WO2014185600A1 - Bone cement composition and preparation method therefor - Google Patents

Bone cement composition and preparation method therefor Download PDF

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Publication number
WO2014185600A1
WO2014185600A1 PCT/KR2013/008800 KR2013008800W WO2014185600A1 WO 2014185600 A1 WO2014185600 A1 WO 2014185600A1 KR 2013008800 W KR2013008800 W KR 2013008800W WO 2014185600 A1 WO2014185600 A1 WO 2014185600A1
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weight
bone cement
parts
caffeic acid
powder
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PCT/KR2013/008800
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French (fr)
Korean (ko)
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장정호
이혜선
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한국세라믹기술원
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Publication of WO2014185600A1 publication Critical patent/WO2014185600A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/0047Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L24/0073Composite materials, i.e. containing one material dispersed in a matrix of the same or different material with a macromolecular matrix
    • A61L24/0089Composite materials, i.e. containing one material dispersed in a matrix of the same or different material with a macromolecular matrix containing inorganic fillers not covered by groups A61L24/0078 or A61L24/0084
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L24/00Surgical adhesives or cements; Adhesives for colostomy devices
    • A61L24/02Surgical adhesives or cements; Adhesives for colostomy devices containing inorganic materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/40Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L27/44Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L27/446Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix with other specific inorganic fillers other than those covered by A61L27/443 or A61L27/46
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2400/00Materials characterised by their function or physical properties
    • A61L2400/06Flowable or injectable implant compositions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00Materials or treatment for tissue regeneration
    • A61L2430/02Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants

Definitions

  • the present invention relates to a bone cement composition and a method for producing the same, and more particularly, to a bone cement composition comprising a natural antibiotic and a method for producing the same.
  • Conventional bone filling compositions that is, bone cement compositions
  • bone cement compositions are widely used in the world as adhesives for fixing a bone defect or a metal artificial joint such as an artificial hip joint with surrounding bone.
  • the bone cement composition is not only used in the method of inserting and inserting an artificial body into the body due to breakage of the spine and bone, but also a total knee arthroplasty and reoperation due to various joints, spine and bone damage.
  • There is a bone cement composition is used to fix the position of the articulated body in the body for the role of filling bone defects during this operation.
  • Such bone cement composition is usually divided into a powder part and a liquid part, and is kneaded just before application during surgery or the like to initiate the polymerization reaction of the monomer, and leave the kneaded material to a certain high viscosity state. It has been used as being applied to the application target site by the handling operation at the time it became.
  • bone cement composition is also used as a method of treating various spinal diseases such as vertebral compression fractures caused by osteoporosis, by filling and maintaining the empty space of the spine.
  • bone cement composition and its manufacturing method (Korean Patent Publication No. 10-2013-002 8405, Patent Document 1), ⁇ -3 calcium phosphate ( ⁇ -tricalcium phosphate; ß- TCP), a bone cement composition comprising ammonium monophosphate (NH 4 H 2 PO 4 ), diammonium phosphate ((NH 4 ) 2 HPO 4 ) and water, the starting powder being ⁇ -3 calcium phosphate powder
  • Preparing step 1
  • Preparing a purification solution by mixing and stirring the first ammonium phosphate, the second ammonium phosphate and water step 2
  • the step of introducing the cured liquid prepared in step 2 to the ß-3 calcium phosphate powder prepared in step 1 and stirring is disclosed a configuration comprising a.
  • This technique has extended the curing time so that it can be used in a three-dimensional molding process and the like.
  • this bone cement has a problem that it is difficult to identify the shape or location when taking a picture
  • bone cement system for bone reinforcement is a solid component of about 38 to about 42% by weight of the solid component Contrast agent; A polymerization initiator in the range of about 0.3 to about 0.5 weight percent of the solid component; Bone replacement material comprising hydroxyapatite in the range of about 14 to about 16 weight percent of the solid component, and poly (methylacrylate-co-methylmethacrylate), in the range of about 43 to about 46 weight percent of the solid component, Comprising at least one of poly (meth) acrylate, polymethyl (meth) acrylate, poly (methylmethacrylate) and / or poly (methylmethacrylate-co-styrene) polymers, blends, mixtures or copolymers Examples are disclosed which consist of solid polymers and comprise zirconium dioxide, barium sulfate and / or titanium dioxide and mixtures and blends thereof to form the contrast agent.
  • contrast agent in the range of 30 to 60% by weight in the powder component is disclosed as an example of the use of the contrast agent.
  • barium sulfate also has the role of improving the mechanical strength of the bone cement has the advantage of providing excellent strength after the procedure.
  • the said technique is a (meth) acrylate type polymer large diameter supplier whose average particle orientation is 10-60 micrometers, (meth) acrylate type polymer small diameter particle
  • Patent document 3 as described above is characterized in that it uses a wide range of antibiotics. However, depending on the type of antibiotics there is a problem that can not match the components for providing the fluidity of the bone sheet to reduce the fluidity, excessively lower the polymerization time or lower the physical properties of the bone cement.
  • the present invention is to solve the problems occurring in the prior art as described above, the present invention includes a natural ingredient that can reduce the side effects due to the use of conventional antibiotics, while having an antimicrobial function and minimize the side effects on the human body, It is possible to provide a bone cement composition having good flowability without using a polymerization inhibitor and having a shorter polymerization time (setting time) than conventionally.
  • the present invention includes a liquid phase including methyl methacrylate (MMA), dimethyl-p-toluidine (DMPT) and caffeic acid phenethyl ester (CAPE); And a powder comprising polymethyl methacrylate (PMMA), zirconia, and benzoyl peroxide.
  • MMA methyl methacrylate
  • DMPT dimethyl-p-toluidine
  • CAE caffeic acid phenethyl ester
  • PMMA polymethyl methacrylate
  • zirconia zirconia
  • benzoyl peroxide benzoyl peroxide
  • the liquid phase may include 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethylphytoluidine based on 1 part by weight of caffeic acid ester, and the powder is caffeic acid It may include 200 to 300 parts by weight of polymethyl methacrylate, 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide based on 1 part by weight of ester.
  • the liquid phase may include 170 to 180 parts by weight of methyl methacrylate and 5 to 6 parts by weight of dimethylphytoluidine per 1 part by weight of caffeic acid ester, and the powder It may include 250 to 280 parts by weight of polymethyl methacrylate, 110 to 130 parts by weight of zirconia and 10 to 15 parts by weight of benzoyl peroxide based on 1 part by weight of phosphate ester.
  • the average particle diameter of the polymethyl methacrylate may be 10 ⁇ 100 ⁇ m.
  • the present invention is a liquid phase including methyl methacrylate (methyl methacrylate; MMA), dimethyl p-toluidine (DMPT) and caffeic acid phenethyl ester; And preparing a bone cement raw material of polymethyl methacrylate (PMMA), a powder comprising zirconia and benzoyl peroxide, and mixing the liquid and powder bone cement raw materials. It provides a bone cement manufacturing method comprising the step of.
  • the liquid phase may include 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethylphytoluidine based on 1 part by weight of caffeic acid ester, and the powder is caffeic acid It may include 200 to 300 parts by weight of polymethyl methacrylate, 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide based on 1 part by weight of ester.
  • the reaction time may be 5 to 15 minutes.
  • the mixing may be performed at 20 ⁇ 25 °C.
  • the present invention includes a natural antibiotic, caffeic acid phenethyl ester, has antibacterial properties, has less side effects on the human body, has good flowability without using a separate polymerization inhibitor, and shorter polymerization time (setting time) than before.
  • Eggplant may provide a bone sivent composition and a method of making bone cement.
  • the bone cement composition of the present invention is a separate antibiotic by containing caffeic acid ester which is an active ingredient of natural propolis with antibacterial and anti-inflammatory effect confirmed stability problems such as reverse mutation, micronucleus test, etc. that may occur when administered in the human body It is possible to prevent the occurrence of fungus, which is a factor of secondary infection that occurs during surgery, and furthermore can provide a bone cement composition that can not use the polymerization inhibitor because caffeic acid ester functions as a polymerization inhibitor. .
  • Figure 1 shows a part implanted in the femoral portion of the rabbit to examine the properties appearing in vivo implantation of the bone cement composition of the present invention.
  • Figure 2 shows the results of histological examination of the femoral twelve weeks after implanting the bone cement composition of the Examples and Comparative Examples of the present invention in the rabbit thigh.
  • FIG 3 shows the injection position for testing intradermal safety for bone cement compositions of Examples and Comparative Examples of the present invention.
  • the antimicrobial effect was suppressed without the addition of a separate polymerization inhibitor such as hydroquinone as a result of mixing the caffeic acid ester as a natural antibiotic in the liquid phase and mixed with the powder.
  • the caffeic acid ester is added as an antibacterial component and a polymerization inhibitor and is one of active ingredients of propolis, which is a kind of flavonoid-based component known as vitamin P having an antimicrobial effect, and mainly acts as an antibacterial anti-inflammatory agent in propolis. It is known.
  • the molecular formula of the caffeic acid ester is C 17 H 16 0 4 And the chemical structure is shown in the formula (1) below.
  • the caffeic acid ester has an antibacterial, antifungal and antiviral effect in the human body.
  • the caffeic acid esters inhibit inflammation by blocking the secretion of enzymes that cause inflammation.
  • it because it is water-soluble, its range of use is diverse, and even if ingested excessively characterized by nontoxic.
  • Caffeic acid ester an active component of propolis, exhibits anti-inflammatory activity because it simultaneously inhibits two enzymes, lipoxygenase and cyclooxygenase, which produce leucotriene (LT) and prostaglandin (PG). It is more potent than regular painkillers.
  • the bone cement composition of the present invention contains a liquid comprising metal methacrylate, dimethyl phytoluidine and caffeic acid phenethyl ester and a powder containing polymethyl methacrylate, zirconia, and benzoyl peroxide,
  • the patient can be used by mixing the liquid and powder during the procedure.
  • the polymerization initiator and the liquid acrylate monomer in the powder react to perform the polymer polymerization reaction of the acrylate monomer, and the polymerization accelerator is polymerized at room temperature. You can accelerate the reaction so that this happens better.
  • the bone cement composition of the present invention comprises a caffeic acid ester in the liquid phase
  • the liquid phase comprises 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethyl phytoluidine relative to 1 part by weight of caffeic acid ester It is preferable.
  • the ratio of caffeic acid ester is added higher than the above range, the function of the caffeic acid ester as a polymerization inhibitor is strengthened, so that the polymerization time is increased so that it may be difficult to use as a bone cement composition, and caffeic acid ester Although the ratio of is lower than the above range, even if the caffeic acid ester is added, there may be a problem in that it does not exhibit antimicrobial efficacy.
  • a liquid phase containing 170 to 180 parts by weight of methyl methacrylate and 5 to 6 parts by weight of dimethylphytoluidine may be used based on 1 part by weight of caffeic acid ester.
  • the powder in the bone cement composition of the present invention is not particularly limited as long as it is a mixing ratio to increase the strength of the bone filling portion, preferably 200 to 300 parts by weight of polymethyl methacrylate relative to 1 part by weight of caffeic acid ester, It may comprise 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide, more preferably 250 to 280 parts by weight of polymethyl methacrylate, 110 to 130 parts by weight of zirconia and 1 part by weight of caffeic acid ester and It may include 10 to 15 parts by weight of benzoyl peroxide.
