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可即用且快速生物降解的磷酸镁骨水泥:绵羊体内评估。

Ready-To-Use and Rapidly Biodegradable Magnesium Phosphate Bone Cement: In Vivo Evaluation in Sheep.

机构信息

Institute for Orthopedic Research and Biomechanics, Ulm University Medical Center, Helmholtzstraße 14, D-89081, Ulm, Germany.

Department for Functional Materials in Medicine and Dentistry, University Hospital Würzburg, Pleicherwall 2, D-97070, Würzburg, Germany.

出版信息

Adv Healthc Mater. 2023 Oct;12(26):e2300914. doi: 10.1002/adhm.202300914. Epub 2023 Jun 4.

Abstract

In clinical practice, hydroxyapatite (HA) cements for bone defect treatment are frequently prepared by mixing a powder component and a liquid component shortly before implantation in the operation theater, which is time-consuming and error-prone. In addition, HA cements are only slightly resorbed, that is, cement residues can still be found in the bone years after implantation. Here, these challenges are addressed by a prefabricated magnesium phosphate cement paste based on glycerol, which is ready-to-use and can be directly applied during surgery. By using a trimodal particle size distribution (PSD), the paste is readily injectable and exhibits a compressive strength of 9-14 MPa after setting. Struvite (MgNH PO ·6H O), dittmarite (MgNH PO ·H O), farringtonite (Mg (PO ) ), and newberyite (MgHPO ·3H O) are the mineral phases present in the set cement. The paste developed here features a promising degradation of 37% after four months in an ovine implantation model, with 25% of the implant area being newly formed bone. It is concluded that the novel prefabricated paste improves application during surgery, has a suitable degradation rate, and supports bone regeneration.

摘要

在临床实践中,用于治疗骨缺损的羟基磷灰石(HA)水泥通常是在手术室中将粉末成分和液体成分混合制备而成,这既耗时又容易出错。此外,HA 水泥的吸收性非常低,即在植入后数年,仍可在骨中发现水泥残留。在这里,通过使用基于甘油的预制磷酸镁水泥浆来解决这些挑战,该水泥浆即开即用,可在手术过程中直接使用。通过使用三模态粒径分布(PSD),该浆体易于注射,在凝固后具有 9-14 MPa 的抗压强度。在凝固的水泥中存在鸟粪石(MgNH4PO4·6H2O)、水羟磷灰石(MgNH4PO4·H2O)、磷镁钙石(Mg3(PO4)2)和一水磷酸二氢镁(MgHPO4·3H2O)等矿物相。在绵羊植入模型中,该新型预制浆体在四个月后表现出 37%的有希望的降解率,其中 25%的植入区域是新形成的骨。研究结果表明,新型预制浆体改善了手术中的应用,具有合适的降解率,并支持骨再生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe8/11468836/ef9ce854b085/ADHM-12-2300914-g009.jpg

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