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Controllable cured calcium sulfate bone-cementing agent and its preparation method

A technology of bone adhesive and calcium sulfate, which is applied in the field of medical materials, can solve the problems of increasing patient discomfort, small new bone volume, and low strength, and achieve adjustable curing time, long usable time, and high mechanical strength Effect

Inactive Publication Date: 2006-12-13
TIANJIN UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0002] In clinical treatment, for severe comminuted fractures, bone loss in the fracture area, or osteoporosis, it is difficult to fix with plaster alone, and the risk of secondary displacement and malunion of the fracture is high, and internal fixation techniques are often required; in addition, Abnormal curvature of the spine, spinal trauma, spinal infection or tumor will all cause spinal lesions, and further common clinical diseases such as spondylolisthesis and lumbar disintegration will occur. , the method of autologous or allogeneic bone graft repair; although autologous bone is the most ideal bone graft material, on the one hand, due to its limited source, it cannot meet the cases requiring a large number of bone grafts; on the other hand, it will cause various complications in the bone harvesting area. disease, which not only brings extra pain to patients, but also affects the timely functional recovery of patients after surgery; allogeneic bone mainly comes from corpses, animals, and family members of patients. Although the source is relatively sufficient, allogeneic bone is prone to immune rejection, infection of hepatitis, HIV, etc., the graft failure rate is also high; and the allograft bone is replaced slowly, and the new bone volume is relatively small
In order to solve the repair and fixation of these bone defect areas, a large number of new artificial materials have been studied. At present, polymethyl methacrylate (PMMA) bone cement is commonly used, although it has good adhesion and good mechanical properties. , but because it cannot be degraded, there is a problem of taking out the implant in a second operation, and the deviation of biocompatibility will cause fibrosis at the implantation site
Although polylactic acid material has good biocompatibility and mechanical properties, it can only be molded in vitro and then implanted in the body for bone repair, which limits its application in bone adhesive materials and reducing surgical trauma.
Calcium phosphate bone cement materials have been studied more recently, and some products are also on the market at home and abroad, but their existing strength is relatively low, and because of their fast curing speed, they cannot meet the requirements of surgical operations, resulting in short operation time and cannot be used as a good bone cement. Use of a Bone Adhesive
Domestic patent CN1446588 (glass-based nano-hydroxyapatite biocement and its preparation method) and other synthetic bone adhesives have a short operating time, and due to the change of pH value during the curing process, some inflammatory reactions in the human body will be caused. , and faster curing speed will bring greater heat release, increasing the patient's discomfort
Calcium sulfate materials have been studied for nearly a hundred years. As early as 1928, some scholars used calcium sulfate to treat bone infection in dogs. In 1964, LEONARD F. et al. studied the use of calcium sulfate for bone repair. After the 1980s, various calcium sulfate products emerged one after another, but the controllability of the curing time of the material and the mechanical properties of the material after curing were not ideal.

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0034] Calcium sulfate dihydrate is kept in a box-type resistance furnace at 100°C for 5 hours to generate calcium sulfate hemihydrate; mix 90g calcium sulfate hemihydrate and 10g calcium sulfate dihydrate and grind it in a ball mill for 4 hours to make the particle size less than 100 microns ; Then get 40g of finely ground powder and 5g type I collagen, 4g chitosan, 5g sodium alginate, 6g polyols, mix and grind, and age for 24h. The solidified liquid is an aqueous solution containing 0.9% NaCl, and 40 ml of the solidified liquid is added and mixed for 2 minutes to form a slurry. The slurry begins to set initially after 5 minutes, and finally sets after 25 minutes. The best use time is between 10-20 minutes after the slurry is formed. The compressive strength of the material after curing for 48 hours is 50 MPa. The material degrades in 56 days in the PBS simulated body fluid environment.

Embodiment 2

[0036] Calcium sulfate dihydrate is kept in a box-type resistance furnace at 400°C for 5 hours to generate calcium sulfate hemihydrate; mix 80g calcium sulfate hemihydrate and 20g calcium sulfate dihydrate and grind it in a ball mill for 12 hours to make the particle size less than 50 Micron; then take 40g of ground powder, mix and grind with 5g of hyaluronic acid, 5g of fibrin, and 5g of polyethylene glycol, and age for 24 hours. The solidified solution is an aqueous solution containing 0.2% NaCl and 0.6% KCl, and 45ml of the solidified solution is added and mixed for 5 minutes to form a slurry. The slurry begins to set initially after 10 minutes, and finally sets after 45 minutes. The best use time is between 10-20 minutes after the slurry is formed. The compressive strength of the material after curing for 24 hours is 65MPa, and it is 30 days in the environment of hydrochloric acid-Tris simulated body fluid Degradation, after 7 days of degradation, 30% of the strength is re...

Embodiment 3

[0038] Calcium sulfate dihydrate is kept in a high-pressure steam kettle at 120°C for 8 hours, and calcium sulfate hemihydrate is produced at this time; calcium sulfate dihydrate is kept at 1200°C for 2 hours in a box-type resistance furnace, and anhydrous calcium sulfate is produced at this time; Mix 30g of calcium sulfate dihydrate, 10g of calcium sulfate hemihydrate and 60g of anhydrous calcium sulfate and grind in a ball mill for 8 hours to make the particle size less than 100 microns; then take 60g of finely ground powder, 5g of type I collagen, 5g of transparent After the urethane acid is mixed and ground, it is aged for 24 hours. The solidification solution is an aqueous solution containing 0.2% NaCl, 0.6% KCl, 0.5% type I collagen, and 0.5% polyvinyl alcohol. Add 30ml of the solidification solution and mix for 5 minutes to form a slurry. The slurry begins to set initially after 15 minutes, and finally sets after 40 minutes. The best use time is between 20-30 minutes af...

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Abstract

The related preparation method for a controllable solidifying CaSO4 bone adhesive comprises: mixing 40-80wt% dehydrated CaSO4 and 1-20wt% adjuvant to age for 1-48h, mixing material and 10-50wt% solidifying solution for 2-5min, and hydrating to obtain the slurry. This invention has well performance for medical purpose.

Description

technical field [0001] The invention relates to the technical field of medical materials, in particular to a controllable curing calcium sulfate bone adhesive and a preparation method thereof. Background technique [0002] In clinical treatment, for severe comminuted fractures, bone loss in the fracture area, or osteoporosis, it is difficult to fix with plaster alone, and the risk of secondary displacement and malunion of the fracture is high, and internal fixation techniques are often required; in addition, Abnormal curvature of the spine, spinal trauma, spinal infection or tumor will all cause spinal lesions, and further common clinical diseases such as spondylolisthesis and lumbar disintegration will occur. , the method of autologous or allogeneic bone graft repair; although autologous bone is the most ideal bone graft material, on the one hand, due to its limited source, it cannot meet the cases requiring a large number of bone grafts; on the other hand, it will cause va...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61L27/40
Inventor 常津张琦苏光雷王伟才宋正孝
Owner TIANJIN UNIV
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