Evidence map›Paper›PMID 34300997›Full record

ArticlePolymers2021

Influence of Antibiotic-Loaded Acrylic Bone Cement Composition on Drug Release Behavior and Mechanism.

I-Cheng Chen, Chen-Ying Su, Wei-Han Nien, Tzu-Tien Huang, Chang-Hung Huang, Yung-Chang Lu, Yu-Jen Chen, Gwo-Che Huang, Hsu-Wei Fang

Abstract read
In one paragraph

Article in Polymers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Antimicrobial 3D printed implants for periprosthetic joint infections.Drug delivery and translational research · 2026
    Article
  8. Article
  9. Article
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  11. Review
  12. Article
  13. Article
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  16. Article
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  18. Article
  19. Morphological properties of bone cement mixed with antibiotics.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

I-Cheng ChenAccelerator for Happiness and Health Industry, National Taipei University of Technology, No. 1, Sec. 3, Zhongxiao E. Rd., Taipei 10608, Taiwan.
Chen-Ying SuDepartment of Chemical Engineering and Biotechnology, National Taipei University of Technology, No. 1, Sec. 3, Zhongxiao E. Rd., Taipei 10608, Taiwan.
Wei-Han NienDepartment of Chemical Engineering and Biotechnology, National Taipei University of Technology, No. 1, Sec. 3, Zhongxiao E. Rd., Taipei 10608, Taiwan.
Tzu-Tien HuangDepartment of Chemical Engineering and Biotechnology, National Taipei University of Technology, No. 1, Sec. 3, Zhongxiao E. Rd., Taipei 10608, Taiwan.
Chang-Hung HuangDepartment of Medical Research, Biomechanics Research Laboratory, Mackay Memorial Hospital, New Taipei City 251020, Taiwan.
Yung-Chang LuDepartment of Medical Research, Biomechanics Research Laboratory, Mackay Memorial Hospital, New Taipei City 251020, Taiwan.
Yu-Jen ChenDepartment of Radiation Oncology, MacKay Memorial Hospital, Taipei 10491, Taiwan.ORCID 0000-0001-9794-8938
Gwo-Che HuangDepartment of Radiation Oncology, MacKay Memorial Hospital, Taipei 10491, Taiwan.
Hsu-Wei FangAccelerator for Happiness and Health Industry, National Taipei University of Technology, No. 1, Sec. 3, Zhongxiao E. Rd., Taipei 10608, Taiwan.

Funding

Ministry of Science and Technology, Taiwan 108-2622-8-027-003-TE4National Taipei University of Technology and Mackay Memorial Hospital Joint Research Program NTUT-MMH-108-07
6 · The paper itself

Abstract

Periprosthetic joint infection (PJI) is a devastating complication after total joint replacement with considerable morbidity and large economic burdens. Antibiotic-Loaded Bone Cement (ALBC) has been developed as a valuable tool for local administration and is becoming one of the most effective methods for the prevention and treatment of orthopedic infections. Controlling antibiotic release from ALBC is critical to achieve effective infection control, however, the antibiotic elution rates are generally low, and the mechanisms are poorly understood. Thus, the present study aims to investigate the effects of the basic acrylic bone cement components, including liquid/powder (monomer-to-polymer) ratios, radiopacifier, initiator, and doses of antibiotics on the porosity, antibiotic elution rates and mechanical properties of polymethylmethacrylate (PMMA) based ALBC. The obtained results from the in vitro studies suggested that a reduction in the liquid/powder ratio and an increase in the radiopacifier ratio and gentamicin doses led to increased porosity and release of antibiotic, while the initiator ratio exerted no effect on elution rates. In conclusion, we hope that by varying the composition of ALBC, we could considerably enhance the antibiotic elution rates by increasing porosity, while maintaining an adequate mechanical strength of the bone cements. This finding might provide insights into controlling antibiotic release from ALBC to achieve effective infection control after total joint replacement surgery.

Indexed as

antibacterialantibiotic-loaded bone cementbiomaterialsdrug deliverydrug releaseinfection

Identifiers

PMID34300997
PMCPMC8309450

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.