cat.

    Science.gov (United States)

    Berger, Björn; Brühschwein, Andreas; Eddicks, Lina; Meyer-Lindenberg, Andrea

    2016-04-01

    A unicameral bone cyst in the proximal humerus of a 3-year-old Norwegian forest cat was diagnosed by dynamic contrast-enhanced magnetic resonance imaging, surgical exploration, and histopathology. Surgical curettage and incorporation of bone cement led to full recovery. An osteosarcoma developed at the surgical site 17 months later. Thoracic radiographs showed pulmonary lesions consistent with metastasis. PMID:27041754

  14. Bead Capture on Magnetic Sensors in a Microfluidic System

    DEFF Research Database (Denmark)

    Østerberg, Frederik Westergaard; Dalslet, Bjarke Thomas; Damsgaard, Christian Danvad; Freitas, S. C.; Freitas, P. P.; Hansen, Mikkel Fougt

    The accumulation of magnetic beads by gravitational sedimentation and magnetic capture on a planar Hall-effect sensor integrated in a microfluidic channel is studied systematically as a function of the bead concentration, the fluid flow rate, and the sensor bias current. It is demonstrated that t...

  15. Random glycopeptide bead libraries for seromic biomarker discovery

    DEFF Research Database (Denmark)

    Kracun, Stjepan Kresimir; Cló, Emiliano; Clausen, Henrik;

    2010-01-01

    have developed a random glycopeptide bead library screening platform for detection of autoantibodies and other binding proteins. Libraries were build on biocompatible PEGA beads including a safety-catch C-terminal amide linker (SCAL) that allowed mild cleavage conditions (I(2)/NaBH(4) and TFA) for...

  16. Black holes as beads on cosmic strings

    International Nuclear Information System (INIS)

    We consider the possibility of the formation of cosmic strings with black holes as beads. We focus on the simplest setup where two black holes are formed on a long cosmic string. It turns out that in the absence of a background magnetic field and for observationally viable values for cosmic string tensions, μ<2×10−7, the tension of the strut in between the black holes has to be less than the ones that run into infinity. This result does not change if a cosmological constant is present. However, if a background magnetic field is turned on, we can have stable setups where the tensions of all cosmic strings are equal. We derive the equilibrium conditions in each of these setups depending on whether the black holes are extremal or non-extremal. We obtain cosmologically acceptable solutions with solar mass black holes and an intragalactic-strength cosmic magnetic field. (paper)

  17. Switchable cell trapping using superparamagnetic beads

    Energy Technology Data Exchange (ETDEWEB)

    Bryan, M. T.; Smith, K. H.; Real, M. E.; Bashir, M. A.; Fry, P. W.; Fischer, P.; Im, M.-Y.; Schrefl, T.; Allwood, D. A.; Haycock, J. W.

    2010-04-30

    Ni{sub 81}Fe{sub 19} microwires are investigated as the basis of a switchable template for positioning magnetically-labeled neural Schwann cells. Magnetic transmission X-ray microscopy and micromagnetic modeling show that magnetic domain walls can be created or removed in zigzagged structures by an applied magnetic field. Schwann cells containing superparamagnetic beads are trapped by the field emanating from the domain walls. The design allows Schwann cells to be organized on a surface to form a connected network and then released from the surface if required. As aligned Schwann cells can guide nerve regeneration, this technique is of value for developing glial-neuronal co-culture models in the future treatment of peripheral nerve injuries.

  18. Self-organizing magnetic beads for biomedical applications

    CERN Document Server

    Gusenbauer, Markus; Reichel, Franz; Exl, Lukas; Bance, Simon; Ozelt, Harald; Schrefl, Thomas

    2011-01-01

    In the field of biomedicine magnetic beads are used for drug delivery and to treat hyperthermia. Here we propose to use self-organized bead structures to isolate circulating tumor cells using lab-on-chip technologies. Typically blood flows past microposts functionalized with antibodies for circulating tumor cells. Creating these microposts with interacting magnetic beads makes it possible to tune the geometry in size, position and shape. We developed a simulation tool that combines micromagnetics and discrete particle dynamics, in order to design micropost arrays made of interacting beads. The simulation takes into account the viscous drag of the blood flow, magnetostatic interactions between the magnetic beads and gradient forces from external aligned magnets. We developed a particle-particle particle-mesh method for effective computation of the magnetic force and torque acting on the particles.

  19. A NOVEL APPROACH TO SYNTHESIZE CHITOSAN BEADS CROSSLINKED BY EPICHLOROHYDRIN

    Institute of Scientific and Technical Information of China (English)

    WANG Yongjian; BAI Shu; SUN Yan

    2001-01-01

    The present investigation describes a novel method for preparing spherical chitosan particles based on crosslinking with epichlorohydrin. Certain amount of pre-crosslinking agent was added to form chitosan gels by traditional inverse phase suspension polymerization. Then the gels were crosslinked by epichlorohydrin at basic condition to obtain chitosan beads. The effects of reaction conditions, such as crosslinking time, the amount of crosslinking agent and the NaOtt concentration,on the physical properties of the chitosan beads were investigated. The beads were found to have more amino groups in the polymer chains than the beads crosslinked by glutaraldehyde. The capacity for copper ions is as high as 40mg/g. The beads have good mechanical strength and can be reused.

  20. A NOVEL APPROACH TO SYNTHESIZE CHITOSAN BEADS CROSSLINKED BY EPICHLOROHYDRIN

    Institute of Scientific and Technical Information of China (English)

    WANGYongjina; BAIShu; 等

    2001-01-01

    The present investigation describes a novel method for preparing spherical chitosan particles based on crosslinking with epichlorohydrin.Certain amount of pre-crosslinking agent was added to form chitosan gels by traditional inverse phase suspension polymerization.Then the gels were crosslinked by epichlorohydrin at basic condition to obtain chitosan beads.The effects of reaction conditions,such as crosslinking time,the amount of crosslinking agent and the NaOH concentration,on the physical properties of the chitosan beads were investigated.The beads were found to have more amino groups in the polymer chains than the beads crosslinked by glutaraldehyde.The capacity for copper ions in as high as 40mg/g,The beads have good mechanical strength and can be reused.

