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Elastic and ultimate properties of acrylic bone cement reinforced with ultra-high-molecular-weight polyethylene fibers.

A study of the fracture behavior of poly-(methyl methacrylate) (PMMA) bone cement reinforced with short ultra-high-molecular-weight polyethylene (Spectra 900) fibers is presented. Linear elastic and nonlinear elastic fracture mechanics results indicate that a significant reinforcing effect is obtained at fiber contents as low as 1% by weight, but beyond that concentration a plateau value is reached and the fracture toughness becomes insensitive to fiber content. The flexural strength and modulus are apparently not improved by the incorporation of polyethylene fibers in the acrylic cement, probably because of the presence of voids, the poor mixing practice and the weakness of the fiber/matrix interfacial bond. The present polyethylene/PMMA composite presents several advantages as compared to other composite cements, but overall the mechanical performance of this system resembles that of Kevlar 29/PMMA cement, with a few differences. Scanning electron microscopy reveals characteristic micromechanisms of energy absorption in Spectra 900/PMMA bone cement. A scheme for the strength of random fiber-reinforced composites, which is a simple extension of the Kelly and Tyson model for the strength of unidirectional composites, is presented and discussed. Young's modulus and the fracture toughness results are discussed in the framework of existing theories. More fundamental modeling treatments are needed in terms of fracture micromechanisms to understand and optimize the various mechanical properties with respect to structural parameters and cement preparation technique.

Bone Cements↗

Creep studies of multiphase acrylic systems.

The influence of type and quantity of five different crosslinking agents on tensile creep properties of multiphase acrylic systems has been studied. The polymeric materials, commonly applied in bioengineering, were processed by polymerization of a mixture of liquid methacrylate monomers and poly(methyl methacrylate) powder. The specimens were made with various ratios of methyl methacrylate and crosslinking agents in the monomer liquid. Two different processing conditions were used, i.e., heat-polymerization at 100 degrees C and autopolymerization at 45 degrees C. Creep behavior was determined at 37 +/- 0.2 degrees C and 50 +/- 0.5 degrees C. The investigation showed higher creep values for autopolymerized than for heat-polymerized materials. In heat-polymerized materials the creep curves showed little variation with type and quantity of crosslinking agents at low stress levels. However, at high stress levels the creep values decreased with increasing quantity of crosslinking agents. The autopolymerized materials showed a more inhomogeneous structure, and great variation in creep. Both among the heat-polymerized and autopolymerized materials, the systems with diethyleneglycol dimethacrylate clearly deviated from the others by showing higher creep values.

Biopolymers↗

Dynamic mechanical properties of multiphase acrylic systems.

The influence of type and quantity of five different dimethacrylate crosslinking agents on the dynamic mechanical properties of multiphase acrylic systems has been studied. These materials, commonly used in bioengineering, were processed by polymerization of a mixture of liquid methacrylate monomers, and poly(methyl methacrylate) powder. The specimens were made with various ratios of methyl methacrylate and dimethacrylate crosslinking agents in the monomer liquid. Two different processing conditions were used, heat-polymerization at 100 degrees C and autopolymerization at 45 degrees C. By using a forced torsional vibration apparatus the storage modulus (G'), loss modulus (G"), and dissipation factor (tan delta) were determined over the temperature range -60 degrees C to 140 degrees C at frequencies of 0.1, 1.0, 10, and 100 rad/s. In the autopolymerized materials, the glass transition temperature (Tg), as determined via tan delta data, increased with increasing quantities of crosslinking agents. The storage modulus likewise increased. In the heat-polymerized materials only minor variations in modulus and tan delta with type and quantity of crosslinking agents were observed. Tg values of the heat-polymerized materials were, in all cases, greater than those of the autopolymerized materials.

Biocompatible Materials↗

Effect of water structure on blood compatibility--thermal analysis of water in poly(meth)acrylate.