  • the acrylate polymer included in the bone cement composition of the present invention is polymethyl methacrylate (PMMA; Polymethyl methacrylate), poly methylacrylate (poly methylacrylate), polystyrene, and copolymers thereof
  • PMMA polymethyl methacrylate
  • poly methylacrylate poly methylacrylate
  • polystyrene polystyrene
  • copolymers thereof Preferably, the acrylate polymer is preferably in the form of beads of 10 to 100 ⁇ m because the acrylate polymer is pre-dissolved in the liquid phase.
  • the acrylate monomer contained in the liquid phase of the bone cement composition of the present invention constitutes a component for forming a base material of bone cement, and the bone cement composition is cured by polymerizing the acrylate monomer, which is the polymerizable monomer, and as a result, a cured product. Is obtained.
  • methyl (meth) acrylate, ethyl (meth) acrylate, isobutyl (meth) acrylate, hexyl (meth) acrylate, octyl (meth) acrylate, dodecyl (meth) At least one selected from the group consisting of a) acrylate, N-isopropyl (meth) acrylamide, hydroxyethyl methacrylate and acrylonitrile is preferred.
  • the acrylate monomer is preferably included in 150 to 200 parts by weight based on 1 part by weight of the caffeic acid ester.
  • benzoyl peroxide As the polymerization initiator contained in the bone cement composition of the present invention, benzoyl peroxide, tert-butyl peroxide, lauroyl peroxide, azobisisobutyronitrile and the like can be used. Moreover, in these, since the polymerization reaction of the acrylate-type monomer contained in the said liquid phase starts quickly, and it is easy to continue the reaction, it is preferable to use benzoyl peroxide.
  • the powder of the bone cement composition of this invention contains 5-20 weight part of benzoyl peroxides which are the said polymerization initiators with respect to 1 weight part of caffeic acid esters.
  • the polymerization initiator is included in an amount of less than 5 parts by weight with respect to 1 part by weight of the caffeic acid ester, a problem may occur in that the polymerization reaction of the acrylate monomer may not proceed, and the polymerization initiator may be included in 1 part by weight of the caffeic acid ester. If it contains an amount exceeding 20 parts by weight, a problem may occur that the polymerization initiator remains in the polymer formed by the polymerization of the acrylate monomer.
  • benzoyl peroxide added as the polymerization initiator is added to the powder, and when the liquid and the powder is kneaded immediately before the operation is mixed with the liquid metal methacrylate monomer to allow the polymerization to be initiated.
  • Fillers may include inorganic materials such as titanium dioxide, calcium phosphate (hydroxyapatite, tricalcium phosphate), barium sulfate, silicon oxide (silica), aluminum oxide (alumina), zirconium oxide (zirconia), and the like. Alternatively, a combination of two or more kinds can be used. Among them, zirconium oxide (zirconia) having an X-ray contrast effect is preferable because it improves radiopacity as compared with barium sulfate used as a conventional molding agent. As described above, the radiopacity is increased so that the position and shape of the X-ray or the like after imaging in the body can be understood.
  • inorganic materials such as titanium dioxide, calcium phosphate (hydroxyapatite, tricalcium phosphate), barium sulfate, silicon oxide (silica), aluminum oxide (alumina), zirconium oxide (zirconia), and the like.
  • zirconium oxide (zirconia) having an X-ray contrast effect is prefer
  • Zirconium oxide (zirconia) of the present invention may be included in 100 to 150 parts by weight based on 1 part by weight of the caffeic acid ester.
  • the bone cement composition of the present invention preferably contains a polymerization accelerator together with a polymerization initiator in order to advance the polymerization reaction of the metal methacrylate monomer more quickly.
  • the polymerization accelerator may include dimethyl-p-toluidine, 2,4,6-tris (dimethylaminomethyl) phenol, and the like. In these, since the polymerization reaction of an acrylate-type monomer advances rapidly, it is preferable to use dimethyl pitieridine.
  • the dimethyl pitariadine is preferably included 1 to 10 parts by weight based on 1 part by weight of caffeic acid ester.
  • the polymerization accelerator is included in an amount less than 1 part by weight based on 1 part by weight of caffeic acid ester, it may be difficult to cause the polymerization reaction of the acrylate monomer to proceed. When it contains an amount exceeding 10 parts by weight, a problem may occur that causes a side effect of the polymerization accelerator remaining in the cured product formed by polymerization of the acrylate monomer.
  • the present invention is a liquid phase containing methyl methacrylate (methyl methacrylate), dimethyl p-toluidine (dimethyl-p-toluidine) and caffeic acid phenethyl ester; And a powder comprising polymethyl methacrylate, zirconia, and benzoyl peroxide; preparing bone cement raw material; and reacting after mixing the liquid and powder bone cement raw material. It provides a bone cement manufacturing method comprising a.
  • the liquid phase is not particularly limited as long as it contains methyl methacrylate, dimethylphytoluidine and caffeic acid ester, but preferably 150 to 200 parts by weight of methyl methacrylate and 1 based on 1 part by weight of caffeic acid ester. It may comprise from 10 parts by weight of dimethyl phytoluidine, more preferably from 170 to 180 parts by weight of methyl methacrylate and 5 to 6 parts by weight of dimethyl phytoluidine relative to 1 part by weight of caffeic acid ester.
  • the powder is not particularly limited as long as it contains polymethyl methacrylate, zirconia and benzoyl peroxide, but preferably 200 to 300 parts by weight of polymethyl methacrylate, based on 1 part by weight of caffeic acid ester, It may comprise 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide, more preferably 250 to 280 parts by weight of polymethyl methacrylate, 110 to 130 parts by weight of zirconia and 1 part by weight of caffeic acid ester and It may include 10 to 15 parts by weight of benzoyl peroxide.
  • Liquid phase was prepared by mixing MMA 155.47g, DMPT 4.81g (3% by weight relative to the total weight of the liquid), 0.91g (20mM) of caffeic acid ester (CAPE).
  • CAE caffeic acid ester
  • the packaged liquid portion is ethylene oxide (Ethylene oxide, EO) Sterilized by gas.
  • the compressive strength was measured to be 123 MPa, and when the ISO 5833 compressive strength standard is 70 MPa, the bone cement manufactured according to the present invention meets the strength standard. I could confirm that.
  • Bone cement was prepared in the same manner as in Example 1, except that hydroquinone was added to the liquid portion as a polymerization inhibitor.
  • the polymerization reaction time was measured to be 20 minutes or more, and the polymerization reaction was also poor. Furthermore, as a result of the compression test, the compressive strength was measured at 60 MPa, and it can be confirmed that the compressive strength is significantly lower than that of the bone cement composition of Example 1.
  • the suitability and validation of the medium were verified according to the method suggested by the Korean Pharmacopoeia Sterility Test Method. Specifically, the sterile test was performed by immersing the prepared powder and liquid completely in sterile distilled water, washing with ultrasonic waves for 5 minutes, filtering through a filter, and culturing the filter paper in soybean case digestion medium and liquid thioglycolic acid medium. .
  • Table 1 badge Test strain Inoculation amount () Culture condition Judgment Liquid Thioglycolic Acid Medium S. aureus ⁇ 100 Aerobic culture (32.5 ⁇ 2.5) °C, 3 days Growth P. aeruginosa ⁇ 100 Aerobic culture (32.5 ⁇ 2.5) °C, 3 days Growth C. sporogenes ⁇ 100 Aerobic culture (32.5 ⁇ 2.5) °C, 3 days Growth Soybean Casein Digestive Medium B. sub / Jlis ⁇ 100 Aerobic culture (22.5 ⁇ 2.5) °C, 3 days Growth C. albicans ⁇ 100 Aerobic culture (22.5 ⁇ 2.5) °C, 5 days Growth A. niger ⁇ 100 Aerobic culture (22.5 ⁇ 2.5) °C, 5 days Growth
  • the bone sieve prepared in Example 1 of the present invention was bone-grafted to rabbits, and the local influence of the biological tissues that appeared thereafter was evaluated.
  • the powder and liquid phase of the bone cement composition prepared in Example 1 and Comparative Example 1 were mixed and cured, then processed into specimens and implanted into the femur of rabbits.
  • test animals were four healthy New Zealand White rabbits weighing 3 kg or more, and after depilation on the day before transplantation, each test animal was spaced about 1 cm in the right femur as shown in FIG. 1.
  • the specimen prepared in Comparative Example 1 was implanted into three sites, and the specimen prepared in Example 1 was implanted into three sites in the same manner to the left femur.
  • the specimen was implanted into the femur using a dental drill (AEU-7000MG Implant / Surgery system), and the sutures were used to suture the muscles and skin.
  • Body weights were measured before transplantation, at 4 weeks, 8 weeks after the transplant, and at the end of the test. As shown in Table 3, all four animals showed normal weight gain.
  • Implantation sites were taken with adjacent tissues and fixed in 10% neutral buffer formalin, followed by deliming (Rapidcal TM, BBC Biochemical) for 3 days. Tissue samples were prepared by Hema toxyl in & Eosin staining for histopathological examination.
  • Figure 2 shows the histopathology test results of the transplantation site of the experimental animal 1 12 weeks after transplantation.
  • the site where the specimens of Example 1 and Comparative Example 1 were implanted was slightly different depending on the individual, but it was judged that the dense bone contacted with the control sample and the test sample was generally regenerated.
  • Intradermal reactivity of the bone cement composition prepared in Example 1 was carried out in accordance with "Common Reference Standard for Biological Safety of Medical Device of Food and Drug Administration Notice No. 2011-58".
  • Example 1 The powder and liquid phase prepared in Example 1 were mixed and cured, washed with water, and left to stand at room temperature for 24 hours, and eluted with sterile physiological saline and cottonseed oil at 70 ° C. for a long time at a rate of 20 mL per 4 g of sample.
  • Two New Zealand White rabbits were injected intravenously with 0.2 mL of sterile physiological saline and eluate oil eluate, and then evaluated for local reactivity immediately after injection and at 24, 48 and 72 hours post injection.
  • Sterile physiological saline and brine oil were used as a control and injected into the site shown in FIG. Local irritation was observed immediately after the injection and 24 hours, 48 hours and 72 hours after the injection. As a result, no erythema, swelling and skin were observed at the injection site, and the cement composition prepared in Example 1 did not cause an intradermal reaction. It was confirmed that.
  • NAD is an abbreviation of No Abnormalily Detecled.
  • Frame-shift type Salmonella typhimurium TA98, TA1537
  • Example 2 After mixing and curing the liquid and powder prepared in Example 1 and washed with water and left for 24 hours at room temperature, sterile physiological saline and DMSO were added at a rate of 20 mL per 4g respectively and eluted at 70 °C for 24 hours.
  • the eluted stock solution was diluted in 50%, 25%, 12.5%, and 6.25%, and used as the test solution in a total of 5 levels. No contamination by microorganisms was observed in the test solution and S9 mix.

Abstract

The present invention relates to a bone cement composition and a preparation method therefor, and more specifically, to a bone cement composition including natural antibiotics, and a preparation method therefor.

Description

골 시멘트 조성물 및 이의 제조방법Bone Cement Composition and Method for Making the Same
본 발명은 골 시멘트 조성물 및 이의 제조방법에 관한 것으로서,더욱 상세하게는 천연 항생 물질을 포함하는 골 시멘트 조성물 및 이의 제조방법에 관한 것이다.The present invention relates to a bone cement composition and a method for producing the same, and more particularly, to a bone cement composition comprising a natural antibiotic and a method for producing the same.