  1. Design of systems for handling radioactive ion exchange resin beads

    International Nuclear Information System (INIS)

    The flow of slurries in pipes is a complex phenomenon. There are little slurry data available on which to base the design of systems for radioactive ion exchange resin beads and, as a result, the designs vary markedly in operating plants. With several plants on-line, the opportunity now exists to evaluate the designs of systems handling high activity spent resin beads. Results of testing at Robbins and Meyers Pump Division to quantify the behavior of resin bead slurries are presented. These tests evaluated the following slurry parameters; resin slurry velocity, pressure drop, bead degradation, and slurry concentration effects. A discussion of the general characteristics of resin bead slurries is presented along with a correlation to enable the designer to establish the proper flowrate for a given slurry composition and flow regime as a function of line size. Guidelines to follow in designing a resin handling system are presented

  2. A High-Throughput SU-8Microfluidic Magnetic Bead Separator

    DEFF Research Database (Denmark)

    Bu, Minqiang; Christensen, T. B.; Smistrup, Kristian;

    2007-01-01

    We present a novel microfluidic magnetic bead separator based on SU-8 fabrication technique for high through-put applications. The experimental results show that magnetic beads can be captured at an efficiency of 91 % and 54 % at flow rates of 1 mL/min and 4 mL/min, respectively. Integration of s...... soft magnetic elements in the chip leads to a slightly higher capturing efficiency and a more uniform distribution of captured beads over the separation chamber than the system without soft magnetic elements.......We present a novel microfluidic magnetic bead separator based on SU-8 fabrication technique for high through-put applications. The experimental results show that magnetic beads can be captured at an efficiency of 91 % and 54 % at flow rates of 1 mL/min and 4 mL/min, respectively. Integration of...

  3. Magnesium oxychloride cement concrete

    Indian Academy of Sciences (India)

    A K Misra; Renu Mathur

    2007-06-01

    The scope of magnesium oxychloride (MOC) cement in concrete works has been evaluated. MOC cement concrete compositions of varying strengths having good placing and finishing characteristics were prepared and investigated for their compressive and flexural strengths, -values, abrasion resistance etc. The durability of MOC concrete compositions against extreme environmental conditions viz. heating–cooling, freezing–thawing, wetting–drying and penetration and deposition of salts etc were investigated. The results reveal that MOC concrete has high compressive strength associated with high flexural strength and the ratio of compressive to flexural strength varies between 6 and 8. The elastic moduli of the compositions studied are found to be 23–85 GPa and the abrasion losses between 0.11 and 0.20%. While alternate heating–cooling cycles have no adverse effect on MOC concrete, it can be made durable against freezing–thawing and the excessive exposure to water and salt attack by replacing 10% magnesium chloride solution by magnesium sulphate solution of the same concentration.

  4. Inhibitive Effect of antibiotic-loaded beads to cure chronic osteomyelitis in developing country : Hand-made vs commercial beads

    NARCIS (Netherlands)

    Rasyid, Hcrmawan N.; Van Horn, Jim R.; Van der Mei, Henny C.; Soegijoko, Sooegijardjo; Busscher, Henk J.; Neut, Danielle; Ibrahim, F; Osman, NAA; Usman, J; Kadri, NA

    2007-01-01

    Local antibiotic-loaded beads have been approved for standard treatment of orthopaedic pathogens, especially chronic osteomyelitis. Septopal (R), the only commercial local antibiotic bead available on the market, is expensive and contains only gentamicin. This study aimed to compare the in vitro inh

  5. Cement leakage in pedicle screw augmentation: a prospective analysis of 98 patients and 474 augmented pedicle screws.

    Science.gov (United States)

    Mueller, Jan U; Baldauf, Joerg; Marx, Sascha; Kirsch, Michael; Schroeder, Henry W S; Pillich, Dirk T

    2016-07-01

    OBJECTIVE Loosening and pullout of pedicle screws are well-known problems in pedicle screw fixation surgery. Augmentation of pedicle screws with bone cement, first described as early as 1975, increases the pedicle-screw interface and pullout force in osteoporotic vertebrae. The aim of the present study was to identify cement leakage and pulmonary embolism rates in a large prospective single-center series of pedicle screw augmentations. METHODS All patients who underwent cement-augmented pedicle screw placement between May 2006 and October 2010 at the authors' institution were included in this prospective cohort study. Perivertebral cement leakage and pulmonary cement embolism were evaluated with a CT scan of the area of operation and with a radiograph of the chest, respectively. RESULTS A total of 98 patients underwent placement of cement-augmented pedicle screws; 474 augmented screws were inserted in 237 vertebrae. No symptomatic perivertebral cement leakage or symptomatic pulmonary cement embolism was observed, but asymptomatic perivertebral cement leakage was seen in 88 patients (93.6%) and in 165 augmented vertebrae (73.3%). Cement leakage most often occurred in the perivertebral venous system. Clinically asymptomatic pulmonary cement embolism was found in 4 patients (4.1%). CONCLUSIONS Perivertebral cement leakage often occurs in pedicle screw augmentation, but in most cases, it is clinically asymptomatic. Cement augmentation should be performed under continuous fluoroscopy to avoid high-volume leakage. Alternative strategies, such as use of expandable screws, should be examined in more detail for patients at high risk of screw loosening. PMID:26943258

  6. DWPF GLASS BEADS AND GLASS FRIT TRANSPORT DEMONSTRATION

    Energy Technology Data Exchange (ETDEWEB)

    Adamson, D; Bradley Pickenheim, B

    2008-11-24

    DWPF is considering replacing irregularly shaped glass frit with spherical glass beads in the Slurry Mix Evaporator (SME) process to decrease the yield stress of the melter feed (a non-Newtonian Bingham Plastic). Pilot-scale testing was conducted on spherical glass beads and glass frit to determine how well the glass beads would transfer when compared to the glass frit. Process Engineering Development designed and constructed the test apparatus to aid in the understanding and impacts that spherical glass beads may have on the existing DWPF Frit Transfer System. Testing was conducted to determine if the lines would plug with the glass beads and the glass frit slurry and what is required to unplug the lines. The flow loop consisted of vertical and horizontal runs of clear PVC piping, similar in geometry to the existing system. Two different batches of glass slurry were tested: a batch of 50 wt% spherical glass beads and a batch of 50 wt% glass frit in process water. No chemicals such as formic acid was used in slurry, only water and glass formers. The glass beads used for this testing were commercially available borosilicate glass of mesh size -100+200. The glass frit was Frit 418 obtained from DWPF and is nominally -45+200 mesh. The spherical glass beads did not have a negative impact on the frit transfer system. The transferring of the spherical glass beads was much easier than the glass frit. It was difficult to create a plug with glass bead slurry in the pilot transfer system. When a small plug occurred from setting overnight with the spherical glass beads, the plug was easy to displace using only the pump. In the case of creating a man made plug in a vertical line, by filling the line with spherical glass beads and allowing the slurry to settle for days, the plug was easy to remove by using flush water. The glass frit proved to be much more difficult to transfer when compared to the spherical glass beads. The glass frit impacted the transfer system to the point

