Modifications of the hydrophilicity of heterocyclic methacrylate copolymers for protein release

Stability of oxygen-rich plasma-polymerized coatings in aqueous environment

In this work, we report on the stability of oxygen-rich plasma-polymerized (pp) films in an aqueous environment. The pp films were deposited via atmospheric-pressure plasma jet treatment of polymerizable organic liquids. The monomers used for the plasma-assisted polymerization were tetrahydrofurfuryl methacrylate, 1,2,4-trivinylcyclohexane, and mixtures thereof. The pp films were deposited at different plasma input powers ranging from 3 to 7 W. The stability of the obtained pp films was studied upon long-time storage in pure water and in buffer solutions of pHs 4, 7, and 10. After 24 h of storage of the pp films in de-ionized water, all of the studied pp films experienced thickness losses along with the formation of various ringlike structures at their surface, whereas Fourier transformed infrared (FT-IR) analysis showed no changes in their chemical composition. The pp films stored in pH 10 were completely delaminated from the substrate surface, while the pp films stored for 24 h in pH 4 showed swelling behavior, partial delamination, and the formation of wrinkles at the coatings' surface. The pp films stored for 24 h in pH 7 experienced minor thickness losses and formation of wrinkles at their surface. FT-IR analysis of the pp films stored in buffer solutions of pH 4 and pH 7 showed a decrease of C=O and an increase of O-H stretching signals in all of the cases. The observed chemical changes corresponded to the hydrolysis of esters presented in the pp films' structure.

Complications of recombinant human BMP-2 for treating complex tibial plateau fractures: a preliminary report

Bone morphogenic proteins (BMPs) are potent osteoinductive agents. Their use in fracture surgery is still being studied and the clinical indications are evolving. Heterotopic bone after BMP use in spine surgery is a known complication. While some literature describes the ability of BMP to enhance fracture healing, few articles describe complications of BMP. In tibial plateau fractures, after elevating the cartilage en mass, a subchondral void may be created in these fractures. Structural support provided by bone void-filling agents can be augmented with osteoinduction achieved by BMP. We asked whether heterotopic bone formation would occur more frequently with BMP-2 when used in tibial plateau fractures and whether BMP-2 enhanced the ability to maintain surgically restored subchondral bone integrity. Heterotopic bone developed more frequently in patients receiving BMP (10 of 17) than in patients not receiving BMP (one of 23). Four patients receiving BMP and no patients not receiving BMP underwent removal of heterotopic bone. Maintenance of subchondral bone integrity was similar without and with the use of BMP. BMP is a potent osteoinductive agent; however, when used for an off-label indication in periarticular situations, complications such as heterotopic bone are common and increase reoperation rates.

LEVEL OF EVIDENCE

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Controlled Release of Chlorhexidine Diacetate from a Porous Methacrylate System: Supercritical Fluid Assisted Foaming and Impregnation

The release of chlorhexidine diacetate (CX) from a self-curing polymeric system based on poly(ethylmethacrylate) and tetrahydrofurfurylmethacrylate (PEM/THFM) was developed in this study. Supercritical fluid assisted impregnation and foaming was employed for preparing porous CX-PEM/THFM drug release system. X-ray diffraction (XRD) and differential scanning calorimetry (DSC) show that the crystallinity of CX significantly decreased after supercritical processing, whilst Raman spectroscopy suggested a hydrogen bonding interaction between the CX and PEM in the product. A UV-Vis dissolution study revealed that the drug release rate is almost as seven times faster in the SCF processed drug delivery system than conventional cured samples.

Evaluation of residual monomer elimination methods in three different fissure sealants in vitro

The aim of this study was to determine the concentration of residual monomers and to evaluate the effectiveness of elimination methods of residual monomers in three different fissure sealant materials (Helioseal F, Filtek Flow and EXM-510). The sealant materials were divided into four subgroups because of the treatment methods used; one control group and three experimental groups (cotton roll, rubber cup and prophylaxis paste in cup). High performance liquid chromatography was used to determine the concentrations of residual monomers. Results of the study showed that residual Bis-glycidyl dimethacrylate elution was the highest in Helioseal F and the lowest in Filtek Flow with the three methods tested. For triethleneglycol dimethacrylate, EXM-510 eluted the highest residual monomer. It was also found that although the three tested methods were insufficient for removing all of the residual monomers and rubbing with cotton rolls was more effective than other two methods.

Articular cartilage repair: basic science and clinical progress. A review of the current status and prospects

OBJECTIVE

To review the basic scientific status of repair in articular cartilage tissue and to assess the efficiency of current clinical therapies instigated for the treatment of structural lesions generated therein as a result of trauma or during the course of various diseases, notably osteoarthritis (OA). Current scientific trends and possible directions for the future will also be discussed.

DESIGN

A systematic and critical analysis is undertaken, beginning with a description of the spontaneous repair responses in different types of lesion. Surgical interventions aimed at inducing repair without the use of active biologics will then be considered, followed by those involving active biologics and those drawing on autogenic and allogeneic tissue transplantation principles. Cell transplantation approaches, in particular novel tissue engineering concepts, will be critically presented. These will include growth-factor-based biological treatments and gene transfection protocols. A number of technical problems associated with repair interventions, such as tissue integration, tissue retention and the role of mechanical factors, will also be analysed.

RESULTS

A critical analysis of the literature reveals the existence of many novel and very promising biologically-based approaches for the induction of articular cartilage repair, the vast majority of which are still at an experimental phase of development. But prospective, double-blinded clinical trials comparing currently practiced surgical treatments have, unfortunately, not been undertaken.

CONCLUSION

The existence of many new and encouraging biological approaches to cartilage repair justifies the future investment of time and money in this research area, particularly given the extremely high socio-economic importance of such therapeutic strategies in the prevention and treatment of these common joint diseases and traumas. Clinical epidemiological and prospective trials are, moreover, urgently needed for an objective, scientific appraisal of current therapies and future novel approaches.