ABSTRACT: Studies to date have identified that the introduction of antibiotics into PMMA bone cement can affect the crevice corrosion initiation and propagation mechanisms of commonly used biomaterials. In this study, five commercially available Poly(methyl methacrylate) PMMA bone cements were tested to investigate the effects of antibiotics on the severity of crevice corrosion. Bone cements with varying chemistry were also tested. A test method was developed in part reference to ASTM F746-04. Cylindrical specimens were fitted with a bone cement tapered collar, creating consistent crevice conditions. Crevice corrosion was then studied using potentiodynamic polarization technique in deaerated phosphate buffered saline solution (pH7.4) at 37°C. Surface analyses using a light microscope and scanning electron microscopy (SEM) were also conducted to investigate the surface morphology after accelerated electrochemical testing. Initial testing of commercially-available bone cements indicated that different PMMA bone cements can affect the initiation and propagation mechanism of crevice corrosion. Further studies have identified that the addition of radiopaque agent and antibiotics affect the initiation mechanisms in 316L stainless steel, whilst significantly increasing the extent of propagation in CoCrMo alloys.
INTRODUCTION In vivo, the human body is a harsh chloride-containing biological environment, lending itself to the accelerated dissolution of alloys and the release of potentially toxic metal ions. Corrosion of biomedical implants is a complex multi-factorial process depending on implant design, metallurgy, mechanical interactions and solution chemistry.1 During Total Hip Arthroplasty (THA), the meduallry canal is reamed to size using a series or reamers and rasps and a PMMA cement restrictor placed at the bottom of the canal and the cement is introduced and pressurised in a retrograde fashion. The femoral stem is then introduced into the cement, until the desired position is met and the remaining cement cleaned away to leave the bone cement mantle.