학술논문

Altering polymerization temperature of antibiotic-laden cement can increase porosity and subsequent antibiotic elution.
Document Type
Journal Article
Source
International Orthopaedics. Nov2018, Vol. 42 Issue 11, p2627-2632. 6p.
Subject
*ANTI-infective agents
*ANTIBIOTICS
*POLYMERIZATION
*POROSITY
*TOBRAMYCIN
Language
ISSN
0341-2695
Abstract
Purpose: To examine the role of polymerization temperature on the cement porosity and antibiotic elution to optimize antibiotic release from antibiotic-laden cement (ABLC).Methods: Elution profiles of vancomycin and tobramycin from ABLC discs prepared with low- and high-dose antibiotic dosages, cured at 8, 21, and 37 °C, and placed in phosphate buffered saline (PBS) at 37 °C were examined. Samples were collected at one, four, eight, 24, 72, 168, 336, and 1008 hours to calculate the quantity of antibiotic eluted. Porosity was determined by MicroCT analysis.Results: ABLC porosity and antibiotic elution were increased up to five times the amount eluted from room temperature discs (p < 0.05). Low-dose ABLC group saw decreased but similar porosity at 8 °C and 21 °C compared to cement cured at 37 °C (p < 0.001). High-dose ABLC group porosities were all significantly different (p < 0.02).Conclusions: Altering the polymerization temperature of ABLC led to more porous constructs yielding increased antibiotic elution. [ABSTRACT FROM AUTHOR]