The purpose of this study is to clarify the main factor causing excellent blood compatibility of poly(2-methoxyethyl acrylate)(PMEA) by the comparison between PMEA and seven PMEA analogous polymers. The polymers have a typical functional group as ester side chains such as methoxyethyl, hydroxyethyl, phenoxyethyl, and alkyl groups. The properties of the polymers relating to water were investigated in terms of contact angle, equilibrium water content (EWC), and thermal analysis by differential scanning calorimetry. The water in PMEA could be classified into three types: nonfreezing water, freezing bound water, and free water while the water in the analogous polymers was classified into just two types: free and nonfreezing waters, regardless of the chemical structure of the side chain. The surface property represented by the contact angle of water corresponded to the content of the bound water (nonfreezing water + freezing bound water). The platelet compatibility in vitro did not depend on the contents of these waters, or on the contact angle. On the basis of the results of this work and the previous work on the platelet compatibility of poly(MEA-co-HEMA) (Tanaka et al. Biomacromolecules 2002;3;36-41), the main factor causing the excellent compatibility of PMEA is discussed.

Biocompatible Materials↗

Vinylpyrrolidone-co-(meth)acrylic acid inserts for ocular drug delivery: synthesis and evaluation.

Copolymeric hydrogels constituting of vinylpyrrolidone and methacrylic or acrylic acid repeat units have been prepared and investigated for their ability to act as controlled release vehicles in ophthalmic drug delivery. The materials were synthesized by radical-induced polymerization in the presence of N,N'-methylenebisacrylamide crosslinker, and the influences of network composition and drug solubility upon the swelling properties, adhesion behavior, and drug release characteristics were studied. In vitro release experiments showed that some of these materials could be useful vehicles for the delivery of drugs such as pilocarpine or chloramphenicol, while in vivo studies, using the rabbit model, confirmed their high potential for the controlled ocular delivery of pilocarpine hydrochloride.

Animals↗

Adhesion enhancement of steel fibers to acrylic bone cement through a silane coupling agent.

The use of a silane coupling agent (methacryloxypropyl-trichlorosilane) to improve the mechanical properties of steel fiber-reinforced acrylic bone cements was assessed. Changes to the tensile and fracture properties of bone cements reinforced with silane-coated or uncoated 316L stainless steel fibers of different aspect ratios were studied. Contact-angle measurements indicated that the coupling agent coats the metal surface through room temperature treatments in a short time (within 2 h). Push-out tests indicated that the interfacial shear strength of silane-coated 316L stainless steel rods is 141% higher than the uncoated rods. The elastic moduli, ultimate stresses, and fracture toughness of the silane-coated, steel fiber-reinforced bone cements are significantly higher than the bone cements reinforced with uncoated steel fibers. There were no differences in the tensile mechanical properties of the silane-coated or uncoated, steel fiber-reinforced cements after aging in a physiological saline solution, indicating that the bonding effectiveness is decreased by the intrusion of water at the metal-polymer interface. Because of possible biocompatibility issues with leaching of the silane coupling agent and no long-term mechanical benefit in simulated aging experiments, the use of these agents is not recommended for in vivo use.

Adhesiveness↗

Augmentation of acrylic bone cement with multiwall carbon nanotubes.

Acrylic bone cement, based on polymethylmethacrylate (PMMA), is a proven polymer having important applications in medicine and dentistry, but this polymer continues to have less than ideal resistance to mechanical fatigue and impact. A variety of materials have been added to bone cement to augment its mechanical strength, but none of these augmentative materials has proven successful. Carbon nanotubes, a new hollow multiwalled tubular material 10-40 nm in diameter, 10-100 microm long, and 50-100 times the strength of steel at 1/6 the weight, have emerged as a viable augmentation candidate because of their large surface area to volume ratio. The objective of this study was to determine if the addition of multiwall carbon nanotubes to bone cement can alter its static or dynamic mechanical properties. Bar-shaped specimens made from six different (0-10% by weight) concentrations of multiwall carbon nanotubes were tested to failure in quasi-static 3-point bending and in 4-point bending fatigue (5 Hz). Analyses of variance and the 3-Parameter Weibull model were used to analyze the material performance data. The 2 wt % MWNT concentration enhanced flexural strength by 12.8% (p=0.003) and produced a 13.1% enhancement in yield stress (p=0.002). Bending modulus increased slightly with the smaller (<5 wt % MWNT) concentrations, but increased 24.1% (p<0.001) in response to the 10 wt % loading. While the 2 wt % loading produced slightly improved quasi-static test results, it was associated with clearly superior fatigue performance (3.3x increase in the Weibull mean fatigue life). Weibull minimum fatigue life (No), Weibull modulus (alpha), and characteristic fatigue life (beta) for bone cement augmented with carbon nanotubes were enhanced versus that observed in the control group. These data unambiguously showed that the bone cement-MWNT polymer system has an enhanced fatigue life compared to "control" bone cement (no added nanotubes). It is concluded that specific multiwall carbon nanotube loadings can favorably improve the mechanical performance of bone cement.