  7. Biomechanical evaluation of expansive pedicle screws and injectable absorbable bone cement augmentation in the osteoporotic vertebral environment%膨胀螺钉及钉道强化在骨质疏松椎体中的力学可靠性研究

    Institute of Scientific and Technical Information of China (English)

    高明暄; 李旭升; 甄平; 吴智钢; 周胜虎; 田琦; 任民; 雷伟

    2014-01-01

    Objective To evaluate the fixation strengths of expansive pedicle screws in human cadaveric vertebrae with different bone mineral densities and with the augmentation by newly-developed injectable absorbable bone cement(IABC).Methods Fresh human cadaveric spines used for this study were grouped into 4 levels according to the measurements of bone mineral density:normal,osteopenia,osteoporosis and severe osteoporosis.The vertebrae were bilaterally instrumented with 4 pedicle screw protocols:conventional pedicle screw without augmentation,expansive pedicle screw without augmentation,conventional pedicle screw with augmentation and expansive pedicle screw with augmentation.The statistical method of balanced incomplete randomized blocks was used to assign the pedicles for the 4 protocols,resulting in 9 screws per group per level.Screw pullout tests were conducted.On the load-stroke curve,the maximum pullout strength and stiffness were determined.The differences between groups at the same bone mineral density level but with different screw protocols,or between groups at different bone mineral density levels but with the same screw protocol,were compared.Results Given the same bone mineral density level,the maximum pullout strength and stiffness of expansive screws were significantly higher than those of conventional screws (P < 0.05).When the same type of screw was used,the maximum pullout strength in the augmented group was significantly higher than in the non-augmented group (P < 0.05),but the cement augmentation had insignificant impact on the stiffness of either conventional or expansive pedicle screws (P > 0.05).The pullout strength and stiffness of expansive screws,augmented conventional screws and augmented expansive screws at the osteoporotic level were comparable to those of conventional screws at the osteopenic lcvel (P > 0.05).However,the pullout strength of any of the 4 protocols in the severe osteoporosis group was significantly lower than that of

  8. An ultrasonic through-transmission technique for monitoring the setting of injectable calcium phosphate cement.

    Science.gov (United States)

    Rajzer, Izabella; Piekarczyk, Wojciech; Castaño, Oscar

    2016-10-01

    An ultrasound through-transmission method to monitor the setting process of injectable calcium phosphate bone cements in body fluids is presented. This method can be used to determine the acoustic properties of the bone cement as it sets, which are linked to its material properties and provide some information about changes occurring within the cement. The development of the methodology of ultrasonic testing and execution of velocity measurements of the longitudinal and transverse waves using the through-transmission method made it possible to determine the material constants of samples during the setting and hardening process of an injectable cement paste in physiological fluids (i.e. the Young's modulus (E), the Poisson ratio (ν) and the shear modulus (G)), and to determine the degree of anisotropy of wave velocity in the samples. A strong advantage of the proposed method is that it is non-destructive, and the same sample can be used to monitor the whole process of the cement setting. The testing was performed on premixed and injectable calcium phosphate (CPC)/chitosan blend, where glycerol was used as a liquid phase. Comparisons between ultrasonic velocity and empirical tests such as compressive strength, porosity measurement, FTIR, SEM and XRD analysis at different days of immersion in Ringer's solutions showed that the ultrasonic velocity can be very useful to provide in situ information about changes occurring within the cement. PMID:27287094

  9. Bone Cancer

    Science.gov (United States)

    Cancer that starts in a bone is uncommon. Cancer that has spread to the bone from another ... more common. There are three types of bone cancer: Osteosarcoma - occurs most often between ages 10 and ...

  10. Bone Cancer

    Science.gov (United States)

    Cancer that starts in a bone is uncommon. Cancer that has spread to the bone from another part of the body is more common. There are three types of bone cancer: Osteosarcoma - occurs most often between ages 10 ...

  11. Bone Diseases

    Science.gov (United States)

    Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly ... childhood and your teens, your body adds new bone faster than it removes old bone. After about ...

  12. Tissue response of apatite-filled resin cement and titanium-reinforced apatite dental implants in dogs.

    Science.gov (United States)

    Ogiso, M; Tabata, T; Nakabayashi, N; Yamashita, Y; Borgese, D

    1993-01-01

    Abutment and root portion divided two-piece dental implants were designed to modify the one-piece dense hydroxyapatite (D-HAP) implant. The initial placement of the root portion endosseously ensured an aseptic environment and physical stability for the implant during the bone healing period. The outer D-HAP shell of the root portion was fortified by an inner titanium cylinder and cemented with an adhesive resin cement containing 4-methacryloyoxyethyl trimellitate anhydride (4-META) and reinforced by fine apatite filler. Upon attaining integration of the bone and implant, the abutment was screwed and fixed into the screw hole of the root portion. The tissue response of both the apatite-filled resin cement and root portion of the two-piece implant was studied by animal canine experiments. Light and electron microscopic examination of specimens taken from experimental animal tissue showed bone contacted directly not only the exposed apatite filler at the surface of the apatite-filled resin cement, but also the resin portion. These findings of direct bone contact suggested that the tissue response of apatite-filled resin cement was approximately similar to the usual D-HAP. Because most of the surface of the outer D-HAP shell of the root portion came in contact with bone, it prevented the deposition of contamination on the D-HAP surface during the manufacturing procedures of the root portion. PMID:10148567

  13. Formulation of controlled release gellan gum macro beads of amoxicillin.

    Science.gov (United States)

