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CN101856509B - Injectable calcium magnesium bone cement and its preparation method and application - Google Patents

Injectable calcium magnesium bone cement and its preparation method and application
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CN101856509B
CN101856509BCN201010205094.8ACN201010205094ACN101856509BCN 101856509 BCN101856509 BCN 101856509BCN 201010205094 ACN201010205094 ACN 201010205094ACN 101856509 BCN101856509 BCN 101856509B
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bone cement
phosphate
calcium
magnesium
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刘昌胜
陈芳萍
魏杰
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East China University of Science and Technology
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Abstract

The invention discloses a product used for forming calcium magnesium injectable bone cement, comprising solid phase powder obtained by uniformly mixing composite phosphoric acid calcium salt and magnesium phosphate powder as well as curing solution obtained by dissolving dextrin and hydrophosphate in water. The invention also discloses a calcium magnesium injectable bone cement and preparation method and application thereof. The curing solution and solid phase powder in the product are uniformly mixed and blended into paste, thus obtaining water phase high efficiency scattering-resistant rapid curing bone cement capable of being injected with calcium magnesium and injectable product used for preparing bone tissue wound repairing. The invention is low in cost of raw materials, preparation method is simple, the obtained calcium magnesium injectable bone cement has strong scattering-resistance and rapid curing speed.

Description

Calcium magnesium injectable bone cement and preparation method thereof and application
Technical field
The invention belongs to medical repair materials field, relate to a kind of product that is used to form calcium magnesium injectable bone cement, a kind of calcium magnesium injectable bone cement and preparation method thereof and application, be particularly related to a kind of product that is used to form the defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti, defeated and dispersed fast setting calcium magnesium injectable bone cement of a kind of water Effective Anti and preparation method thereof and application.
Background technology
Some common fracture clinically, as radius far-end fracture, fracture of the tibial plateau, fracture of calcaneus, compression fracture of vertabral body etc., only need closed reduction, percutaneous injection bone renovating material just can carry out defect repair treatment, avoid cutting operation position, simplified operation process, and can reduce iatrogenic soft tissue injury and approach related complication, do not destroy and repair district's blood confession, minimum to patient's wound, expense is lower, is easy to be accepted by patient.At present, the syringeability bone that develops efficient Wicresoft substitutes repair materials has become inevitable direction, and for meeting the needs of clinical practice, capable of injecting bone cement should have rational hardening time (being generally 8-20 minute), higher intensity and good anti-collapsibility performance.
Water injectable calcium phosphate bone cement (Injectable calcium phosphate cement, ICPC) owing to thering is the characteristic of " fixed-point injection, in-situ solidifying, bio-compatible, progressively degraded ", can, according to any plastotype of defect, over nearly 10 years, obtain significant progress.Yet in order to obtain better injectable performance, with respect to conventional bone cement, the ICPC that minimally-invasive treatment is used has higher liquid-solid ratio, has caused the prolongation of hardening time.Meanwhile, because some ions in blood plasma and most of Organic substance have, stop or effect that retardation of curing product hydroxyapatite (HA) forms, this makes again the setting time of ICPC more external much longer.Both be unfavorable for longer hardening time performing the operation and carried out, and easily made again ICPC slurry be broken up or wash away by the hemorrhage of operative site, then worsened the anti-collapsibility performance of slurry.If anti-collapsibility is bad, in being expelled to body, before after fixing, slurry is easily etched after contacting with blood plasma or body fluid and rare loose not molding, finally affects solidifying of slurry and even limits its clinical practice.Particularly, in the molding of percutaneous vertebral body, once uncured micro-nano powder enters cardiovascular system with blood, blood vessel blockage be can cause, thrombosis and other complication caused.At present, this defect has greatly limited application (Biomaterials, 1996, the 17:1429-1435 of ICPC in clinical; Bioceramics, 1996,9:235-238).Therefore, be necessary, improving on the basis of slurry anti-collapsibility performance, ICPC to be cured to regulation and control.
