Comparison of Elution Characteristics and Compressive Strength of Biantibiotic-Loaded PMMA Bone Cement for Spacers: Copal® Spacem with Gentamicin and Vancomycin versus Palacos® R+G with Vancomycin.

PURPOSE: Copal® spacem is a new PMMA bone cement for fabricating spacers. This study compares elution of gentamicin, elution of vancomycin, and compressive strength of Copal® spacem and of Palacos® R+G at different vancomycin loadings in the powder of the cements. We hypothesized that antibiotic elution of Copal® spacem is superior at comparable compressive strength. METHODS: Compression test specimens were fabricated using Copal® spacem manually loaded with 0.5 g gentamicin and additionally 2 g, 4 g, and 6 g of vancomycin per 40 g of cement powder (COP specimens) and using 0.5 g gentamicin premixed Palacos® R+G manually loaded with 2 g, 4 g, and 6 g of vancomycin per 40 g of cement powder (PAL specimens). These specimens were used for determination of gentamicin and vancomycin elution (in fetal calf serum, at 22°C) and for determination of compressive strength both prior and following the elution tests. RESULTS: Cumulative gentamicin concentrations (p < 0.005) and gentamicin concentration after 28 days (p ≤ 0.043) were significantly lower for COP specimens compared to PAL specimens. Cumulative vancomycin concentrations were significantly higher (p ≤ 0.043) for COP specimens after the second day. Vancomycin concentrations after 28 days were not significantly higher for the Copal specimens loaded with 2 g and 4 g of vancomycin. Compressive strength was not significantly different between COP specimens and PAL specimens before elution tests. Compressive strength after the elution tests was significantly lower (p = 0.005) for COP specimens loaded with 2 g of vancomycin. CONCLUSION: We could not demonstrate consistent superior antibiotic elution from Copal® spacem compared to Palacos® R+G for fabricating gentamicin and vancomycin loaded spacers. The results do not favor Copal® spacem over Palacos® R+G for the use as a gentamicin and vancomycin biantibiotic-loaded spacer.

Tissue Mimicry in Morphology and Composition Promotes Hierarchical Matrix Remodeling of Invading Stem Cells in Osteochondral and Meniscus Scaffolds.

An integral approach toward in situ tissue engineering through scaffolds that mimic tissue with regard to both tissue architecture and biochemical composition is presented. Monolithic osteochondral and meniscus scaffolds are prepared with tissue analog layered biochemical composition and perpendicularly oriented continuous micropores by a newly developed cryostructuring technology. These scaffolds enable rapid cell ingrowth and induce zonal-specific matrix synthesis of human multipotent mesenchymal stromal cells solely through their design without the need for supplementation of soluble factors such as growth factors.

Surface sensitive study to determine the reactivity of soot with the focus on the European emission standards IV and VI.

Diesel soot (Euro IV and Euro VI) was investigated with spectroscopic methods such as near-edge X-ray absorption fine structure (NEXAFS) spectroscopy and X-ray photoemission spectroscopy (XPS). C and O K-edge NEXAFS show that structural disorder on the surface is accompanied by a higher amount of oxygen functional groups. O K-edge NEXAFS and O1s XPS results are discussed with the aim to elucidate the nature of the oxygen surface species. The analysis of the data presented here allows the postulation of a hypothetical structure for soot samples emitted by diesel engines.

Soot structure and reactivity analysis by Raman microspectroscopy, temperature-programmed oxidation, and high-resolution transmission electron microscopy.

Raman microspectroscopy (RM), temperature-programmed oxidation (TPO), high-resolution transmission electron microscopy (HRTEM), and electron energy loss spectroscopy (EELS) were combined to get comprehensive information on the relationship between structure and reactivity of soot in samples of spark discharge (GfG), heavy duty engine diesel (EURO VI and IV) soot, and graphite powder upon oxidation by oxygen at increasing temperatures. GfG soot and graphite powder represent the higher and lower reactivity limits. Raman microspectroscopic analysis was conducted by determination of spectral parameters using a five band fitting procedure (G, D1-D4) as well as by evaluation of the dispersive character of the D mode. The analysis of spectral parameters shows a higher degree of disorder and a higher amount of molecular carbon for untreated GfG soot samples than for samples of untreated EURO VI and EURO IV soot. The structural analysis based on the dispersive character of the D mode revealed substantial differences in ordering descending from graphite powder, EURO IV, VI to GfG soot. HRTEM images and EELS analysis of EURO IV and VI samples indicated a different morphology and a higher structural order as compared to GfG soot in full agreement with the Raman analysis. These findings are also confirmed by the reactivity of soot during oxidation (TPO), where GfG soot was found to be the most reactive and EURO IV and VI soot samples exhibited a moderate reactivity.

Shape reconstruction from gradient data.

We present a generalized method for reconstructing the shape of an object from measured gradient data. A certain class of optical sensors does not measure the shape of an object but rather its local slope. These sensors display several advantages, including high information efficiency, sensitivity, and robustness. For many applications, however, it is necessary to acquire the shape, which must be calculated from the slopes by numerical integration. Existing integration techniques show drawbacks that render them unusable in many cases. Our method is based on an approximation employing radial basis functions. It can be applied to irregularly sampled, noisy, and incomplete data, and it reconstructs surfaces both locally and globally with high accuracy.

Microdeflectometry--a novel tool to acquire three-dimensional microtopography with nanometer height resolution.

We introduce "microdeflectometry," a novel technique for measuring the microtopography of specular surfaces. The primary data are the local slope of the surface under test. Measuring the slope instead of the height implies high information efficiency and extreme sensitivity to local shape irregularities. The lateral resolution can be better than 1 microm, whereas the resulting height resolution is in the range of 1nm. Microdeflectometry can be supplemented by methods to expand the depth of field, with the potential to provide quantitative 3D imaging with scanning-electron-microscope-like features.