Chu K T, Oshida Y, Hancock E B, Kowolik M J, Barco T, Zunt S L
Kaohsiung Chang Gung Memorial Hospital, No. 123 Dabi Rd., Niausung Shiang, Kaohsiung 833, Taiwan.
Biomed Mater Eng. 2004;14(1):87-105.
Currently PMMA is the polymer most commonly used as a bone cement for the fixation of total hip prostheses. Ideally, a bone cement material should be easy to handle, biologically compatible, nonsupporting of oral microbial growth, available in the particulate and molded forms, easy to obtain, nonallergenic, adaptable to a broad range of dental and medical applications, in possession of high compressive strength, and effective in guided tissue regenerative procedures. One of the problems associated with the conventional types of bone cement used is their unsatisfactory mechanical and exothermic reaction properties. The purpose of this in vitro study was to investigate and compare the mechanical properties (three-point bending strength, energy-to-break, and modulus of elasticity) and physical properties (setting time, water sorption, and exothermic heat) of HA/PMMA (HA group) and bovine-bone originated HA/PMMA (BB group) composites. Composites samples were fabricated by admixing method. It was found that the addition of HA and BB particles increased the water sorption. Generally 10 v/o 20 v/o HA and 0 v/o to 10 v/o BB ratio combinations had significant beneficial effects on the mechanical properties. The heat generated during polymerization was influenced by the different admixtures. More than 40 v/o HA and 40 v/o BB should be mixed into PMMA to reduce the peak temperature. Overall evaluation indicated that the BB group had better properties than the HA group.
目前,聚甲基丙烯酸甲酯(PMMA)是最常用于全髋关节假体固定的骨水泥聚合物。理想情况下,骨水泥材料应易于操作、具有生物相容性、不支持口腔微生物生长、有颗粒状和模制形式、易于获取、无致敏性、适用于广泛的牙科和医学应用、具有高抗压强度,并在引导组织再生程序中有效。与传统类型的骨水泥相关的问题之一是其机械性能和放热反应性能不尽人意。本体外研究的目的是研究和比较羟基磷灰石/聚甲基丙烯酸甲酯(HA组)和牛骨源羟基磷灰石/聚甲基丙烯酸甲酯(BB组)复合材料的机械性能(三点弯曲强度、断裂能和弹性模量)和物理性能(凝固时间、吸水率和放热)。复合材料样品通过混合法制备。结果发现,添加HA和BB颗粒会增加吸水率。一般来说,10%体积比至20%体积比的HA和0%体积比至10%体积比的BB比例组合对机械性能有显著的有益影响。聚合过程中产生的热量受不同混合物的影响。应将超过40%体积比的HA和40%体积比的BB混入PMMA中以降低峰值温度。总体评价表明,BB组的性能优于HA组。