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Updated: Sep 14, 2025

Biological Compatibility Profile on Biomaterials for Bone Regeneration
Published on: November 16, 2018
Exploring bioactive bone cement pastes: A promising solution for orthopedic surgeries.
Afsaneh Jahani1, Mehrnoush Nakhaei2, Ali Moradi3
1Orthopedics Research Center, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, Iran; Bone and Joint Research Laboratory, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; Faculty of New Sciences and Technologies, Department of Biomedical Engineering, Semnan University, Semnan, Iran.
Bone cement, used in orthopedic surgery for decades, fixes implants and fills bone gaps. This review evaluates ceramic and polymer bone cements, addressing limitations like degradation and heat release.
Area of Science:
- Biomaterials Science
- Orthopedic Surgery
- Surgical Innovation
Background:
- Bone cement is a critical biomaterial in orthopedic surgery, utilized for nearly 50 years.
- It functions by hardening in situ after injection, aiding in implant fixation, joint replacement, trauma management, and drug delivery.
- The material adapts to patient-specific bone anatomy, correcting defects and ensuring implant stability.
Purpose of the Study:
- To comprehensively review ceramic and polymer-based bone cements for orthopedic applications.
- To evaluate the current state and future potential of these bone cement types.
- To identify strategies for improving bone cement performance by understanding their limitations.
Main Methods:
- Literature review focusing on ceramic and polymer bone cements.
- Analysis of hardening mechanisms (chemical reaction vs. polymerization).
- Evaluation of clinical applications and limitations.
Main Results:
- Ceramic bone cements harden via chemical reactions, mimicking bone composition.
- Polymer-based bone cements harden through polymerization.
- Key limitations include long-term degradation leading to implant loosening and exothermic reactions causing tissue necrosis.
Conclusions:
- Both ceramic and polymer bone cements offer significant advantages in orthopedics.
- Addressing limitations such as degradation and thermal effects is crucial for enhanced performance.
- Further research into optimizing bone cement formulations can improve patient outcomes.
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