    Babu, R Jayachandra; Sathigari, Sateesh; Kumar, M Thilek; Pandit, J K

    2010-01-01

    Gellan gum has been reported to have wide pharmaceutical applications such as tablet binder, disintegrant, gelling agent and as a controlled release polymer. Multiparticulate delivery systems spread out more uniformly in the gastrointestinal tract and reduce the local irritation. The purpose of this study is to explore possible applicability of gellan macro beads as an oral controlled release system of a sparingly soluble drug, amoxicillin. Gellan gum beads were prepared by ionotropic gelation with calcium ions. The effect of drug loading, stirring time, polymer concentration, electrolyte (CaCl2) concentration, curing time etc. influencing the preparation of the gellan gum macro beads and the drug release from gellan gum beads were investigated in this study. Optimal preparation conditions allowed very high incorporation efficiency for amoxicillin (91%) The release kinetics of amoxicillin from gellan beads followed the diffusion model for an inert porous matrix in the order: 0.1 N HCl > phosphate buffer > distilled water. Change in curing time did not significantly affect the release rate constant, but drug concentration, polymer concentration and electrolyte concentration significantly affect the release rate of amoxicillin from the beads. The gellan macro beads may be suitable for gastro retentive controlled delivery of amoxicillin. PMID:19863487

  14. Photonic hydrogel beads for controlled release of risedronate

    Science.gov (United States)

    Khajuria, Deepak K.; Roy Mahapatra, D.

    2014-03-01

    pH-sensitive photonic composite hydrogel beads composed of sodium alginate and risedronate sodium (SA/RIS) was prepared crosslinked by Ca2+ owing to the ionic gelation of SA. The structure and surface morphology of the composite hydrogel beads were characterized by SEM. pH-sensitivity of these composite hydrogels beads and the release behaviors of drug from them were investigated. The results showed that the composite hydrogel beads had good pH-sensitivity. The drug loading and encapsulation efficiency were 27.7% and 92% for RIS, respectively. The cumulative release ratios of RIS from the composite hydrogel beads were 2.47% in pH 2.1 solution and 83 % in pH 6.8 solutions within 24 h, respectively. However, the cumulative release ratio of RIS in pH 7.4 solution reached 91% within 7 h. It is proposed that the novel photonic SA/RIS composite hydrogel bead could possess the potential of an increased intestinal absorption and fewer adverse effects of RIS. The pH and salt response of photonic hydrogel bead, as well as the encapsulation of macromolecules, are promising for applications in biomedicine and biotechnology.

  15. Self-organizing magnetic beads for biomedical applications

    International Nuclear Information System (INIS)

    In the field of biomedicine magnetic beads are used for drug delivery and to treat hyperthermia. Here we propose to use self-organized bead structures to isolate circulating tumor cells using lab-on-chip technologies. Typically blood flows past microposts functionalized with antibodies for circulating tumor cells. Creating these microposts with interacting magnetic beads makes it possible to tune the geometry in size, position and shape. We developed a simulation tool that combines micromagnetics and discrete particle dynamics, in order to design micropost arrays made of interacting beads. The simulation takes into account the viscous drag of the blood flow, magnetostatic interactions between the magnetic beads and gradient forces from external aligned magnets. We developed a particle–particle particle–mesh method for effective computation of the magnetic force and torque acting on the particles. - Highlights: ► We propose to use self-organized bead structures to isolate circulating tumor cells. ► Flexible ways are important to get a high probability of catching cancer cells. ► The beads make it possible to tune the geometry in size position and shape.

  16. Cements in Radioactive Waste Disposal

    International Nuclear Information System (INIS)

    The use of cement and concrete to immobilise radioactive waste is complicated by the wide- ranging nature of inorganic cementing agents available as well as the range of service environments in which cement is used and the different functions expected of cement. For example, Portland cement based concretes are widely used as structural materials for construction of vaults and tunnels. These constructions may experience a long pre-closure performance lifetime during which they are required to protect against collapse and ingress of water: strength and impermeability are key desirable characteristics. On the other hand, cement and concrete may be used to form backfills, ranging in permeability. Permeable formulations allow gas readily to escape, while impermeable barriers retard radionuclide transport and reduce access of ground water to the waste. A key feature of cements is that, while fresh, they pass through a fluid phase and can be formed into any shape desired or used to infiltrate other materials thereby enclosing them into a sealed matrix. Thereafter, setting and hardening is automatic and irreversible. Where concrete is used to form structural elements, it is also natural to use cement in other applications as it minimises potential for materials incompatibility. Thus cement- mainly Portland cement- has been widely used as an encapsulant for storage, transport and as a radiation shield for active wastes. Also, to form and stabilise structures such as vaults and silos. Relative to other potential matrices, cement also has a chemical immobilisation potential, reacting with and binding with many radionuclides. The chemical potential of cements is essentially sacrificial, thus limiting their performance lifetime. However performance may also be required in the civil engineering sense, where strength is important, so many factors, including a geochemical description of service conditions, may require to be assessed in order to predict performance lifetime. The

  17. Cement/slag chemistry studies

    International Nuclear Information System (INIS)

    The performance of cement-based matrices intended for radwaste immobilization is assessed. The long-term performance of the matrix is characterized by thermodynamic evaluation of experimental data. The results are presented in a general form, amenable to a range of specific formulations. The interaction of specific radwaste components with cements has been studied, using Iodine as an example. It occurs as both I- and IO3- species, but these differ sharply in sorption characteristics. The effect of ionizing radiation of the pH and Eh of cement matrices is reported. (author)

  18. 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

  19. Towards a programmable magnetic bead microarray in a microfluidic channel

    DEFF Research Database (Denmark)

    Smistrup, Kristian; Bruus, Henrik; Hansen, Mikkel Fougt

    2007-01-01

    A new hybrid magnetic bead separator that combines an external magnetic field with 175@mm thick current lines buried in the back side of a silicon wafer is presented. A microfluidic channel was etched into the front side of the wafer. The large cross-section of the current lines makes it possible...... to use larger currents and obtain forces of longer range than from thin current lines at a given power limit. Guiding of magnetic beads in the hybrid magnetic separator and the construction of a programmable microarray of magnetic beads in the microfluidic channel by hydrodynamic focusing is...

