Original Article · Open access
Effects of hexagonal boron nitride on mechanical properties of bone cement (Polymethylmethacrylate)
- Keywords
- Bone cements, boron, mechanical strength.
Abstract
Objectives: The aim of this study was to investigate the effects of adding hexagonal boron nitride at four different concentrations to polymethylmethacrylate (PMMA) bone cement, which is commonly used in orthopedic surgeries, on the mechanical properties and microarchitecture of the bone cement.
Materials and methods: The study included an unaltered control group and groups containing four different concentrations (40 g of bone cement with 0.5 g, 1 g, 1.5 g, 2 g) of hexagonal boron nitride. The samples used for mechanical tests were prepared at 20±2ºC in operating room conditions, using molds in accordance with the test standards. As a result of the tests, the pressure values at which the samples deformed were determined from the load-deformation graphs, and the megapascal (MPa) values at which the samples exhibited strength were calculated.
Results: The samples with 0.5 g boron added to the bone cement had significantly increased mechanical strength, particularly in the compression test. In the group where 2 g boron was added, it was noted that, compared to the other groups, the strength pressure decreased and the porosity increased. The porosity did not change particularly in the group where 0.5 g boron was added.
Conclusion: Our study results demonstrate that adding hexagonal boron nitride (HBN) to bone cement at a low concentration (0.5 g / 40 g PPMA) significantly increases the mechanical strength in terms of MPa (compression forces) without adversely affecting porosity. However, the incorporation of HBN at higher concentrations increases porosity, thereby compromising the biomechanical properties of the bone cement, as evidenced by the negative impact on compression and four-point bending tests. Boron-based products have gained increased utilization in the medical field, and HBN is emerging as a promising chemical compound, steadily growing in significance.
Declarations
Ethics Committee Approval
N/A. The study was conducted in accordance with the principles of the Declaration of Helsinki.
Author Contributions
Design: A.P., A.Y., M.A.T., S.Y., A.C.B., H.Y.S.; Analysis and interpretation of data: A.Y., M.A.T., S.Y., A.C.B.; Literature review: A.P., A.Y., H.Y.S.; Writing the article: A.P., A.Y.; Critical review: A.P., A.C.B., H.Y.S.
Conflict of Interest
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
Financial Disclosure
The authors received no financial support for the research and/or authorship of this article.
Data Sharing Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
- Alt V, Bechert T, Steinrücke P, Wagener M, Seidel P, Dingeldein E, et al. An in vitro assessment of the antibacterial properties and cytotoxicity of nanoparticulate silver bone cement. Biomaterials 2004;25:4383-91. DOI: 10.1016/j.biomaterials.2003.10.078.
- Hakki SS, Bozkurt BS, Hakki EE. Boron regulates mineralized tissue-associated proteins in osteoblasts (MC3T3-E1). J Trace Elem Med Biol 2010;24:243-50. DOI: 10.1016/j.jtemb.2010.03.003.
- Nielsen FH. Is boron nutritionally relevant? Nutr Rev 2008;66:183-91. DOI: 10.1111/j.1753-4887.2008.00023.x.
- Hunt CD. Regulation of enzymatic activity: One possible role of dietary boron in higher animals and humans. Biol Trace Elem Res 1998;66:205-25. DOI: 10.1007/BF02783139.
- Chueh KS, Huang SP, Lee YC, Wang CJ, Yeh HC, Li WM, et al. The comparison of the aging male symptoms (AMS) scale and androgen deficiency in the aging male (ADAM) questionnaire to detect androgen deficiency in middle-aged men. J Androl 2012;33:817-23. DOI: 10.2164/jandrol.111.015628.
- Nielsen FH, Hunt CD, Mullen LM, Hunt JR. Effect of dietary boron on mineral, estrogen, and testosterone metabolism in postmenopausal women. FASEB J 1987;1:394-7.
- Stubbs JR, Zhang S, Friedman PA, Nolin TD. Decreased conversion of 25-hydroxyvitamin D3 to 24,25-dihydroxyvitamin D3 following cholecalciferol therapy in patients with CKD. Clin J Am Soc Nephrol 2014;9:1965-73. DOI: 10.2215/CJN.03130314.