종래 골충진 조성물, 즉, 골 시멘트 조성물은 뼈의 결손부의 보전제, 또는 인공 고관절 등의 금속제 인공 관절을 주위의 뼈와 고정시키는 접착제 등으로서 전세계에서 널리 사용되고 있다. 상기 골 시멘트 조성물은 척추 및 뼈의 파손 등으로 인하여 인공물을 체내에 삽입, 시술하는 방법에 사용되고 있을 뿐만 아니라 각종 관절부위, 척추 및 뼈의 손상으로 인하여 슬관절이나 고관절의 전치환술 및 재수술이 널리 시술되고 있는데, 이러한 수술시 골결손을 충진하는 역할을 위해 체내에 시술되는 인공물의 위치를 고정시키는데 골 시멘트 조성물이 사용되고 있다.Conventional bone filling compositions, that is, bone cement compositions, are widely used in the world as adhesives for fixing a bone defect or a metal artificial joint such as an artificial hip joint with surrounding bone. The bone cement composition is not only used in the method of inserting and inserting an artificial body into the body due to breakage of the spine and bone, but also a total knee arthroplasty and reoperation due to various joints, spine and bone damage. There is a bone cement composition is used to fix the position of the articulated body in the body for the role of filling bone defects during this operation.
이러한 골 시멘트 조성물은 통상적으로 분말 부분과 액체 부분으로 나누어져 있고, 수술중 등의 적용하기 직전에 혼련함으로써 단량체의 중합 반응을 개시시키고, 그 혼련물을 방치하는 것 등에 의해 점도가 어느 정도 높은 상태가 된 시점에서 핸들링 작업에 의해 적용 대상 부위에 적용되는 것 등으로 사용되고 있다.Such bone cement composition is usually divided into a powder part and a liquid part, and is kneaded just before application during surgery or the like to initiate the polymerization reaction of the monomer, and leave the kneaded material to a certain high viscosity state. It has been used as being applied to the application target site by the handling operation at the time it became.
또한, 일반적으로 골다공증 등의 원인으로 인한 척추압박골절 등 다양한 척추 질환의 치료 방법으로 척추의 빈공간을 채워 고정 유지시켜주는 역할로 골 시멘트 조성물이 이용되기도 한다.In addition, in general, bone cement composition is also used as a method of treating various spinal diseases such as vertebral compression fractures caused by osteoporosis, by filling and maintaining the empty space of the spine.
골 시멘트와 관련된 종래의 기술을 살펴보면 "골시멘트 조성물 및 이의 제조방법"(한국 공개특허공보 제 10-2013-002 8405호, 특허문헌 1)에는 β-3 인산칼슘(β-tricalcium phosphate; ß-TCP), 제1인산암모늄(NH4H2PO4), 제2인산암모늄((NH4)2HPO4) 및 물을 포함하는 골시멘트 조성물을 제공하며, 출발분말로 β-3 인산칼슘 분말을 준비하는 단계(단계 1); 제1인산암모늄, 제2인산암모늄 및 물을 혼합 및 교반하여 정화액을 제조하는 단계(단계 2); 상기 단계 2에서 제조된 경화액을 상기 단계 l에서 준비된 ß-3 인산칼슘 분말에 도입하고 교반하는 단계(단계 3);를 포함하는 구성이 공개되어 있다. 상기 기술은 경화 시간을 연장하여 3차원 조형 공정 등에 사용할 수 있도록 하였다. 그러나, 이러한 골 시멘트는 시술 후 방사선을 이용한 촬영시 형상이나 위치의 확인이 어려운 문제점이 있었다.Looking at the related art related to bone cement, "bone cement composition and its manufacturing method" (Korean Patent Publication No. 10-2013-002 8405, Patent Document 1), β-3 calcium phosphate (β-tricalcium phosphate; ß- TCP), a bone cement composition comprising ammonium monophosphate (NH 4 H 2 PO 4 ), diammonium phosphate ((NH 4 ) 2 HPO 4 ) and water, the starting powder being β-3 calcium phosphate powder Preparing (step 1); Preparing a purification solution by mixing and stirring the first ammonium phosphate, the second ammonium phosphate and water (step 2); The step of introducing the cured liquid prepared in step 2 to the ß-3 calcium phosphate powder prepared in step 1 and stirring (step 3); is disclosed a configuration comprising a. This technique has extended the curing time so that it can be used in a three-dimensional molding process and the like. However, this bone cement has a problem that it is difficult to identify the shape or location when taking a picture using radiation after the procedure.
이러한 문제점을 해소할 수 있는 기술로 "골 증강용 골 시멘트 시스템"(한국 공개특허공보 제10-2013-0028056호, 특허문헌 2)에는 고체성분으로 고체 성분 중 약 38 내지 약 42 중량% 범위의 조영제; 고체 성분 중 약 0.3 내지 약 0.5 중량% 범위의 중합 개시제; 고체 성분 중 약 14 내지 약 16 중량% 범위의 히드록시아파타이트를 포함하는 뼈 대체 물질, 및 고체 성분 중 약 43 내지 약 46 중량% 범위의, 폴리(메틸아크릴레이트-코-메틸메타크릴레이트), 폴리(메트)아크릴레이트, 폴리메틸(메트)아크릴레이트, 폴리(메틸메타크릴레이트) 및/또는 폴리(메틸메타크릴레이트-코-스티렌) 중합체, 블렌드, 혼합물 또는 공중합체 중 하나 이상을 포함하는 고체 중합체로 이루어지며, 이산화 지르코늄, 황산 바륨 및/또는 이산화티타늄 및 이들의 혼합물과 블렌드를 포함시켜 조영제를 구성하는 예가 공개되어 있다.As a technique to solve this problem, "bone cement system for bone reinforcement" (Korean Patent Publication No. 10-2013-0028056, Patent Document 2) is a solid component of about 38 to about 42% by weight of the solid component Contrast agent; A polymerization initiator in the range of about 0.3 to about 0.5 weight percent of the solid component; Bone replacement material comprising hydroxyapatite in the range of about 14 to about 16 weight percent of the solid component, and poly (methylacrylate-co-methylmethacrylate), in the range of about 43 to about 46 weight percent of the solid component, Comprising at least one of poly (meth) acrylate, polymethyl (meth) acrylate, poly (methylmethacrylate) and / or poly (methylmethacrylate-co-styrene) polymers, blends, mixtures or copolymers Examples are disclosed which consist of solid polymers and comprise zirconium dioxide, barium sulfate and / or titanium dioxide and mixtures and blends thereof to form the contrast agent.
여기서 조영제 사용의 실시예로 분말 성분중 30 - 60 중량%의 범위에서 사용하는 예가 공개되어 있다. 특히, 황산 바륨의 경우 골 시멘트의 기계적 강도를 향상시켜주는 역할도 더불어 하므로 시술 후의 우수한 강도를 제공해주게 되는 장점을 갖는다.An example of using a contrast agent in the range of 30 to 60% by weight in the powder component is disclosed as an example of the use of the contrast agent. In particular, in the case of barium sulfate also has the role of improving the mechanical strength of the bone cement has the advantage of providing excellent strength after the procedure.
한편, 골 시벤트 주입 부위에서의 염증 치료 등을 목적으로 하는 기술이 "섬유-강화 및/또는 중가된 유동성을 가지는 골 시멘트조성물"(한국 등록특허 공보 제10-1226811호, 특허문헌 3)에 공개된 바 있다.On the other hand, a technique for the purpose of treating inflammation at the site of bone sivent injection is described in "Bone Cement Composition with Fiber-Reinforced and / or Increased Fluidity" (Korean Patent Publication No. 10-1226811, Patent Document 3). It has been published.
상기 기술은 평균 입자 직정이 10~60 ㎛인 (메트)아크릴레이트계 폴리머 대경 업자와, 평균 입자 직경이 0.1~2.0 ㎛인 (메트)아크릴레이트계폴리머 소경 입자와, (메트)아크릴레이트계 모노머와, 중합 개시제를 함유하고, 상기 (메트)아크릴레이트계 폴리머 소경 입자의 함유 비율이, 당해 (메트)아크릴레이트계 폴리머 소경 입자와 (메트)아크릴레이트계 폴리머 대경 입자의 합계량에 대하여 5~30 질량%인 것을 특징으로 하며, 골 시멘트의 유동성을 제공하기 위해 칼슘-염 함유 성분과, 글리콜라이드 반복 유닛, 불연속 섬유를 가지며, 여기에 선택적으로 항생물질을 첨가하는 내용이 공개되어 있다.The said technique is a (meth) acrylate type polymer large diameter supplier whose average particle orientation is 10-60 micrometers, (meth) acrylate type polymer small diameter particle | grains whose average particle diameter is 0.1-2.0 micrometers, and a (meth) acrylate type monomer And a polymerization initiator, and the content ratio of the (meth) acrylate-based polymer small-diameter particles is 5 to 30 with respect to the total amount of the (meth) acrylate-based polymer small-diameter particles and the (meth) acrylate-based polymer large-diameter particles. It is characterized by mass%, having a calcium-salt containing component, a glycolide repeating unit, discontinuous fibers to provide fluidity of bone cement, and the addition of antibiotics therein is disclosed.
상기와 같은 특허문헌 3은 임의의 항생 물질들을 폭넓게 사용함을 특징으로 한다. 그러나, 항생 물질의 종류에 따라서는 골 시엔트의 유동성을 제공하기 위한 성분과 어울리지 못해 유동성을 떨어뜨리거나, 중합 시간을 과도하게 저하시키거나 골 시멘트의 물리적 성질을 저하시킬 수 있는 문제점이 있었다.Patent document 3 as described above is characterized in that it uses a wide range of antibiotics. However, depending on the type of antibiotics there is a problem that can not match the components for providing the fluidity of the bone sheet to reduce the fluidity, excessively lower the polymerization time or lower the physical properties of the bone cement.
본 발명은 상기와 같은 종래 기술에서 발생하는 문제점을 해소하기 위한 것으로, 본 발명은 종래 항생제 사용으로 인한 부작용을 줄일 수 있는 천연 성분을 포함하여 항균 기능을 가지며 인체에 미치는 부작용을 최소화하면서도, 별도의 중합금지제 사용 없이 흐름성이 좋고 종래보다 짧은 중합 시간(세팅 시간)을 가져지는 골 시멘트 조성물을 제공할 수 있다. The present invention is to solve the problems occurring in the prior art as described above, the present invention includes a natural ingredient that can reduce the side effects due to the use of conventional antibiotics, while having an antimicrobial function and minimize the side effects on the human body, It is possible to provide a bone cement composition having good flowability without using a polymerization inhibitor and having a shorter polymerization time (setting time) than conventionally.
본 발명은 메틸메타크릴레이트(methyl methacrylate; MMA), 디메틸피톨루이딘(dimethyl-p-toluidine; DMPT) 및 카페인산에스테르(caffeic acid phenethyl ester; CAPE)를 포함하는 액상; 및 폴리메틸메타크릴레이트(Polymethyl methacrylate; PMMA), 지르코니아(zirconia) 및 과산화벤조일(benzoyl peroxide)을 포함하는 분말;을 함유하는 골 시멘트 조성물을 제공한다.The present invention includes a liquid phase including methyl methacrylate (MMA), dimethyl-p-toluidine (DMPT) and caffeic acid phenethyl ester (CAPE); And a powder comprising polymethyl methacrylate (PMMA), zirconia, and benzoyl peroxide.