Biocompatible Materials↗

Injectable acrylic bone cements for vertebroplasty with improved properties.

Currently commercially available acrylic bone cements lack adequate radiopacity and viscosity when they are used in percutaneous vertebroplasty (PVP). In this work improved formulations of radiopaque and injectable poly(methyl methacrylate) bone cements were prepared with different amounts (10-50 wt.%) of BaTiO3 or SrTiO3 particles as the radiopaque agent. Two sets of cements were prepared by using untreated or silanated radiopaque particles, respectively. The influence of the content and nature of the radiopaque agent as well as its silanation with 3-(trimethoxysilyl) propyl methacrylate (gamma-MPS), on the curing parameters, residual monomer content, radiopacity, mechanical properties, and injectability of the resulting materials, was examined. Doughing and setting times, maximum temperature, and compressive strength of all formulations fulfilled the requirements of standard specifications, with values of peak temperature in the range 57-72 degrees C and those of compressive strength between 114 and 135 MPa. Formulations containing at least 20 wt.% BaTiO3 or SrTiO3 had radiopacities equal to or greater than that corresponding to 2 mm of Al as required for surgical plastics. Injectability of any of the formulations provided 75-80 wt.% of the total mass manually injected through a conventional biopsy needle 4 min after mixing. Silanation of the BaTiO3 or SrTiO3 particles led to formulations with improved mechanical properties and injectability compared to those obtained with the untreated fillers.

Barium Compounds↗

Influence of oscillatory mixing on the injectability of three acrylic and two calcium-phosphate bone cements for vertebroplasty.

Injecting acrylic and, increasingly, calcium-phosphate cements into the porous bone structure is an emerging procedure, referred to as vertebroplasty, for the augmentation of osteoporotic vertebrae. Despite the benefits of vertebroplasty, it has limitations. The limitations of interest in this study are the injectability of bone cements and their mixing variability (i.e., low reproducibility of resulting viscosity). The objective of this study is to investigate the effect of oscillatory versus manual mixing on cement viscosity and mixing variability. Five cements are tested: (a) Vertebroplastic, (b) DP-Pour, (c) Antibiotic Simplex, (d) chronOS Inject, and (e) Biopex. Compared to manual mixing, oscillatory mixing significantly decreased the mean viscosity and the mixing variability, which was inferred from the coefficient of variation. For example, under oscillatory mixing, the viscosity and the variability for Vertebroplastic decreased to one-third of the corresponding values for manual mixing. Similar results were obtained for the other cements. The decrease in viscosity is attributed to the pseudo-plastic behavior of bone cements. The decrease in the variability of cement viscosity was attributed to greater dispersive mixing of the cement components under oscillatory mixing. The decrease in viscosity eases the injection by reducing the pressure required. The decrease in the variability of cement viscosity increases reproducibility of the cement injection. Oscillatory mixing appears to have the potential to contribute to improving vertebroplasty.

Bone Substitutes↗

The development of theoretical relationships between some handling parameters (setting time and setting temperature), composition (relative amounts of initiator and activator) and ambient temperature for acrylic bone cement.