- Zofková I, Nemcikova P, Matucha P. Trace elements and bone health. Clin Chem Lab Med 2013;51:1555-61. DOI: 10.1515/cclm-2012-0868.
- Travers R, Rennie G, Newnham R. Boron and arthritis: The results of a double-blind pilot study. J Nutr Med 2009;1:127- 32. DOI: 10.3109/13590849009003147.
- Gölge UH, Kaymaz B, Arpaci R, Kömürcü E, Göksel F, Güven M, et al. Effects of boric acid on fracture healing: An experimental study. Biol Trace Elem Res 2015;167:264-71. DOI: 10.1007/s12011-015-0326-3.
- Yılmaz BK, Konya MN, İnce S, Demirel HH, Çetin Y, Güngör A. Investigation of the efficacy of epidermal growth factor, boric acid and their combination in cartilage injury in rats: An experimental study. Jt Dis Relat Surg 2024;35:156-68. DOI: 10.52312/jdrs.2023.1074.
- Gök S, Ozan F, Akay E, Yamak K, Kayalı C, Altay T. Effect of boric acid on cartilage formation of osteochondral defects in rabbit knee: An experimental study. Ulus Travma Acil Cerrahi Derg 2021;27:504-9. English. DOI: 10.14744/tjtes.2020.17748.
- Korkmaz M, Turkmen R, Demirel HH, Saritas ZK. Effect of boron on the repair of osteochondral defect and oxidative stress in rats: An experimental study. Biol Trace Elem Res 2019;187:425-33. DOI: 10.1007/s12011-018-1381-3.
- Lewis G. Alternative acrylic bone cement formulations for cemented arthroplasties: Present status, key issues, and future prospects. J Biomed Mater Res B Appl Biomater 2008;84:301-19. DOI: 10.1002/jbm.b.30873.
- Méndez JA, Aguilar MR, Abraham GA, Vázquez B, Dalby M, Di Silvio L, et al. New acrylic bone cements conjugated to vitamin E: Curing parameters, properties, and biocompatibility. J Biomed Mater Res 2002;62:299-307. DOI: 10.1002/jbm.10296.
- Nielsen FH. Update on human health effects of boron. J Trace Elem Med Biol 2014;28:383-7. DOI: 10.1016/j.jtemb.2014.06.023.
- Atila A, Halici Z, Cadirci E, Karakus E, Palabiyik SS, Ay N, et al. Study of the boron levels in serum after implantation of different ratios nano-hexagonal boron nitride-hydroxy apatite in rat femurs. Mater Sci Eng C Mater Biol Appl 2016;58:1082-9. DOI: 10.1016/j.msec.2015.09.041.
- Gillani R, Ercan B, Qiao A, Webster TJ. Nanofunctionalized zirconia and barium sulfate particles as bone cement additives. Int J Nanomedicine 2010;5:1-11.
- Makita M, Yamakado K, Nakatsuka A, Takaki H, Inaba T, Oshima F, et al. Effects of barium concentration on the radiopacity and biomechanics of bone cement: Experimental study. Radiat Med 2008;26:533-8. DOI: 10.1007/s11604-008-0269-0.
- Atik OŞ. Writing for Joint Diseases and Related Surgery (JDRS): There is something new and interesting in this article! Jt Dis Relat Surg 2023;34:533. DOI: 10.52312/jdrs.2023.57916.
- Coan T, Barroso G, Motz G, Bolzan A, Machado R. Preparation of PMMA/hBN composite coatings for metal surface protection. Materials Research 2013;16:1366-72. DOI: 10.1590/S1516-14392013005000140.
- Rau JV, Fosca M, Fadeeva IV, Kalay S, Culha M, Raucci MG, et al. Tricalcium phosphate cement supplemented with boron nitride nanotubes with enhanced biological properties. Mater Sci Eng C Mater Biol Appl 2020;114:111044. DOI: 10.1016/j.msec.2020.111044.
