ZA200605104B - Polymethylmethacrylate bone cement - Google Patents

Polymethylmethacrylate bone cement Download PDF

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Publication number
ZA200605104B
ZA200605104B ZA200605104A ZA200605104A ZA200605104B ZA 200605104 B ZA200605104 B ZA 200605104B ZA 200605104 A ZA200605104 A ZA 200605104A ZA 200605104 A ZA200605104 A ZA 200605104A ZA 200605104 B ZA200605104 B ZA 200605104B
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ZA
South Africa
Prior art keywords
bone cement
dye
polymethylmethacrylate bone
acid esters
solid component
Prior art date
Application number
ZA200605104A
Inventor
Kuhn Klaus-Dieter
Vogt Sebastian
Original Assignee
Heraeus Kulzer Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Heraeus Kulzer Gmbh filed Critical Heraeus Kulzer Gmbh
Publication of ZA200605104B publication Critical patent/ZA200605104B/en

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Description

PIO5S79 ZA
Polymethylmethacrylate Bone Cement
Field of the Invention
This invention relates to a polymethylmethacrylate bone cement.
Background to the Invention
Polymethylmethacrylate bone cements (PMMA bone cements) have been in broad use in medicine for decades for anchoring endoprostheses in bone (Klaus-Dieter Kuhn:
Knochenzemente fur die Endoprothetik: ein aktueller Vergleich der physikalischen und chemischen Eigenschaften handelsiblicher PMMA-Zemente. Springer Verlag Berlin
Heidelberg New York, 2001).
In general, polymethylmethacrylate bone cements are made up of a liquid monomer component and a powder component. The liquid monomer component consists of me- thylmethacrylate and an activator. N,N-dimethyl-p-toluidine is preferably used as activa- tor. The powder component consists of polymethylmethacrylate or polymethyl-co- acrylmethacrylate, an X-ray contrast agent, and a radical initiator. Zirconium dioxide and barium sulfate are customary X-ray contrast agents. Dibenzoylperoxide is preferably used as radical initiator. After mixing the monomer component and powder component, the bone cement hardens within a few minutes by radical polymerization of the mono- mer.
After mixing, customary polymethylmethacrylate bone cements are provided in the form of white to pale-yellow pasty masses. This occasionally makes a visual differentiation between bone cement and bone tissue difficult. However, it is desirable to be able to distinguish the bone cement from the surrounding bone tissue without any difficulty. For this reason, Heraeus
Kulzer has dyed its PMMA bone cements green with chlorophyll for the past approx. 30 years. However, chlorophyll is only very poorly soluble in the methylmethacrylate monomer used in this context. For this reason, refined peanut oil is added to improve 2 SSR/SJ/0S/2006022211
®
P10579 ZA the solubility. The refined peanut oil is free of proteins. However, as with any complex natural product, variations of composition are a problem. No alternatives to refined pea- nut oil have been identified thus far.
Regarding the dyeing of PMMA bone cements, not only the toxicological non- objectionability of the dye, but also the homogeneous distribution of the dye throughout the cement is important. For this reason, bone cements containing dye pigments in their monomer liquid or powder component have not been widely used thus far. In principle, dye pigments are associ- ated with the risk of the dye pigments being released and migrating from the cement matrix. For this reason, it is particularly important for the dye to be distributed homogeneously in the bone cement and firmly enclosed therein.
A need exists for developing a dyed PMMA bone cement. The liquid monomer compo- nent of the PMMA bone cement shall not contain any complex natural products as solu- bilizer for dyes that are insoluble or only poorly soluble in methylmethacrylate. The liquid monomer component shall contain a homogeneously distributed dye that is dissolved such as to be translucent.
Summary of the Invention
The invention provides a bone cement having a liquid monomer component and a solid component, wherein the cement exhibits the following characteristics: - a dye/dye mixture that is insoluble or poorly soluble in methacrylic acid methyles- ter and a synthetically produced, protein-free, hydrophobic, low molecular or oli- gomeric solubilizer for the dye or dye mixture are dissolved in the monomer lig- uid, - the monomer liquid is translucent at room temperature; and - a dye/dye mixture that is insoluble or poorly soluble in methacrylic acid methyles- ter and a synthetically produced, protein-free, hydrophobic, low 3 SSR/SJ/0S/2006022211
P10579 ZA molecular or oligomeric solubilizer are homogeneously distributed in the polyme- thacrylate or polymethylacrylate of the solid component.
The solid component may be in the form of a powder. The solubilizer may be liquid or pasty at room temperature.