The raising of anti-collapsibility performance can be by adding the formula of anti-collapsibility agent or change itself to realize.(J Biomed Mater Res, 1997,36 (3): 393-399) in consolidation liquid, add sodium alginate, found that after slurry is in harmonious proportion, to put into immediately water less defeated and dispersed, and can normally solidify such as Ishikaw.Its mechanism of action is that the calcium binding in sodium alginate and slurry forms water-fast calcium alginate hydrogel, thereby gives slurry anti-collapsibility.(the J Mater sci:Mater Med such as Takechi, 1996,7 (6): 317-322) by add the additives such as hydroxy methocel, carboxymethyl cellulose, chitosan acetate, chitosan lactate in ICPC, the syringeability of ICPC is improved, but extended hardening time.(the Journal of Inorganic Materials such as Wang Ying, 2006,21 (6): 1435-1442) cellulose is joined to ICPC as anti-collapsibility agent, the slurry of finding preparation has good water repelling property, comprcssive strength is 20-30MPa, and cured product is HA, good biocompatibility, but be 50-55min hardening time, cannot meet clinical actual needs.Above-mentioned anti-collapsibility agent has limited to a certain extent water in external environment and to the infiltration of slurry inside, has improved the anti-collapsibility of slurry, but in solidification process, still has certain powder body loss, and has delayed the curing reaction time of slurry.
Dextrin is starchy material when being subject to heating, acid or diastatic action and issuing solution estranged and hydrolysis and transforms the micromolecule intermediate material of generation.According to the difference to the preprocess method of starch and heat-treat condition, dextrin can be divided into white dextrin, yellow starch gum, Britain glue and maltodextrin.General acidity or the oxidative catalyst of adopting prepared white dextrin or yellow starch gum; Roasting direct and dextrin be called Britain glue.Maltodextrin is to be dried and to make through minuent hydrolysis, purification, spraying by starch, does not contain the starch derivatives of free starch.Dextrin is soluble in water, there is very strong adhesivity, good mobility and good water retention property, embossability is strong, can form water-solubility membrane adhesives, on producing, toothpaste can replace part carboxymethyl cellulose (CMC), as thickening agent and stabilizing agent, can improve the structure of toothpaste, and be widely used in the fields such as medicine, food, papermaking, casting, wallpaper, label, stamp, adhesive tape, there is good biocompatibility.
Magnesium phosphate cement (magnesium phosphate cement, MPC) early than 1945 as cement for building, afterwards Brookhaven development in laboratory ammonium magnesium phosphate Binder Materials as Rapid-Repair cement material.As a class inorganic reaction type adhesive, magnesium phosphate cement is similar to calcium phosphate bone cement (CPC), can under Human Physiology environment, solidify voluntarily, hydrated product is the biological Ore of ammonium magnesium phosphate class, good biocompatibility (Biomaterials, 2002,23:1283-1293).The people such as Lilley have prepared the structure (Mg of the alternative CaPs of magnesium ion, Ca) Ps system, think by add the structure of the CaPs that magnesium ion can stable amorphous in CaPs system, thus solidification process that can adjustment and control system and change the solidification intensity of system.Research for many years shows (Biomed Mater, 2008,3 (4): 1243-1249; J.R.Soc.Interface, 2010, doi:10.1098/rsif.2009.0559), MPC solidifies soon, early strength is high, biocompatibility and biological degradability good, be a kind of desirable bone impairment renovation material.
There are no dextrin, improve ICPC slurry anti-collapsibility, MPC for regulating and controlling the report of anti-collapsibility type ICPC curing rate and anti-collapsibility performance up to now.
Summary of the invention
It is poor that first object of the present invention is to overcome existing water injectable calcium phosphate bone cement anti-collapsibility, the blood that slurry Yi Beishu district occurs gushes and breaks up or wash away and reduce calcium phosphate bone cement syringeability and extend the deficiencies such as hardening time, and a kind of product that is used to form calcium magnesium injectable bone cement is provided.
Another object of the present invention is to provide the method for being prepared calcium magnesium injectable bone cement by the said goods.
