Chinese Journal of Tissue Engineering Research ›› 2019, Vol. 23 ›› Issue (2): 204-210.doi: 10.3969/j.issn.2095-4344.1508
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Gao Shan1, Zhou Fang1, Lü Yang1, Yuan Liang1, Li Ailing2, Qiu Dong2
Received:
2018-09-26
Online:
2019-01-18
Published:
2019-01-18
Contact:
Zhou Fang, Chief physician, Professor, Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China
About author:
Gao Shan, Doctorate candidate, Department of Orthopedics, Peking University Third Hospital, Beijing 100191, China
Supported by:
the National Natural Science Foundation of China, No. 51473004 (to ZF)
CLC Number:
Gao Shan, Zhou Fang, Lü Yang, Yuan Liang, Li Ailing, Qiu Dong. Preparation and characterization of novel porous polymethyl methacrylate bone cements[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(2): 204-210.
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2.1 各组复合骨水泥的抗压强度 各组分骨水泥的抗压强度结果,见图1。 与对照组比较,THP60/00组抗压模量降低(P < 0.01),其他组抗压模量均升高,除其中的THP40/05组抗压模量与对照组相比差异无显著性意义外(P > 0.05),其余比较均有显著性意义(P < 0.05或P < 0.01)。 在实验组组内,当HEMA比例一定时(0%,5%,10%),纳米磷酸三钙质量分数为50%组分的抗压模量优于40%、60%组分(P < 0.05);当HEMA比例≥15%时,纳米磷酸三钙比例变化对复合骨水泥的抗压模量无明显影响(P > 0.05)。 在实验组组内,当纳米磷酸三钙比例一定时,抗压模量在一定范围内随着HEMA比例(0%-15%)的增高逐渐升高;当HEMA比例≥15%时,HEMA比例增高对复合骨水泥的抗压模量无明显影响(P > 0.05)。实验表明磷酸三钙和HEMA的加入,可一定范围内增强复合骨水泥的抗压性能。以PMMA组为参照,其中THP50/00组、THP50/05组、THP50/10组为优势组分。"
2.2 各组复合骨水泥的抗弯强度 各组分骨水泥的抗弯强度结果,见图2。 与对照组相比,THP40/00组、THP50/00组、THP50/05组及所有磷酸三钙质量分数为60%组分的复合骨水泥抗弯强度明显下降,呈线性关系(P < 0.05)。 在实验组组内,当HEMA比例一定时,随着纳米磷酸三钙比例的增加,复合骨水泥的抗弯强度逐渐降低;在所有含有HEMA组分的复合骨水泥中,40%纳米磷酸三钙组分的抗弯强度高于60%纳米磷酸三钙组分(P < 0.05);当HEMA比例为10%,15%时,50%纳米磷酸三钙组分的抗弯强度高于60%纳米磷酸三钙组分(P < 0.05)。 在实验组组内,当磷酸三钙比例一定时(40%,50%),随着HEMA比例(0%-15%)的增加,复合骨水泥的抗弯强度逐渐上升;当HEMA比例≥15%时,复合骨水泥的抗弯强度下降,并且THP40/20组、THP50/20组的抗弯强度分别小于THP40/15组、THP50/15组(P < 0.05);在60%磷酸三钙组分中,复合骨水泥的抗弯强度并没有随着HEMA比例的变化发生明显变化,稳定在35 MPa左右。实验提示磷酸三钙的加入,可显著降低复合骨水泥的抗弯性能,但加入HEMA后可在一定范围内加强复合骨水泥的抗弯性能。以对照组为参照,进一步筛选,发现THP50/10组为优势组分。"
2.3 各组复合骨水泥的凝固最高温度和凝固时间 各组复合骨水泥的凝固最高温度结果,见图3。各实验组凝固过程中的最高温度都在80 ℃左右,与对照组无明显差别,并没有随着磷酸三钙和HEMA比例的变化发生明显变化。 各组复合骨水泥的凝固时间结果,见图4。与凝固最高温度不同,复合骨水泥的凝固时间明显受到磷酸三钙、HEMA比例的影响:当HEMA比例一定时,随着磷酸三钙比例的增加,复合骨水泥的凝固时间明显延长;当磷酸三钙比例一定时,随着HEMA比例的增加,复合骨水泥的凝固时间明显缩短。根据ISO5833标准对丙烯酸类骨水泥凝固温度为(90±5) ℃[22],凝固时间6.5-15 min之间的要求,THP50/10组满足该要求。"
[1] CHARNLEY J.Anchorage of the femoral head prosthesis to the shaft of the femur. J Bone Joint Surg Br.1960;42-B:28-30.[2] Mahon OR,O'Hanlon S,Cunningham CC,et al.Orthopaedic implant materials drive M1 macrophage polarization in a spleen tyrosine kinase- and mitogen-activated protein kinase-dependent manner. Acta Biomater.2018;65:426-435.[3] Gao X,Ge J,Li W,et al. LncRNA KCNQ1OT1 ameliorates particle-induced osteolysis through inducing macrophage polarization by inhibiting miR-21a-5p.Biol Chem. 2018; 399(4): 375-386.[4] Antonios JK,Yao Z,Li C,et al. Macrophage polarization in response to wear particles in vitro. Cell Mol Immunol. 