Orthopedic biomaterials polymers

Middleton, J. C. Tipton, A. J., Synthetic biodegradable polymers as orthopedic devices. Biomaterials 2000, 21, 2335-2346... 

ASD Report (2013) Biomaterials Market by Products (Polymers, Metals, Ceramics, Natural Biomaterials) and Applications (Cardiovascular, Orthopedic, Dental,... 

Marketsandmarkets (2012) Bio-Implants Cardiovascular, Spine, Orthopedics, Trauma, Dental Ceramics, Biomaterial, Alloys, Polymers, Allo/Auto/Xenografts, Synthetic. Report code MD-1190, Press release, September 2012. 

Transparency Market Research (2014) Biomaterials Market for Implantable Devices (Material Type - Metals, Polymers, Ceramics and Natural, Applications - Cardiology, Orthopedics, Dental, Ophthalmology and Others) - Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013 - 2019. 

Other biomedical applications of polymers include sustained and controlled drug delivery formulations for implantation, transdermal and trans-cornealuses, intrauterine devices, etc. (6, 7). Major developments have been reported recently on the use of biomaterials for skin replacement (8), reconstruction of vocal cords (9), ophthalmic applications such as therapeutic contact lenses, artificial corneas, intraocular lenses, and vitreous implants (10), craniofacial, maxillofacial, and related replacements in reconstructive surgery (I), and neurostimulating and other electrical-stimulating electrodes (I). Orthopedic applications include artificial tendons (II), prostheses, long bone repair, and articular cartilage replacement (I). Finally, dental materials and implants (12,13) are also often considered as biomaterials. 

The main requirement imposed on all polymer biomaterials applied in medicine is a combination of their desired physicochemical and physicomechanical characteristics with biocompatibility. Depending on particular applications, the biocompatibility of polymers can include various requirements, which can sometimes be contradictory to each other. Thns, in the case of artificial vessels, drainages, intraocular lenses, biosensors, or catheters, the interaction of the polymer with a biological medium should be minimized for the rehable operation of the corresponding device after implantation. In contrast, in the majority of orthopedic applications, the active interaction and fusion of an implant with a tissne is required. General requirements imposed on all medical polymers consist in non-toxicity and stability. 

Bioadhesion, i.e. biofihn formation resulting in a fouling surface, is required for biomaterial to be considered as a part of the body (e.g., orthopedic prosthesis, hard tissue) to enhance its incorporation and its biomechanical response. Examples are in the rebuilding of bones, recolonization, and hybrid implants composed of two parts, a synthetic one (with polymers as the mechanical sub-... 

This chapter addresses the application of polymeric biomaterials in the context of implantable devices intended for long-term functionality and permanent existence in the recipients. Basic concepts of biocompatibility as well as mechanical and structural compatibility are discussed to provide appropriate background for the understanding of polymer usage in cardiovascular, orthopedic, ophthalmologic, and dental prostheses. Furthermore, emerging classes... 

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