Commercially available acrylic bone cements are two-component systems based on the polymerization of methyl methacrylate around poly(methyl methacrylate) particles. When benzoyl peroxide (BPO), which is the initiator, in the powder component meets accelerator (N,N-dimethyl-p-toluidine (DMpT)) in the liquid component, radicals are produced, initiating the polymerization. This solidifies the cement. In this work, kinetic expressions have been developed that describe the relationship between bone cement setting time on the one hand, and BPO and DMpT concentrations on the other. Changes in setting time with ambient temperature follow a complex relationship, because both the polymerization process (initiation, propagation, and termination) and the swelling and dissolution of the polymer particles contribute to setting. The contribution of polymer swelling and dissolution to the setting process was determined by developing a relationship between the doughing time, which is substantially independent of DMpT or BPO concentrations, and ambient temperature. A value of 64 kJ mol(-1) was found for the activation energy for this process. An activation energy for the overall setting process of 68 kJ mol(-1) was determined from setting-time measurements over several ambient temperatures. This indicates that the sensitivity of setting time to temperature depends more on swelling and dissolution than on the polymerization process.

Benzoyl Peroxide↗

Mechanical characterization of self-curing acrylic cements formulated with poly(methylmethacrylate)/poly(epsilon-caprolactone) beads.

New acrylic-based cements were formulated by replacing a mass fraction of 20% of poly(methyl methacrylate) (PMMA) powder by PMMA/poly(epsilon-caprolactone) (PCL) beads (throughout this article all compositions are given as mass fractions, unless specified otherwise). PMMA/PCL beads containing 10 and 30% PCL were synthesized by suspension polymerization. Cements were prepared by replacing part of the PMMA powder of the formulation by an equivalent mass of PMMA/PCL particles. The influence of the PCL content in the beads on the mechanical behavior was assessed by testing the cements in flexure and compression. The addition of PMMA/PCL particles with 10% PCL content resulted in a marked increase in both flexural modulus and flexural strength related to the plain PMMA beads formulation. This improvement was attributed to a decrease in the cured material porosity. Conversely, by the incorporation of beads with 30% PCL content the flexural properties decreased. This behavior was attributed to the debonding of the particles from the matrix, which was revealed by SEM images. The observed compressive yield strength decrease with the increase of PCL content in the beads was attributed to a low degree of adhesion between the heterogeneous particles and the matrix as well as to the plasticizing effect of the PCL.

Bone Cements↗

Static mechanical properties of hydroxyapatite (HA) powder-filled acrylic bone cements: effect of type of HA powder.

This work reports on the effect of the amount (0, 10, and 30 wt %) and type of HA powder incorporated into an acrylic bone cement on the tensile properties, compression properties, and fracture toughness. The three different types of HA powders used were synthesized in the laboratory and coated with a silane agent prior to incorporation into the cement powder, and differed in particle size, water content, surface area, and crystallinity. It was found that the inclusion of any type of HA powder led to an increase in the tensile modulus (ET), but all the other mechanical properties of the cement decreased (relative to the values of the unfilled cement). The increase in ET is attributed to the good adhesion between the filler and the cement matrix, which is due to the silane coating agent. The decrease in the other mechanical properties may be a consequence of HA powder agglomeration and porosity. Hydroxyapatite morphology and crack-growth mechanisms were analyzed by scanning electronic microscopy (SEM).

Hydroxyapatites↗

Influence of the radiopacifier in an acrylic bone cement on its mechanical, thermal, and physical properties: barium sulfate-containing cement versus iodine-containing cement.

