Dd. Frazier et al., EX-VIVO DEGRADATION OF A POLY(PROPYLENE GLYCOL-FUMARATE) BIODEGRADABLE PARTICULATE COMPOSITE BONE-CEMENT, Journal of biomedical materials research, 35(3), 1997, pp. 383-389
We have developed a biodegradable particulate composite bone cement co
nsisting of a poly(propylene glycol-fumarate)-(methylmethacrylate) mat
rix mixed with calcium carbonate and tricalcium phosphate particulates
. Previous ex vivo studies suggest that this system provides sufficien
t strength for a number of potential clinical applications including s
tructural reinforcement of osseous defects, internal fixation devices
for age-related fractures, and delivery of antibiotics to treat osteom
yelitis. As a first step toward investigating in vivo responses to thi
s material, we studied the influence of varied concentrations of cross
linker, accelerator, and free radical on the mechanical properties of
the cement. We then developed an ex vivo degradation assay and correla
ted the mechanical properties of degrading cement with the temporal ch
anges in chemical properties of both the cement and the bathing medium
. The optimal cement formulation was composed of one-third poly(propyl
ene glycol-fumarate)-(methylmethacrylate), one-third calcium carbonate
, and one-third tricalcium phosphate, and provided initial compressive
strengths of up to 30 MPa and compressive moduli of up to 300 MPa. De
gradation rates, measured by a decline in mechanical properties, disso
lution of calcium from the cement, and change in pH of the bathing med
ium, could be controlled by changing the concentration of reactants in
the matrix. Specifically, an increase in methylmethacrylate or increa
se in both methylmethacrylate and benzoyl peroxide was inversely propo
rtional to the rate of degradation and directly proportional to the in
itial mechanical properties. The degradation products and environmenta
l changes appear to be compatible with physiologic remodeling and ther
efore justify examination of the In vivo response to implantation of t
his material. (C) 1997 John Wiley & Sons, Inc.