Calcium Phosphate Cement (CPC): A Critical Development Path

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Abstract:

The first generation of synthetic bone substitute materials (BSM) was initially investigated in the mid 1970s using hydroxyapatite (HA) as a biomaterial for remodeling of bone defects. The concepts established by CPC pioneers in the early 1980s were used as a platform to initiate a second generation of BSM for commercialization. Since then, advances have been made in composition, performance and manufacturing. A self-setting and injectable calcium phosphate cement (CPC) based on amorphous calcium phosphate (ACP) with calcium to phosphate (Ca/P) atomic ratio less than 1.5, combined with dicalcium phosphate dihydrate (DCPD or brushite, seeded with apatite), is proposed. Amorphization of raw material was observed following high energy mechano-chemical processing. Upon hydration, the cement hardened in less than 3 minutes at 37°C and reached a maximum compressive strength of about 50 MPa. The final product was a low crystalline calcium deficient carbonated apatite similar to the composition and structure of bone mineral. In vivo performance of this cement in mediating bone healing was compared to α-BSM® in a rabbit femoral defect model. Performance characteristics of some commercially available CPC products are compared. The concerns of CPC designers and the needs of product users (surgeons) are discussed.

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Periodical:

Key Engineering Materials (Volumes 361-363)

Pages:

303-306

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Online since:

November 2007

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[1] Jarcho K. et al., J. Bioeng 1: 79, (1977).

Google Scholar

[2] LeGeros R.Z. et al. J. Dental Res., 61: 343, (1982).

Google Scholar

[3] Brown W.E., Chow L.C., J. Dental Res., 62: 672, (1983).

Google Scholar

[4] Constantz B.R., et al., Science, Vol. 267, pp.1796-1798, (1995).

Google Scholar

[5] Rey C., Tofighi A. et al., Actual. Biomat., Vol. VI, Ed. Romillat, Paris, pp.27-37, (2002).

Google Scholar

[6] Van Landuyt P. et al. Bone, Vol. 25, No. 2, pp. 95s-98s, (1999).

Google Scholar

[7] Chow L.C. et at. J. Res. Natl. Stand. Technolo. 106, pp.1029-1033, (2001).

Google Scholar

[8] Tofighi A. et al., ORS/AAOS, No 1563, p.124, (2007).

Google Scholar

[9] The last Advancement in Bone Substitute Technology, Stryker, USA, (2006).

Google Scholar

[10] Catalano P.J. et al. Key Engineering Materials, Vols. 330-332, pp.799-802, (2007).

Google Scholar

[11] Reddi A.H., The JBJS, Vol. 83-A, Sup. 1, Part 1, pp. S1-1 to S1-6, (2001).

Google Scholar