Kim Choll W, Talac Robert, Lu Lichun, Moore Michael J, Currier Bradford L, Yaszemski Michael J
Department of Orthopedic Surgery, University of California, San Diego, California, USA.
J Biomed Mater Res A. 2008 Jun 15;85(4):1114-9. doi: 10.1002/jbm.a.31633.
The use of bone grafts for orthopedic applications have increased steadily over the past decade. With improvements in surgical technique, combined with an increasing aged population requiring orthopedic treatment, the need for bone grafts substitutes have also increased. To be useful clinically, the bone graft substitute must be biocompatible, bioabsorbable, and have convenient handling properties. In addition, it must possess a microarchitecture that allows cellular ingrowth and remodeling while simultaneously providing mechanical strength. Poly(propylene fumarate) (PPF) has been investigated as an injectable, biodegradable scaffold for orthopedic applications. Various methods to create a porous, interconnected polymer scaffold are available. The foaming technique is a convenient method to accomplish this task. Reactions between bicarbonate salts and weak acids generate CO(2) gas, causing a bubbling reaction during the polymerization process. This technique allows the porosity of the scaffold to be modulated. Image analysis and mechanical testing of porous PPF fabricated using the foaming technique shows that a highly porous, interconnected scaffold can be produced. At approximately 50% porosity, the scaffold has excellent handling properties, contains pore sizes ranging from 50 to 500 mum with an elastic modulus ranging from 20 to 40 MPa. The foaming technique provides an additional method by which clinically useful polymers can be fabricated for use in various bone tissue engineering applications.
在过去十年中,用于骨科手术的骨移植材料的使用量稳步增长。随着手术技术的改进,再加上需要骨科治疗的老年人口不断增加,对骨移植替代物的需求也在增加。为了在临床上有用,骨移植替代物必须具有生物相容性、生物可吸收性,并且具有便于操作的特性。此外,它必须拥有一种微观结构,既能允许细胞向内生长和重塑,同时又能提供机械强度。聚富马酸丙二醇酯(PPF)已被研究作为一种用于骨科手术的可注射、可生物降解的支架。有多种方法可用于制造多孔、相互连接的聚合物支架。发泡技术是完成这项任务的一种便捷方法。碳酸氢盐与弱酸之间的反应会产生二氧化碳气体,在聚合过程中引发起泡反应。这种技术可以调节支架的孔隙率。对使用发泡技术制造的多孔PPF进行图像分析和力学测试表明,可以生产出高度多孔、相互连接的支架。在孔隙率约为50%时,该支架具有出色的操作性能,孔径范围为50至500微米,弹性模量范围为20至40兆帕。发泡技术提供了一种额外的方法,通过这种方法可以制造出临床上有用的聚合物,用于各种骨组织工程应用。