Papers by Keyword: Calcium Phosphate Cement (CPC)

Abstract: In the present study, ZrO2 was added into the injectable calcium phosphate cements (CPCs) to improve their mechanical strength. Different mass fractions of ZrO2 (5 %, 10 %, 15 %, 20%) were mixed with the powder components consisted of tricalcium phosphate (α-TCP) and hydroxyapatite (HA). Then formed the paste via adding the liquid component consisted of citric acid. The compressive strength, the injectability, the initial setting time and finial time of CPC were measured, respectively. X-ray diffraction (XRD) was employed to analyse the phase of as-prepared CPC. Scanning Electron Microscope (SEM) and Energy dispersive spertrum (EDS) were used to observe the morphology and indicate the element components of CPC. The compressive strength of ZrO2-CPC was higher than that of CPC without added ZrO2. The compressive strength got the maximal when the mass fraction of ZrO2 was 15%. It had no effect on the injectability with adding ZrO2, which were 89 % to 92 %. It had a slight down-regulation of the initial and final setting time with adding ZrO2. SEM showed that there was amounts needle-like substance in CPC, which might be related to the improvement of compressive strength of CPC. XRD showed that there were HA, a few of α-TCP and ZrO2 diffraction peaks in CPCs. The present results indicate that it is feasible to improve the compressive strength of injectable CPC via adding ZrO2.

Abstract: Effect of added α-tricalcium phosphate (α-TCP) and β-TCP was investigated to understand the setting reaction of apatite cement consisting of tetracalcium phosphate (TTCP) and dicalcium phosphate anhydrous (DCPA). Addition of TCP delayed the initial setting time because TCP was not involved in the initial setting reaction and resulted in the decreased initial mechanical strength. After the initial setting of the cement due to the conversion of TTCP and DCPA into apatite, α-TCP dissolved to supply calcium and phosphate ions and they were consumed for crystal growth of apatite. Therefore, mechanical strength of the apatite cement containing α-TCP was increased. In contrast, added β-TCP showed no reactivity in the cement and thus result in the decreased mechanical strength.

Abstract: Commercially available calcium phosphate cements set by precipitation of nanoapatite or brushite. The goal of this study was to elucidate the most suitable conditions for forming cements from calcium potassium sodium phosphate. Furthermore, the behaviour of these cements after immersion in SBF and/or TRIS solution was investigated. Using varying additives resulted in differences in solubility kinetics. The XRD spectra of all investigated cement compositions displayed Ca2KNa(PO4)2 after setting. However, the various cement compositions differed with respect to apatite formation when immersed in TRIS buffer in and/or SBF solution. Therefore, when investigating calcium phosphate cements we consider it necessary to clearly differentiate between the phases which form after completion of the final setting time when these materials set in air, and the phases which form in a time dependant manner after immersion in different biological fluids.

Abstract: Hydroxyapatite (HAP)-forming calcium phosphate cement (CPC), due to the high biocompatibility, easy-to-shape characteristic, and the capacity to self-setting under ambient conditions, has been widely used for the repair of hard tissue defects. To satisfy the different clinical need, some modified CPC, including porous CPC, fast-biodegradable CPC, injectable CPC, water-resistant CPC, and rhBMP-2/CPC, have been designed and fabricated in recent years. This paper attempts to give an overview of different types of CPC that have being developed at the present time. Meanwhile, the application perspective of these modified CPC is also explored.

Abstract: Calcium phosphate cements (CPCs) are well-known orthopedic materials for filling bone. However, CPC pastes tend to disintegrate immediately when contacting with blood or other aqueous (body) fluids, which is a main limitation of its clinical applications in bone repairing, reconstruction and augmentation. To improve the anti-washout performance of CPC, modified starches such as pre-gelatinized starch, etherified starch, and esterified starch were added to the liquid phase of CPC in this work. CPC with good anti-washout performance was prepared and the effects of the modified starches on the properties of CPC were investigated. The results showed that the CPC with the modified starches were more stable in simulated body fluid than that without modified starch, especially the CPC with the etherified starch (II). X-ray diffraction analysis revealed that the modified starches did not inhibit CPC components from converting to hydroxyapatite. Furthermore, the anti-washout mechanism of the modified starches in CPC was discussed. It is concluded that the addition of the modified starches such as pre-gelatinized starch, etherified starch, and esterified starch to CPC can improve its anti-washout performance and should be of value in clinical surgery where the cement is exposed to blood.

Abstract: The in vivo study was performed to evaluate the biocompatibility and osteogenous ability of injectable fast-setting calcium phosphate cement (CPC). Eighteen four-week-old New Zealand white rabbits were divided into six groups randomly, three in each group. According to the principle of selfcontrast at the same time, cavities of 5mm in diameter and 6mm in depth were drilled in femoral condyle of rabbits. The materials were implanted into cavities of the left leg, the right leg as the blank control group. Rabbits were sacrificed at 2, 4, 8, 12, 16 and 24 weeks after surgery. The microstructure of specimens was observed using ESEM. The results showed that injectable fast-setting CPC had good fluidity and plasticity; it could be injected into bone defects and fast-set in situ. The start setting time was 5-8 min and the compressive strength was 25-30 MPa. The CPC had good biocompatibility and osteoconductivity, and benefited to the repair of bone defects.

Abstract: The effect of carbon nanotubes (CNTs) on bending strength of calcium phosphate cement was investigated. The cement composite powders, containing 0, 0.2%, 0.4%, 0.6%, 0.8% and 1.0wt% CNTs respectively, were prepared by ball milling. It was found that the presence of CNTs improved the bending strength of the cement from 6.6 MPa to the best 10.5 MPa. The reason for mechanical property improvement is related to the fibers (bars)-like microstructure of the reinforcing element, with CNT in the core and hydroxyapatite crystals growing on it.

Abstract: In this study, an ACP-DCPD based Calcium phosphate cement (CPC) scaffold with a porosity of 88% was prepared by using Na3PO4 as a poregen and then modified by collagen and chitosan. The results showed that collagen and chitosan obviously increased the compressive strength. Cell culture showed that the cell can migrate, attach, proliferate and differentiate on the surface of the materials and the pores walls. This CPC scaffold modified with collagen or chitosan was a promising material to be used in bone tissue engineering.

Abstract: In this study modified starch were used as anti-washout promoters of injectable calcium phosphate cement (CPC) and the effects of the modified starch on the injectability, anti-washout performance, setting time, compressive strength, phase evolution and microstructure of this cement were investigated. The injectability of the cement was improved by adding the modified starch (0.5-2.0%). After mixing with modified starch (0.5-2.0%), the cement showed better anti-washout performance than that without modified starch after immersed and shaken in SBF. Especially, when the content of the modified starch was 1.0%, the remaining percentage of the cement was reached to 92.6%, but only 5.9% of the CPC paste remained and set for the sample without modified starch after shaken for 2 hrs. The compressive strength of cements significantly increased from 44 MPa to 54 MPa when 0.5% of modified starch was added. And a slight increase on the mechanical strength can be observed for other concentrations. Powder X-ray diffraction analysis revealed no significant difference for the conversion of the cement to hydroxyapatite for any concentrations of modified starches. The influence of the modified starch on the microstructure of the set cement was also studied. The results showed the modified starch would reduce the acicular crystal size of hydroxyapatite accompanied with little flaky crystals generation and made a compact structure. It is concluded that modified starch, a suitable anti-washout promoter, improved the performance of CPC.