Improvement of Bone Filler Materials Using Granular Calcium Sulfate Dihydrate-Gelatin-Polycaprolactone Composite

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Calcium sulfate dihydrate (CSD) cement has been used as bone void filler and antibiotic carrier for many years. However, the main drawback of CSD cement is its brittleness that limits its handling property. Thus, the aim of this study is to fabricate granular CSD cement-gelatin-polycaprolactone (CSD-Gel-PCL) to improve handling property. To prepare CSD-Gel-PCL composite, granular CSD was prepared from calcium sulfate hemihydrate (CaSO4.0.5H2O; CSH) and distilled water with water/powder (W/P) ratio of 0.5. The CSD cement was crushed and sieved into 300-500 μm. The obtained granular CSD was then mixed with 3 wt.%, 5 wt.% and 7 wt.% gelatin solution which previously mixed with PCL (50 wt% PCL, 50 wt% gelatin), followed by freeze drying for 48 hours. The CSD granules were able to bind together after the addition of gelatin and PCL matrix. After freeze drying, the CSD granules were not easy to remove from the composite body. Scanning electron microscopy (SEM) analysis revealed that CSD granules were surrounded by polymer matrix in all 3 different specimens in which the higher gelatin concentration, the more the matrix found between the granules. Mechanical evaluation suggested that all of the specimens showed the same stress-strain curve pattern. The CSD-Gel-PCL composite with 7 wt% gelatin has the highest strength compared with the other specimens. Stress-strain curves indicated that combination of CSD granules, gelatin and PCL has produced bone filler with improved handling property.

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December 2019

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[1] G. Fernandez de Grado, L. Keller, Y. Idoux-Gillet, Q. Wagner, A.M. Musset, N. Benkirane-Jessel, F. Bornert, D. Offner, Bone substitutes: a review of their characteristics, clinical use, and perspectives for large bone defects management, J. Tissue Eng. 9 (2018) 1-18.

DOI: 10.1177/2041731418776819

Google Scholar

[2] R. Strocchi, G. Orsini, G. Iezzi, A. Scarano, C. Rubini, G. Pecora, A. Piattelli, Bone regeneration with calcium sulfate: evidence for increased angiogenesis in rabbits, J. Oral Implantol. 28 (2002) 273-278.

DOI: 10.1563/1548-1336(2002)028<0273:brwcse>2.3.co;2

Google Scholar

[3] T. Szponder, E. Mytnik, Z. Jaegermann, Use of calcium sulfate as a biomaterial in the treatment of bone fractures in rabbits – Preliminary studies, Bull. Vet. Inst. Pulawy, 57 (2013) 119-122.

DOI: 10.2478/bvip-2013-0022

Google Scholar

[4] L.F. Peltier, E.Y. Bickel, R. Lillo, M.S. Thein, The Use of plaster of paris to fill defects in bone, Ann. Surg. 146 (1957) 61–69.

DOI: 10.1097/00000658-195707000-00007

Google Scholar

[5] A.C. Parker, J.K. Smith, H.S. Courtney, W.O. Haggard, Evaluation of two sources of calcium sulfate for a local drug delivery system: A pilot study, Clin. Orthop. Relat. Res., 469 (2011) 3008–3015.

DOI: 10.1007/s11999-011-1911-1

Google Scholar

[6] D. Pförringer, A. Obermeier, M. Kiokekli, H. Büchner, S. Vogt, A. Stemberger, R. Burgkart, M. Lucke, Antimicrobial Formulations of Absorbable Bone Substitute Materials as Drug Carriers Based on Calcium Sulfate, Antimicrob. Agents Chemother., 60 (2016) 3897-3905.

DOI: 10.1128/aac.00080-16

Google Scholar

[7] A. La Gatta, A. De Rosa, P. Laurienzo, M. Malinconico, M. De Rosa, C. Schiraldi, A novel injectable poly(epsilon-caprolactone)/calcium sulfate system for bone regeneration: synthesis and characterization, Macromol. Biosci. 4(2005)1108-1117.

DOI: 10.1002/mabi.200500114

Google Scholar

[8] C. Bibbo, D.V. Patel, The effect of demineralized bone matrix-calcium sulfate with vancomycin on calcaneal fracture healing and infection rates: a prospective study, Foot Ankle Int. 27(2006) 487-493.

DOI: 10.1177/107110070602700702

Google Scholar

[9] M.A. Reynolds, M.E. Aichelmann-Reidy, J.D. Kassolis, H.S. Prasad, M.D. Rohrer, Calcium sulfate-carboxymethylcellulose bone graft binder: Histologic and morphometric evaluation in a critical size defect, J. Biomed. Mater. Res. B. Appl. Biomater. 83 (2007) 451-458.

DOI: 10.1002/jbm.b.30815

Google Scholar

[10] E. Gruskin, B. A. Doll, F. W. Futrell, J. P. Schmitz and J. O. Hollinger, Demineralized bone matrix in bone repair: History and use. Advanced Drug Delivery Reviews. 64 (2012) 1063-1077.

DOI: 10.1016/j.addr.2012.06.008

Google Scholar

[11] C. Chen, H. Li, J. Pan, Z. Yan, Z. Yao , W.Fan, C. Guo, Biodegradable composite scaffolds of bioactive glass/chitosan/carboxymethyl cellulose for hemostatic and bone regeneration, Biotechnol. Lett. 37(2015) 457-465.

DOI: 10.1007/s10529-014-1697-9

Google Scholar

[12] D. Barbieri, H. Yuan, F. de Groot, W.R. Walsh, J.D. de Bruijn, Influence of different polymeric gels on the ectopic bone forming ability of an osteoinductive biphasic calcium phosphate ceramic, Acta Biomater. 7(2011) 2007-2014.

DOI: 10.1016/j.actbio.2011.01.017

Google Scholar

[13] N. Morimoto, N. Kakudo, M. Matsui, T. Ogura, T. Hara, K. Suzuki, M. Yamamoto, Y. Tabata, K. Kusumoto, Exploratory clinical trial of combination wound therapy with a gelatin sheet and platelet-rich plasma in patients with chronic skin ulcers: study protocol, BMJ Open 5(2015) e007733.

DOI: 10.1136/bmjopen-2015-007733

Google Scholar

[14] N. Davidenko, C. F. Schuster, D. V. Bax, R.W. Farndale, S. Hamaia, S.M. Best, R.E. Cameron, Evaluation of cell binding to collagen and gelatin: a study of the effect of 2D and 3D architecture and surface chemistry, J. Mater. Sci. Mater Med., 27(2016) 148.

DOI: 10.1007/s10856-016-5763-9

Google Scholar

[15] E.D. Yildirim, R. Besunder, D. Pappas, F. Allen, S. Güçeri, W. Sun, Accelerated differentiation of osteoblast cells on polycaprolactone scaffolds driven by a combined effect of protein coating and plasma modification. J. Biofabr. 2(2010)1–12.

DOI: 10.1088/1758-5082/2/1/014109

Google Scholar

[16] S.R. Baker, S. Banerjee, K. Bonin, M. Guthold, Determining the mechanical properties of electrospun poly-ε-caprolactone (PCL) nanofibers using AFM and a novel fiber anchoring technique. Mater. Sci. Eng. C. 59 (2016) 203-212.

DOI: 10.1016/j.msec.2015.09.102

Google Scholar