In all acrylic bone cement formulations in clinical use today, radiopacity is provided by micron-sized particles (typical mean diameter of between about 1 and 2 microm) of either BaSO(4) or ZrO(2). However, a number of research reports have highlighted the fact that these particles have deleterious effects on various properties of the cured cement. Thus, there is interest in alternative radiopacifiers. The present study focuses on one such alternative. Specifically, a cement that contains covalently bound iodine in the powder (herein designated the I-cement) was compared with a commercially available cement of comparable composition (C-ment3), in which radiopacity is provided by BaSO(4) particles (this cement is herein designated the B-cement), on the basis of the strength (sigma(b)), modulus (E(b)), and work-to-fracture (U(b)), under four-point bending, plane-strain fracture toughness (K(IC)), Weibull mean fatigue life, N(WM) (fatigue conditions: +/-15 MPa; 2 Hz), activation energy (Q), and frequency factor (ln Z) for the cement polymerization process (both determined by using differential scanning calorimetry at heating rates of 5, 10, 15, and 20 K min(-1)), and the diffusion coefficient for the absorption of phosphate-buffered saline at 37 degrees C (D). For the B-cement, the values of sigma(b), E(b), U(b), K(IC), N(WM), Q, ln Z, and D were 53 +/- 3 MPa, 3000 +/- 120 MPa, 108 +/- 15 kJ m(-3), 1.67 +/- 0.02 MPa check mark m, 7197 cycles, 243 +/- 17 kJ mol(-1), 87 +/- 6, and (3.15 +/- 0.94) x 10(-12) m(2) s(-1), respectively. For the I-cement, the corresponding values were 58 +/- 5 MPa, 2790 +/- 140 MPa, 118 +/- 45 kJ m(-3), 1.73 +/- 0.11 MPa check mark m, 5520 cycles, 267 +/- 19 kJ mol(-1), 95 +/- 9, and (3.83 +/- 0.25) x 10(-12) m(2) s(-1). For each of the properties of the fully cured cement, except for the rate constant of the polymerization reaction, at 37 degrees C (k'), as estimated from the Q and ln Z results, there is no statistically significant difference between the two cements. k' for the I-cement was about a third that for the B-cement, suggesting that the former cement has a higher thermal stability. The influence of various characteristics of the starting powder (mean particle size, particle size distribution, and morphology) on the properties of the cured cements appears to be complex. When all the present results are considered, there is a clear indication that the I-cement is a viable candidate cement for use in cemented arthroplasties in place of the B-cement.

Arthroplasty↗

Mechanism of drug release from an acrylic polymer-wax matrix tablet.

An acrylic polymer-wax matrix system was evaluated for oral sustained-release tablets of diphenhydramine HCl. A desirable release profile of diphenhydramine was achieved by incorporating Eudragit L in a carnauba wax matrix. In this polymer-wax system, carnauba wax maintained the integrity of the matrix, whereas Eudragit L slowly eroded in the matrix as the drug was released. Thus, the area-to-volume ratio of the tablet remained constant over the duration of the drug release. In vitro drug release studies were conducted at physiological pHs that exist in the gastrointestinal tract. Drug release rates decreased as the polymer:drug ratio increased from 1:2 to 2:1. The drug release rate was faster in pH 7.5 phosphate buffer than in 0.1 N HCl solution. The drug release from these polymer-wax matrices is described by a combination diffusion/erosion mechanism. Based on the typical pH encountered in intestinal fluids, complete dissolution of the drug and polymer at pH 7.5 in 8-10 h would ensure good bioavailability of the drug following oral administration.

Diphenhydramine↗

Conformational temperature dependence of a poly(ethylene-co-acrylic acid) stationary phase investigated by nuclear magnetic resonance spectroscopy and liquid chromatography.

A polymer-based RP sorbent was prepared by immobilizing a poly(ethylene-co-acrylic acid) copolymer with an acid mass fraction of 5% on silica by using a 3-glycidoxypropyl linkage. 13C cross-polarization/magic angle spinning NMR spectroscopy of the sorbent, either in the dry state or suspended in the mobile phase, showed an increase in mobility at elevated temperatures. Alkyl chain segments with gauche conformations were more mobile than chain segments with trans conformations. The strength of the 13C-1H dipolar couplings in the alkyl chains was measured using the constant time dipolar and chemical shift pulse sequence, revealing less molecular motion for the trans conformation. Non-linear van't Hoff plots were observed for separations of shape-constrained solutes (such as geometric beta-carotene isomers and polycyclic aromatic hydrocarbons). At higher temperatures, the retention behavior was similar to that of monomeric C18 sorbents, whereas at ambient and lower temperatures, enhanced shape-selective properties were exhibited similar to those of polymeric C30 sorbents.