A further object of the present invention is to provide a kind of calcium magnesium injectable bone cement of being prepared by said method.
Last object of the present invention is to provide the application of above-mentioned calcium magnesium injectable bone cement.
The product that is used to form calcium magnesium injectable bone cement of the present invention, comprising: the solid phase powder being evenly mixed to get by compound phosphoric acid calcium salt and magnesium phosphate powder; And by dextrin, the hydrophosphate consolidation liquid obtaining soluble in water.
According to the present invention, described dextrin is at least one in white dextrin, yellow starch gum, Britain glue and maltodextrin.Described hydrophosphate is at least one in sodium hydrogen phosphate, sodium dihydrogen phosphate, dipotassium hydrogen phosphate and potassium dihydrogen phosphate.The mass percent concentration of dextrin described in described consolidation liquid is 1%~25%, themass percent concentration 1%~18% of described hydrophosphate.
According to the present invention, the mean diameter of described compound phosphoric acid calcium salt is less than 10 microns, comprising: a kind of in calcium phosphate, tetracalcium phosphate, OCP, calcium hydrogen phosphate, hydroxyapatite, fluor-apatite, calcium pyrophosphate or their mixture.The mass ratio of described compound phosphoric acid calcium salt and described magnesium phosphate powder is (9.5~0.5): (0.5~9.5).
The preparation method of calcium magnesium injectable bone cement of the present invention, mixs homogeneously the described consolidation liquid of the said goods with described solid phase powder, be in harmonious proportion and form pastel; Wherein, the mass ratio of described consolidation liquid and described solid phase powder is (0.5~3): 1.Preferably, the mass ratio of described consolidation liquid and described solid phase powder is (0.5~0.9): 1.
According to the present invention, the calcium magnesium injectable bone cement of being prepared by said method is provided, the defeated and dispersed fast setting calcium magnesium injectable bone cement of a kind of water Effective Anti (fast-setting and anti-washout injectable calcium magnesiium-based bone cement, fa-ICMB).
Product and the calcium magnesium injectable bone cement of the present invention that is used to form calcium magnesium injectable bone cement of the present invention, all can be used for preparing osseous tissue repair in trauma injectable product.Described pastel can be filled into operative site by syringe direct injection and use, or after solidifying in human body simulation environment in vitro, forms firming body and recharge in body, carries out clinical practice.The defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti prepared by the present invention is used for the treatment of osteoporosis and osseous tissue repair in trauma, be used in particular for fixing in auxiliary fixing, the pulp cavity of the common fracture such as distal radius, tibial plateau, calcaneus and fracture thereof, bone cyst and the postoperative reparation of bone tuberculosis, root pipe and fill and vertebral body plastic operation, be particularly useful for treating collapse of vertebra and prevent spinal fracture.
The present invention has that cost of material is low, preparation is simple, be convenient to the advantages such as operation technique, and the fa-ICMB anti-collapsibility of preparation is strong, syringeability good, and curing rate is fast.
Accompanying drawing explanation
Fig. 1 has shown the impact of white dextrin on ICPC anti-collapsibility performance, wherein, is (a) not contain the ICPC (b) of white dextrin for containing white dextrin ICPC.
Fig. 2 is the X ray diffracting spectrum of the defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti firming body, wherein, and the fa-ICMB (a) modulating for maltodextrin; (b) fa-ICMB modulating for yellow starch gum; (c) fa-ICMB modulating for white dextrin; (d) fa-ICMB modulating for Britain glue; (e) ICPC modulating for white dextrin.
Fig. 3 is the SEM picture of the defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti firming body.
Fig. 4 has shown the biocompatibility of the defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti firming body, wherein, and (a) for cultivating 1h; (b) for cultivating 2d; (c) for cultivating 3d.
The specific embodiment
The inventor is through extensive and deep research, be surprised to find that first, the compound phosphoric acid calcium salt of different proportionings is mixed to form to solid phase powder with magnesium phosphate by a certain percentage, the consolidation liquid of preparing with the anti-collapsibility agent that contains good biocompatibility is again in harmonious proportion, and can make the defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti (fa-ICMB) of class toothpaste-like or thick paste.On this basis, the inventor has completed the present invention.
