Applications of Synthetic Polymers in Clinical Medicine

Maitz MF. Applications of synthetic polymers in clinical medicine. Biosurf Biotribol. 2015 1 161-76. 

A review is presented of the applications of synthetic polymers in medicine. The major uses of these biomaterials are in devices and implants for diagnosis or therapy. The composition and properties, characterization, and biologic interactions of a wide variety of synthetic polymers are reviewed. Biologic testing and clearance of biomaterials for clinical use are also covered. 

At a glance, the rapprochement between biochemistry and polymer chemistry seems to have played an important role in the methodological development of preparations for immobilized biocatalysts. A number of articles on the preparation and characterization of immobilized biocatalysts, together with their applications in a variety of fields besides synthetic chemical reactions - chemical and clinical analysis, medicine, and food processing, for example - have already been published. These results have been reviewed by many of the pioneers in this and related fields [1-20]. The technology for immobilizing enzymes and cells is believed to be relatively mature at this point. In addition, the nature of immobilized biocatalysts has become somewhat more transparent to us. The key now is to come up with new uses and new systems which can fulfill specific needs [21]. 

One of the major classes of synthetic bioresorbable polymers is that of aliphatic polyesters or poly(a-hydroxy acids). Poly(a-hydroxy acids) such as PGA, poly(lactic acid) (PLA) stereoisomers poly(L-lactic acid) (PLLA) and poly(D-lactic acid), and pol-y(lactic-co-glycolic acid) (PLGA) copolymers are the most widely used and most popular bioresorbable polymers since they received Food and Drug Administration (FDA) approval for clinical use in humans in different forms (eg, fibers for sutures, injectable forms) (Nair and Laurencin, 2007). These polymers are commonly used in regenerative medicine applications. An example is the InQu Bone Graft Extender Substitute (ISTO Technologies), an osteoconductive biosynthetic product used as bone graft substitute in the skeletal system to support new bone formation. The resorption rate of... 

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