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Contrasting effects of physical wear on elution of two antibiotics from orthopedic cement.

ABSTRACT: The use of antibiotics as a supplement to bone cement for the purposes of providing a local release of antibiotics is common practice in arthroplasty surgery and the kinetics of elution of the antibiotics in such systems have been investigated previously. However, in these previous studies no account was taken of the potential effects that wear may have on the elution kinetics of the antibiotic. Here, we have modified an existing wear testing rig to allow the simultaneous study of the elution kinetics of bone cement samples containing antibiotics being subjected to immersion only and immersion and conjoint wear. The results show contrasting effects with two commonly used antibiotics. Bone cement containing daptomycin showed no substantial change in antibiotic elution due to wear, while cement containing gentamicin (the most commonly used antibiotic in this application) in contrast demonstrated a substantial reduction in the rate of antibiotic elution when wear was applied. Scanning electron microscopy revealed a possible explanation for these diverse results, due to wear-induced "sealing" of the surface in conjunction with the crystal morphology of the antibiotic.

SUBMITTER: Dodds S

PROVIDER: S-EPMC3294895 | biostudies-other | 2012 Mar

REPOSITORIES: biostudies-other

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Contrasting effects of physical wear on elution of two antibiotics from orthopedic cement.

Dodds S S Smith T J TJ Akid R R Stephenson J J Nichol T T Banerjee R D RD Stockley I I Townsend R R

Antimicrobial agents and chemotherapy 20111212 3

The use of antibiotics as a supplement to bone cement for the purposes of providing a local release of antibiotics is common practice in arthroplasty surgery and the kinetics of elution of the antibiotics in such systems have been investigated previously. However, in these previous studies no account was taken of the potential effects that wear may have on the elution kinetics of the antibiotic. Here, we have modified an existing wear testing rig to allow the simultaneous study of the elution ki ...[more]

PMID: 22155831

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Project description:BackgroundTo evaluate the effects of four ceramic primers and two cement types on the bonding strength and durability between zirconia and resin cement.MethodsA total of 115 polished and air-abraded zirconia blocks were randomly divided into five groups (with 23 in each group) to test the performance of various primers. Meanwhile, all primer samples were divided into two subgroups randomly to measure the difference between the two cement types. Group No treat - Clearfil SA Cement (NT-C); group No treat - RelyX Unicem Cement (NT-U); group Z-Prime Plus - Clearfil SA Cement (ZPP-C); group Z-Prime Plus - RelyX Unicem Cement (ZPP-U); group Rely X Ceramic Primer - Clearfil SA Cement (RCP-C); group Rely X Ceramic Primer - RelyX Unicem Cement (RCP-U); group Clearfil Ceramic Primer - Clearfil SA Cement (CCP-C); group Clearfil Ceramic Primer - RelyX Unicem Cement (CCP-U); group Monobond-S - Clearfil SA Cement (MS-C); group Monobond-S - RelyX Unicem Cement (MS-U). According to the type of cement, the specimens were randomly selected for electron microscope scanning and energy spectrum analysis, and the tightness of zirconium porcelain resin adhesive interface was observed. The bonding strength of different adhesives and aging experiments were tested by shear test mode, and the shear strength of each experimental group was analyzed by one variable three factor analysis of variance.ResultsAll primers in the treated groups maintained a pristine structure without micro-crack, while the non-primer treatment sample exhibited obvious micro-cracks. Furthermore, among the four primers, the sample treated with Clearfil Ceramic Primer (CCP) obtained the highest bonding strength, with a statistically significant difference (P<0.05). However, cohesive failure mainly occurred in the CCP group before thermal cycles, and mixed failure occurred after thermal cycles.ConclusionsCCP is the superior primer, and can improve the bonding strength between zirconia and resin cement. Because the thermal cycles have a significantly adverse effect on the shear bond strength, CCP can be helpful in improving the durability of the zirconia bonding strength. Furthermore, the two cement types exhibited a similar bonding performance for zirconia.

Dataset Information

Contrasting effects of physical wear on elution of two antibiotics from orthopedic cement.

Publications

Contrasting effects of physical wear on elution of two antibiotics from orthopedic cement.

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