A. David et al., MECHANICAL AND CHEMICAL-STABILITY OF BIOD EGRADABLE BLOCK-POLYMERIZEDAND INJECTION-MOLDED POLY-L-LACTIC ACID IN-VITRO, Der Unfallchirurg, 97(5), 1994, pp. 278-284
Biodegradable poly-L-lactic acid rods made of block-polymerized materi
al (BP; molecular weight 550000) and injection-moulded rods with high
(SGI; molecular weight 121 000) and low (SGA, molecular weight 118 000
) molecular orientation were compared 2, 4 and 6 weeks after incubatio
n in enzyme solutions with high hydrolytic activity (esterase, alpha c
hymotrypsin and peptidase) and in buffer solution (TRIS buffer). The m
olecular weight, modulus of elasticity, bending strength (three-point
bending test), and cyclic bending load to failure applied to the rods
in a newly developed testing machine (1 Hz, maximum 100000 cycles) wer
e compared. The molecular weight of BP material decreased to 36% after
2 weeks, in contrast to the injection-moulded materials, in which it
decreased only to 66% even after 6 weeks. The bending strength of all
specimen decreased significantly faster in alpha chymotrypsin than in
the other media (MANOVA, P<0.001). SGI had a significantly higher bend
ing strength than SGA, and SGA a higher strength than BP. There was no
difference after incubation in the other two enzymatic solutions. BP
lost 80% of its initial bending strength (140 N/mm2) after 6 weeks, an
d SGI and SGA (120 N/mm2) only 20%. Under permanent cyclic loading BP
initially resisted 100 000 cycles with an applied cyclic load of 12.5
N/mm2, decreasing after 6 weeks to only 9 500 cycles, in contrast to S
GI and SGA, which resisted to 46 000 cycles. There was, however, no re
levant difference in the mechanical characteristics of the two injecti
on-moulded rods. These results confirm that BP is degraded significant
ly faster than SGA and SGI. Clinical relevance: The better mechanical
stability of the injection-moulded poly-L-lactic acid will probably al
low the use of small implants in future than are already available.