In the context of the present invention, described compound phosphoric acid calcium salt is not particularly limited, the mixture mixing by a certain percentage for several calcium phosphate, press the disclosed method preparation of US5525148 and US5545254, described calcium phosphate is selected from: calcium phosphate, tetracalcium phosphate, OCP, calcium hydrogen phosphate, hydroxyapatite, fluor-apatite, calcium pyrophosphate, and the mean diameter of described complex calcium phosphate salt particle is less than 10 microns.Described magnesium phosphate powder is not particularly limited, and is alkali compounds and phosphatic mixture, and by ZL 01 1 05373.9 and the disclosed method preparation of US 7094286B2, described alkali compounds is that magnesium oxide is or/and calcium oxide; Described phosphate is dihydric phosphate, and described dihydric phosphate is at least one in Ammonium biphosphate, dalcium biphosphate, APP.Described human body simulation body fluid is SBF, according to Kukubo T etc. (Kukubo T, J Biomed Mater Res, 1990,24:721-734) disclosed ion concentration is prepared.
Below in conjunction with specific embodiment, the present invention will be further described.Should be understood that following examples are only for the present invention is described but not for limiting the scope of the invention.The experimental technique of unreceipted actual conditions in the following example, conventionally according to normal condition, or the condition of advising according to manufacturer.
Universal method
(1) anti-collapsibility rate
Prepared water calcium magnesium injectable bone cement is poured into syringe, No. 9 syringe needles of lower termination, with push rod, slurry is released and is placed in human body simulation body fluid (the simulated body fluid of 37 ℃, SBF) in, vibration in the shaken cultivation case (HZQ-F160, Taicang experimental facilities factory) of 120r/min.After 10 minutes, take out, dry, weigh, calculate the percentage by weight that not defeated and dispersed firming body accounts for initial total firming body, be designated as anti-collapsibility rate.
(2) hardening time
The bone cement slurry of above-mentioned preparation is made to the sample of Φ 6mm * 5mm by mould, immerse SBF solution and solidify in 37 ℃, 100% humidity environment, measure hardening time.
(3) initial viscosity
Adopt the flow graph of controlling strain (CR), by measuring different shear rate
Figure BSA00000161253400051
the variation of lower viscosities il, obtains comprising the viscograph of initial viscosity, with this, weighs the injectable performance of slurry.
(4) cell compatibility
The bone cement slurry of above-mentioned preparation is filled in plastic mould, is placed in 37 ℃, the simulation human body environment of 100% humidity, after solidifying completely, take out, the demoulding obtains smooth lamellar (6 * 6 * 2mm of smooth surface3).Above-mentioned firming body is sub-packed in to vial, sealing, and at 120 ℃, high-temp steam sterilizing is standby after 20 minutes.Sample is put in to 24 orifice plate bottoms under aseptic condition, every hole adds MG63cell suspension (1 * 104individual/hole).10% the calf serum of take is culture medium, sample is placed in to 37 ℃, 100% humidity, 5%CO2calorstat in cultivate, change a subculture every day.After cultivation 1h, 2d, 3d, utilize the growing state of inverted phase contrast microscope observation of cell.
Embodiment 1
Take compound phosphoric acid calcium salt powder (composition is calcium hydrogen phosphate, tetracalcium phosphate and the hydroxyapatite) 10g that particle diameter is less than 10 μ m, as solid phase powder;
Take white dextrin 0.48g, sodium hydrogen phosphate 0.48g, pours in the beaker that 6g deionized water is housed, and fully stirs white dextrin, sodium hydrogen phosphate are fully dissolved in deionized water, makes consolidation liquid;
Consolidation liquid is poured in solid phase powder, in vessel, is uniformly dispersed, with dedicated modulation cutter, be in harmonious proportion evenly, obtain water injectable calcium phosphate bone cement.
