Preparation and characterisation of calcium phosphate cement made by poly(acrylic/itaconic) acid

In this study, the compressive strength and bioactivity of strong polymeric calcium phosphate cement (PCPC), made by mixing a calcium phosphate powder (a mixture of tetracalcium phosphate and dicalcium phosphate dihydrate) and an aqueous solution of poly(acrylic/itaconic) acid, were investigated. The characteristics of the cement such as phase composition, setting reaction products and microstructure were analysed and compared to those of a control sample made by the same solid phase and water as a liquid. The hard tissue healing capability of PCPC was tested in a rabbit model by radiographical observations of the healing process as well as the cement condition. The results showed that the compressive strength of the set PCPC was ~35 MPa before soaking in a simulated body fluid (SBF), which was much higher than that of the control specimen. However, it sharply decreased when the cement was immersed in the SBF. X-ray diffraction analysis revealed that tricalcium phosphate was formed in the set PCPC and only a small amount of hydroxyapatite was produced after seven days soaking. In contrast, hydroxyapatite was almost the only phase of the control specimen after the soaking period. Radiography tests showed a cement (PCPC) with an irregular macrostructure after three months implantation, with a decreased radiopacity, and without any periosteal or intercortical callus formation.