Comparative cytotoxicity testing of four cyanoacrylate adhesives sugge
sted for orthopaedic applications was performed. These substances were
placed in complete culture medium with serum and the resulting extrac
tion fluids were tested on L 929 cells and human lymphocytes. Testing
procedures include cell morphology assessment using light microscopy a
nd vital dyes, cell counting using a computer-assisted image analysis
system, cell growth measurement using total protein content assay and
cell viability assessment using the MTT method. Quantitation of the to
xicity of the degradation products released by cyanoacrylates in the e
xtracts was achieved and differences in the cytopathic effect related
to the chemical composition of the cyanoacrylates were found. A toxici
ty rating of the assayed cyanoacrylate adhesives was obtained as follo
ws (in order of increasing toxicity): BCA < xCA < ECAg < ECAl.