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Calcium Sulfate-Containing Glass Polyalkenoate Cement for Revision Total Knee Arthroplasty Fixation
Journal of Biomedical Materials Research - Part B Applied Biomaterials
  • Leyla Hasandoost
  • Adel Alhalawani
  • Omar Rodriguez
  • Alireza Rahimnejad Yazdi
  • Paul Zalzal
  • Emil H. Schemitsch
  • Stephen D. Waldman
  • Marcello Papini
  • Mark R. Towler, Missouri University of Science and technology
Abstract

Poly (methyl methacrylate) (PMMA) bone cement is used as a minor void filler in revision total knee arthroplasty (rTKA). The application of PMMA is indicated only for peripheral bone defects with less than 5 mm depth and that cover less than 50% of the bone surface. Treating bone defects with PMMA results in complications as a result of volumetric shrinkage, bone necrosis, and aseptic loosening. These concerns have driven the development of alternative bone cements. We report here on novel modified glass polyalkenoate cements (mGPCs) containing 1, 5 and 15 wt% calcium sulfate (CaSO4) and how the modified cements' properties compare to those of PMMA used in rTKA. CaSO4 is incorporated into the mGPC to improve both osteoconductivity and bioresorbability. The results confirm that the incorporation of CaSO4 into mGPCs decreases the setting time and increases release of therapeutic ions such as Ca2+ and Zn2+ over 30 days of maturation in deionized (DI) water. Moreover, the compressive strength for 5 and 15 wt% CaSO4 addition increased to over 30 MPa after 30 day maturation. Although the overall initial compressive strength of the mGPC (~ 30 MPa) is less than PMMA (~ 95 MPa), the compressive strength of mGPC is closer to that of cancellous bone (~ 1.2–7.8 MPa). CaSO4 addition did not affect biaxial flexural strength. Fourier transform infrared analysis indicated no cross-linking between CaSO4 and the GPC after 30 days. in vivo tests are required to determine the effects the modified GPCs as alternative on PMMA in rTKA.

Department(s)
Chemical and Biochemical Engineering
Comments

Canadian Institutes of Health Research, Grant 356780‐DAN

Document Type
Article - Journal
Document Version
Final Version
File Type
text
Language(s)
English
Rights
© 2023 Wiley, All rights reserved.
Publication Date
11-1-2020
Publication Date
01 Nov 2020
PubMed ID
32548909
Citation Information
Leyla Hasandoost, Adel Alhalawani, Omar Rodriguez, Alireza Rahimnejad Yazdi, et al.. "Calcium Sulfate-Containing Glass Polyalkenoate Cement for Revision Total Knee Arthroplasty Fixation" Journal of Biomedical Materials Research - Part B Applied Biomaterials Vol. 108 Iss. 8 (2020) p. 3356 - 3369 ISSN: 1552-4981; 1552-4973
Available at: http://works.bepress.com/mark-towler/34/