Embodiment 2~12 repeats the experimental procedure ofembodiment 1, and difference is experiment condition, specifically as shown in table 1.
The experiment condition of table 1embodiment 2~12
Figure BSA00000161253400061
The performance test results of the water injectable calcium phosphate bone cement ofembodiment 1~12 preparation is as shown in table 2.From table 2, in consolidation liquid, add after anti-collapsibility agent, the slurry obtaining has good syringeability, and initial viscosity increases, and anti-collapsibility rate all increases, but is extending hardening time in varying degrees.Although add in consolidation liquid after sodium hydrogen phosphate, curing rate is accelerated, but still has surpassed rational hardening time.
Under the dual function of anti-collapsibility agent white dextrin and coagulant sodium hydrogen phosphate, water injectable calcium phosphate bone cement is expelled to after liquid phase, forms line, and the granulated slag dropping is less, and water body is limpid; While not adding white dextrin, slurry is expelled to can be defeated and dispersed in water, and water body is muddy, as shown in Figure 1.Adopt x-ray diffractometer to carry out material phase analysis to the cured product ofembodiment 1, result, as shown in Fig. 2 (e), shows that the cured product of this system is mainly hydroxyapatite, and white dextrin forms and has no significant effect cured product.Effect after yellow starch gum, Britain glue, maltodextrin add is identical with white dextrin.
The performance of the water injectable calcium phosphate bone cement of table 2embodiment 1~12 preparation
EmbodimentAnti-collapsibility rate (%)Hardening time (min)Initial viscosity (Pas)
1 98.34±0.91 23.2±1.7 151.22
2 65.42±1.46 20.3±0.5 79.85
3 74.77±1.58 34.6±1.4 96.32
4 91.56±0.79 25.2±2.1 171.22
5 65.52±1.76 22.7±1.2 89.15
6 61.23±1.44 38.5±1.6 98.97
7 93.11±1.34 27.2±1.4 193.78
8 60.48±1.20 19.7±1.1 95.13
9 77.65±1.72 36.5±1.2 118.97
10 86.46±1.56 25.2±1.0 163.22
11 51.44±1.06 18.4±1.3 87.05
12 62.75±1.29 33.5±1.2 107.07
Embodiment 13
Take compound phosphoric acid calcium salt powder (composition is calcium hydrogen phosphate, OCP and the hydroxyapatite) 0.5g that particle diameter is less than 10 μ m, magnesium phosphate powder 9.5g, dry type is mixed and is formed solid phase powder; Take white dextrin 1.2g, sodium hydrogen phosphate 1.04g, pours in the beaker that 6g deionized water is housed, and fully stirs white dextrin, sodium hydrogen phosphate are fully dissolved in deionized water, makes consolidation liquid;
The consolidation liquid of above-mentioned preparation is poured in solid phase powder, in vessel, be uniformly dispersed, with dedicated modulation cutter, be in harmonious proportion evenly, obtain having Effective Anti collapsibility and quick-setting water calcium magnesium injectable bone cement (fa-ICMB).
Embodiment 14~24 repeats the experimental procedure ofembodiment 13, and difference is experiment condition, and specifically as shown in table 3, the performance test results is as shown in table 4.