Preferably, 0.001-1.00 mass percent of a dye or dye mixture that is insoluble or poorly soluble in methacrylic acid methyl ester and 0.001-2.00 mass percent of a synthetically produced, protein-free, hydrophobic, low-molecular or oligomeric solubilizer for the dye or dye mixture are dissolved in the monomer liquid.
Preferably, 0.001-1.00 mass percent of a dye or dye mixture that is insoluble or poorly soluble in methacrylic acid methyl ester and 0.001-2.00 mass percent of a synthetically produced, protein-free, hydrophobic, low-molecular or oligomeric solubilizer that is liquid or pasty at room temperature are homogeneously dissolved in the polymethacrylate or polymethylacrylate of the powder component.
In this context, the invention also encompasses the use of copolymers produced by po- lymerization of acrylic acid esters and/or methacrylic acid esters and styrene or styrene derivatives.
Bone cements according to the invention can, in addition, contain agents such as anti- biotics - or be free of such agents. ltis also feasible to use two synthetically produced, protein-free, hydrophobic, low mo- lecular or oligomeric solubilizers in order to be able to dissolve a dye in the monomer liquid.
It is useful for the dye/dye mixture and the synthetically produced, protein-free, hydro- phobic, low molecular or oligomeric solubilizer to form soluble adducts with the dye/dye mixture in the monomer liquid. 4 SSR/SJ/0S/2006022211
PL0S79 ZA
Also included in the scope of the invention is adduct formation based on non-polar interactions and the formation of adducts by addition of amino groups or thiol groups to double bonds in terms of a Michael addition is particularly. Also included in the scope of the invention is the formation of adducts by covalent linking by means of the formation of carbonic acid amides, carbonic acid esters, ethers, azomethines, and chelates.
In addition, it is useful that oleic acid esters and/or elaidic acid esters and/or linoleic acid esters and/or linolenic acid esters of the aliphatic alcohols with 1 to 22 carbon atoms or oligomers of these oleic acid esters are preferred as solubilizer.
It is useful that methacrylic acid esters or acrylic acid esters of the aliphatic alcohols with 4 to 16 carbon atoms or oligomers of these methacrylic acid esters with a molecu- lar mass of less than 3,000 g/mol are preferred as solubilizers. Also included in the scope of the invention is the use of maleic acid esters, fumaric acid esters, itaconic acid esters, and sorbic acid esters as solubilizer.
Furthermore, it is useful that glycerine trioleate, glycerine trilinolate, glycerine trilinole- nate, and glycerine trielaidinate are preferred as solubilizer. Also included in the scope of the invention is the use of mixed glycerine esters of these unsaturated fatty acids.
It is also useful for the solubilizer to contain double bonds that can be polymerized by radical reaction. One or more double bonds can be present in the solubilizer. The par- ticular advantage is that the solubilizer participates in the radical polymerization of the methylmethacrylate during the hardening of the PMMA bone cement and thus is incor- porated into the polymer chains thus generated. This effectively precludes any migration of the solubilizer from the cured PMMA bone cement.
Preferred dyes are chlorophyll, indigo, malachite green, crystal violet, copper phthalo- cyanine, cobalt phthalocyanine, vitamin B12, and derivatives thereof. Other green, blue, violet or red dyes approved for use in medicine can be used as well. Particularly pre- 5 SSR/SJ/0S/2006022211
P10379 ZA ferred is the use of chlorophyllin (E141), Brilliant green BS (E142), and Brilliant blue (E133).
Detailed Description of the Invention
The invention will now be described by way of the following non-limiting examples.
Example 1
A total of 1.00 g copper chlorophyllin (dye E141) and 1.00 g oleic acid ethyl ester (Ph.Eur., Fluka) and 18.00 g methylmethacrylate (Fluka) are mixed under stirring for 10 minutes in a 100 ml Erlenmeyer flask. This produces a dark green, clear solution. Then, 980 g methylmethacrylate are added to this solution. This produces a translucent solu- tion that is strongly green in color. The solution is then transferred to 20 ml vials and the vials are sealed by melting. The vials are provided to serve as monomer component for a PMMA bone cement.
Example 2
Dibenzoylperoxide was added to a green methyimethacrylate solution prepared accord- ing to Example 1, and polymerized at 60 °C in water under vigorous stirring to form polymer beads. The beaded polymer thus produced is then mixed with 30.0 mass per- cent zirconium dioxide and 1.0 mass percent dibenzoylperoxide and provided as pow- der component for a PMMA bone cement.
It is to be appreciated, that the invention is not limited to any particular embodiment as hereinbefore generally described or illustrated. 6 SSR/SJ/0S/2006022211

