Evidence map›Paper›PMID 39204597›Full record

ArticlePolymers2024

Does the Addition of Low-Dose Antibiotics Compromise the Mechanical Properties of Polymethylmethacrylate (PMMA)?

Valentina Egger, Dietmar Dammerer, Gerald Degenhart, Johannes D Pallua, Werner Schmölz, Martin Thaler, Klaus-Dieter Kühn, Michael Nogler, David Putzer

Abstract read
In one paragraph

Article in Polymers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
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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.

Valentina EggerDepartment of Orthopaedic and Traumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0009-0003-2960-1416
Dietmar DammererDepartment for Orthopaedics and Traumatology, University Hospital Krems, 3500 Krems an der Donau, Austria.ORCID 0000-0002-3212-4580
Gerald DegenhartDepartment for Radiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0002-9961-1084
Johannes D PalluaDepartment of Orthopaedic and Traumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0003-0203-213X
Werner SchmölzDepartment of Orthopaedic and Traumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0003-2962-2594
Martin ThalerHelios Klinikum, Arthroplasty Center Munich West, 81241 Munich, Germany.
Klaus-Dieter KühnDepartment for Orthopaedics and Traumatology, Medical University Graz, 8036 Graz, Austria.
Michael NoglerDepartment of Orthopaedic and Traumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
David PutzerDepartment of Orthopaedic and Traumatology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0001-9439-0051

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing numbers of total joint replacements and related implant-associated infections demand solutions, which can provide a high-dose local delivery of antibiotics. Antibiotic-loaded bone cement (ALBC) is an accepted treatment method for infected joint arthroplasties. The mechanical properties of low-dose gentamicin-loaded bone cement (BC) in medium- and high-viscosity versions were compared to unloaded BC using a vacuum mixing system. As an additional control group, manual mixed unloaded BC was used. In a uniaxial compression test, ultimate compressive strength, compressive yield strength, and compression modulus of elasticity, as well as ultimate and yield strain, were determined according to ISO 5833-2022 guidelines. All groups exceeded the minimum compressive strength (70 MPa) specified in the ISO 5833 guidelines. Both ALBC groups showed a similar ultimate compressive and yield strength to the unloaded BC. The results showed that vacuum mixing increased the compression strength of BC. ALBC showed similar compressive strength to their non-antibiotic counterparts when vacuum mixing was performed. Added low-dose gentamicin acted as a plasticizer on bone cement. From a biomechanical point of view, the usage of gentamicin-based ALBC formulations is viable.

Indexed as

antibiotic-loaded bone cementcompression testinggentamicinlocal delivery of antibioticsmechanical propertiesperiprosthetic joint infection

Identifiers

PMID39204597
PMCPMC11359730

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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.