Ferreira B M P, Duek E A R
Centro de Ciencias Médicas e Biologicas, Pontifícia Universidade Catolica, S o Paulo - Brazil.
J Appl Biomater Biomech. 2005 Jan-Apr;3(1):50-60.
Bioabsorbable polymers have shown good clinical success in the fixation and stabilization of bone fractures. Understanding and controlling polymer prosthetic degradation and the effect of the degradation products in vivo are crucial for successful implant developments. In this study, pins made from blends of PLLA/PHBV of varying compositions were degraded in phosphate buffer and characterized by thermogravimetric analysis (TGA), differential scanning calorimetry (DSC), dynamic mechanical analysis (DMA) and scanning electron microscopy (SEM). The PLLA/PHBV blends were found to be immiscible. PLLA began to degrade after approximately 12 weeks, whereas PHBV showed some degradation only after 53 weeks. The crystallinity of the blends increased with degradation. In conclusion, PHBV improved the thermal properties of PLLA and reduced the brittleness of the blends tested. The 40/60 PLLA/PHBV blend had the best properties for use in orthopedics since it degraded quicker than pure PHBV, and yet maintained its crystallinity for longer than PLLA; in addition, this blend did not have the brittleness of PLLA. (Journal of Applied Biomaterials and Biomechanics 2005; 3: 50-60).
生物可吸收聚合物在骨折的固定和稳定方面已显示出良好的临床效果。了解和控制聚合物假体的降解以及降解产物在体内的作用对于成功开发植入物至关重要。在本研究中,由不同组成的聚乳酸(PLLA)/聚(3-羟基丁酸酯-co-3-羟基戊酸酯)(PHBV)共混物制成的销钉在磷酸盐缓冲液中降解,并通过热重分析(TGA)、差示扫描量热法(DSC)、动态力学分析(DMA)和扫描电子显微镜(SEM)进行表征。发现PLLA/PHBV共混物是不相容的。PLLA在大约12周后开始降解,而PHBV仅在53周后才出现一些降解。共混物的结晶度随降解而增加。总之,PHBV改善了PLLA的热性能并降低了所测试共混物的脆性。40/60的PLLA/PHBV共混物具有用于骨科的最佳性能,因为它比纯PHBV降解得更快,但比PLLA保持其结晶度的时间更长;此外,这种共混物没有PLLA的脆性。(《应用生物材料与生物力学杂志》2005年;3:50 - 60)