본 발명의 바람직한 일실시예에 따르면, 상기 액상은 카페인산에스테르 1 중량부에 대하여 150 ~ 200 중량부의 메틸메타크릴레이트 및 1 ~ 10 중량부의 디메틸피톨루이딘을 포함할 수 있고, 상기 분말은 카페인산에스테르 1 중량부에 대하여 200 ~ 300 중량부의 폴리메틸메타크릴레이트, 100 ~ 150 중량부의 지르코니아 및 5 ~ 20 중량부의 과산화벤조일을 포함할 수 있다.According to a preferred embodiment of the present invention, the liquid phase may include 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethylphytoluidine based on 1 part by weight of caffeic acid ester, and the powder is caffeic acid It may include 200 to 300 parts by weight of polymethyl methacrylate, 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide based on 1 part by weight of ester.
본 발명의 바람직한 다른 일실시예에 따르면, 상기 액상은 카페인산에스테르 1 중량부에 대하여 170 ~ 180 중량부의 메틸메타크릴레이트 및 5 ~ 6 중량부의 디메틸피톨루이딘을 포함할 수 있고, 상기 분말은 카페인산에스테르 1 중량부에 대하여 250 ~ 280 중량부의 폴리메틸메타크릴레이트, 110 ~ 130 중량부의 지르코니아 및 10 ~ 15 중량부의 과산화벤조일을 포함할 수 있다.According to another preferred embodiment of the present invention, the liquid phase may include 170 to 180 parts by weight of methyl methacrylate and 5 to 6 parts by weight of dimethylphytoluidine per 1 part by weight of caffeic acid ester, and the powder It may include 250 to 280 parts by weight of polymethyl methacrylate, 110 to 130 parts by weight of zirconia and 10 to 15 parts by weight of benzoyl peroxide based on 1 part by weight of phosphate ester.
본 발명의 바람직한 또 다른 일실시예에 따르면, 상기 폴리메틸메타크릴레이트의 평균 입경은 10 ~ 100 ㎛일 수 있다.According to another preferred embodiment of the present invention, the average particle diameter of the polymethyl methacrylate may be 10 ~ 100 ㎛.
또한, 본 발명은 메틸메타크릴레이트(methyl methacrylate; MMA), 디메틸피톨루이딘(dimethyl-p-toluidine; DMPT) 및 카페인산에스테르(caffeic acid phenethyl ester)를 포함하는 액상; 및 폴리메틸메타크릴레이트(Polymethyl methacrylate; PMMA), 지르코니아(zirconia) 및 과산화벤조일(benzoyl peroxide)을 포함하는 분말;의 골 시멘트 원료를 준비하는 단계 및 상기 액상 및 분말의 골 시멘트 원료를 혼합 후 반응시키는 단계를 포함하는 골 시멘트 제조방법을 제공한다.In addition, the present invention is a liquid phase including methyl methacrylate (methyl methacrylate; MMA), dimethyl p-toluidine (DMPT) and caffeic acid phenethyl ester; And preparing a bone cement raw material of polymethyl methacrylate (PMMA), a powder comprising zirconia and benzoyl peroxide, and mixing the liquid and powder bone cement raw materials. It provides a bone cement manufacturing method comprising the step of.
본 발명의 바람직한 일실시예에 따르면, 상기 액상은 카페인산에스테르 1 중량부에 대하여 150 ~ 200 중량부의 메틸메타크릴레이트 및 1 ~ 10 중량부의 디메틸피톨루이딘을 포함할 수 있고, 상기 분말은 카페인산에스테르 1 중량부에 대하여 200 ~ 300 중량부의 폴리메틸메타크릴레이트, 100 ~ 150 중량부의 지르코니아 및 5 ~ 20 중량부의 과산화벤조일을 포함할 수 있다.According to a preferred embodiment of the present invention, the liquid phase may include 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethylphytoluidine based on 1 part by weight of caffeic acid ester, and the powder is caffeic acid It may include 200 to 300 parts by weight of polymethyl methacrylate, 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide based on 1 part by weight of ester.
본 발명의 바람직한 다른 일실시예에 따르면, 상기 반응 시간은 5 ~ 15분일 수 있다.According to another preferred embodiment of the present invention, the reaction time may be 5 to 15 minutes.
본 발명의 바람직한 또 다른 일실시예에 따르면, 상기 혼합은 20 ~ 25 ℃에서 수행하는 것일 수 있다.According to another preferred embodiment of the present invention, the mixing may be performed at 20 ~ 25 ℃.
본 발명은 천연 항생 물질인 카페인산에스테르(Caffeic acid phenethyl ester)를 포함하여 항균력을 가지며 인체에 미치는 부작용을 적으며 별도의 중합금지제 사용 없이 흐름성이 좋고 종래보다 짧은 중합 시간(세팅 시간)을 가지는 골 시벤트 조성물 및 골 시멘트 제조 방법을 제공할 수 있다.The present invention includes a natural antibiotic, caffeic acid phenethyl ester, has antibacterial properties, has less side effects on the human body, has good flowability without using a separate polymerization inhibitor, and shorter polymerization time (setting time) than before. Eggplant may provide a bone sivent composition and a method of making bone cement.
또한, 본 발명의 골 시멘트 조성물은 인체 내에 투여 시 발생할 수 있는 복귀돌연변이, 소핵시험 등의 안정성 문제가 확인된 항균, 항염 효과가 있는 천연 프로폴리스의 활동 성분인 카페인산에스테르를 함유함으로써 별도의 항생제를 사용하지 않고도 수술시 발생되는 이차감염의 요인인 균류 발생을 방지할 수 있으며, 나아가 카페인산에스테르가 중합금지제 기능을 하기 때문에 중합금지제를 사용하지 않을 수 있는 골 시멘트 조성물을 제공할 수 있다.In addition, the bone cement composition of the present invention is a separate antibiotic by containing caffeic acid ester which is an active ingredient of natural propolis with antibacterial and anti-inflammatory effect confirmed stability problems such as reverse mutation, micronucleus test, etc. that may occur when administered in the human body It is possible to prevent the occurrence of fungus, which is a factor of secondary infection that occurs during surgery, and furthermore can provide a bone cement composition that can not use the polymerization inhibitor because caffeic acid ester functions as a polymerization inhibitor. .
도 1은 본 발명의 골 시멘트 조성물을 생체 이식시 나타나는 특성을 살펴보기 위해 토끼의 대퇴부에 이식한 부분을 나타낸다.Figure 1 shows a part implanted in the femoral portion of the rabbit to examine the properties appearing in vivo implantation of the bone cement composition of the present invention.
도 2는 본 발명의 실시예 및 비교예의 골 시멘트 조성물을 토끼 대퇴부에 이식하고 12주 후 대퇴부에 대한 조직학적 검사 결과를 나타낸다.Figure 2 shows the results of histological examination of the femoral twelve weeks after implanting the bone cement composition of the Examples and Comparative Examples of the present invention in the rabbit thigh.
도 3은 본 발명의 실시예 및 비교예의 골 시멘트 조성물에 대한 피내 안전성을 시험하기 위한 주사 위치를 나타낸다.3 shows the injection position for testing intradermal safety for bone cement compositions of Examples and Comparative Examples of the present invention.
이하, 본 발명을 상세하게 설명한다. 그러나, 이하의 발명의 실시를 위한 최선의 형태는 이 기술분야에서 통상적인 지식을 가진 자에게 본 발명이 충분히 이해되도록 제공되는 것으로서 여러 가지 다른 형태로 변형될 수 있으며, 본 발명의 범위가 다음에 기술되는 실시예에 한정되는 것은 아니다.EMBODIMENT OF THE INVENTION Hereinafter, this invention is demonstrated in detail. However, the best mode for carrying out the invention described below is provided to those skilled in the art to fully understand the present invention, and may be modified in many different forms, and the scope of the present invention is as follows. It is not limited to the described embodiment.
본 발명에서는 천연 항생 물질인 카페인산에스테르를 액상에 포함시켜 분말과 혼합시킨 결과 하이드로퀴논과 같은 별도의 중합금지제 투입 없이 중합을 억제하면서도 항균 효과가 있음을 알게 되었다.In the present invention, it was found that the antimicrobial effect was suppressed without the addition of a separate polymerization inhibitor such as hydroquinone as a result of mixing the caffeic acid ester as a natural antibiotic in the liquid phase and mixed with the powder.
상기 카페인산에스테르는 항균 성분 및 중합금지제로서 첨가되며 프로폴리스의 활동성분 중 하나로, 항균 효과를 가지는 비타민 P라고 알려져 있는 후라보노이드 계열 성분의 일종이며, 주로 프로폴리스 내에서 항균파 항염의 작용을 하는 것으로 알려져 있다. 상기 카페인산에스테르의 분자식은 C17H1604이며 화학적 구조는 아래 화학식 1과 같다.The caffeic acid ester is added as an antibacterial component and a polymerization inhibitor and is one of active ingredients of propolis, which is a kind of flavonoid-based component known as vitamin P having an antimicrobial effect, and mainly acts as an antibacterial anti-inflammatory agent in propolis. It is known. The molecular formula of the caffeic acid ester is C 17 H 16 0 4 And the chemical structure is shown in the formula (1) below.
화학식 1
Figure PCTKR2013008800-appb-C000001
Formula 1
Figure PCTKR2013008800-appb-C000001
상기 카페인산에스테르는 인체 내에서 항세균, 항진균, 항바이러스 효과를 갖는다. 또한 상기 카페인산에스테르는 염증을 일으키는 작용을 하는 효소의 분비를 차단함으로 염증발생을 억제한다. 특히, 수용성이므로 그 사용범위가 다양하고 과다 섭취하더라도 무독한 것이 특징이다.The caffeic acid ester has an antibacterial, antifungal and antiviral effect in the human body. In addition, the caffeic acid esters inhibit inflammation by blocking the secretion of enzymes that cause inflammation. In particular, because it is water-soluble, its range of use is diverse, and even if ingested excessively characterized by nontoxic.
인체가 산성 체질이 되어 노폐물이 체내에 축적되면 노폐물이 세포 주변에 쌓이고 세포가 이 산성 찌꺼기에 의해 녹기 시작하고, 세포막과 노폐물의 연소 결과 류코 트리엔(leukotrien; LT), 프로스타글라딘(prostaglandin; PG) 같은 세포독이 생성되어 발열, 통중 등의 염증 반응을 일으킨다. 상기 과정에서 세포독 성분, 즉 염증을 일으키는 류코 트리엔(LT), 프로스타글라딘(PG)을 만들기 위해서는 리폭시게나제와 사이클로욱시게나제 같은 효소가 필요하다.When the human body becomes acidic and the waste accumulates in the body, the waste accumulates around the cells, and the cells begin to melt by this acid residue. Cytotoxicity such as PG is produced, causing inflammatory reactions such as fever and soreness. In the process, enzymes such as lipoxygenase and cyclouxinase are required to make cytotoxic components, ie, leucotriene (LT) and prostaglandin (PG), which cause inflammation.
