Mechanical and themal properties of hydroxyapatite-impregnated bone cement

Mechanical and themal properties of hydroxyapatite-impregnated bone cement

Self-curing acrylic cements, consisting mainly of polymethylmethacrylate (PMMA), are widely used in dentistry and orthopedic surgery. One of the major side effects of the standard PMMA application is tissue necrosis at the bone-cement interface due to the rise of temperature during the polymerization reaction. This may also lead to aseptic loosening over time. Therefore, intense research is being carried out in the development of bone cements with new compositions. In this study, the aim was to develop new bone cement compositions that would have low setting temperature and high mechanical strength and be comparable with the commercially available ones. For this purpose, PMMA bone cements having various amounts of hydroxyapatite were prepared. In order to obtain a proper and homogeneous distribution of hydroxyapatite particles within the cement, very low-viscosity PMMA bone-cement compositions were developed. The addition of hydroxyapatite decreased the polymerization temperature (from 111 oC to 87 oC) and increased the compressive strength (from 110 MPa to 122 MPa) of the resultant cements. These new bone cements have setting temperatures and mechanical strengths comparable with commercially available cements and are believed to be more biocompatible since hydroxyapatite is a natural mineral present in the bone structure.

___

  • 1. Yang JM, You JW, Chen HL, Shih CH. Calorimetric Characterization of the Formation of Acrylic Type Bone Cements. J. Biomed. Mater. Res. 33:83- 88, 1996.
  • 2. Pourdeyhimi B, Wagner HD, Schwartz P. A comparison of mechanical properties of discontinuous Kevlar 29 fibre reinforced bone and dental cements. J. Mater. Sci. 21:4468-4474, 1986.
  • 3. Pascual B, Vázquez B, Gurruchaga M, Goni I, Ginebra MP, Gil FJ, Planell JA, Levenfeld B, San Román J. New aspects of the effect of size and size distribution on the setting parameters and mechanical properties of acrylic bone cements. Biomaterials. 17:509-516, 1996.
  • 4. Park HC, Liu YK, Lakes RS. The Material Properties of Bone-Particle Impregnated PMMA. J Biomech Eng 108:141-148, 1986.
  • 5. Kindt-Larsen T, Smith DB, Jensen JS. Innovations in Acrylic Bone Cement and Application Equipment. J Applied Biomaterials 6:75-83, 1995.
  • 6. Migliaresi C, Fambri L, Kolarik J. Polymerization kinetics, glass transition temperature and creep of acrylic bone cements. Biomaterials. 15:875-881, 1994.
  • 7 .Stürup J, Nimb L, Jensen JS. Blood perfusion and remodelling activity in canine tibial diaphysis after filling with a new bone cement compared to bone wax and poly(methyl methacrylate) cement. Biomaterials 16:845-848, 1995.
  • 8. Suominen S. Early Failure with Boneloc Bone Cement. Acta Orthop Scand 66(1):13, 1995.
  • 9. Ogiso M, Tabata T, Ichijo T, Borgese D. Bone calcification on the hydroxyapatite dental implant and the bonehydroxyapatite interface. J Long-Term Effects Med Implants, 2:137-148, 1993
  • 10. Liebendörfer A, Schmitz B, Wenz R, Specht R, Bonath K. Experimental studies on a new bone cement: hydroxyapatite composite resin. The 21st Annual Meeting of the Society for Biomaterials, San Francisco, USA, 335, 1995
  • 11. Lee RR, Ogiso M, Watanabe A, Ishihara K. Examination of hydroxyapatite filled 4-META/MMA-TBB adhesive bone cement in in-vitro and in-vivo environment. J Biomed Mater Res Appl Biomater. 38:11-16, 1997
  • 12. Pal S, Saha S. Stress relaxation and creep behaviour of normal and carbon fibre reinforced acrylic bone cements. Biomaterials. 3:93-95, 1982.
  • 13. Saha, S.; Pal, S. Improvement of mechanical properties of acrylic bone cement by fiber reinforcement. J. Biomech. 17:467-478, 1984.
  • 14. Buckley CA, Lautenschlager EP, Gilbert JL. Deformation Processing of PMMA into High-Strength Fibers. J App Polymer Sci 44:1321-1330, 1992.
  • 15. Gilbert JL, Ney DS, Lautenschlager EP. Self-Reinforced composite poly (methyl methacrylate): static and fatigue properties. Biomaterials. 16:1043- 1055, 1995.
  • 16. Wright TM, Trent PS. Mechanical properties of aramid fiber reinforced acrylic bone cement. J. Mater. Sci. 14:503-505, 1979.
  • 17. Deb S, Braden M, Bonfield W. Water absorption characteristics of modified hydroxyapatite bone cements. Biomaterials 16:1095-1100, 1995.
  • 18. Vallo C. I, Montemartini P.E, Fanovich M.A, Porto J.M, Cuadrado T.R, Polymethylmethacrylate based bone cement modified with hydroxyapatite. Biomed Mater Res, Appl Biomater, 48:150-158, 1999