title: Compositional changes of a dicalcium phosphate dihydrate cement after implantation in sheep.
abstract: A hydraulic calcium phosphate cement having dicalcium phosphate dihydrate (DCPD) as end-product of the setting reaction was implanted in a cylindrical defect in the diaphysis of sheep for up to 6 months. The composition of the cement was investigated as a function of time. After setting, the cement composition consisted essentially of a mixture of DCPD and beta-tricalcium phosphate (beta-TCP). In the first few weeks of implantation, the edges of the cement samples became depleted in DCPD, suggesting a selective dissolution of DCPD, possibly due to low pH conditions. The cement resorption at this stage was high. After 8 weeks, the resorption rate slowed down. Simultaneously, a change of the color and density of the cement center was observed. These changes were due to the conversion of DCPD into a poorly crystalline apatite. Precipitation started after 6-8 weeks and progressed rapidly. At 9 weeks, the colored central zone reached its maximal size. The fraction of beta-TCP in the cement was constant at all time. Therefore, this study demonstrates that the resorption rate of DCPD cement is more pronounced as long as DCPD is not transformed in vivo.
authors.affiliation: Dr h.c. Robert Mathys Foundation, Bischmattstrasse 12, CH-2544 Bettlach, Switzerland. marc.bohner@rms-foundation.ch
authors.forename: M
authors.initials: M
authors.lastname: Bohner
authors.forename: F
authors.initials: F
authors.lastname: Theiss
authors.forename: D
authors.initials: D
authors.lastname: Apelt
authors.forename: W
authors.initials: W
authors.lastname: Hirsiger
authors.forename: R
authors.initials: R
authors.lastname: Houriet
authors.forename: G
authors.initials: G
authors.lastname: Rizzoli
authors.forename: E
authors.initials: E
authors.lastname: Gnos
authors.forename: C
authors.initials: C
authors.lastname: Frei
authors.forename: J A
authors.initials: JA
authors.lastname: Auer
authors.forename: B
authors.initials: B
authors.lastname: von Rechenberg
mesh_terms: D000818:Animals; D001031:Apatites / Q000378:metabolism; D001672:Biocompatible Materials / Q000737:chemistry / Q000378:metabolism*; D001843:Bone Cements / Q000737:chemistry* / Q000378:metabolism*; D001842:Bone and Bones / Q000378:metabolism* / Q000473:pathology; D002130:Calcium Phosphates / Q000378:metabolism*; D020007:Implants, Experimental; D008422:Materials Testing; D016348:Osseointegration; D012756:Sheep; D014961:X-Ray Diffraction
chemical_list: D001031:Apatites; D001672:Biocompatible Materials; D001843:Bone Cements; D002130:Calcium Phosphates; C485828:alpha-tricalcium phosphate; C485830:tetracalcium phosphate; C485838:calcium phosphate, monobasic, anhydrous; C020243:calcium phosphate; C485829:calcium phosphate, dibasic, anhydrous