프로폴리스의 활동 성분인 카페인산에스테르는 바로 이러한 류코 트리엔(LT), 프로스타글라딘(PG) 을 생성시키는 두 효소인 리폭시게나제와 사이클로옥시게나제를 동시에 억제하기 때문에 항염증 활성을 나타내며, 일반 진통 소염제보다 더욱 강력하게 작용하게 된다.Caffeic acid ester, an active component of propolis, exhibits anti-inflammatory activity because it simultaneously inhibits two enzymes, lipoxygenase and cyclooxygenase, which produce leucotriene (LT) and prostaglandin (PG). It is more potent than regular painkillers.
본 발명의 골 시멘트 조성물은 메탈메타크릴레이트, 디메틸피툴루이딘 및 카페인산 에스테르(Caffeic acid phenethyl ester)를 포함하는 액상과 폴리메틸메타크릴레이트, 지르코니아, 및 과산화벤조일을 포함하는 분말을 함유하며, 환자에게 시술시 상기 액상과 분말을 혼합하여 사용할 수 있다.The bone cement composition of the present invention contains a liquid comprising metal methacrylate, dimethyl phytoluidine and caffeic acid phenethyl ester and a powder containing polymethyl methacrylate, zirconia, and benzoyl peroxide, The patient can be used by mixing the liquid and powder during the procedure.
본 발명의 골 시벤트 조성물은 분말과 액상을 혼합하게 되면 분말에 있는 중합개시제와 액상의 아크릴레이트계 단량체가 반응하여 상기 아크릴레이트계 단량체의 고분자 중합 반응이 수행되며, 상기 중합촉진제가 상온에서 중합이 더 잘 일어날 수 있도록 반응을 촉진할 수 있다.In the bone sieve composition of the present invention, when the powder and the liquid are mixed, the polymerization initiator and the liquid acrylate monomer in the powder react to perform the polymer polymerization reaction of the acrylate monomer, and the polymerization accelerator is polymerized at room temperature. You can accelerate the reaction so that this happens better.
또한, 본 발명의 골 시멘트 조성물은 액상에 카페인산에스테르를 포함하며, 상기 액상은 카페인산에스테르 1 중량부에 대하여 150 ~ 200 중량부의 메틸메타크릴레이트 및 1 ~ 10 중량부의 디메틸피톨루이딘을 포함하는 것이 바람직하다.In addition, the bone cement composition of the present invention comprises a caffeic acid ester in the liquid phase, the liquid phase comprises 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethyl phytoluidine relative to 1 part by weight of caffeic acid ester It is preferable.
만약, 카페인산에스테르의 비율이 상기 범위보다 높게 첨가되면 상기 카페인산에스테르의 중합금지제로서의 기능이 강화되어 중합 시간이 너무 증가하여 골 시멘트 조성물로 사용하기 어렵게 되는 문제가 발생할 수 있고, 카페인산에스테르의 비율이 상기 범위보다 낮게 첨가되연 상기 카페인산에스테르를 첨가하더라도 항균 효능을 나타내지 못하는 문제점이 발생할 수 있다.If the ratio of caffeic acid ester is added higher than the above range, the function of the caffeic acid ester as a polymerization inhibitor is strengthened, so that the polymerization time is increased so that it may be difficult to use as a bone cement composition, and caffeic acid ester Although the ratio of is lower than the above range, even if the caffeic acid ester is added, there may be a problem in that it does not exhibit antimicrobial efficacy.
나아가, 더욱 바람직하게는 카페인산에스테르 1 중량부에 대하여 170 ~ 180 중량부의 메틸메타크릴레이트 및 5 ~ 6 중량부의 디메틸피톨루이딘을 포함하는 액상을 사용할 수 있다.Furthermore, more preferably, a liquid phase containing 170 to 180 parts by weight of methyl methacrylate and 5 to 6 parts by weight of dimethylphytoluidine may be used based on 1 part by weight of caffeic acid ester.
더불어, 본 발명의 골 시멘트 조성물에서 상기 분말은 골 충진 부분의 강도를 높일 수 있는 혼합비라면 특별히 제한하지 않으나, 바람직하게는 카페인산에스테르 l 중량부에 대하여 200 ~ 300 중량부의 폴리메틸메타크릴레이트, 100 ~ 150 중량부의 지르코니아 및 5 ~ 20 중량부의 과산화벤조일을 포함할 수 있고, 더욱 바람직하게는 카페인산에스테르 1 중량부에 대하여 250 ~ 280 중량부의 폴리메틸메타크릴레이트, 110 ~ 130 중량부의 지르코니아 및 10 ~ 15 중량부의 과산화벤조일을 포함할 수 있다.In addition, the powder in the bone cement composition of the present invention is not particularly limited as long as it is a mixing ratio to increase the strength of the bone filling portion, preferably 200 to 300 parts by weight of polymethyl methacrylate relative to 1 part by weight of caffeic acid ester, It may comprise 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide, more preferably 250 to 280 parts by weight of polymethyl methacrylate, 110 to 130 parts by weight of zirconia and 1 part by weight of caffeic acid ester and It may include 10 to 15 parts by weight of benzoyl peroxide.
[아크릴레이트계 폴리머][Acrylate polymer]
본 발명의 골 시멘트 조성물이 포함하는 아크릴레이트계 폴리머는 폴리메틸메타아크릴레이트(PMMA; Polymethyl methacrylate), 폴리 메틸아크릴레이트(poly methylacrylate), 폴리스타일렌(Polystyrene), 및 이들의 공중합체로 구성된 그룹에서 선택되는 것이 바람직하고, 상기 아크릴레이트계 폴리머가 액상에 예비 용해되기 때문에 상기 아크릴레이트계 폴리머는 10 ~ 100 ㎛의 비드 형태가 바람직하다.The acrylate polymer included in the bone cement composition of the present invention is polymethyl methacrylate (PMMA; Polymethyl methacrylate), poly methylacrylate (poly methylacrylate), polystyrene, and copolymers thereof Preferably, the acrylate polymer is preferably in the form of beads of 10 to 100 μm because the acrylate polymer is pre-dissolved in the liquid phase.
[(메트)아크릴레이트계 단량체][(Meth) acrylate monomer]
본 발명의 골 시멘트 조성물의 액상에 포함되는 아크릴레이트계 단량체는 골 시멘트의 기재 형성용 성분을 구성하는 것으로 상기 중합성 단량체인 아크릴레이트계 단량체가 중합함으로써 당해 골시멘트 조성물이 경화되고, 그 결과 경화체가 얻어지게 된다.The acrylate monomer contained in the liquid phase of the bone cement composition of the present invention constitutes a component for forming a base material of bone cement, and the bone cement composition is cured by polymerizing the acrylate monomer, which is the polymerizable monomer, and as a result, a cured product. Is obtained.
본 발명의 아크릴레이트계 단량체로는, 메틸(메타)아크릴레이트, 에틸(메타)아크릴레이트, 이소부틸(메타)아크릴레이트, 헥실(메타)아크릴레이트, 옥틸(메타)아크릴레이트, 도데실(메타)아크릴레이트, N-이소프로필(메타)아크릴아미드, 히드록시에틸메타 아크릴레이트 및 아크릴로니트릴으로 이루어진 군 중에서 선택된 1종 이상이 바람직하다.As an acrylate-type monomer of this invention, methyl (meth) acrylate, ethyl (meth) acrylate, isobutyl (meth) acrylate, hexyl (meth) acrylate, octyl (meth) acrylate, dodecyl (meth) At least one selected from the group consisting of a) acrylate, N-isopropyl (meth) acrylamide, hydroxyethyl methacrylate and acrylonitrile is preferred.
본 발명에 있어서, 아크릴레이트계 단량체는 상기 카페인산에스테르 1 중량부를 기준으로 150 내지 200 중량부로 포함되는 것이 바람직하다.In the present invention, the acrylate monomer is preferably included in 150 to 200 parts by weight based on 1 part by weight of the caffeic acid ester.
[중합 개시제][Polymerization Initiator]
본 발명의 골 시멘트 조성물에 포함되는 중합 개시제로는, 과산화벤조일, 과산화 tert-부틸, 과산화라우로일, 아조비스이소부티로니트릴 등을 사용할 수 있다. 또한 이들 중에서는 상기 액상에 포함되는 아크릴레이트계 단량체의 중합 반응이 빠르게 개시되고, 또한 그 반응을 지속시키기 쉽다는 점에서, 과산화벤조일을 사용하는 것이 바람직하다.As the polymerization initiator contained in the bone cement composition of the present invention, benzoyl peroxide, tert-butyl peroxide, lauroyl peroxide, azobisisobutyronitrile and the like can be used. Moreover, in these, since the polymerization reaction of the acrylate-type monomer contained in the said liquid phase starts quickly, and it is easy to continue the reaction, it is preferable to use benzoyl peroxide.
본 발명의 골 시멘트 조성물의 분말에는 상기 중합 개시제인 과산화벤조일이 카페인산에스테르 1 중량부에 대하여 5 내지 20 중량부로 포함되는 것이 바람직하다. It is preferable that the powder of the bone cement composition of this invention contains 5-20 weight part of benzoyl peroxides which are the said polymerization initiators with respect to 1 weight part of caffeic acid esters.
만약, 중합 개시제를 카페인산에스테르 1 중량부에 대하여 5 중량부 미만으로 포함할 경우, 아크릴레이트계 단량체의 중합 반응이 진행되기 어려워지는 문제가 발생할 수 있으며, 중합 개시제를 카페인산에스테르 1 중량부에 대하여 20 중량부 초과하는 양을 포함할 경우, 아크릴레이트계 단량체가 중합함으로써 형성되는 폴리머에 중합 개시제가 잔존하는 문제점가 발생할 수 있다.If the polymerization initiator is included in an amount of less than 5 parts by weight with respect to 1 part by weight of the caffeic acid ester, a problem may occur in that the polymerization reaction of the acrylate monomer may not proceed, and the polymerization initiator may be included in 1 part by weight of the caffeic acid ester. If it contains an amount exceeding 20 parts by weight, a problem may occur that the polymerization initiator remains in the polymer formed by the polymerization of the acrylate monomer.
또한, 상기 중합개시제로 첨가되는 과산화벤조일은 분말에 첨가되며, 수술 직전 액상과 분말이 혼련될 때 액상의 메탈메타크릴레이트계 단량체와 혼합되어 중합 반응의 개시가 이루어질 수 있도록 해준다.In addition, benzoyl peroxide added as the polymerization initiator is added to the powder, and when the liquid and the powder is kneaded immediately before the operation is mixed with the liquid metal methacrylate monomer to allow the polymerization to be initiated.
[필러 및 조형제][Filler and molding agent]
필러로는 이산화티탄, 인산칼슘(하이드록시아파타이트, 인산 3 칼슘), 황산바륨, 산화규소(실리카), 산화알루미늄(알루미나), 산화지르코늄(지르코니아) 등의 무기물를 포함할 수 있으며, 이들 무기물을 단독 또는 2 종 이상을 적절히 선택 및 조합하여 이루어지는 것을 사용할 수 있으며, 이들 중에서는, X 선 조영 효과를 갖는 산화지르코늄(지르코니아)이 종래 조형제로 사용되었던 황산바륨에 비해 방사선 불투과성을 높여주므로 바람직하다. 상술한 바와 같이, 방사선 불투과성을 높이는 것은 체내에 시술된 이후 엑스레이 등의 촬영시 그 위치 및 형상을 파악할 수 있도록 하기 위함이다.Fillers may include inorganic materials such as titanium dioxide, calcium phosphate (hydroxyapatite, tricalcium phosphate), barium sulfate, silicon oxide (silica), aluminum oxide (alumina), zirconium oxide (zirconia), and the like. Alternatively, a combination of two or more kinds can be used. Among them, zirconium oxide (zirconia) having an X-ray contrast effect is preferable because it improves radiopacity as compared with barium sulfate used as a conventional molding agent. As described above, the radiopacity is increased so that the position and shape of the X-ray or the like after imaging in the body can be understood.
