Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentation

Abstract Background Calcium sulphate (CS) has been used in bone grafting since the 1800s. It has not replaced autograft as the gold standard, however, since its dissolution occurs rapidly in bodily fluids, meaning that the material cannot support long-term bone growth. Here, the polymer poly (ether...

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Main Authors: Erik A. B. Hughes, Liam M. Grover
Format: Article
Language:English
Published: American Association for the Advancement of Science (AAAS) 2017-05-01
Series:Biomaterials Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40824-017-0093-7
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author Erik A. B. Hughes
Liam M. Grover
author_facet Erik A. B. Hughes
Liam M. Grover
author_sort Erik A. B. Hughes
collection DOAJ
description Abstract Background Calcium sulphate (CS) has been used in bone grafting since the 1800s. It has not replaced autograft as the gold standard, however, since its dissolution occurs rapidly in bodily fluids, meaning that the material cannot support long-term bone growth. Here, the polymer poly (ether ether ketone) (PEEK) was used to slow dissolution in in vitro physiological environments and augment the mechanical properties of the material. Methods PEEK/CS specimens were fabricated by combining powders of PEEK and CS with water, resulting in a hardening paste. To enhance physical interactions between phases, cylindrical specimens were heat-treated to melt and fuse the PEEK. Following analysis of physical and chemical interactions by SEM and FT-IR respectively, dynamic ageing in PBS and compression testing was undertaken to measure how the PEEK influenced the mechanical properties of the final parts. Changes in structure and chemistry were determined using helium pycnometry, SEM and analysis of powder XRD patterns. Results Powders of PEEK and CS hemihydrate (CSH) (CaSO4.0.5H2O) were combined with PEEK at 0 wt%, 2.5 wt%, 20 wt%, 40 wt% and 80 wt% and at a P:L ratio of 0.85 g/mL. The subsequently hardened structures were heat-treated, which initiated the melting of PEEK and dehydration of CSD (CaSO4.2H2O) to the CS anhydrite (CSA) (CaSO4) phase, which changed colour and apparent volume. FT-IR and SEM analysis revealed heat treatment of PEEK/CS specimens facilitated both physical and chemical interactions between phases. Over a period of 21 days of ageing in PBS, the hydration of CS was determined by XRD and improved specimen longevity at all levels of PEEK wt% loading was measured compared with the control. Importantly, increasing PEEK wt% loading resulted in a marked increase in the mechanical properties of PEEK/CS specimens in terms of both compressive strength and modulus. Conclusions Reinforcement of CS with PEEK significantly enhanced in vitro dissolution resistance, in addition to enhancing mechanical properties. This composite therefore has significant future potential as a bone graft replacement.
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spelling doaj.art-2e48b10a153b407a9a474c08bbda9ddf2024-03-02T06:25:31ZengAmerican Association for the Advancement of Science (AAAS)Biomaterials Research2055-71242017-05-0121111110.1186/s40824-017-0093-7Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentationErik A. B. Hughes0Liam M. Grover1School of Chemical Engineering, University of BirminghamSchool of Chemical Engineering, University of BirminghamAbstract Background Calcium sulphate (CS) has been used in bone grafting since the 1800s. It has not replaced autograft as the gold standard, however, since its dissolution occurs rapidly in bodily fluids, meaning that the material cannot support long-term bone growth. Here, the polymer poly (ether ether ketone) (PEEK) was used to slow dissolution in in vitro physiological environments and augment the mechanical properties of the material. Methods PEEK/CS specimens were fabricated by combining powders of PEEK and CS with water, resulting in a hardening paste. To enhance physical interactions between phases, cylindrical specimens were heat-treated to melt and fuse the PEEK. Following analysis of physical and chemical interactions by SEM and FT-IR respectively, dynamic ageing in PBS and compression testing was undertaken to measure how the PEEK influenced the mechanical properties of the final parts. Changes in structure and chemistry were determined using helium pycnometry, SEM and analysis of powder XRD patterns. Results Powders of PEEK and CS hemihydrate (CSH) (CaSO4.0.5H2O) were combined with PEEK at 0 wt%, 2.5 wt%, 20 wt%, 40 wt% and 80 wt% and at a P:L ratio of 0.85 g/mL. The subsequently hardened structures were heat-treated, which initiated the melting of PEEK and dehydration of CSD (CaSO4.2H2O) to the CS anhydrite (CSA) (CaSO4) phase, which changed colour and apparent volume. FT-IR and SEM analysis revealed heat treatment of PEEK/CS specimens facilitated both physical and chemical interactions between phases. Over a period of 21 days of ageing in PBS, the hydration of CS was determined by XRD and improved specimen longevity at all levels of PEEK wt% loading was measured compared with the control. Importantly, increasing PEEK wt% loading resulted in a marked increase in the mechanical properties of PEEK/CS specimens in terms of both compressive strength and modulus. Conclusions Reinforcement of CS with PEEK significantly enhanced in vitro dissolution resistance, in addition to enhancing mechanical properties. This composite therefore has significant future potential as a bone graft replacement.http://link.springer.com/article/10.1186/s40824-017-0093-7Bone graftBiomaterialCalcium sulphatePEEK
spellingShingle Erik A. B. Hughes
Liam M. Grover
Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentation
Biomaterials Research
Bone graft
Biomaterial
Calcium sulphate
PEEK
title Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentation
title_full Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentation
title_fullStr Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentation
title_full_unstemmed Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentation
title_short Characterisation of a novel poly (ether ether ketone)/calcium sulphate composite for bone augmentation
title_sort characterisation of a novel poly ether ether ketone calcium sulphate composite for bone augmentation
topic Bone graft
Biomaterial
Calcium sulphate
PEEK
url http://link.springer.com/article/10.1186/s40824-017-0093-7
work_keys_str_mv AT erikabhughes characterisationofanovelpolyetheretherketonecalciumsulphatecompositeforboneaugmentation
AT liammgrover characterisationofanovelpolyetheretherketonecalciumsulphatecompositeforboneaugmentation