Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowth

Poly(methyl methacrylate) (PMMA) is the most frequently used bone void filler in orthopedic surgery. However, the interface between the PMMA-based cement and adjacent bone tissue is typically weak as PMMA bone cement is inherently bioinert and not ideal for bone ingrowth. The present study aims to i...

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Main Authors: Kuan-Lin Ku, Yu-Shan Wu, Chi-Yun Wang, Ding-Wei Hong, Zong-Xing Chen, Ching-An Huang, I-Ming Chu, Po-Liang Lai
Format: Article
Language:English
Published: The Royal Society 2019-05-01
Series:Royal Society Open Science
Subjects:
Online Access:https://royalsocietypublishing.org/doi/pdf/10.1098/rsos.182060
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author Kuan-Lin Ku
Yu-Shan Wu
Chi-Yun Wang
Ding-Wei Hong
Zong-Xing Chen
Ching-An Huang
I-Ming Chu
Po-Liang Lai
author_facet Kuan-Lin Ku
Yu-Shan Wu
Chi-Yun Wang
Ding-Wei Hong
Zong-Xing Chen
Ching-An Huang
I-Ming Chu
Po-Liang Lai
author_sort Kuan-Lin Ku
collection DOAJ
description Poly(methyl methacrylate) (PMMA) is the most frequently used bone void filler in orthopedic surgery. However, the interface between the PMMA-based cement and adjacent bone tissue is typically weak as PMMA bone cement is inherently bioinert and not ideal for bone ingrowth. The present study aims to improve the affinity between the polymer and ceramic interphases. By surface modifying nano-sized hydroxyapatite (nHAP) with ethylene glycol and poly(ɛ-caprolactone) (PCL) sequentially via a two-step ring opening reaction, affinity was improved between the polymer and ceramic interphases of PCL-grafted ethylene glycol-HAP (gHAP) in PMMA. Due to better affinity, the compressive strength of gHAP/PMMA was significantly enhanced compared with nHAP/PMMA. Furthermore, PMMA with 20 wt.% gHAP promoted pre-osteoblast cell proliferation in vitro and showed the best osteogenic activity between the composites tested in vivo. Taken together, gHAP/PMMA not only improves the interfacial adhesion between the nanoparticles and cement, but also increases the biological activity and affinity between the osteoblast cells and PMMA composite cement. These results show that gHAP and its use in polymer/bioceramic composite has great potential to improve the functionality of PMMA cement.
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spelling doaj.art-21841a5301104735b008d57e7d9681542022-12-22T01:04:58ZengThe Royal SocietyRoyal Society Open Science2054-57032019-05-016510.1098/rsos.182060182060Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowthKuan-Lin KuYu-Shan WuChi-Yun WangDing-Wei HongZong-Xing ChenChing-An HuangI-Ming ChuPo-Liang LaiPoly(methyl methacrylate) (PMMA) is the most frequently used bone void filler in orthopedic surgery. However, the interface between the PMMA-based cement and adjacent bone tissue is typically weak as PMMA bone cement is inherently bioinert and not ideal for bone ingrowth. The present study aims to improve the affinity between the polymer and ceramic interphases. By surface modifying nano-sized hydroxyapatite (nHAP) with ethylene glycol and poly(ɛ-caprolactone) (PCL) sequentially via a two-step ring opening reaction, affinity was improved between the polymer and ceramic interphases of PCL-grafted ethylene glycol-HAP (gHAP) in PMMA. Due to better affinity, the compressive strength of gHAP/PMMA was significantly enhanced compared with nHAP/PMMA. Furthermore, PMMA with 20 wt.% gHAP promoted pre-osteoblast cell proliferation in vitro and showed the best osteogenic activity between the composites tested in vivo. Taken together, gHAP/PMMA not only improves the interfacial adhesion between the nanoparticles and cement, but also increases the biological activity and affinity between the osteoblast cells and PMMA composite cement. These results show that gHAP and its use in polymer/bioceramic composite has great potential to improve the functionality of PMMA cement.https://royalsocietypublishing.org/doi/pdf/10.1098/rsos.182060bone cementbiocompatibilityhydroxyapatitepoly(ɛ-caprolactone)poly(methyl methacrylate)surface grafting
spellingShingle Kuan-Lin Ku
Yu-Shan Wu
Chi-Yun Wang
Ding-Wei Hong
Zong-Xing Chen
Ching-An Huang
I-Ming Chu
Po-Liang Lai
Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowth
Royal Society Open Science
bone cement
biocompatibility
hydroxyapatite
poly(ɛ-caprolactone)
poly(methyl methacrylate)
surface grafting
title Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowth
title_full Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowth
title_fullStr Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowth
title_full_unstemmed Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowth
title_short Incorporation of surface-modified hydroxyapatite into poly(methyl methacrylate) to improve biological activity and bone ingrowth
title_sort incorporation of surface modified hydroxyapatite into poly methyl methacrylate to improve biological activity and bone ingrowth
topic bone cement
biocompatibility
hydroxyapatite
poly(ɛ-caprolactone)
poly(methyl methacrylate)
surface grafting
url https://royalsocietypublishing.org/doi/pdf/10.1098/rsos.182060
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