Abstract
Injectable calcium phosphate cement (CPC) has been used as bone substitute successfully due to good biocompatibility and osteoconductivity. One of the important mechanical characteristics of CPC is flowablility, which can be evaluated by measuring rheological parameters. However, there have been few studies that measured rheological properties of CPC. The purpose of this study was to evaluate the effects of temperature and concentrations of 2 kinds of setting solutions, hydroxyprophyl methylcellulose (HPMC) and polyacrylic acid (PAA), on rheological properties of CPC. The CPC used was dicalcium phosphate dihydrate (DCPD). Rheological properties of CPC paste were measured using rheometer. The effect of concentrations of each solution (2% and 1% HPMC and 35% and 17.5% PAA) was evaluated. The effect of temperature ($25^{\circ}C$ and $37^{\circ}C$) on the rheological properties of CPC was also investigated. The statistical analysis was carried out with Mann-whitney test with Bonferronis collection. CPC with both setting solutions showed shear thinning behavior. Higher concentrations of setting solution (2% HPMC and 35% PAA) produced significantly higher viscosity than lower concentrations of setting solution (1% HPMC and 17.5% PAA). CPC with HPMC showed significantly higher viscosity at $37^{\circ}C$ that at $25^{\circ}C$. CPC with PAA showed lower viscosity at $37^{\circ}C$ than at $25^{\circ}C$, although the difference was not statistically significant. The results showed that CPC with HPMC or PAA solutions are pseudoplastic and the concentrations of setting solutions and temperature may have an effect on the rheological properties of CPC paste. These results showed that the flowability of injectable CPC could be improved by use of increasing frequency of oscillation. In clinical practice, the use of ultrasonic vibration would be helpful in application of injectable CPC. CPC with HPMC could be more easily applicated at $25^{\circ}C$ than $37^{\circ}C$. The use of lower concentrations of HPMC and PAA solution would be beneficial in terms of flowability.
인산칼슘시멘트(calcium phosphate cement)는 우수한 생체친화성 및 골전도성을 가지고 있어 골이식재로 많이 사용되어 왔다. 인산칼슘시멘트의 중요한 물성 중 하나인 흐름성은 유변학적 성질을 측정하여 확인할 수 있지만, 인산칼슘시멘트의 유변학적 성질에 관한 연구는 많이 진행되어 있지 않다. 이 실험의 목적은 인산칼슘시멘트를 hydroxyprophyl methylcellulose (HPMC) 수용액 및 polyacrylic acid (PAA) 수용액과 각각 혼합하여 주사용 인산칼슘시멘트를 만들고, 각각의 용액의 농도(35%와 17.5%의 HPMC, 2%와 1%의 PAA)와 온도($25^{\circ}C$ and $37^{\circ}C$)가 유변학적 성질에 미치는 영향을 연구하기 위한 것이다. 실험에 사용된 인산칼슘시멘트는 dicalcium phosphate dihydrate (DCPD)이며 유변학적 성질은 자동화된 rheometer를 사용하여 측정하였다. 통계분석은 Mann-whitney test를 사용하였다. 높은 농도의 경화액과 혼합된 인산칼슘시멘트는 (35% HPMC와 2% PAA)는 낮은 농도의 경화액과 혼합된 인산칼슘시멘트 (17.5% HPMC와 1% PAA)보다 각각 유의성 있게 높은 점도를 보였다. HPMC 수용액과 혼합된 인산칼슘시멘트는 $37^{\circ}C$에서 $25^{\circ}C$보다 유의성 있게 높은 점도를 보였다. PAA 수용액과 혼합된 인산칼슘시멘트는 $37^{\circ}C$에서 $25^{\circ}C$보다 낮은 점도를 보였으나 통계적 유의성은 없었다. 또한 실험에 사용된 모든 종류의 인산칼슘시멘트는 의사가소성(pseudoplastic)을 보였다.
