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A Study of Tensile Degradation of Bioresorbable Materials Used for ...

A Study of Tensile Degradation of Bioresorbable Materials Used for ...

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<strong>Degradation</strong> <strong>of</strong> <strong>Bioresorbable</strong> <strong>Tensile</strong> Bars<br />

Titanium fixation also presents the inconvenience <strong>of</strong> limited mobility. As noted above,<br />

titanium can be used in spinal fixation. The spine needs to be an extremely mobile part <strong>of</strong> the<br />

human body both rotating and bending <strong>for</strong>ward and backwards. Although titanium is flexible<br />

enough to allow bones to grow, it cannot bend in the way a human back bends. This causes<br />

limited mobility when titanium is used in the spinal cord fixation. Mobility is a crucial issue<br />

when used in the neck. For example, if disks <strong>of</strong> vertebrae in the neck are replaced with titanium<br />

because <strong>of</strong> a rupture, the neck will have a severely diminished range <strong>of</strong> motion. The patient will<br />

not be able to rotate with the same mobility as prior to the rupture. Titanium is the most<br />

biocompatible material with the body in terms <strong>of</strong> medical applications; however, it has numerous<br />

downfalls and inconveniences that make the medical world wonder if there is a better device <strong>for</strong><br />

internal fixation.<br />

Chemical Makeup <strong>of</strong> <strong>Bioresorbable</strong> Polymers<br />

There are numerous compounds <strong>of</strong> bioresorbable polymers used in medical applications.<br />

Each polymer has a base. Most commonly, the polymers are either poly lactic acid (PLA) based<br />

or milk based. The resorbable materials are compounded with other materials. The poly<br />

lactic/poly glycolic acid (PLA/PGA) compound is the one most commonly used in implants or<br />

fixation. This PLA/PGA combination can be used when the implant is needed in vitro short term.<br />

Because it is necessary that the bioresorbable polymers are stable enough to maintain their <strong>for</strong>m,<br />

a low concentration <strong>of</strong> glycolic acid must be present. Glycolic acid is a liquefying chemical that<br />

when present in a high concentration could cause the tensile bar to be unable to maintain its<br />

shape. Even though there are multiple variations <strong>of</strong> the lactide to glycolide ratio, the most<br />

widespread is the 90% lactide and 10% glycolide adaptation. The polymer is easiest to handle in<br />

this combination because it does not illustrate the s<strong>of</strong>t, gooey attribute <strong>of</strong> a high concentration <strong>of</strong><br />

glycolide (Bibber, 2009, p. 1).<br />

With the characteristic <strong>of</strong> degrading in the presence <strong>of</strong> heat and moisture, it is difficult to<br />

store biomaterials in an environment where they will not suffer premature degradation. Even the<br />

slightest change in moisture intake or temperature can cause a bioresorbable pellet to begin to<br />

break down as if it were in the body doing its job. Because <strong>of</strong> this complexity, bioresorbables are<br />

stored in nitrogen sealed packets to prevent disbanding <strong>of</strong> the polymers (Bibber, 2009, p. 1). As<br />

shown below in Table1, each compound <strong>of</strong> biodegradable polymers has different physical<br />

characteristics.<br />

5

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