Polymer-controlled release of tobramycin from bone graft void filler. 2013

Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
Department of Pharmaceutics and Pharmaceutical Chemistry, University of Utah, Salt Lake City, UT, 84112-5820, USA, amanda.brooks@utah.edu.

Despite clinical, material, and pharmaceutical advances, infection remains a major obstacle in total joint revision surgery. Successful solutions must extend beyond bulk biomaterial and device modifications, integrating locally delivered pharmaceuticals and physiological cues at the implant site, or within large bone defects with prominent avascular spaces. One approach involves coating clinically familiar allograft bone with an antibiotic-releasing rate-controlling polymer membrane for use as a matrix for local drug release in bone. The kinetics of drug release from this system can be tailored via alterations in the substrate or the polymeric coating. Drug-loaded polycaprolactone coating releases bioactive tobramycin from both cadaveric-sourced cancellous allograft fragments and synthetic hybrid coralline ceramic bone graft fragments with similar kinetics over a clinically relevant 6-week timeframe. However, micron-sized allograft particulate provides extended bioactive tobramycin release. Addition of porogen polyethylene glycol to the polymer coating formulation changes tobramycin release kinetics without significant impact on released antibiotic bioactivity. Incorporation of oil-microencapsulated tobramycin into the polymer coating did not significantly modify tobramycin release kinetics. In addition to releasing inhibitory concentrations of tobramycin, antibiotic-loaded allograft bone provides recognized beneficial osteoconductive potential, attractive for decreasing orthopedic surgical infections with improved filling of dead space and new bone formation.

UI MeSH Term Description Entries

Related Publications

Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
September 2004, The Journal of craniofacial surgery,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
September 1998, Orthopedics,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
April 2009, Medical journal, Armed Forces India,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
August 2010, Tissue engineering. Part A,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
May 2017, Journal of biomedical materials research. Part B, Applied biomaterials,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
October 2001, European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
December 1997, Journal of materials science. Materials in medicine,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
November 1987, Die Pharmazie,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
March 2009, The Journal of craniofacial surgery,
Amanda E Brooks, and Benjamin D Brooks, and Sherry N Davidoff, and Paul C Hogrebe, and Mark A Fisher, and David W Grainger
November 2018, Materials (Basel, Switzerland),
Copied contents to your clipboard!