Cimatti Bruno, Engel Edgard Eduard, Nogueira-Barbosa Marcello Henrique, Frighetto Paulo Donato, Volpon José Batista
Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Laboratory of Bioengineering, Ribeirão Preto, SP, Brazil.
Universidade de São Paulo Faculdade de Medicina de Ribeirão Preto, Division of Radiology and Diagnostic Imaging, Ribeirão Preto, SP, Brazil.
Acta Ortop Bras. 2015 Jul-Aug;23(4):197-201. doi: 10.1590/1413-785220152304145751.
Macroporous cement with mechanical properties similar to cancellous bone may improve the treatment of large bone defects in relation to solid acrylic cement. The aim of this study was to compare physical and mechanical characteristics of a polymethyl methacrylate (PMMA) based porous cement with cancellous bone.
Compressive strength and pore size, interconnectivity, and distribution of cylindrical porous PMMA cement samples containing 10% (G1), 20% (G2) or 30% (G3) effervescent components were analyzed. Results were compared to bovine cancellous bone (G4) and solid PMMA (G5) samples.
Scanning electron microscopy (SEM) of all experimental samples (G1 - G3) revealed a random distribution and a wide size variation of pores ranging from 50 µm to 3 mm. Micro-CT showed that G2 have high porosity and lower interconnectivity of pores. No significant differences in yield strength and Young's modulus were observed among G1, G2 and G3. G4 samples were slightly stronger and less elastic than the other groups. Solid PMMA is extremely strong and inelastic.
PMMA based porous cement met the expected characteristics. High porosity with large and interconnected pores may allow for bone ingrowth. Strength and elasticity similar to cancellous bone may enhance mechanical stimuli to bone remodeling. Observational Descriptive Study.
与实体丙烯酸骨水泥相比,具有与松质骨相似力学性能的大孔骨水泥可能会改善大骨缺损的治疗效果。本研究的目的是比较一种基于聚甲基丙烯酸甲酯(PMMA)的多孔骨水泥与松质骨的物理和力学特性。
分析了含有10%(G1)、20%(G2)或30%(G3)泡腾成分的圆柱形多孔PMMA骨水泥样品的抗压强度、孔径、连通性和孔隙分布。将结果与牛松质骨(G4)和实体PMMA(G5)样品进行比较。
所有实验样品(G1 - G3)的扫描电子显微镜(SEM)显示孔隙随机分布且尺寸变化范围大,从50 µm到3 mm不等。显微CT显示G2具有高孔隙率和较低的孔隙连通性。在G1、G2和G3之间未观察到屈服强度和杨氏模量的显著差异。G4样品比其他组略强且弹性较小。实体PMMA极其坚固且无弹性。
基于PMMA的多孔骨水泥符合预期特性。具有大且相互连通孔隙的高孔隙率可能允许骨长入。与松质骨相似的强度和弹性可能会增强对骨重塑的力学刺激。观察性描述性研究。