
Calcium phosphate cements (CPCs) are frequently used as synthetic bone graft materials in view of their excellent osteocompatibility and clinical handling behavior. Hydroxyapatite-forming CPCs, however, degrade at very low rates, thereby limiting complete bone regeneration. The current study has investigated whether degradation of apatite-forming cements can be tuned by incorporating acid-producing slow-resorbing poly(D,L-lactic-co-glycolic) acid (PLGA) porogens, fast-resorbing glucono-delta-lactone (GDL) porogens, or mixtures thereof. The physicochemical, mechanical, and degradation characteristics of these CPC formulations were systematically analyzed upon soaking in phosphate-buffered saline (PBS). In parallel, various CPC formulations were implanted intramuscularly and orthotopically on top of the transverse process of goats followed by analysis of the soft tissue response and bone ingrowth after 12 weeks. In vitro degradation of GDL was almost completed after 2 weeks, as evidenced by characterization of the release of gluconic acid, while PLGA-containing CPCs released glycolic acid throughout the entire study (12 weeks), resulting in a decrease in compression strength of CPC. Extensive in vitro degradation of the CPC matrix was observed upon simultaneous incorporation of 30% PLGA-10% GDL. Histomorphometrical evaluation of the intramuscularly implanted samples revealed that all CPCs exhibited degradation, accompanied by an increase in capsule thickness. In the in vivo goat transverse process model, incorporation of 43% PLGA, 30% PLGA-5% GDL, and 30% PLGA-10% GDL in CPC significantly increased bone formation and resulted in higher bone height compared with both 10% GDL and 20% GDL-containing CPC samples.
Radboudumc 10: Reconstructive and regenerative medicine RIMLS: Radboud Institute for Molecular Life Sciences, Calcium Phosphates, Bone Development, Compressive Strength, Goats, Bone Cements, Complex Mixtures, Body Fluids, Polylactic Acid-Polyglycolic Acid Copolymer, Radboudumc 0: Other Research RIMLS: Radboud Institute for Molecular Life Sciences, Absorbable Implants, Bone Substitutes, Materials Testing, Animals, Lactic Acid, Piperidones, Polyglycolic Acid
Radboudumc 10: Reconstructive and regenerative medicine RIMLS: Radboud Institute for Molecular Life Sciences, Calcium Phosphates, Bone Development, Compressive Strength, Goats, Bone Cements, Complex Mixtures, Body Fluids, Polylactic Acid-Polyglycolic Acid Copolymer, Radboudumc 0: Other Research RIMLS: Radboud Institute for Molecular Life Sciences, Absorbable Implants, Bone Substitutes, Materials Testing, Animals, Lactic Acid, Piperidones, Polyglycolic Acid
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