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Performance of calcium phosphate cements in the augmentation of sheep vertebrae - An ex vivo study
(2021)
Oil-based calcium phosphate cement (Paste-CPC) shows not only prolonged shelf life and injection times, but also improved cohesion and reproducibility during application, while retaining the advantages of fast setting, mechanical strength, and biocompatibility. In addition, poly(L-lactideco-glycolide) (PLGA) fiber reinforcement may decrease the risk for local extrusion. Bone defects (diameter 5 mm; depth 15 mm) generated ex vivo in lumbar (L) spines of female Merino sheep (2–4 years) were augmented using: (i) water-based CPC with 10% PLGA fiber reinforcement (L3); (ii) Paste-CPC (L4); or (iii) clinically established polymethylmethacrylate (PMMA) bone cement (L5). Untouched (L1) and empty vertebrae (L2) served as controls. Cement performance was analyzed using micro-computed tomography, histology, and biomechanical testing. Extrusion was comparable for Paste-CPC(-PLGA) and PMMA, but significantly lower for CPC + PLGA. Compressive strength and Young’s modulus were similar for Paste-CPC and PMMA, but significantly higher compared to those for empty defects and/or CPC + PLGA. Expectedly, all experimental groups showed significantly or numerically lower compressive strength and Young’s modulus than those of untouched controls. Ready-to-use Paste-CPC demonstrates a performance similar to that of PMMA, but improved biomechanics compared to those of water-based CPC + PLGA, expanding the therapeutic arsenal for bone defects. O, significantly lower extrusion of CPC + PLGA fibers into adjacent lumbar spongiosa may help to reduce the risk of local extrusion in spinal surgery.
The distributed measurement of relative humidity is a sought-after capability for a wide range of applications in civil engineering and structural health monitoring. We show that polymethyl methacrylate (PMMA) optical fi-bers can be employed as a sensor medium to conduct distributed humidity measurement by analyzing Rayleigh backscattering traces obtained by OTDR. We make use of the effect that water penetrates the fiber core and directly influences the local fiber attenuation and Rayleigh backscatter coefficient. We conducted distributed backscattering analysis for two different pulse wavelengths: 500 nm and 650 nm. The 650 nm results are susceptible to both, attenuation changes and backscatter changes, whereas backscatter results at 500 nm are not affected by humidity-induced attenuation and only exhibit a change of Rayleigh backscattered power as a function of humidity. The combined measurement and analysis of both parameters at these two wavelengths has the advantage that cross-sensitivities on backscatter change and attenuation, such as strain and tempera-ture changes, could be separated from the humidity response of the fiber. We present laboratory results for a humidity range between 30% and 90% for both pulse wavelengths: including step responses, humidity cycles and hysteresis analysis. In addition to the attenuation and backscatter coefficient dependence, we also analyze optical runtime changes as a function of humidity. POFs have the advantage that they can be directly embed-ded into materials such as concrete or soil to measure water content or localize water ingress. Standard step-index PMMA POFs can be used as a distributed relative humidity sensor up to 200 m distance.