  20. A High-Throughput SU-8Microfluidic Magnetic Bead Separator

    OpenAIRE

    Bu, Minqiang; Christensen, T. B.; Smistrup, Kristian; Wolff, Anders; Hansen, Mikkel Fougt

    2007-01-01

    We present a novel microfluidic magnetic bead separator based on SU-8 fabrication technique for high through-put applications. The experimental results show that magnetic beads can be captured at an efficiency of 91 % and 54 % at flow rates of 1 mL/min and 4 mL/min, respectively. Integration of soft magnetic elements in the chip leads to a slightly higher capturing efficiency and a more uniform distribution of captured beads over the separation chamber than the system without soft magnetic el...

  1. Effect of irradiation on acrylic cement with special reference to fixation of pathological fractures

    International Nuclear Information System (INIS)

    Self-curing cement is generally used in conjunction with conventional metallic devices. If the acrylic cement was supplemented, the primary goal would be a rigid immobiliztion of the fracture to alleviate the pain; usually, however, the final aim is toward osteosynthesis. During the course of rehabilitation, it is often desirous to supplement the treatment by irradiation. Although the industrial, dental and surgical literature has adequately dealt with many aspects of bone cement; for example, physical and chemical properties in joint replacement, and so on, the effects of irradiation on the acrylic cement have not been previously reported. It is the purpose of this paper to analyze the experimental studies conducted to evaluate the mechanical properties of the polymethylmethacrylate when subjected to irradiation within a maximum range of a therapeutic dose

  2. Prediction of long-term chemical evolution of a low-pH cement designed for underground radioactive waste repositories

    International Nuclear Information System (INIS)

    Low-pH cements, also referred as low-alkalinity cements, are binders with a pore solution pH ≤ 11. They can be designed by replacing significant amounts of Portland cement (OPC) (>40%) by silica fume, which can be associated in some cases to low-CaO fly ash and/or ground granulated blast furnace slag to decrease the heat output during hydration by dilution of OPC and improve the mechanical strength of the final material. With the prospect of using these materials in a geological repository, it is of main importance to estimate their long-term properties and the influence of external and internal factors (chemical composition of the binder, storage temperature) on their characteristics. For this purpose, a three-way original approach was adopted. First, the hydration of low-pH cements was accelerated by milling cement slurries with zirconia beads. Secondly, the low-pH cement pastes were mimicked from mixtures of appropriate highly reactive oxides (lime, silica, calcium aluminate and calcium sulphate) in diluted suspensions. Thirdly, thermodynamic modelling was carried out to predict the mineral assemblage and composition of the solution at equilibrium, starting from the composition of the initial low-pH cement studied. Comparing the different results showed that this three-way approach is suitable to understand and predict the long-term chemical evolution of the cements since the final states obtained in all cases were equivalent. This method was then used to investigate the influence of temperature in the range 20-80 C on the chemical evolution of a low-pH cement. (authors)

  3. Biomechanical and histologic investigation of cemented total hip arthroplasties. A study of autopsy-retrieved femurs after in vivo cycling.

    Science.gov (United States)

    Maloney, W J; Jasty, M; Burke, D W; O'Connor, D O; Zalenski, E B; Bragdon, C; Harris, W H

    1989-12-01

    Eleven whole anatomic specimens of the femur were retrieved at autopsy from patients who previously had cemented total hip arthroplasty. Implant duration ranged from 0.5 to 210 months. Clinically and roentgenographically the implants were stable. A detailed biomechanical analysis evaluated bone strains and implant stability in both the single-limb stance and stair-climbing positions using a 100-pound spinal load. The stability offered by cement in these well-fixed prostheses was remarkable, with the maximum axial micromotion being 40 mu. This is a reflection of intimate osseointegration at the bone-cement interface with only rare intervening fibrous tissue. The strain gauge and photoelastic strain-coating studies revealed that marked stress shielding in the proximal medial femoral cortex persists long after a cemented femoral component is inserted. Even 17 years after surgery, the strain in the calcar region did not normalize. PMID:2582664

  4. 椎弓根螺钉系统加自固化磷酸钙人工骨灌注治疗胸腰椎骨折%Treatment of thoracolumbar vertebrae fractures with vertebral pedicle screw system and artificial bones filled with autosolidification calcium phosphate cement

    Institute of Scientific and Technical Information of China (English)

    曾忠友; 金才益; 陆金荣; 王斌; 徐阿炳

    2001-01-01

    目的探讨应用椎弓根螺钉系统及自固化磷酸钙人工骨(ACPC)灌注治疗胸腰椎骨折的效果。方法 1999年4月始,选择18例胸腰椎骨折患者,其中压缩型12例,爆裂型6例。伤后6 h~7 d行椎弓根螺钉系统固定、复位,同时加ACPC灌注伤椎。结果 18例患者除2例神经功能A级脊髓神经症状无改善外,其余均有Ⅰ~Ⅲ级的恢复,脊柱后凸角平均恢复21°,伤椎前缘高度平均恢复至98%,伤椎后缘侵入椎管骨块明显回纳。随访10~16个月,平均11.6个月。随访期间无内固定松动及断裂现象,无慢性腰背痛,伤椎高度及脊柱生理弧度无丢失。结论胸腰椎压缩型骨折是使用ACPC的最佳适应证。如术前影像检查明确有双侧椎弓根骨折,则为禁忌。只要手术适应证选择适当,术中操作仔细,椎弓根螺钉系统加ACPC灌注治疗胸腰椎骨折是一有效而又安全的方法,特别是后期伤椎高度和脊柱生理弧度得到很好的维持。%Objective To study the effect of vertebral pedicle screw system and artificial bones filled with autosolidification calcium phosphate cement(ACPC) on thoracolumbar vertebrae fractures.  Methods A total of 18 patients with thoracolumbar vertebrae fractures and with operative indications were treated with vertebral pedicle screw system and artificial bones filled with ACPC.  Results  Except 2 patients with the spinal cord function for Grade A, all the patients had the average improvement of Degree I to Degree Ⅲ on the aspect of spinal cord function. The kyphotic angle recovered averagely for 21°, the anterior height of the injured vertebral body was averagely restored to 98% of the normal, and the bone fragments that invaded into the spinal canal were obviously restored. During the following-up, loose or breakage of the internal fixation was not found, and there was no chronic lumbar back pain or loss of the normal spine curve and the

  5. Cementing porcelain-fused-to-metal crowns.

    Science.gov (United States)