본 발명의 산화지르코늄(지르코니아)은 상기 카페인산에스테르 1 중량부에 대하여 100 내지 150 중량부로 포함될 수 있다.Zirconium oxide (zirconia) of the present invention may be included in 100 to 150 parts by weight based on 1 part by weight of the caffeic acid ester.
[중합 촉진제][Polymerization accelerator]
본 발명의 골 시멘트 조성물은 상기 메탈메타크릴레이트 단량체의 중합 반응을 보다 더 빠르게 진행시키기 위해서, 중합 개시제와 함께 중합 촉진제가 함유되어 있는 것이 바람직하다.The bone cement composition of the present invention preferably contains a polymerization accelerator together with a polymerization initiator in order to advance the polymerization reaction of the metal methacrylate monomer more quickly.
상기 중합 촉진제로는, 디메틸피툴루이딘(dimethyl-p-toluidine), 2,4,6-트리스(디메틸아미노메틸)페놀 등을 포함할 수 있다. 이들 중에서는 아크릴레이트계 단량체의 중합 반응이 빠르게 진행되는 점에서, 디메틸피툴루이딘을 사용하는 것이 바람직하다.The polymerization accelerator may include dimethyl-p-toluidine, 2,4,6-tris (dimethylaminomethyl) phenol, and the like. In these, since the polymerization reaction of an acrylate-type monomer advances rapidly, it is preferable to use dimethyl pituluidine.
상기 디메틸피툴루이딘은 카페인산에스테르 l 중량부에 대하여 1 내지 10 중량부로 포함되는 것이 바람직하다. The dimethyl pituluidine is preferably included 1 to 10 parts by weight based on 1 part by weight of caffeic acid ester.
만약, 중합 촉진제를 카페인산에스테르 l 중량부에 대하여 1 중량부 미만으로 포함할 경우, 아크릴레이트계 단량체의 중합 반응이 진행되기 어려워지는 문제점이 발생할 수 있으며, 중합 촉진제를 카페인산에스테르 l 중량부에 대하여 10 중량부 초과하는 양을 포함할 경우, 아크릴레이트계 단량체가 중합함으로써 형성되는 경화체에 중합 촉진제가 잔류하는 부작용을 일으키는 문제가 발생할 수 있다.If the polymerization accelerator is included in an amount less than 1 part by weight based on 1 part by weight of caffeic acid ester, it may be difficult to cause the polymerization reaction of the acrylate monomer to proceed. When it contains an amount exceeding 10 parts by weight, a problem may occur that causes a side effect of the polymerization accelerator remaining in the cured product formed by polymerization of the acrylate monomer.
또한, 본 발명은 메틸메타크릴레이트(methyl methacrylate), 디메틸피톨루이딘(dimethyl-p-toluidine) 및 카페인산에스테르(caffeic acid phenethyl ester)를 포함하는 액상; 및 폴리메틸메타크릴레이트(Polymethyl methacrylate), 지르코니아(zirconia) 및 과산화벤조일(benzoyl peroxide)을 포함하는 분말;의 골 시멘트 원료를 준비하는 단계 및 상기 액상 및 분말의 골 시멘트 원료를 혼합 후 반응시키는 단계를 포함하는 골 시멘트 제조방법을 제공한다.In addition, the present invention is a liquid phase containing methyl methacrylate (methyl methacrylate), dimethyl p-toluidine (dimethyl-p-toluidine) and caffeic acid phenethyl ester; And a powder comprising polymethyl methacrylate, zirconia, and benzoyl peroxide; preparing bone cement raw material; and reacting after mixing the liquid and powder bone cement raw material. It provides a bone cement manufacturing method comprising a.
상기 액상은 메틸메타크릴레이트, 디메틸피톨루이딘 및 카페인산에스테르를 포함하는 것이라면 그 함량비를 특별히 제한하지 않으나, 바람직하게는 카페인산에스테르 1 중량부에 대하여 150 ~ 200 중량부의 메틸메타크릴레이트 및 1 ~ 10 중량부의 디메틸피톨루이딘을 포함할 수 있고, 더욱 바람직하게는 카페인산에스테르 1 중량부에 대하여 170 ~ 180 중량부의 메틸메타크릴레이트 및 5 ~ 6 중량부의 디메틸피톨루이딘을 포함할 수 있다.The liquid phase is not particularly limited as long as it contains methyl methacrylate, dimethylphytoluidine and caffeic acid ester, but preferably 150 to 200 parts by weight of methyl methacrylate and 1 based on 1 part by weight of caffeic acid ester. It may comprise from 10 parts by weight of dimethyl phytoluidine, more preferably from 170 to 180 parts by weight of methyl methacrylate and 5 to 6 parts by weight of dimethyl phytoluidine relative to 1 part by weight of caffeic acid ester.
나아가, 상기 분말은 폴리메틸메타크릴레이트, 지르코니아 및 과산화벤조일을 포함하는 것이라면 그 함량비를 특별히 제한하지 않으나, 바람직하게는 카페인산에스테르 1 중량부에 대하여 200 ~ 300 중량부의 폴리메틸메타크릴레이트, 100 ~ 150 중량부의 지르코니아 및 5 ~ 20 중량부의 과산화벤조일을 포함할 수 있고, 더욱 바람직하게는 카페인산에스테르 1 중량부에 대하여 250 ~ 280 중량부의 폴리메틸메타크릴레이트, 110 ~ 130 중량부의 지르코니아 및 10 ~ 15 중량부의 과산화벤조일을 포함할 수 있다.Further, the powder is not particularly limited as long as it contains polymethyl methacrylate, zirconia and benzoyl peroxide, but preferably 200 to 300 parts by weight of polymethyl methacrylate, based on 1 part by weight of caffeic acid ester, It may comprise 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide, more preferably 250 to 280 parts by weight of polymethyl methacrylate, 110 to 130 parts by weight of zirconia and 1 part by weight of caffeic acid ester and It may include 10 to 15 parts by weight of benzoyl peroxide.
이하에서는 본 발명을 실시예에 의하여 더욱 상세히 설명한다. 그러나, 본 발명이 이하의 실시예에 의하여 한정되는 것은 아니다.Hereinafter, the present invention will be described in more detail with reference to Examples. However, the present invention is not limited by the following examples.
<실시예 1> 항균 골 시멘트 조성물의 제조 및 혼합Example 1 Preparation and Mixing of Antibacterial Bone Cement Composition
먼저 분말 부분을 구성하는 PMMA 240g, 지르코니아 107.46g, 과산화벤조일 10.75g을 칭량하고, 각 성분이 충분히 혼합될 수 있도록 관으로 된 믹서기에서 3시간 동안 교반하여 분말을 제조하였다. 이후 상기 분말을 20g씩 나누어 포장하였다. 포장된 분말을 감마선(γ-ray)로 멸균하였다.First, 240 g of PMMA constituting the powder part, 107.46 g of zirconia, and 10.75 g of benzoyl peroxide were weighed, and stirred for 3 hours in a tube mixer so that each component could be sufficiently mixed to prepare a powder. Thereafter, the powder was packed in 20g portions. The packaged powder was sterilized by gamma-ray.
액상은 MMA 155.47g, DMPT 4.81g(리퀴드 총 중량 대비 3 중량%), 카페인산에스테르(CAPE) 0.91g(20mM)을 혼합하여 준비하였다.Liquid phase was prepared by mixing MMA 155.47g, DMPT 4.81g (3% by weight relative to the total weight of the liquid), 0.91g (20mM) of caffeic acid ester (CAPE).
상기 MMA, DMPT, 카페인산에스테르의 원료를 각 %로 칭량하고, 불순물이 포함되지 않도록 항균 필터링(0.2㎛)을 거친 후 8.5g씩 포장하고, 포장된 액상 부분을 에틸렌옥사이드(Ethylene oxide, EO) 가스로 멸균하였다.Weigh the raw materials of the MMA, DMPT, caffeic acid ester in each%, and after the antimicrobial filtering (0.2㎛) so as not to contain impurities, packed 8.5g each, the packaged liquid portion is ethylene oxide (Ethylene oxide, EO) Sterilized by gas.
상기 분말 중 20g을 개량하여 준비하고, 액상 중 9g을 개량하여 준비한 후 23±2℃에서 혼합하여 중합 반응 시간을 측정하였다. 상기 중합 반응 시간은 12분 10초로 측정되어 중합이 원활히 이루어지며, 적정한 시간을 갖는 것을 확인할 수 있었다.20 g of the powder was improved and prepared, and 9 g of the liquid phase was improved and prepared, followed by mixing at 23 ± 2 ° C. to measure the polymerization reaction time. The polymerization reaction time was measured to 12 minutes 10 seconds to facilitate the polymerization, it was confirmed that the appropriate time.
상술한 바와 같이 제조한 골 시멘트의 압축 시험 결과, 압축장도가 123 MPa로 측정되었으며, ISO 5833의 압축강도 기준이 70MPa 인 점을 볼 때, 본 발명에 따라 제조한 골 시멘트는 강도 기준을 충족하는 것을 확인할 수 있었다.As a result of the compression test of the bone cement prepared as described above, the compressive strength was measured to be 123 MPa, and when the ISO 5833 compressive strength standard is 70 MPa, the bone cement manufactured according to the present invention meets the strength standard. I could confirm that.
[비교예 1]Comparative Example 1
중합금지제로서 하이드로퀴논을 액상 부분에 첨가한 것을 제외하고는 상기 실시예 l과 동일한 방법으로 골시멘트를 제조하였다.Bone cement was prepared in the same manner as in Example 1, except that hydroquinone was added to the liquid portion as a polymerization inhibitor.
비교예 l의 골 시멘트 조성물의 액상과 분말을 혼합하여 중합 반응 시간을 측정한 결과, 중합 반응시간은 20분 이상으로 측정되었으며, 중합 반응 또한 잘 이루어지지 않았다. 나아가, 압축 시험 결과, 압축 강도가 60 MPa로 측정되어 상기 실시예 1의 골 시멘트 조성물에 비해 압축 강도가 현저히 낮은 것을 확인할 수 있다.As a result of measuring the polymerization reaction time by mixing the liquid phase and the powder of the bone cement composition of Comparative Example 1, the polymerization reaction time was measured to be 20 minutes or more, and the polymerization reaction was also poor. Furthermore, as a result of the compression test, the compressive strength was measured at 60 MPa, and it can be confirmed that the compressive strength is significantly lower than that of the bone cement composition of Example 1.
[실험예 1] 무균 실험Experimental Example 1 Aseptic Experiment
상기 실시예 1에서 제조한 분말과 액상에 대해서 한국화학융합시험연구원에서 무균 실험을 실시하였다.Aseptic experiment was performed on the powder and liquid phase prepared in Example 1 at the Korea Institute of Chemical Fusion Testing.