2013;10(6): 471-482. [5] Kim W,Yoon PW,Kwak HS,et al.Primary hybrid THA using a polymethyl methacrylate-precoated stem: A single-center experience with a 10-year minimum follow-up. J Biomed Mater Res B Appl Biomater. 2017;105(5):1300-1306.[6] Ayre WN,Denyer SP,Evans SL.Ageing and moisture uptake in polymethyl methacrylate (PMMA) bone cements.J Mech Behav Biomed Mater.2014;32:76-88. [7] Dall'Oca C,Maluta T,Cavani F,et al. The biocompatibility of porous vs non-porous bone cements: a new methodological approach. Eur J Histochem.2014;58(2):2255. [8] Yang J,Zhang K,Zhang S,et al.Preparation of calcium phosphate cement and polymethyl methacrylate for biological composite bone cements.Med Sci Monit.2015;21:1162-1172.[9] Lye KW,Tideman H,Wolke JC,et al.Biocompatibility and bone formation with porous modified PMMA in normal and irradiated mandibular tissue.Clin Oral Implants Res.2013;24 Suppl A 100: 100-109.[10] Sa Y,Yu N,Wolke JGC,et al.Bone Response to Porous Poly(methyl methacrylate) Cement Loaded with Hydroxyapatite Particles in a Rabbit Mandibular Model.Tissue Eng Part C Methods.2017;23(5):262-273.[11] Sa Y, Yang F,de Wijn JR, et al. Physicochemical properties and mineralization assessment of porous polymethylmethacrylate cement loaded with hydroxyapatite in simulated body fluid. Mater Sci Eng C Mater Biol Appl. 2016;61:190-198. [12] Wang L,Yoon DM,Spicer PP,et al.Characterization of porous polymethylmethacrylate space maintainers for craniofacial reconstruction.J Biomed Mater Res B Appl Biomater. 2013;101(5): 813-825.[13] Lewis G. Properties of acrylic bone cement: state of the art review. J Biomed Mater Res. 1997;38(2):155-182.[14] 张森林.磷酸钙骨水泥的研究进展[J].医学研究生学报, 2003,16(1): 62-63. [15] 陈浩东,姚金凤,梁志刚.磷酸钙的固有骨诱导性及其应用[J].中国组织工程研究,2016,20(25):3785-3792. [16] Li Y,Jiang T,Zheng L,et al.Osteogenic differentiation of mesenchymal stem cells (MSCs) induced by three calcium phosphate ceramic (CaP) powders: A comparative study.Mater Sci Eng C Mater Biol Appl. 2017;80:296-300. [17] 尚希福,汤亭亭,戴尅戎.TCP-PMMA骨水泥-骨界面强度变化的研究[J].医用生物力学,2006,21(2):111-114. [18] Liu Z, Tang Y, Kang T, et al. Synergistic effect of HA and BMP-2 mimicking peptide on the bioactivity of HA/PMMA bone cement.Colloids Surf B Biointerfaces.2015;131:39-46. [19] Lewis G.Properties of nanofiller-loaded poly (methyl methacrylate) bone cement composites for orthopedic applications: a review.J Biomed Mater Res B Appl Biomater. 2017;105(5):1260-1284. [20] Wolf-Brandstetter C,Roessler S,Storch S,et al.Physicochemical and cell biological characterization of PMMA bone cements modified with additives to increase bioactivity. J Biomed Mater Res B Appl Biomater. 2013;101(4):599-609[21] Klaus-DieterKuhn.PMMA骨水泥[M].张克,吕维加译.北京:北京大学医学出版社,2015.[22] 行业标准YY0459-2003/ISO5833:2002丙烯酸类树脂骨水泥:国家食品药品监督管理局,2013.[23] ISO 10993-11:1994 , Biological evaluation of medical devices-Part 11:Tests for systemic toxicity.2003.[24] Langer R,Vacanti JP.Tissue engineering. Science. 