    Vadachkoria, D

    2009-12-01

    The clinical success of fixed prosthodontic restorations can be complex and involve multifaceted procedures. Preparation design, oral hygiene/micro flora, mechanical forces, and restorative materials are only a few of the factors which contribute to overall success. One key factor to success is choosing the proper cement. Popular use of cements for PFM crowns has shifted from zinc phosphate and glass ionomer cements to resin-reinforced glass ionomer, or RRGI, cements. This change has been rapid and profound. Dental cements have always been less than ideal materials, but this is shift to the relatively new RRGI category justified. Resin-reinforced glass ionomer (RRGI) cements appear to be better than zinc phosphate and glass ionomer cements when placing porcelain-to-metal crowns. RRGI cements, such as RelyX Luting, Fuji Plus and Vitremer Luting Cement, satisfy more of the ideal characteristics of PFM cementation than any other previous cement. Expansion of all three cements has not caused any apparent problems with the cements when used with PFM or metal crowns, but these cements, however, should be avoided when cementing all-ceramic crowns. PMID:20090144

  6. 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.

  7. The Investigation of Bioactivity and Mechanical Properties of Glass Ionomer Cements Prepared from Al2O3-SiO2 Glass and Poly(γ-glutamic acid)

    OpenAIRE

    Jinkun Liu; Yoshimitsu Kuwahara; Yuki Shirosaki; Toshiki Miyazaki

    2013-01-01

    The glass ionomer cement as one of the dental cements has been subjected to be widespread application in restoring tooth structure. Most of glass ionomer cements employ the poly(acrylic acid) (PAA) as the liquid phase, but the presence of PAA inhibits the apatite formation on the surface in the body environment, which is an essential requirement for exhibiting bone-bonding ability (bioactivity). In this study, poly(γ-glutamic acid) (γ-PGA), a kind of biopolymer, was utilized for cement prepar...

  8. Bone Cement Augmentation of Pedicle Screw Fixation Combined with Kyphoplasty for Osteoporotic Thoracolumbar Burst Fractures%骨水泥强化椎弓根螺钉固定结合椎体后凸成形术治疗骨质疏松性胸腰段爆裂骨折

    Institute of Scientific and Technical Information of China (English)

    于亮; 蒋伟宇; 赵刘军; 马维虎; 徐荣明

    2014-01-01

    [目的]评估骨水泥强化椎弓根螺钉固定结合椎体后凸成形术(percutaneous kyphoplasty,PKP)治疗骨质疏松性胸腰椎爆裂骨折的临床疗效。[方法]收集本院2011年1月至2012年12月采用骨水泥强化椎弓根螺钉固定结合PKP治疗的31例无神经损伤的骨质疏松性胸腰椎爆裂骨折患者,观测术前、术后1周及术后1年伤椎前后缘压缩率改变、后凸Cobb角、视觉模拟评分(visual analogue scale,VAS)及术后并发症,评估手术效果。[结果]术前椎体前、后缘压缩率分别为(49.5±6.1)%和(16.7±3.2)%,术后1年椎体前后缘压缩率分别为(9.1±1.3)%和(1.2±0.9)%,Cobb角由术前平均(25.7±4.5)°矫正至术后(3.3±2.1)°,平均矫正19.8°,VAS评分由术前平均(7.2±0.5)分降为术后(1.9±0.6)分,各项指标术后与术前比较差异均有统计学意义(P<0.05)。术后随访12~24个月,无1例发生手术并发症。[结论]骨水泥强化椎弓根螺钉固定结合PKP治疗骨质疏松性胸腰椎爆裂骨折,能有效恢复脊柱矢状序列,同时也能较好地维持伤椎的高度和强度,避免术后椎体塌陷,有助于早期康复,减少并发症。%Objective] To assess the efficacy of bone cement augmentation of pedicle screw fixation combined with kyphoplasty for osteoporotic thoracolumbar burst fractures. [Methods] Thirty-one cases of neurological y intact osteoporotic thoracolumbar burst fractures treated by bone cement augmentation of pedicle screw fixation combined with kyphoplasty between January 2011 and December 2012 were included in this study. Then analyze the front and back edges height of the injured vertebra, kyphosis Cobb ’s angle, visual analogue scale(VAS) and complications. [Results] Patients were fol owed up for 12 to 24 months(mean 18.2 months), there was no complication. Al patients recovered satisying, front and back edges of the compression ratio was (49.5±6.1)%and

  9. 经皮椎弓根钉体外撑开结合伤椎骨水泥注入治疗中老年胸腰椎骨折的临床研究%Clinical study and of percutaneous pedicle screws vitro distraction combined with injuried vertebrae bone cement infusion for middle-aged thoracolumbar

    Institute of Scientific and Technical Information of China (English)

    王铁铸; 王月; 王清和; 刘璞; 焦甲勋; 闫菁辉; 张晓强; 陈祥云

    2013-01-01

    目的 探讨经皮椎弓根钉体外撑开结合伤椎骨水泥注入治疗中老年胸腰椎骨折的可行性、安全性及有效性.方法 回顾性分析20例经皮椎弓根钉体外撑开结合伤椎骨水泥注入治疗中老年胸腰椎骨折.测量手术前后伤椎Cobb角、椎体前缘的高度丢失率.结果 术前平均腰背痛VAS评分(7.2±1.6)分,ODI(52.6±16).术后平均腰背痛VAS评分(2.4±1.6)分,ODI (21.6±9),平均腰背痛VAS和ODI均明显低于术前(P<0.01).术前椎体前缘的丢失率(49.4±12.5)%,术后(8.2±4.9)%,末次随访时(9.2±5.1)%;术前后凸角度(18.1±4.3)°,术后后凸角度(3.5±1.9)°,末次随访时(4.2±1.8)°.椎体高度丢失率、后凸角度术后、末次随访较术前差异有统计学意义(P<0.05);末次随访与术后比较差异无统计学意义(P>0.05).结论 经皮伤椎成形术结合体外椎弓根钉撑开系统一期矫正伤椎的压缩高度及恢复正常的脊柱生理曲度,创伤小,是中老年胸腰椎骨折安全有效的治疗方法.%Objective To study the feasibility,safety and efficacy of percutaneous pedicle screws vitro distraction combined with injuried vertebrae bone cement infusion for middle-aged thoracolumbar fractures.Methods A retrospective analysis was performed on 20 patients operated for middle-aged thoracolumbar fractures by percutaneous pedicle screws vitro distraction combined with injuries vertebrae bone cement infusion.Results The average preoperative VAS score for radicular pain and ODI were (7.2±1.6) and (52.6±16).The patients had an average VAS of (2.4±1.6) for low bank pain and an average ODI of (21.6±9) afer the operation.The improvements in VAS and ODI were statistically significant (P <0.01).Preoperative vertebral loss rate was (49.4±12.5) percent,postoperative (8.2±4.9),the last follow-up (9.2±5.1); the convex angles before and after surgery was (18.1±4.3)°,postoperative (3.5±1.9)°,last follow-up (4.2±1.8)°.Vertebral height