Claims (14)

® PLO579 ZA Claims
1. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component, wherein the cement exhibits the following characteristics: - a dye/dye mixture that is insoluble or poorly soluble in methacrylic acid methyles- ter and a synthetically produced, protein-free, hydrophobic, low molecular or oli- gomeric solubilizer for the dye or dye mixture are dissolved in the monomer lig- uid; - the monomer liquid is translucent at room temperature; and - a dye/dye mixture that is insoluble or poorly soluble in methacrylic acid methyles- ter and a synthetically produced, protein-free, hydrophobic, low molecular or oligomeric solubilizer are homogeneously distributed in the polyme- thacrylate or polymethylacrylate of the solid component.
2. A polymethylmethacrylate bone cement as claimed in claim 1, wherein the dye/dye mixture is present at a concentration of 0.001-1.00 mass percent and the solubilizer is present at a concentration of 0.001-2.00 mass percent in the monomer liquid or, respectively, in the polymethacrylate or polymethylacrylate.
3. A polymethylmethacrylate bone cement as claimed in claim 1, wherein the solubi- lizer is liquid at room temperature.
4, A polymethylmethacrylate bone cement as claimed in claim 1, wherein the solubi- lizer is pasty at room temperature.
5. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component as claimed in any one of the claims 1-4, wherein the dye/dye mixture and the synthetically produced, protein-free, hydrophobic, low molecular or oligomeric solubilizer form soluble adducts with the dye/dye mixture in the monomer liquid. 7 SSR/SJ/0S/2006022211
P105379 ZA
6. A polymethyimethacrylate bone cement with a liquid monomer component and a solid component as claimed in any one of the claims 1-5, wherein oleic acid esters and/or elaidic acid esters and/or linoleic acid esters and/or linolenic acid esters of the aliphatic alcohols with 1 to 22 carbon atoms or oligomers of these oleic acid esters are used as solubilizer.
7. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component as claimed in any one of the claims 1-5, wherein methacrylic acid esters or acrylic acid esters of the aliphatic alcohols with 4 to 16 carbon at- oms or oligomers of these methacrylic acid esters or acrylic acid esters with a molecular mass of less than 3,000 g/mol are used as solubilizers.
8. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component as claimed in any one of the claims 1-5, wherein glycerine trioleate, glycerine trilinolate, glycerine trilinolenate, and glycerine trielaidinate are used as solubilizer.
9. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component as claimed in any one of the claims 1-8, wherein the solubilizer contains double bonds that can be polymerized by radical reaction.
10. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component as claimed in any one of the claims 1-9, wherein compounds se- lected from the group including: chlorophyliin, indigo, malachite green, crystal violet, copper phthalocyanine, cobalt phthalocya- nine, vitamin B12, and derivatives thereof are used as dyes.
11. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component as claimed in any one of the claims 1-10, wherein the solid com- ponent is in the form of a powder. 8 SSR/SJ/0S/2006022211
P10579 ZA
12. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component according to the invention, as hereinbefore generally described.
13. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component as specifically described in the aforegoing examples.
14. A polymethylmethacrylate bone cement with a liquid monomer component and a solid component including any new and inventive integer or combination of integers, substantially as herein described. DATED AT PRETORIA THIS 21°" DAY OF JUNE 2006. HAHN & HAHN INC. APPLICANT'S ATTORNEYS 9 SSR/SJ/0S/2006022211
ZA200605104A 2005-06-22 2006-06-21 Polymethylmethacrylate bone cement ZA200605104B (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE102005029218 2005-06-22

Publications (1)

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ZA200605104B true ZA200605104B (en) 2007-12-27

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ZA (1) ZA200605104B (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2773544T3 (en) * 2013-04-08 2020-07-13 Inossia Ab Acrylic cements for bone augmentation

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CN1883717A (en) 2006-12-27
CN100579587C (en) 2010-01-13

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