The experiment condition of table 3 embodiment 14~24
Figure BSA00000161253400081
The performance of the water injectable calcium phosphate bone cement of table 4embodiment 13~24 preparations
EmbodimentAnti-collapsibility rate (%)Hardening time (min)Initial viscosity (Pas)
13 99.34±0.87 13.2±1.7 141.78
14 82.58±1.54 11.3±0.5 79.85
15 88.22±1.78 22.9±1.3 121.55
16 98.04±0.95 14.0±1.2 172.55
17 75.64±1.12 11.9±0.8 88.61
18 87.05±1.21 27.2±1.9 128.46
19 91.54±0.87 14.0±1.7 185.22
20 72.18±1.02 13.2±0.5 87.85
21 84.09±1.15 30.9±1.3 143.46
22 93.54±0.87 16.0±1.7 195.22
23 69.90±1.96 14.7±0.7 98.40
24 86.43±1.72 32.8±1.9 153.87
Embodiment 25
Take compound phosphoric acid calcium salt powder (composition is calcium hydrogen phosphate, OCP and the calcium pyrophosphate) 5g that particle diameter is less than 10 μ m, magnesium phosphate powder 5g, dry type is mixed and is formed solid phase powder;
Take white dextrin 1.2g, sodium hydrogen phosphate 1.04g, pours in the beaker that 6g deionized water is housed, and fully stirs white dextrin, sodium hydrogen phosphate are fully dissolved in deionized water, makes consolidation liquid;
The consolidation liquid of above-mentioned preparation is poured in solid phase powder, in vessel, be uniformly dispersed, with dedicated modulation cutter, be in harmonious proportion evenly, obtain having Effective Anti collapsibility and quick-setting water calcium magnesium injectable bone cement fa-ICMB.
Embodiment 26~37 repeats the experimental procedure of embodiment 25, and difference is experiment condition, and specifically as shown in table 5, the performance test results is as shown in table 6.
The experiment condition of table 5 embodiment 26~37
Figure BSA00000161253400091
The performance of the water injectable calcium phosphate bone cement of table 6 embodiment 25~37 preparations
EmbodimentAnti-collapsibility rate (%)Hardening time (min)Initial viscosity (Pas)
25 96.48±1.23 16.2±1.3 131.22
26 83.47±2.46 13.3±0.5 72.43
27 89.22±1.22 27.9±1.7 110.45
28 91.23±1.78 17.8±1.90 155.12
29 73.47±2.46 13.3±0.5 72.43
30 84.77±1.09 29.1±1.9 133.78
31 90.48±1.23 16.2±1.6 171.52
32 69.47±2.46 14.5±0.5 82.57
33 81.22±1.22 33.1±0.7 110.65
34 92.18±1.23 17.7±1.6 189.82
35 68.47±2.46 15.5±0.5 89.43
36 84.22±1.22 34.1±0.7 120.35
37 99.45±0.13 15.40±1.28 1437.4
As shown in table 4 and table 6, under the combined effect of MPC, dextrin and hydrophosphate, slurry has good syringeability, and initial viscosity increases, but curing rate obviously accelerates, and anti-collapsibility rate obviously improves.
Adopt x-ray diffractometer to carry out material phase analysis to the cured product of embodiment 34 and 37, as Fig. 2 (a) with (c), result shows that the cured product of this system is mainly hydroxyapatite, tricalcium phosphate and unreacted magnesium phosphate, and maltodextrin and white dextrin form and have no significant effect cured product.
Embodiment 38~42 repeats the experiment of embodiment 25, and difference is:
Embodiment 38: compound phosphoric acid calcium salt powder 9.5g, magnesium phosphate powder 0.5g; White dextrin 0.6g, maltodextrin 0.6g, sodium hydrogen phosphate 0.6g, pours in the beaker that 6g deionized water is housed.
Embodiment 39: compound phosphoric acid calcium salt powder 4g, magnesium phosphate powder 6g; White dextrin 0.96g, yellow starch gum 0.96g, sodium hydrogen phosphate 1.08g, pours in the beaker that 6g deionized water is housed.
Embodiment 40: compound phosphoric acid calcium salt powder (composition is calcium hydrogen phosphate, OCP and hydroxyapatite) 4g, magnesium phosphate powder 6g; White dextrin 0.14g, yellow starch gum 0.35g, Britain glue 0.12g, maltodextrin 0.35g, sodium hydrogen phosphate 0.02g, sodium dihydrogen phosphate 0.02g, pours in the beaker that 4g deionized water is housed.
Embodiment 41: compound phosphoric acid calcium salt powder (composition is calcium hydrogen phosphate, tetracalcium phosphate and hydroxyapatite) 8g, magnesium phosphate powder 2g; Yellow starch gum 0.06g, potassium dihydrogen phosphate 0.96g, pours in the beaker that 6g deionized water is housed.
