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Gentamicin release from two-solution and powder-liquid poly(methyl methacrylate)-based bone cements by using novel pH

Imad K Merkhan1, Julie M Hasenwinkel, Jeremy L Gilbert

  • 1Department of Bioengineering and Neuroscience, 373 Link Hall, Syracuse University, Syracuse, New York 13244-5290, USA. ikmerkha@syr.edu

Journal of Biomedical Materials Research. Part A
|May 6, 2004
PubMed
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A novel pH technique accurately measures gentamicin release from bone cement. Palacos bone cement showed favorable gentamicin elution compared to two-solution cements, with mixing conditions impacting early release rates.

Area of Science:

  • Biomaterials Science
  • Drug Delivery Systems
  • Analytical Chemistry

Background:

  • Gentamicin elution from bone cement is critical for preventing post-operative infections.
  • Accurate and efficient methods are needed to quantify gentamicin release kinetics.
  • Poly(methyl methacrylate) (PMMA)-based bone cements are widely used in orthopedic surgery.

Purpose of the Study:

  • To develop and validate a novel pH-based in vitro technique for measuring gentamicin release from bone cements.
  • To compare the gentamicin release profiles of Palacos bone cement with a two-solution bone cement.
  • To investigate the effect of mixing conditions on gentamicin elution.

Main Methods:

  • A novel pH technique was developed based on the linear relationship between gentamicin concentration and pH in aqueous solutions.

Related Experiment Videos

  • Continuous pH readings in phosphate-buffered saline (PBS) at 37°C were used to determine gentamicin release kinetics.
  • Gentamicin release was measured for Palacos R-40 and a custom two-solution bone cement under mixed and static conditions.
  • Main Results:

    • Palacos R-40 released 4.95 ± 0.22 wt% of gentamicin after 24 hours in PBS.
    • Palacos samples released 4.84 ± 0.27 mg, while a two-solution cement with equivalent gentamicin sulfate released 3.81 ± 0.52 mg.
    • A higher percentage of gentamicin release was observed from Palacos compared to the two-solution cement.

    Conclusions:

    • Monitoring pH is an effective, inexpensive, and direct in vitro technique for quantifying gentamicin release from PMMA-based bone cements.
    • Palacos bone cement demonstrates favorable gentamicin elution characteristics compared to the tested two-solution cement.
    • Mixing conditions significantly affected early-stage gentamicin release but not at the 24-hour mark.