Article: In Vitro characterization of low modulus linoleic acid coated strontium-substituted hydroxyapatite containing PMMA bone cement

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TitleIn Vitro characterization of low modulus linoleic acid coated strontium-substituted hydroxyapatite containing PMMA bone cement
AuthorsLam, WM1
Pan, HB1
Fong, MK1
Cheung, WS1
Wong, KL1
Li, ZY1
Luk, KDK1
Chan, WK1
Wong, CT1
Yang, C2
Lu, WW1
Keywordslinoleic acid
polymethylmethacrylate
strontium-substituted hydroxyapatite (Sr-HA)
vertebroplasty
Issue Date2011
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0021-9304:1/
CitationJournal Of Biomedical Materials Research - Part B Applied Biomaterials, 2011, v. 96 B n. 1, p. 76-83 [How to Cite?]
DOI: http://dx.doi.org/10.1002/jbm.b.31741
AbstractPoly (methyl methacrylate) (PMMA) bone cement is widely used in vertebral body augmentation procedures such as vertebroplasty and balloon kyphoplasty. Filling high modulus PMMA increases the modulus of filled verterbra, increasing the risk of fracture in the adjacent vertebra. On the other hand, in porous PMMA bone cements, wear particle generation and deterioration of mechanical performance are the major drawbacks. This study adopts a new approach by utilizing linoleic acid coated strontium substituted hydroxyapatite nanoparticle (Sr-5 HA) and linoleic acid as plasticizer reducing bone cement's modulus with minimal impact on its strength. We determined the compressive strength (UCS) and modulus (Ec), hydrophobicity, injectability, in vitro bioactivity and biocompatibility of this bone cement at different filler and linoleic acid loading. At 20 wt % Sr5-HA incorporation, UCS and Ec were reduced from 63 ± 2 MPa, 2142 ± 129 MPa to 58 ± 2 MPa, 1785 ± 64 MPa, respectively. UCS and Ec were further reduced to 49 ± 2 MPa and 774 ± 70 MPa respectively when 15 v/v of linoleic acid was incorporated. After 7 days of incubation, pre-osteoblast cells (MC3T3-E1) attached on 20 wt % Sr5-HA and 20 wt % Sr5-HA with 15 v/v of linoleic acid group were higher (3.73 ± 0.01 × 10 4, 2.27 ± 0.02 × 10 4) than their PMMA counterpart (1.83 ± 0.04 × 10 4). Incorporation of Sr5-HA with linoleic acid in monomer phase is more effective in reducing the bone cement's stiffness than Sr5-HA alone. Combination of low stiffness and high mechanical strength gives the novel bone cement the potential for use in vertebroplasty cement applications. © 2010 Wiley Periodicals, Inc.
ISSN1552-4973
2011 Impact Factor: 2.147
2011 SCImago Journal Rankings: 0.138
DOIhttp://dx.doi.org/10.1002/jbm.b.31741
ReferencesReferences in Scopus
GrantsOptimization and commercialization of strontium containing bioactive bone cement for various orthopaedic applications
DC Field
Value
dc.contributor.authorLam, WM
dc.contributor.authorPan, HB
dc.contributor.authorFong, MK
dc.contributor.authorCheung, WS
dc.contributor.authorWong, KL
dc.contributor.authorLi, ZY
dc.contributor.authorLuk, KDK
dc.contributor.authorChan, WK
dc.contributor.authorWong, CT
dc.contributor.authorYang, C
dc.contributor.authorLu, WW
dc.date.accessioned2011-10-26T08:31:38Z
dc.date.available2011-10-26T08:31:38Z
dc.date.issued2011
dc.description.abstractPoly (methyl methacrylate) (PMMA) bone cement is widely used in vertebral body augmentation procedures such as vertebroplasty and balloon kyphoplasty. Filling high modulus PMMA increases the modulus of filled verterbra, increasing the risk of fracture in the adjacent vertebra. On the other hand, in porous PMMA bone cements, wear particle generation and deterioration of mechanical performance are the major drawbacks. This study adopts a new approach by utilizing linoleic acid coated strontium substituted hydroxyapatite nanoparticle (Sr-5 HA) and linoleic acid as plasticizer reducing bone cement's modulus with minimal impact on its strength. We determined the compressive strength (UCS) and modulus (Ec), hydrophobicity, injectability, in vitro bioactivity and biocompatibility of this bone cement at different filler and linoleic acid loading. At 20 wt % Sr5-HA incorporation, UCS and Ec were reduced from 63 ± 2 MPa, 2142 ± 129 MPa to 58 ± 2 MPa, 1785 ± 64 MPa, respectively. UCS and Ec were further reduced to 49 ± 2 MPa and 774 ± 70 MPa respectively when 15 v/v of linoleic acid was incorporated. After 7 days of incubation, pre-osteoblast cells (MC3T3-E1) attached on 20 wt % Sr5-HA and 20 wt % Sr5-HA with 15 v/v of linoleic acid group were higher (3.73 ± 0.01 × 10 4, 2.27 ± 0.02 × 10 4) than their PMMA counterpart (1.83 ± 0.04 × 10 4). Incorporation of Sr5-HA with linoleic acid in monomer phase is more effective in reducing the bone cement's stiffness than Sr5-HA alone. Combination of low stiffness and high mechanical strength gives the novel bone cement the potential for use in vertebroplasty cement applications. © 2010 Wiley Periodicals, Inc.
dc.description.grantOptimization and commercialization of strontium containing bioactive bone cement for various orthopaedic applications
dc.description.grantcode96197
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationJournal Of Biomedical Materials Research - Part B Applied Biomaterials, 2011, v. 96 B n. 1, p. 76-83 [How to Cite?]
DOI: http://dx.doi.org/10.1002/jbm.b.31741
dc.identifier.doihttp://dx.doi.org/10.1002/jbm.b.31741
dc.identifier.epage83
dc.identifier.hkuros197050
dc.identifier.isiWOS:000285225500009
Funding AgencyGrant Number
RGCHKU7147/07E
Hong Kong Innovation and Technology CommissionGHP/009/06
Funding Information:

We thank the Electron Microscopy Unit, the Department of Mechanical Engineering of the University of Hong Kong for their technical support. This project is partially supported by RGC HKU7147/07E.

dc.identifier.issn1552-4973
2011 Impact Factor: 2.147
2011 SCImago Journal Rankings: 0.138
dc.identifier.issue1
dc.identifier.openurl
dc.identifier.pmid21053263
dc.identifier.scopuseid_2-s2.0-78650033910
dc.identifier.spage76
dc.identifier.urihttp://hdl.handle.net/10722/142249
dc.identifier.volume96 B
dc.languageeng
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0021-9304:1/
dc.publisher.placeUnited States
dc.relation.ispartofJournal of Biomedical Materials Research - Part B Applied Biomaterials
dc.relation.referencesReferences in Scopus
dc.rightsJournal of Biomedical Materials Research Part B: Applied Biomaterials. Copyright © John Wiley & Sons, Inc.
dc.subject.meshBone Cements - chemistry
dc.subject.meshBone Substitutes - chemistry
dc.subject.meshCoated Materials, Biocompatible - chemistry
dc.subject.meshPolymethyl Methacrylate - chemistry
dc.subject.meshStrontium - chemistry
dc.subjectlinoleic acid
dc.subjectpolymethylmethacrylate
dc.subjectstrontium-substituted hydroxyapatite (Sr-HA)
dc.subjectvertebroplasty
dc.titleIn Vitro characterization of low modulus linoleic acid coated strontium-substituted hydroxyapatite containing PMMA bone cement
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Hong Kong University of Science and Technology