Journal Article↗

Adsorption Characteristics of Poly(acrylic acid) and Poly(vinyl pyrrolidone) on Alumina from Their Mixtures in Aqueous Solution

Adsorption behavior of poly(acrylic acid) (PAA) and poly(vinyl pyrrolidone) (PVP) on alumina from their binary mixtures in aqueous solution at pH 5.2 has been studied by measuring the adsorbed amount of polymers, dispersion stability, and ESR spectra. The adsorption of PAA alone shows a strong affinity with a large adsorbed amount for alumina surface, but that of PVP alone is very weak and small. In fixed initial concentrations of PAA the adsorption of PVP is considerably enhanced, probably due to the interaction of PVP with PAA adsorbed on alumina through hydrogen bonding. From ESR spectra of spin-labeled PAA and adsorbed PVP, it is found that in the co-adsorption of PAA and PVP, adsorbed PAA takes predominantly trains, while PVP is mainly adsorbed in loops or tails. The stability of alumina dispersion has also been discussed from the conformation of polymers adsorbed on alumina.

Journal Article↗

Characterization of pH-Dependent Poly(acrylic Acid) Complexation with Phospholipid Vesicles

The pH-dependent complexation of poly(acrylic acid) (PAA) with phospholipid (phosphatidylcholine) vesicles was characterized by fluorescence polarization, differential scanning calorimetry (DSC), and surface pressure measurements of phospholipid monolayers. The complexation was pronounced below pH 4, when the polymer carboxyl groups are protonated, as shown by the binding of PAA to vesicles and the decrease in polymer mobility. The complexation was strong at low polymer concentrations and was weaker at higher polymer concentrations. PAA complexation increased the gel to liquid crystalline (LC) phase transition temperature (Tm) and enthalpy (DeltaH) of the vesicles accompanied by a decrease in the transition cooperativity. This is most likely due to perturbations in the phospholipid headgroup upon PAA interaction. The effect of polymer adsorption on the phospholipid surface was investigated at the phospholipid/water interface. The ability of PAA to penetrate between the phospholipid molecules as a function of pH was determined by the lateral expansion of the monolayer at a constant surface pressure. The ability of the polymer to penetrate into the monolayer increased with decreasing pH. These results suggest that PAA complexation leads to expansion of the phospholipid packing of the vesicles by altering the phospholipid headgroup conformation.

Journal Article↗

Adsorption-Desorption Behavior of Acrylic-Maleic Acid Copolymer at Clay Minerals

The interactions between acrylic-maleic acid (PAA-PMLA) copolymer with clay minerals are investigated in terms of adsorption/desorption behavior. The adsorption isotherms were obtained as a function of clay mineral structures, pH and ionic strength by sensitive polyelectrolyte titration and radiotracer methods. The nature and the location of binding sites for PAA-PMLA copolymer on aluminol sites at the edge surface can be stated. In the case of the adsorption on kaolinite, the pH-dependent interaction in relatively low ionic strength is discussed not only in terms of electrostatic contributions, but evidences for a ligand exchange mechanism are also presented. Increasing the ionic strength also enhances the adsorption by a screening of the charges in the adsorbed layer especially when the charges of the copolymer and the surface are of the same sign. The adsorbed PAA-PMLA copolymer can be displaced by phosphate compounds such as monophosphate and sodium tripolyphosphate (STP). The observed desorption process results from a competition between PAA-PMLA copolymer and phosphate compounds for the same binding sites on the kaolinite surface. Adsorption equilibrium constants can thus be derived from single and mixture adsorption isotherms. Effects due to the heterogeneity of the kaolinite surface and to the conformation of the adsorbed PAA-PMLA copolymer are also discussed. Strongly bound PAA-PMLA copolymer traces support the ligand exchange mechanism at the aluminol sites of the edge surface. Clay minerals may thus act as natural barriers in the soil transport of the polycarboxylates used in phosphate-free detergents.

Journal Article↗