  10. 强化螺钉治疗老年腰椎管狭窄近中期疗效%The short and midterm clinical effect of pedicle screw fixation with bone cement augmentation in the treatment of senile lumbar spinal stenosis

    Institute of Scientific and Technical Information of China (English)

    瞿岱彪; 黄圣升; 吴华; 刘礼金

    2015-01-01

    目的:评价骨水泥强化椎弓根螺钉内固定治疗伴老年腰椎管狭窄症的近中期临床疗效。方法2012年6月至2014年6月间应用骨水泥强化椎弓根螺钉治疗老年性腰椎管狭窄患者24例,所有患者术前均行骨密度测定诊断为骨质疏松症。采用VAS、JOA下腰痛评分及Oswestry功能障碍指数问卷表(ODI)评分标准评价临床疗效。结果24例患者随访6-24个月,平均(11.50±2.11)个月,不适症状均得到一定改善。 VAS评分术前(7.55±1.30)、术后3个月为(3.65±0.87)、术后6个月为(3.15±0.71)、末次为(2.83±2.04);JOA评分术前为(8.66±7.01)、术后3个月为(14.09±2.07)、术后6个月为(16.88±1.95)、末次随访为(17.33±1.74);ODI评分术前为(0.71±0.31)、术后3个月为(0.44±0.12)、术后6个月为(0.31±0.11)、末次随访为(0.29±0.07)。术后3个月、6个月、末次随访所有评价指标分别与术前对比,差异均有统计学意义(P<0.05)。随访时复查相关影像学资料示只有1例因外伤出现椎弓根螺钉松动,末次随访椎间融合率高达87%。结论对于老年性合并骨质疏松的腰椎管狭窄症患者,应用骨水泥强化椎弓根螺钉技术临床疗效确切,有术后椎间融合率高、发生内固定松动率低、二次手术风险低等优势。%Objective To observe the short and midterm clinical effect of pedicle screw fixation with bone cement augmenta-tion in the treatment of senile lumbar spinal stenosis. Methods From June 2012 to June 2014,24 patients with Lumbar Spinal Stenosis and osteoporosis were treated by posterior decompression,intervertebral fusion with pedicle screw fixation with bone ce-ment augmentation. Osteoporosis was diagnosed by dual-energy X-ray absorptiometry (DEXA) examination in all cases preopera-tively. The clinical results were investigated by measuring VAS and JOA and ODI scoring. Results 24 patients were followed up from 6 to 24 months (average 11.50

  11. A two-channel detection method for autofluorescence correction and efficient on-bead screening of one-bead one-compound combinatorial libraries using the COPAS fluorescence activated bead sorting system

    International Nuclear Information System (INIS)

    One-bead one-compound combinatorial library beads exhibit varying levels of autofluorescence after solid phase combinatorial synthesis. Very often this causes significant problems for automated on-bead screening using TentaGel beads and fluorescently labeled target proteins. Herein, we present a method to overcome this limitation when fluorescence activated bead sorting is used as the screening method. We have equipped the COPAS bead sorting instrument with a high-speed profiling unit and developed a spectral autofluorescence correction method. The correction method is based on a simple algebraic operation using the fluorescence data from two detection channels and is applied on-the-fly in order to reliably identify hit beads by COPAS bead sorting. Our method provides a practical tool for the fast and efficient isolation of hit beads from one-bead one-compound library screens using either fluorescently labeled target proteins or biotinylated target proteins. This method makes hit bead identification easier and more reliable. It reduces false positives and eliminates the need for time-consuming pre-sorting of library beads in order to remove autofluorescent beads. (technical note)

  12. Sliding wear of cemented carbides

    International Nuclear Information System (INIS)

    Cemented carbides are known to be very hard and wear resistant and are therefor often used in applications involving surface damage and wear. The wear rate of cemented carbides is often measured in abrasion. In such tests it has been shown that the wear rate is inversely dependent on the material hardness. The sliding wear is even more of a surface phenomenon than a abrasion, making it difficult to predict friction and wear from bulk properties. This paper concentrates on the sliding wear of cemented carbides and elucidates some wear mechanisms. It is especially shown that a fragmenting wear mechanism of WC is very important for the description of wear of cemented carbides. (author)

  13. Calcium Aluminate Cement Hydration Model

    Directory of Open Access Journals (Sweden)

    Matusinović, T.

    2011-01-01

    Full Text Available Calcium aluminate cement (AC is a very versatile special cement used for specific applications. As the hydration of AC is highly temperature dependent, yielding structurally different hydration products that continuously alter material properties, a good knowledge of thermal properties at early stages of hydration is essential. The kinetics of AC hydration is a complex process and the use of single mechanisms models cannot describe the rate of hydration during the whole stage.This paper examines the influence of temperature (ϑ=5–20 °C and water-to-cement mass ratio (mH /mAC = 0.4; 0.5 and 1.0 on hydration of commercial iron-rich AC ISTRA 40 (producer: Istra Cement, Pula, Croatia, which is a part of CALUCEM group, Figs 1–3. The flow rate of heat generation of cement pastes as a result of the hydration reactions was measured with differential microcalorimeter. Chemically bonded water in the hydrated cement samples was determined by thermo-gravimetry.Far less heat is liberated when cement and water come in contact for the first time, Fig. 1, than in the case for portland cement (PC. Higher water-to-cement ratio increases the heat evolved at later ages (Fig. 3 due to higher quantity of water available for hydration. A significant effect of the water-to-cement ratio on the hydration rate and hydration degree showed the importance of water as being the limiting reactant that slows down the reaction early. A simplified stoichiometric model of early age AC hydration (eq. (8 based on reaction schemes of principal minerals, nominally CA, C12A7 and C4AF (Table 1, was employed. Hydration kinetics after the induction period (ϑ < 20 °C had been successfully described (Fig. 4 and Table 2 by a proposed model (eq. (23 which simultaneously comprised three main mechanisms: nucleation and growth, interaction at phase boundary, and mass transfer. In the proposed kinetic model the nucleation and growth is proportional to the amount of reacted minerals (eq

