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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of materials science 7 (1996), S. 713-721 
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Cylindrical pins made from poly(L-lactide), poly(L/D-lactide) 95/5% and poly(L/DL-lactide) 95/5% were implanted in the subcutaneous tissue of sheep. The tissue reaction to the implanted materials and their in vivo degradation was investigated at 1,3,6 and 12 months. The capsule formed around the polylactide implants consisted of fibroblasts, fibrocytes, phagocytes, a few foreign body giant cells and polymorphonuclear cells. For all three polylactides used, the cellular response was most intensive during the first 6 months of implantation and significantly subsided at 1 year. The thickness of the capsule was 200 μm at 1 month, increased to 200–600 μm at 6 months, and decreased to 100 to 200 μm at 1 year, depending on the material used. The tissue reaction was more intense for poly(L/D-lactide) than for poly(L/DL-lactide) and poly(L-lactide). The drop in molecular weight of the implants was highest after 1 month of implantation (70 to 95%). Irrespective of the extensive reduction of the molecular weight at 1 month, none of the polymers used was completely resorbed at 1 year. The most advanced resorption was observed for poly(L/D-lactide). Despite molecular weight reduction, the poly(L-lactide) implants had maintained 70% of their initial bending strength and 95% of their shear strength at 3 months. The poly (L/D-lactide) and poly(L/DL-lactide) had maintained only 26 to 27% of their initial bending strength and 26 to 31% of the initial shear strength, respectively. The crystallinity of all the materials increased after implantation as compared with nonimplanted materials. The overall crystallinity increase and the final crystallinity reached by the materials at 1 year was, however, lowest for poly(L/DL-lactide) as compared with the other two polylactides.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 21 (1997), S. 217-222 
    ISSN: 1432-5195
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé. Des humérus de cadavres humains dont le caractère osteoporotique fût déterminé par tomodensitométrie ont été osteotomisés et ostéosynthésés. Les neufs paires ont été divisées aléatoirement en 3 groupes. Dans le groupe I, l’ostéotomie fût ostéosynthésée à l’aide d’une plaque en T sans renforcement. L’humérus controlatéral était renforcé par une barre en polylactate et l’osteosynthèse fixée à l’aide d’une plaque en T. Dans le group II, l’ostéotomie fût ostéosynthésée à l’aide d’une plaque en T sans renforcement. L’humérus controlatéral était renforcé par du méthylméthacrylate et l’osteosynthèse fixée à l’aide d’une plaque en T. Dans le groupe III, l’ostéotomie fût renforcée par une barre en polylactate et l’osteosynthèse fixée à l’aide d’une plaque en T. L’humérus controlatéral était renforcé avec du méthylméthacrylate et l’osteosynthèse fixée à l’aide d’une plaque en T. La force d’arrachement des vis insérées dans l’os renforcé par le polylactate était identique à la force d’arrachement des vis insérées dans l’os renforcé par le méthylméthacrylate. Les osteotomies renforcées par la barre en polylactate avaient un moment de torsion supérieur à celles renforcées avec du ciment et aux non renforcées. Les barres en polylactate peuvent potentiellement être utilisées pour le renforcement d’os ostéoporotique.
    Notes: Summary. Osteotomies in porotic human cadaveric humeri were fixed with metallic plates and screws in 3 experimental groups. In group I, osteotomies of the 3 arbitrarily chosen humeri were plated without reinforcement. The osteotomies of the contralateral 3 humeri were plated after reinforcement with a poly(L-lactide) augmentation device. In group II, osteotomies on one side were plated without reinforcement, but those of the contralateral humeri were plated after reinforcement with methylmethacrylate. In group III, the osteotomies of 3 humeri were plated and reinforced with poly(L-lactide) and in the 3 contralateral humeri were plated after reinforcement with methylmethacrylate. The pullout strength for screws from bones augmented with poly(L-lactide) was identical to those where methylmethacrylate had been used. The bones with poly(L-lactide) augmentation had a higher torsional stiffness than those with methylmethacrylate cement and those which were not reinforced. Resorbable polymeric medullary augmentation devices can be used to enhance plating of osteoporotic bones.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 32 (1996), S. 227-235 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: The effect of low-temperature plasma on sterility, molecular, mechanical, and crystalline properties of poly(L-lactide), poly (L/D-lactide) and poly (L/DL-lactide) was investigated. Polymers were treated for 15 and 30 min at 100 W with nitrogen, argon, oxygen, and carbon dioxide plasma. All polymers treated with oxygen or carbon dioxide plasma were rendered sterile after 15 min of treatment. Only 70% of the samples treated under similar conditions with nitrogen or argon plasma were sterile. Extension of the exposure time to 30 min and increasing power to 200 W did not improve sterilization efficiency. Plasma sterilization, under the conditions used, caused no significant decrease or increase in overall molecular weight or polydispersity of the polylactides used. In most instances the effect of plasma sterilization was to slightly increase the overall molecular weight of the polymers studied. Treatment with argon plasma led to a more consistent increase in molecular weight than did treatment with nitrogen, oxygen, or carbon dioxide. Analysis of the surface (skin) of a poly(L-lactide) injection-molded rod following plasma sterilization indicated an increase in molecular weight as related to the interior (core) of the rod. Comparison of Mark-Houwink plots for the surface and interior of poly(L-lactide) injection-molded rods following plasma sterilization indicated an increase in chain branching for the surface relative to the interior of the rod. Generally the highly crystalline poly(L-lactide) was less susceptible to change upon plasma treatment than was the less crystalline poly(L/D-lactide) and poly(L/DL-lactide). The mechanical properties (shear strength, bending strength, and moduli) of the polylactides were not affected by plasma treatment. The overall melting temperature and the heat of melting of polylactides studied were not affected by plasma treatment. The melting temperature of the skin of the samples was about 1°C higher than the melting temperature of the core due to the chain orientation upon injection-molding. Plasma treatment of the polylactides reduced the melting temperature of the skin by 3°C to 5°C due to the crosslinking or branching at the surface layer. © 1996 John Wiley & Sons, Inc.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    Journal of Biomedical Materials Research 34 (1997), S. 351-359 
    ISSN: 0021-9304
    Keywords: Chemistry ; Polymer and Materials Science
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine , Technology
    Notes: Resorbable pins with a smooth or textured surface were produced from poly(L-lactide) P(L)LA poly(L/D-lactide) 95/5% P(L/D)LA, and poly(L/DL-lactide) 95/5% P(L/DL)LA by injection molding. The pins were implanted in sheep tibiae to establish whether the pin surface geometry and the polymer composition used for the pin preparation affect their positional stability in bone; i.e., can the pin design and its ability to swell in body fluids protect against loosening. Three of the 32 P(L)LA pins with a smooth surface loosened but none of the P(L/D)LA and P(L/DL)LA pins with a smooth surface did. This may indicate that expansion of the pin upon swelling protects against loosening, even if the pin's surface geometry is not optimal. None of the pins with a textured surface were loose, independent of the polymer used for the pin preparation. The textured surface of these pins allowed the ongrowth of new bone and hence, implant anchoring, secured the positional stability of the implant in the bone. © 1997 John Wiley & Sons, Inc.
    Additional Material: 9 Ill.
    Type of Medium: Electronic Resource
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