Cement

About: Cement is a research topic. Over the lifetime, 68440 publications have been published within this topic receiving 829356 citations.

High-viscosity cement significantly enhances uniformity of cement filling in vertebroplasty: an experimental model and study on cement leakage.

Abstract: STUDY DESIGN Experimental study using a laboratory leakage model. OBJECTIVE To examine the working hypothesis that high-viscosity cements will spread uniformly, thus significantly reducing the risk of leakage. SUMMARY OF BACKGROUND DATA In vertebroplasty, forces that govern the flow of bone cement in the trabecular bone skeleton are an essential determinant of the uniformity of cement filling. Extraosseous cement leakage has been reported to be a major complication of this procedure. Leakage occurs due to the presence of a path of least resistance caused by irregularities in the trabecular bone or shell structure. Ideally, cement uniformly infiltrates the trabecular bone skeleton and does not favor specific paths. Cement viscosity is believed to affect the infiltration forces and flow during the procedure. Clinically, altering the time between cement mixing and delivery modifies the viscosity of bone cement. METHODS An experimental model of the leakage phenomenon of vertebroplasty was developed. A path, simulating a blood vessel, was created in the model to perturb the forces underlying cement flow and to favor leakage. Cement of varying viscosities was injected in the model, and, thereafter, the filling pattern, cement mass that has leaked, time at which leakage occurred, and injection pressure were measured. RESULTS A strong relationship was found between the uniformity of the filling pattern and the elapsed time from cement mixing and viscosity, respectively. Specifically, 3 distinct cement leakage patterns were observed: immediate leakage was observed when cement was injected 5-7 minutes following mixing. The cement was of a low viscosity and more than 50% of the total cement injected leaked. Moderate leakage was observed when injection occurred 7-10 minutes following mixing. Less than 10% of the cement leaked, and the viscosity was at a transient state between the low viscosity of immediate leakage and a higher viscosity, doughy cement. Cement leakage ceased completely when cement was delivered after 10 minutes. The viscosity of the cement in this case was high, and the cement was of a dough-like consistency. CONCLUSIONS High-viscosity cement seems to stabilize cement flow. However, the forces required for the delivery of high-viscosity cement may approach or exceed the human physical limit of injection forces. Although the working time of the cement is about 17 minutes, it may not be manually injectable with a standard syringe and cannula after 10 minutes, at which time cement leakage ceased completely.

Effects of silica powder and cement type on durability of ultra high performance concrete (UHPC)

Abstract: Ultra-high performance concrete (UHPC) achieves extraordinary strength characteristics through optimization of the particle packing density of the cementitious matrix. The dense matrix also promotes exceptional durability properties and is arguably the biggest benefit of the material. A durable concrete enables structures to last longer, reduces the cost of maintenance and helps achieve a significantly more sustainable infrastructure. To assess the durability of UHPC, the performance of several non-proprietary blends are investigated by assessing the materials' resistance to freeze-thaw cycles, ingress of chlorides as well as the presence and distribution of air voids. The main experimental variables are cement type and the quantity of silica powder, which varies from 0% to 25% of the cement weight. All mixes displayed negligible chloride ion penetration and high resistance to freeze-thaw with mass loss well below the limit in over 60 cycles of freeze-thaw. Analysis of the test data indicates that the silica powder content has little influence on performance.