The effect of glycine filler on the elution rate of gentamicin from acrylic bone cement - A pilot study

被引:35
作者
McLaren, AC [1 ]
Nelson, CL [1 ]
McLaren, SG [1 ]
DeClerk, GR [1 ]
机构
[1] Univ Arkansas Med Sci, Dept Orthopaed Surg, Little Rock, AR 72205 USA
关键词
D O I
10.1097/01.blo.0000143556.41472.2a
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Elution of antibiotics from acrylic bone cement (polymethylmethacrylate [PMMA]) is dependent on the access of fluid to the depths of the cement that contains the antibiotic. Commercially prepared antibiotic beads that are porous have higher elution rates than hand-mixed, nonporous antibiotic PMMA mixtures. To increase the elution of gentamicin from hand-mixed PMMA, glycine was added as a filler to produce porosity. Elution of gentamicin from the antibiotic PMMA-glycine mixture increased with increasing amounts of glycine. With 3.6 g gentamicin powder and 14 g of crystalline glycine per batch of Palacos PMMA, the elution of gentamicin from the PMMA at 2 days was, similar to the previously documented elution of gentamicin from commercially prepared porous Septopal PMMA beads. With further investigation it may be possible to identify a specific filler and a volume of filler that can be hand mixed in antibiotic PMMA to produce the elution behavior that is needed for specific clinical requirements.
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页码:25 / 27
页数:3
相关论文
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