대한약전 무균시험법에서 제시하는 방법에 따라 배지의 적합성과 밸리데이션 시험을 통하여 검증하였다. 구체적으로 무균 시험은 제조한 분말과 액상을 멸균 증류수로 완전히 담가 5분간 초음파로 세척한 후 여파 장치를 통해 여과하여 그 여과지를 대두카제인소화배지와 액상 티오글리콜산 배지에 담가 배양하는 방법으로 진행하였다.The suitability and validation of the medium were verified according to the method suggested by the Korean Pharmacopoeia Sterility Test Method. Specifically, the sterile test was performed by immersing the prepared powder and liquid completely in sterile distilled water, washing with ultrasonic waves for 5 minutes, filtering through a filter, and culturing the filter paper in soybean case digestion medium and liquid thioglycolic acid medium. .
대두카제인소화배지와 액상 티오글리콜산 배지에 대해서 하기 표 l에서와 같은 시험 균주로 시험하였을 경우, 세균은 3일 이내, 진균은 5일 이내에 배양되어 배지 기능에 대해 평가되었으나, 표 2에서 보는 바와 같이 상기 실시예 1에서 제조한 분말과 액상에 대한 여과지를 담가 배양한 경우, 14일간 미생물이 증식되지 않아 본 발명의 골 시멘트 조성물의 무균성을 확인할 수 있었다.When soy casein digestion medium and liquid thioglycolic acid medium were tested with a test strain as shown in Table 1 below, bacteria were cultured within 3 days and fungi were evaluated within 5 days, but the results were evaluated as shown in Table 2. As described above, when the filter paper for the liquid and the powder prepared in Example 1 were immersed and cultured, the microorganisms did not proliferate for 14 days, so that the sterility of the bone cement composition of the present invention could be confirmed.
표 1
배지 시험 균주 접종량(개) 배양 조건 판정
액상티오글리콜산 배지 S. aureus ≤ 100 호기배양(32.5 ± 2.5)℃, 3일 Growth
P. aeruginosa ≤ 100 호기배양(32.5 ± 2.5)℃, 3일 Growth
C. sporogenes ≤ 100 호기배양(32.5 ± 2.5)℃, 3일 Growth
대두카제인소화배지 B. sub/Jlis ≤ 100 호기배양(22.5 ± 2.5)℃, 3일 Growth
C. albicans ≤ 100 호기배양(22.5 ± 2.5)℃, 5일 Growth
A. niger ≤ 100 호기배양(22.5 ± 2.5)℃, 5일 Growth
Table 1
badge Test strain Inoculation amount () Culture condition Judgment
Liquid Thioglycolic Acid Medium S. aureus ≤ 100 Aerobic culture (32.5 ± 2.5) ℃, 3 days Growth
P. aeruginosa ≤ 100 Aerobic culture (32.5 ± 2.5) ℃, 3 days Growth
C. sporogenes ≤ 100 Aerobic culture (32.5 ± 2.5) ℃, 3 days Growth
Soybean Casein Digestive Medium B. sub / Jlis ≤ 100 Aerobic culture (22.5 ± 2.5) ℃, 3 days Growth
C. albicans ≤ 100 Aerobic culture (22.5 ± 2.5) ℃, 5 days Growth
A. niger ≤ 100 Aerobic culture (22.5 ± 2.5) ℃, 5 days Growth
표 2
배지 시험개시일(2013-01-04) 중간점검일(2013-01-11) 최종점검일(2013-01-18) 판정
액상티오글리콜산 배지 검체 - No growth No growth 적합
음성대조 - No growth No growth
대두카제인소화배지 검체 - No growth No growth 적합
음성대조 - No growth No growth
TABLE 2
badge Test start date (2013-01-04) Intermediate inspection date (2013-01-11) Last inspection date (2013-01-18) Judgment
Liquid Thioglycolic Acid Medium Specimen - No growth No growth fitness
Voice control - No growth No growth
Soybean Casein Digestive Medium Specimen - No growth No growth fitness
Voice control - No growth No growth
[실험예 2] 동물 이식 실험 - 조직학적 평가Experimental Example 2 Animal Transplantation Experiment-Histological Evaluation
본 발명의 실시예 1에서 제조한 골 시벤트를 토끼에 골이식하고, 이후 나타나는 생체조직의 국부적 영향을 평가하였다.The bone sieve prepared in Example 1 of the present invention was bone-grafted to rabbits, and the local influence of the biological tissues that appeared thereafter was evaluated.
본 실험은 "식품의약품안전청 고시 제 2011-58호 의료기기의 생물학적 안전에 관한 공통기준규격"에 준하여 실시하였고, 동물보호법 법률 제10995호(2011-08-04, 전부개정)를 근거한 한국화학융합시험연구원의 실험동물의 사용과 관리에 관한 규정(실험동물윤리위원회, 2010-12-10)을 준수하여 수행되었다.This experiment was conducted in accordance with the "Common Standards Standard for Biological Safety of Medical Devices Announced No. 2011-58 of the Korea Food and Drug Administration" and the Korea Chemical Convergence Act based on the Animal Protection Law No. 10995 (2011-08-04, all amended). The test was conducted in compliance with the regulations on the use and management of laboratory animals (Laboratory Animal Ethics Committee, 2010-12-10).
상기 실시예 l과 비교예 1에서 제조한 골 시멘트 조성물의 분말과 액상을 혼합하여 경화시킨 후 시편으로 가공하여 토끼의 대퇴골에 이식하였다.The powder and liquid phase of the bone cement composition prepared in Example 1 and Comparative Example 1 were mixed and cured, then processed into specimens and implanted into the femur of rabbits.
시험동물은 체중 3kg 이상의 건강한 뉴질랜드 흰 토끼(New Zealand White계) 4마리를 이용하였으며, 이식 전날 제모를 실시한 후, 시험 동물 각 1마리에 대하여 도 1에서와 같이 우측의 대퇴골에 약 1cm의 간격으로 3개의 부위에 비교예 1에서 제조한 시편을 이식하고, 좌측의 대퇴골에 실시예 1에서 제조한 시편을 동일한 방법으로 3부위에 이식하였다.The test animals were four healthy New Zealand White rabbits weighing 3 kg or more, and after depilation on the day before transplantation, each test animal was spaced about 1 cm in the right femur as shown in FIG. 1. The specimen prepared in Comparative Example 1 was implanted into three sites, and the specimen prepared in Example 1 was implanted into three sites in the same manner to the left femur.
치과용 드릴(AEU-7000MG Implant/Surgery system)을 이용하여 대퇴골에 천공 후 시편을 이식하였고, 봉합사로 근육과 피부를 각각 봉합하였다.After drilling, the specimen was implanted into the femur using a dental drill (AEU-7000MG Implant / Surgery system), and the sutures were used to suture the muscles and skin.
<실험예 2-1> 이식 후 체중 변화 측정Experimental Example 2-1 Measurement of Weight Change after Transplantation
이식 전, 이식 후 4주, 8주 및 시험 종료 시에 개체별 체중을 측정 하였으며, 하기 표 3 에서 보는 바와 같이 4마리 모두 정상적인 체중 증가를 보였다.Body weights were measured before transplantation, at 4 weeks, 8 weeks after the transplant, and at the end of the test. As shown in Table 3, all four animals showed normal weight gain.
표 3
Animal Number Week(s) after implantation
0 12
M1 3342.0 3734.8
M2 3595.9 3925.1
M3 3457.1 4013.4
M4 3599.2 4367.8
Mean 3498.6 4009.9
Standard deviation 123.6 265.1
TABLE 3
Animal number Week (s) after implantation
0 12
M1 3342.0 3734.8
M2 3595.9 3925.1
M3 3457.1 4013.4
M4 3599.2 4367.8
Mean 3498.6 4009.9
Standard deviation 123.6 265.1
<실험예 2-2> 이식 부위 평가 Experimental Example 2-2 Evaluation of Transplantation Site
실험예 2-2-1: 육안적 평가Experimental Example 2-2-1: Visual Evaluation
시험 종료 후, 이식부위에 대해 육안적 평가를 실시하였고, 이식 12주 후에 부검시 확대경을 이용하여 각각의 이식부위를 관찰한 결과, 시험 물질에 기인한 특이한 육안적 소견은 관찰되지 않았다. 부검시 적출된 시험시료 10개와 대조시료 10개가 확인되었으며, 변성되지 않은 상태였다.After the test, grafts were visually evaluated. At 12 weeks after transplantation, each graft was observed using a magnifying glass at autopsy. No specific gross findings due to the test substance were observed. Ten test samples and 10 control samples were identified at autopsy and were not denatured.
실험예 2-2-2: 조직학적 평가Experimental Example 2-2-2: Histological Evaluation
이식 12주 후에 조직학적 평가를 위해 대퇴골을 적출하였다. 이식 부위를 인접 조직과 함께 채취하여 10% 중성완충포르말린용액(Neutral buffer formalin)에 충분히 고정시킨 후 탈회(Rapidcal™, BBC Biochemical)를 3일간 실시하였다. 조직표본을 Hema toxyl in & Eosin 염색을 통해 준비하여 조직병리학적 검사를 실시하였다.Twelve weeks after transplantation, the femur was removed for histological evaluation. Implantation sites were taken with adjacent tissues and fixed in 10% neutral buffer formalin, followed by deliming (Rapidcal ™, BBC Biochemical) for 3 days. Tissue samples were prepared by Hema toxyl in & Eosin staining for histopathological examination.
도 2에 이식 12주 후 실험 동물 1의 이식 부위의 조직병리학 검사 결과를 나타내었다. 실시예 1과 비교예 1의 시편이 이식된 부위는 개체에 따라 약간의 차이는 있었지만 대조검체 및 시험검체와 접한 치밀골은 대체로 정상적으로 재생되고 있는 것으로 판단되었다.Figure 2 shows the histopathology test results of the transplantation site of the experimental animal 1 12 weeks after transplantation. The site where the specimens of Example 1 and Comparative Example 1 were implanted was slightly different depending on the individual, but it was judged that the dense bone contacted with the control sample and the test sample was generally regenerated.
실험예 3. 피내 반응성 조사Experimental Example 3 Investigation of Intradermal Reactivity
상기 실시예 1에서 제조한 골 시멘트 조성물의 피내 반응성을 "식품 의약품안전청 고시 제2011-58호 의료기기의 생물학적 안전에 관한 공통기준규격"에 준하여 실시하였다.Intradermal reactivity of the bone cement composition prepared in Example 1 was carried out in accordance with "Common Reference Standard for Biological Safety of Medical Device of Food and Drug Administration Notice No. 2011-58".
상기 실시예 1에서 제조한 분말과 액상을 혼합하여 경화시킨 다음 물로 세정하고, 상온에서 24시간 방치하여 시료 4g 당 20mL의 비율로 70℃에서 장시간 동안 멸균생리식염수와 면실유로 용출시켰다.The powder and liquid phase prepared in Example 1 were mixed and cured, washed with water, and left to stand at room temperature for 24 hours, and eluted with sterile physiological saline and cottonseed oil at 70 ° C. for a long time at a rate of 20 mL per 4 g of sample.
