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PMMA Bone Cement in Interventional Oncology

卷 49, 册 1, 2021, pp. 35-50
DOI: 10.1615/CritRevBiomedEng.2021037591
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Julien Garnon
University Hospital Strasbourg, Strasbourg, Bas-Rhin, France
L. Meylheuc
Laboratoire I-Cube, Université de Strasbourg, 300 Bd Sébastien Brant, 67400 Illkirch-Graffenstaden
J. Jennings
Washington University School of Medicine
G. Koch
University Hospital Strasbourg, Strasbourg, Bas-Rhin, France
R. Cazzato
University Hospital Strasbourg, Strasbourg, Bas-Rhin, France
B. Bayle
Laboratoire I-Cube, Université de Strasbourg, 300 Bd Sébastien Brant, 67400 Illkirch-Graffenstaden
A. Gangi
University Hospital Strasbourg, Strasbourg, Bas-Rhin, France

摘要

Polymethylmethacrylate (PMMA) bone cement is increasingly being used for percutaneous minimally invasive treatments of patients suffering from bone malignancies. PMMA is composed of a polymeric powder and a monomeric liquid. Once mixed, the polymerization process begins and leads to a viscous fluid that can be injected through a bone trocar. Cement progressively hardens within the bone, leading to a viscoelastic solid material. PMMA interacts with the surrounding cancellous bone through mechanical interlocking via interdigitations in trabecular bone. It can also bond with hardware, such as titanium screws, as it penetrates the macro- and micro-irregularities of the hardware. PMMA itself has no antineoplastic effects but may be used as a stand-alone treatment to provide pain palliation and bone consolidation through mechanical reinforcement, notably in areas with high compression load. It can also be used to reinforce the anchorage of screws in case of a landing zone with poor bone quality due to underlying malignant osteolysis.

键词: viscosity, bone-cement interface, pain management, bone consolidation, screw anchorage
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对本文的引用

  1. Cazzato Roberto Luigi, Garnon Julien, Dalili Danoob, Autrusseau Pierre-Alexis, Auloge Pierre, De Marini Pierre, Buy Xavier, Palussiere Jean, Gangi Afshin, Percutaneous osteoplasty in long bones: Current status and assessment of outcomes, Techniques in Vascular and Interventional Radiology, 25, 1, 2022. Crossref

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