1993;260 (5110):920-926. [25] Fottner A,Nies B,Kitanovic D,et al.Performance of bioactive PMMA-based bone cement under load-bearing conditions: an in vivo evaluation and FE simulation. J Mater Sci Mater Med. 2016; 27(9):138.[26] Verburg H, van de Ridder LC, Verhoeven VW, et al. Validation of a measuring technique with computed tomography for cement penetration into trabecular bone underneath the tibial tray in total knee arthroplasty on a cadaver model. BMC Med Imaging 2014; 14:29. [27] Van Susante JLC,Verdonschot N,Bom LPA,et al.Lessons learnt from early failure of a patient trial with a polymer-on-polymer resurfacing hip arthroplasty.Acta Orthop. 2018;89(1):59-65.[28] Chen C,Li D,Wang Z,et al.Safety and Efficacy Studies of Vertebroplasty, Kyphoplasty, and Mesh-Container-Plasty for the Treatment of Vertebral Compression Fractures: Preliminary Report. PLoS One.2016;11(3):e0151492. [29] Wang H,Sribastav SS,Ye F,et al.Comparison of Percutaneous Vertebroplasty and Balloon Kyphoplasty for the Treatment of Single Level Vertebral Compression Fractures: A Meta-analysis of the Literature. Pain Physician. 2015;18(3):209-222.[30] Chandra W,Prasad BC,Jagadeesh MA,et al.Segmental polymethylmethacrylate-augmented fenestrated pedicle screw fixation for lumbar spondylolisthesis in patients with osteoporosis - A case series and review of literature.Neurol India. 2017;65(1): 89-95. [31] Kim JG,Jin YJ,Chung SK,et al.Unilateral augmented pedicle screw fixation for foraminal stenosis. J Korean Neurosurg Soc. 2009;46(1):5-10. [32] Yimin Y,Zhiwei R,Wei M,et al.Current status of percutaneous vertebroplasty and percutaneous kyphoplasty--a review.Med Sci Monit.2013;19:826-836. [33] Wegener B,Zolyniak N,Gülecyüz MF,et al. Heat distribution of polymerisation temperature of bone cement on the spinal canal during vertebroplasty.Int Orthop.2012;36(5):1025-1030.[34] McMahon S,Hawdon G,Baré J,et al.In vivo response of bone defects filled with PMMA in an ovine model.Hip Int. 2011;21(5): 616-622. [35] Xu HH,Burguera EF,Carey LE.Strong, macroporous, and in situ-setting calcium phosphate cement-layered structures. Biomaterials.2007;28(26):3786-3796. [36] Tsuruga E,Takita H,Itoh H,et al.Pore size of porous hydroxyapatite as the cell-substratum controls BMP-induced osteogenesis.J Biochem.1997;121(2):317-324. [37] Moreau MF,Chappard D,Lesourd M,et al.Free radicals and side products released during methylmethacrylate polymerization are cytotoxic for osteoblastic cells.J Biomed Mater Res. 1998;40(1): 124-131.[38] Bettencourt A,Calado A,Amaral J, et al.In vitro release studies of methylmethacrylate liberation from acrylic cement powder. Int J Pharm.2000;197(1-2):161-168. [39] Hoess A,López A,Engqvist H, et al.Comparison of a quasi-dynamic and a static extraction method for the cytotoxic evaluation of acrylic bone cements. Mater Sci Eng C Mater Biol Appl.2016;62:274-282.[40] 郭新辉,吕扬阳,范积平,等.磷酸钙与聚甲基丙烯酸甲酯制备复合型骨水泥的生物安全性研究[J].中国骨与关节损伤杂志, 2016,31(5): 506-510. |
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