Embodiment 42: compound phosphoric acid calcium salt powder (composition is calcium hydrogen phosphate, tetracalcium phosphate and fluor-apatite) 7g, magnesium phosphate powder 3g; Britain glue 0.24g, dipotassium hydrogen phosphate 0.18g, pours in the beaker that 6g deionized water is housed.
The performance test results of the water injectable calcium phosphate bone cement of embodiment 38~42 preparations is as shown in table 7.
The performance of the water injectable calcium phosphate bone cement of table 7 embodiment 38~42 preparations
EmbodimentAnti-collapsibility rate (%)Hardening time (min)Initial viscosity (Pas)
38 95.82±1.73 14.7±1.3 125.16
39 98.16±1.22 11.5±1.8 114.99
40 99.06±1.82 12.9±1.5 195.38
41 93.26±0.29 15.60±1.91 2345.7
42 98.42±0.36 18.70±2.12 2522.3
As shown in table 7, under the combined effect of MPC, dextrin and hydrophosphate, the hardening time of fa-ICMB is reasonable, and anti-collapsibility is strong, and slurry has good syringeability.Adopt x-ray diffractometer to carry out material phase analysis to the cured product of embodiment 41, as shown in Fig. 2 (b), result shows that the cured product of this system is mainly hydroxyapatite, tricalcium phosphate and unreacted magnesium phosphate, and yellow starch gum forms and has no significant effect cured product.The cured product of sem observation embodiment 42, as shown in Figure 3, result shows: the cured product of this system is mainly the unreacted magnesium phosphate of the hydroxyapatite of needle-like, dicalcium phosphate and lamellar, and as shown in Fig. 2 (d), Britain glue forms and has no significant effect cured product.Adopt cell culture experiments to carry out biocompatibility analysis to the cured product ofembodiment 40, as shown in Figure 4, result shows MG63cell has good adhesive attraction on fa-ICMB cured product surface, can not only sprawl completely, and propagation obviously, has good biocompatibility.
In water calcium magnesium injectable bone cement, add anti-collapsibility agent dextrin, dextrin has formed the solution of high viscosity and extensive chemical adhesion in aqueous solution on the one hand, physical absorption is in fa-ICMB particle surface, the effect of playing fixing fa-ICMB granule and stoping moisture to infiltrate; Dextrin chain is in the bridging effect of particle surface on the other hand, the intergranular electrostatic attraction effect of dextrin and fa-ICMB and Ca2+with the chelation of anion in dextrin, form compact texture, thereby play anti-collapsibility effect.In compound phosphoric acid calcium salt solid phase powder, introduce MPC, after mixing with water, the acidic components in MPC dissolve and ionize rapidly in water, discharge H+, PO43-, MPC neutral and alkali component MgO is subject to water and H+attack after, particle surface dissolves, and generates Mg (OH)2and Mg2+.While Mg2+dissociate out, with PO43-effect forms magnesium phosphate crystallization, and Ca2+free out same PO43-effect generates calcium phosphate-phosphate complex gel, has accelerated fa-ICMB curing proceeding.Along with the acceleration of fa-ICMB hydration reaction, on slurry surface, form gel reactant and clogged the intergranular hole of fa-ICMB, can effectively improve the anti-collapsibility performance of system.