  14. Assessment of Natural Radioactivity Levels of Cements and Cement Composites in the Slovak Republic

    OpenAIRE

    Adriana Eštoková; Lenka Palaščáková

    2013-01-01

    The radionuclide activities of 226Ra, 232Th and 40K and radiological parameters (radium equivalent activity, gamma and alpha indices, the absorbed gamma dose rate and external and internal hazard indices) of cements and cement composites commonly used in the Slovak Republic have been studied in this paper. The cement samples of 8 types of cements from Slovak cement plants and five types of composites made from cement type CEM I were analyzed in the experiment. The radionuclide activities in t...

  15. Assessment of the compatibility of wood and plastic with cement for their recycling in cement composites

    OpenAIRE

    Andrade, André De; Caldeira, Fernando

    2010-01-01

    The compatibility between maritime pine wood and cement, and between plastic (LDPE) and cement, was assessed for the recycling of wood and plastic in cement composites. Temperature vs. time profiles of cement setting were registered and compatibility indices were calculated. Results indicate that recycling of plastics in plastic-cement composites does not pose any questions regarding chemical compatibility. However, maritime pine hinders cement setting in some extent. So, in or...

  16. Bead-releasing agents used in the preparation of solid samples as beads for WD-XRF measurement

    OpenAIRE

    Gazulla Barreda, María Fernanda; Barba Juan, Antonio; Orduña, Mónica; Rodrigo, Marta

    2008-01-01

    A study has been undertaken of bead-releasing agents that are widely used in preparing solid samples as fused beads for wavelength-dispersive X-ray fluorescence (WD-XRF)spectrometry measurement. The following bead-releasing agents were studied: NaI, LiBr, NH4I, and LiI. Each was incorporated in different quantities, as a solid and/or in an aqueous solution, together with a flux, into samples of ceramic raw materials. Release agent interference in the WD-XRF measurement was analyse...

  17. Guided self-assembly of magnetic beads for biomedical applications

    CERN Document Server

    Gusenbauer, Markus; Reichel, Franz; Exl, Lukas; Bance, Simon; Fischbacher, Johann; Özelt, Harald; Kovacs, Alexander; Brandl, Martin; Schrefl, Thomas

    2013-01-01

    Micromagnetic beads are widely used in biomedical applications for cell separation, drug delivery, and hypothermia cancer treatment. Here we propose to use self-organized magnetic bead structures which accumulate on fixed magnetic seeding points to isolate circulating tumor cells. The analysis of circulating tumor cells is an emerging tool for cancer biology research and clinical cancer management including the detection, diagnosis and monitoring of cancer. Microfluidic chips for isolating circulating tumor cells use either affinity, size or density capturing methods. We combine multiphysics simulation techniques to understand the microscopic behavior of magnetic beads interacting with Nickel accumulation points used in lab-on-chip technologies. Our proposed chip technology offers the possibility to combine affinity and size capturing with special antibody-coated bead arrangements using a magnetic gradient field created by Neodymium Iron Boron permanent magnets. The multiscale simulation environment combines ...

  18. Magnetic manipulation and sensing of beads for bioapplications

    DEFF Research Database (Denmark)

    Henriksen, Anders Dahl

    . It was found that a symmetric geometry with equal stripe width and spacing was optimal, and that the stripe period should be thrice the bead radius. Magnetophoretic bead velocities of 300 μm/s were measured, and selective separation based on differences in magnetophoretic mobility was hypothesized. However......, the fabricated magnetophoresis systems had two major limitations. First, protein-coated magnetic beads had a tendency to stick to the surface, even though multiple surface blockings and modifications were tried. Second, as the systems are fabricated using a single UV lithography step, the stripe width has...... measurements and is optimized for detecting small amounts of surface bound beads. The next study analyzes the thermal properties of the chip and setup. General methods for measuring or calculating the effective heat conductivity are given, along with a discussion on how to optimize this to facilitate the use...

  19. Archaeological study of ostrich eggshell beads collected from SDG site

    Institute of Scientific and Technical Information of China (English)

    WANG ChunXue; ZHANG Yue; GAO Xing; ZHANG XiaoLing; WANG HuiMin

    2009-01-01

    Ostrich eggshell beads and fragments collected from SDG site reflect primordial art and a kind of symbolic behavior of modern humans.Based on stratigraphic data and OSL dating,these ostrich eggshell beads are probably in Early Holocene (<10 ka BP).Two different prehistoric manufacturing pathways are usually used in the manufacture of ostrich eggshell beads in Upper Paleolithic.According to statistic analysis of the characteristics of ostrich eggshell beads,Pathway 1 is identified from these collections.In pathway 1,blanks are drilled prior to being trimmed to rough discs.They exhibit great potential for the study of the origin of primordial art and the development of ancient cultures and provide important data for studying behavioral options adopted by hominids in SDG area.In addition,they bear important implications for the origin of modern humans in East Asia.

  20. An approach to implement virtual channels for flowing magnetic beads

    International Nuclear Information System (INIS)

    This work demonstrates the feasibility of a novel microfluidic system with virtual channels formed by ‘walls’ of magnetic fields, including collecting channels, transporting channels and function channels. The channels are defined by the nickel patterns. With its own ferromagnetism, nickel can be magnetized using an external magnetic field; the nickel structures then generate magnetic fields that can either guide or trap magnetic beads. A glass substrate is sandwiched between the liquid containing magnetic beads and the chip with nickel structures, preventing the liquid from directly contacting the nickel. In this work, collecting channels, transporting channels and function channels are displayed sequentially. In the collecting channel portion, channels with different shapes are compared. Next, in the transporting channel portion we demonstrate I-, S- and Y-shaped channels can steer magnetic beads smoothly. Finally, in the function channel portion, a switchable trapping channel implemented with a bistable mechanism performs the passing and blocking of a magnetic bead. (paper)