2마리의 New Zealand White 계 토끼에 멸균생리식염수 용출물과 연실유 용출물을 0.2mL씩 피내주사한 다음 주사 직후와 주사후 24시간, 48시간 및 72시간째 국소반응성을 평가하였다. 대조군으로서는 멸균생리식염수와 연실유를 사용하고 도 3 에 나타난 부위에 주사하였다. 주사 직후와 주사 후 24시간, 48시간 및 72시간째에 국소자극성을 관찰한 결과 주사 부위에 홍반, 부총 및 가피 등이 관찰되지 않아 실시예 1에서 제조한 시멘트 조성물이 피내 반응을 유발하지 않는 물질임을 확인하였다.Two New Zealand White rabbits were injected intravenously with 0.2 mL of sterile physiological saline and eluate oil eluate, and then evaluated for local reactivity immediately after injection and at 24, 48 and 72 hours post injection. Sterile physiological saline and brine oil were used as a control and injected into the site shown in FIG. Local irritation was observed immediately after the injection and 24 hours, 48 hours and 72 hours after the injection. As a result, no erythema, swelling and skin were observed at the injection site, and the cement composition prepared in Example 1 did not cause an intradermal reaction. It was confirmed that.
실험예 4. 급성 독성 실험Experimental Example 4. Acute Toxicity Test
실시예 1에서 제조한 골 시멘트 조성물에 대한 급성 독성을 조사하기 위하여 하기 표 4와 같은 ICR 계 마우스에 상기 실험예 3에서 제조한 용출물을 50 mL/Kg B.W 로 1회 정맥 및 복강 투여한 후 72시간 후 일반 증상 및 체중 변화를 평가하였으며, 평가 결과 용출물 투여와 관련된 일반 증상 및 사망예가 관찰되지 않아 적합한 것으로 판단되었다.In order to investigate the acute toxicity of the bone cement composition prepared in Example 1 after the intravenous and intraperitoneal administration of the eluate prepared in Experiment 3 to 50 mL / Kg BW to the ICR mice as shown in Table 4 below After 72 hours, general symptoms and body weight change were evaluated. As a result, general symptoms and deaths related to eluate administration were not observed.
표 4
Group Dosing solution Sex Animal Number Clinical signs Mortality(dead/total)
4h 12h 48h 72h
G1 Negalive Conlrol(Sterile saline) Male 1101 NAD NAD NAD NAD 0 %(0/5)
1102 NAD NAD NAD NAD
1103 NAD NAD NAD NAD
1104 NAD NAD NAD NAD
1105 NAD NAD NAD NAD
G2 Treatment(Sterile saline extract) Male 1201 NAD NAD NAD NAD 0 %(0/5)
1202 NAD NAD NAD NAD
1203 NAD NAD NAD NAD
1204 NAD NAD NAD NAD
1205 NAD NAD NAD NAD
G3 Negalive Conlrol(Cotton seed oil) Male 1301 NAD NAD NAD NAD 0 %(0/5)
1302 NAD NAD NAD NAD
1303 NAD NAD NAD NAD
1304 NAD NAD NAD NAD
1305 NAD NAD NAD NAD
G4 Treatment(Cotton seed oil extract) Male 1401 NAD NAD NAD NAD 0 %(0/5)
1402 NAD NAD NAD NAD
1403 NAD NAD NAD NAD
1404 NAD NAD NAD NAD
1405 NAD NAD NAD NAD
Table 4
Group Dosing solution Sex Animal number Clinical signs Mortality (dead / total)
4h 12h 48h 72h
G1 Negalive Conlrol (Sterile saline) Male 1101 NAD NAD NAD NAD 0% (0/5)
1102 NAD NAD NAD NAD
1103 NAD NAD NAD NAD
1104 NAD NAD NAD NAD
1105 NAD NAD NAD NAD
G2 Treatment (Sterile saline extract) Male 1201 NAD NAD NAD NAD 0% (0/5)
1202 NAD NAD NAD NAD
1203 NAD NAD NAD NAD
1204 NAD NAD NAD NAD
1205 NAD NAD NAD NAD
G3 Negalive Conlrol (Cotton seed oil) Male 1301 NAD NAD NAD NAD 0% (0/5)
1302 NAD NAD NAD NAD
1303 NAD NAD NAD NAD
1304 NAD NAD NAD NAD
1305 NAD NAD NAD NAD
G4 Treatment (Cotton seed oil extract) Male 1401 NAD NAD NAD NAD 0% (0/5)
1402 NAD NAD NAD NAD
1403 NAD NAD NAD NAD
1404 NAD NAD NAD NAD
1405 NAD NAD NAD NAD
상기 표 4에서 NAD는 No Abnormalily Detecled의 약어 표기이다.In Table 4, NAD is an abbreviation of No Abnormalily Detecled.
실험예 5. 미생물 복귀 돌연변이 시험Experimental Example 5. Microbial Return Mutation Test
상기 실시예 1에서 제조한 골 시멘트 조성물에 대한 미생물 복귀 돌연변이 시험을 위해 극성 용매로서 멸균생리식염수, 비극성 용매로서 DMSO를 사용하고, 시험 균주로는 하기 균주를 사용하였다.For microbial return mutation test for the bone cement composition prepared in Example 1, sterile physiological saline as a polar solvent, DMSO as a nonpolar solvent was used, and the following strain was used as a test strain.
- 염기쌍치환형 : Salmonella typhimurium TA100, TA1535 andBase-substituted: Salmonella typhimurium TA100, TA1535 and
Escherichia coli WP2uvrA Escherichia coli WP2 uvr A
- Frame-shift형: Salmonella typhimurium TA98, TA1537Frame-shift type: Salmonella typhimurium TA98, TA1537
상기 실시예 1에서 제조한 액상과 분말을 혼합하여 경화시킨 후 물로 세정하고 상온에서 24시간 방치한 후 4g 당 20 mL의 비율로 멸균생리식염수와 DMSO를 각각 넣고 70℃에서 24시간 동안 용출하였다. 용출한 원액을 50%, 25%, 12.5% 및 6.25%로 단계 희석하여 총 5 단계 농도로 시험액으로 사용하였다. 시험액 및 S9 mix 에서 미생물에 의한 오염은 관찰되지 않았다.After mixing and curing the liquid and powder prepared in Example 1 and washed with water and left for 24 hours at room temperature, sterile physiological saline and DMSO were added at a rate of 20 mL per 4g respectively and eluted at 70 ℃ for 24 hours. The eluted stock solution was diluted in 50%, 25%, 12.5%, and 6.25%, and used as the test solution in a total of 5 levels. No contamination by microorganisms was observed in the test solution and S9 mix.
또한, 시험액을 처리한 모든 균주에서 음성대조군과 비교하여 보았을 때 복귀돌연변이 콜로니 수의 증가는 나타나지 않았으며, 생육 저해도 관찰할 수 없었다. 양성 대조군에서는 각각의 균주에 대해 음성대조군의 복귀돌연변이 콜로니 수보다 현격히 증가되는 것이 관찰되어 시험은 적절히 실시되었다고 할 수 있으며, 시험 물질의 용출액은 모든 균주에서 복귀돌연변이를 유발하지 않는 것으로 판단되었다.In addition, compared with the negative control group in all strains treated with the test solution, there was no increase in the number of reverse mutation colonies, and growth inhibition could not be observed. In the positive control group, the reverse mutation of the negative control group was observed to be significantly increased than the number of colonies for each strain, so that the test was appropriately performed. The eluate of the test substance was determined not to cause the reverse mutation in all strains.

Claims (7)

  1. 메틸메타크릴레이트(methyl methacrylate; MMA), 디메틸피톨루이딘(dimethyl-p-toluidine; DMPT) 및 카페인산에스테르(caffeic acid phenethyl ester)를 포함하는 액상; 및Liquid phase including methyl methacrylate (MMA), dimethyl-p-toluidine (DMPT) and caffeic acid phenethyl ester; And
    폴리메틸메타크릴레이트(Polymethyl methacrylate; PMMA), 지르코니아(zirconia) 및 과산화벤조일(benzoyl peroxide)을 포함하는 분말;Powders including polymethyl methacrylate (PMMA), zirconia and benzoyl peroxide;
    을 함유하는 골 시멘트 조성물.Bone cement composition containing.
  2. 제l항에 있어서,상기 액상은 카페인산에스테르 1 중량부에 대하여 150 ~ 200 중량부의 메틸메타크릴레이트 및 1 ~ 10 중량부의 디메틸피톨루이딘을 포함하고,According to claim 1, The liquid phase contains 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethyl phytoluidine per 1 part by weight of caffeic acid ester,
    상기 분말은 카페인산에스테르 1 중량부에 대하여 200 ~ 300 중량부의 폴리메틸메타크릴레이트, 100 ~ 150 중량부의 지르코니아 및 5 ~ 20 중량부의 과산화벤조일을 포함하는 골 시멘트 조성물.The powder is a bone cement composition comprising 200 to 300 parts by weight of polymethyl methacrylate, 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide based on 1 part by weight of caffeic acid ester.
  3. 제1항에 있어서, 상기 폴리메틸메타크릴레이트의 평균 입경은 10 ~ 100 ㎛인 골 시멘트 조성물.According to claim 1, wherein the average particle diameter of the polymethyl methacrylate is 10 ~ 100 ㎛ bone cement composition.
  4. 메틸메타크릴레이트(methyl methacrylate; MMA), 디메틸피톨루이딘(dimethyl-p-toluidine; DMPT) 및 카페인산에스테르(caffeic acid phenethyl ester)를 포함하는 액상; 및 폴리메틸메타크릴레이트(Polymethyl methacrylate; PMMA), 지르코니아(zirconia) 및 과산화벤조일(benzoyl peroxide)을 포함하는 분말;의 골 시멘트 원료를 준비하는 단계 및Liquid phase including methyl methacrylate (MMA), dimethyl-p-toluidine (DMPT) and caffeic acid phenethyl ester; Preparing a bone cement raw material; and a powder comprising polymethyl methacrylate (PMMA), zirconia, and benzoyl peroxide; and
    상기 액상 및 분말의 골 시멘트 원료를 혼합 후 반응시키는 단계Reacting after mixing the bone cement raw material of the liquid and powder
    를 포함하는 골 시멘트 제조방법.Bone cement manufacturing method comprising a.
  5. 제4항에 있어서, 상기 액상은 카페인산에스테르 1 중량부에 대하여 150 ~ 200 중량부의 메틸메타크릴레이트 및 1 ~ 10 중량부의 디메틸피톨루이딘을 포함하고,The method according to claim 4, wherein the liquid phase comprises 150 to 200 parts by weight of methyl methacrylate and 1 to 10 parts by weight of dimethylphytoluidine per 1 part by weight of caffeic acid ester,
    상기 분말은 카페인산에스테르 1 중량부에 대하여 200 ~ 300 중량부의 폴리메틸메타크릴레이트, 100 ~ 150 중량부의 지르코니아 및 5 ~ 20 중량부의 과산화벤조일을 포함하는 골 시멘트 제조방법.The powder is a bone cement production method comprising 200 to 300 parts by weight of polymethyl methacrylate, 100 to 150 parts by weight of zirconia and 5 to 20 parts by weight of benzoyl peroxide based on 1 part by weight of caffeic acid ester.
  6. 제4항에 있어서, 반응 시간은 5 ~ 15분인 골 시멘트 제조방법.The method of claim 4, wherein the reaction time is 5 to 15 minutes.
  7. 제4항에 있어서, 상기 혼합은 20 ~ 25 ℃에서 수행하는 것인 골 시멘트 제조방법.According to claim 4, The mixing is bone cement manufacturing method is performed at 20 ~ 25 ℃.
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