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用聚乙二醇包裹的β-磷酸三钙颗粒改性的丙烯酸骨水泥。

Acrylic bone cements modified with beta-TCP particles encapsulated with poly(ethylene glycol).

作者信息

Vázquez Blanca, Ginebra María Pau, Gil Xavier, Planell Josep Antón, San Román Julio

机构信息

Institute of Science and Technology of Polymers, CSIC, C/Juan de la Cierva, 3. 28006 Madrid, Spain.

出版信息

Biomaterials. 2005 Jul;26(20):4309-16. doi: 10.1016/j.biomaterials.2004.10.042.

Abstract

Beta-tricalcium phosphate (beta-TCP) has been encapsulated with poly(ethylene glycol) (PEG) to improve the filler/cement interface, and it was later incorporated to a poly(methyl methacrylate) bone cement in order to obtain cements with improved stability in the long term. Size and size distribution of the agglomerates forming the initial powder was drastically changed after its dispersion in a PEG aqueous solution. Whereas the initial beta-TCP particles had a 584 microm average diameter, the treated particles (TCP-PEG) presented more than 60% of the particles in a range of 2-6 microm. The effect of adding the treated particles to an acrylic cement was evaluated in terms of curing parameters, in vitro behaviour and mechanical performance. The presence of the TCP-PEG particles did not affect either peak temperature or setting time, indicating a good homogeneity of polymerising mass in contrast to the effect observed with the plain beta-TCP particles, which gave rise to higher setting times. In vitro behaviour studies revealed hydration degree values of the modified cements comparable to that of PMMA cements. Early stages of water uptake was Fickian in nature for all the experimental formulations indicating that the water absorption followed a diffusion controlled mechanism. After 3 months of storage in SBF the experimental formulations presented values of compressive strength in the range 76-78 MPa, higher than the minimum required by ISO 5833 (70 MPa) and those of tensile strength in the range 42-48 MPa, higher than the minimum reported for commercial formulations (30 MPa), but no significant differences in the strengths and elastic modulus were observed with the treatment of the filler particles. This observation was confirmed by ESEM analysis of the tensile fracture surfaces, which revealed a rather good cohesion between the bioceramic particles with some gaps around them, independently of the type of particles. The themogravimetric analysis of dry and wet specimens showed a higher dissolution rate of the plain beta-TCP particles in comparison to the encapsulated ones, indicating that the PEG adsorbed on the surface of the TCP particles could be a way to control the resorbability of the bioceramic component.

摘要

β-磷酸三钙(β-TCP)已用聚乙二醇(PEG)包裹以改善填料/骨水泥界面,随后将其掺入聚甲基丙烯酸甲酯骨水泥中,以获得长期稳定性更好的骨水泥。形成初始粉末的团聚体在PEG水溶液中分散后,其尺寸和尺寸分布发生了巨大变化。初始β-TCP颗粒的平均直径为584微米,而处理后的颗粒(TCP-PEG)在2-6微米范围内的颗粒占比超过60%。从固化参数、体外行为和力学性能方面评估了向丙烯酸骨水泥中添加处理后颗粒的效果。TCP-PEG颗粒的存在既不影响峰值温度也不影响凝固时间,这表明与普通β-TCP颗粒的情况相比,聚合物料具有良好的均匀性,普通β-TCP颗粒会导致凝固时间更长。体外行为研究表明,改性骨水泥的水化程度值与PMMA骨水泥相当。所有实验配方在早期吸水本质上都是菲克型的,这表明吸水遵循扩散控制机制。在模拟体液(SBF)中储存3个月后,实验配方的抗压强度值在76-78MPa范围内,高于ISO 5833要求的最小值(70MPa),抗拉强度值在42-48MPa范围内,高于商业配方报道的最小值(30MPa),但填料颗粒处理后,强度和弹性模量没有显著差异。拉伸断裂表面的环境扫描电子显微镜(ESEM)分析证实了这一观察结果,该分析表明生物陶瓷颗粒之间具有相当好的内聚力,周围有一些间隙,与颗粒类型无关。干湿试样的热重分析表明,普通β-TCP颗粒的溶解速率高于包裹后的颗粒,这表明吸附在TCP颗粒表面的PEG可能是控制生物陶瓷成分可吸收性的一种方法。

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