Preparation method of the present invention, on the basis of existing water injectable calcium phosphate bone cement, in system, add first at least one the anti-collapsibility agent in white dextrin, yellow starch gum, Britain glue and maltodextrin, utilize dexterously its stronger water conservation conformality, water-soluble formation high viscosity solution, on surface, form fine and close moisture film and with reactant and product efficient adsorption and form the feature of extensive chemical adhesion, efficiently solve slurry and meet sepage and fall slag, be scattered and the problem such as even can not solidify, improved the anti-collapsibility ability of water injectable calcium phosphate bone cement.And on the basis of anti-collapsibility type water injectable calcium phosphate bone cement, in system, added fast solidifying, early strong and there is the magnesium phosphate of good plasticity, biocompatibility and degradability.After contacting with consolidation liquid, there is hydration reaction in fa-ICMB fast, forms gel reactant and clogged intergranular space and defect, and the collaborative formation that has promoted a great deal of contact point, makes slurry have fast setting and high early strong feature.Its fast setting and high early strong feature have further promoted again the raising of fa-ICMB anti-collapsibility performance.After the defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti aquation, its ultimate constituent is unbodied magnesium-phosphate complex gel and hydroxyapatite, similar to the inorganic constituents of calculi in vivo and human body hard tissue respectively, good biocompatibility, nonirritant.Show not change the curing characteristics of protocalcium magnesium bone cement by anti-collapsibility agent and the standby consolidation liquid of hydrophosphate solution mixing system, and do not change the composition that solidifies rear hydrated product.
Preparation method of the present invention, dextrin and magnesium phosphate play synergistic function to the anti-collapsibility performance of system, and meanwhile magnesium phosphate also plays quick-setting effect to system.The fa-ICMB of preparation has the performances such as anti-collapsibility, syringeability and fast setting concurrently.
The present invention is by the application extension of dextrin to preparation tissue repair field, and this had both opened up new way for putting forward the performance of high contents of calcium and magnesium bone cement, also for dextrin has been opened up a new application.The defeated and dispersed fast setting calcium magnesium injectable bone cement of water Effective Anti of preparation, has that cost of material is low, preparation is simple, be convenient to the advantages such as operation technique, and anti-collapsibility is strong, curing rate is fast, can under blood/body fluid environment, use safely.When the efficient suspending stabilized calcium phosphate bone cement of application injectable of the present invention, can adopt direct mastic fill method, can be injected directly into by special syringe (needle exchange head) method of operative site, also method that can percutaneous vertebroplasty, or by firming body bone grafting in art of curing molding in advance.

Claims (6)

1. a product that is used to form calcium magnesium injectable bone cement, is characterized in that, comprising:
The solid phase powder being evenly mixed to get by compound phosphoric acid calcium salt and magnesium phosphate powder; And
By dextrin, the hydrophosphate consolidation liquid obtaining soluble in water;
Wherein, the mean diameter of described compound phosphoric acid calcium salt is less than 10 microns, comprising: the mixture in calcium phosphate, tetracalcium phosphate, OCP, calcium hydrogen phosphate, hydroxyapatite, fluor-apatite, calcium pyrophosphate; Described hydrophosphate is at least one in sodium hydrogen phosphate, sodium dihydrogen phosphate, dipotassium hydrogen phosphate and potassium dihydrogen phosphate; The mass ratio of described compound phosphoric acid calcium salt and described magnesium phosphate powder is (9.5~0.5): (0.5~9.5); The mass percent concentration of dextrin described in described consolidation liquid is 1%~25%, the mass percent concentration 1%~18% of described hydrophosphate; The mass ratio of described consolidation liquid and described solid phase powder is (0.5~3): 1.
2. product according to claim 1, is characterized in that, described dextrin is at least one in white dextrin, yellow starch gum, Britain glue and maltodextrin.
3. a preparation method for calcium magnesium injectable bone cement, is characterized in that, the described consolidation liquid of the product described in any one in claim 1~2 is mixed homogeneously with described solid phase powder, is in harmonious proportion and forms pastel;
Wherein, the mass ratio of described consolidation liquid and described solid phase powder is (0.5~3): 1.
4. method according to claim 3, is characterized in that, the mass ratio of described consolidation liquid and described solid phase powder is (0.5~0.9): 1.
5. a calcium magnesium injectable bone cement of preparing according to the preparation method described in claim 3 or 4.
6. the application of the product as described in any one in claim 1~2 or calcium magnesium injectable bone cement claimed in claim 5, is characterized in that, for the preparation of osseous tissue repair in trauma injectable product.
CN201010205094.8A2010-06-182010-06-18 Injectable calcium magnesium bone cement and its preparation method and applicationActiveCN101856509B (en)

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