PMID- 9612002 OWN - NLM STAT- MEDLINE DCOM- 19980616 LR - 20170214 IS - 0954-4119 (Print) IS - 0954-4119 (Linking) VI - 212 IP - 2 DP - 1998 TI - Bioactive bone cements. PG - 113-20 AB - Poly(methylmethacrylate) (PMMA) bone cement, used to fix implants into the bone, produces good surgical results if used correctly. However, prostheses do eventually become loose and the breakdown of the cement mantle is a factor in this failure. Limitations of PMMA cement, which lead to problems with the fixation of the implant, include its mechanical characteristics and its influence upon surrounding bone, associated with the polymerization reaction. A bioactive bone cement is particularly designed to produce a better interface between the cement and bone. However, an improvement in mechanical properties, especially fatigue, creep and fracture toughness, are an added necessary requirement to increase the lifetime of a cemented implant. The development of a bioactive cement has been conducted mainly in two ways; firstly, to improve existing PMMA cement by the addition of various bioactive agents and secondly, to design an alternative matrix for the bioactive material to be combined with. The most promising investigations which have been conducted, along with their relative benefits and drawbacks, are discussed. FAU - Harper, E J AU - Harper EJ AD - Interdisciplinary Research Centre in Biomedical Materials, Queen Mary and Westfield College, University of London. LA - eng PT - Journal Article PT - Review PL - England TA - Proc Inst Mech Eng H JT - Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine JID - 8908934 RN - 0 (Biocompatible Materials) RN - 0 (Bone Cements) RN - 0 (Hydroxyapatites) RN - 454I75YXY0 (Bisphenol A-Glycidyl Methacrylate) RN - 9002-72-6 (Growth Hormone) RN - 9011-14-7 (Polymethyl Methacrylate) SB - IM MH - *Biocompatible Materials MH - Biomechanical Phenomena MH - Bisphenol A-Glycidyl Methacrylate MH - *Bone Cements/chemistry MH - Bone and Bones/physiology MH - Growth Hormone/chemistry MH - Hydroxyapatites/chemistry MH - Joint Prosthesis MH - Materials Testing MH - Polymethyl Methacrylate/chemistry RF - 48 EDAT- 1998/06/05 00:00 MHDA- 1998/06/05 00:01 CRDT- 1998/06/05 00:00 PHST- 1998/06/05 00:00 [pubmed] PHST- 1998/06/05 00:01 [medline] PHST- 1998/06/05 00:00 [entrez] AID - 10.1243/0954411981533881 [doi] PST - ppublish SO - Proc Inst Mech Eng H. 1998;212(2):113-20. doi: 10.1243/0954411981533881.