Carbon nanofibers have revolutionized nanotechnology due to their potential applications in emerging frontiers of research and industrial sectors. This can be attributed to their superior properties such as higher mec...Carbon nanofibers have revolutionized nanotechnology due to their potential applications in emerging frontiers of research and industrial sectors. This can be attributed to their superior properties such as higher mechanical strength, unique surface characteristics, and improved adherence that is transmitted into the polymer matrix to form a nanocomposite with improved properties. Polymethyl methacrylate is a common carbon source for the synthesis of carbon nanofibres of its high mechanical strength, thermal stability, and low moisture and water absorbing capacity that allows its products to have several applications. In this work, we report the successful electrospinning of carbon nanofibres from Poly methyl methacrylate and functionalizing the resulting carbon nanofibres. The functionalized carbon nanofibres were analyzed to determine their solubility/dispersion in selected organic solvents, then characterized using Fourier transform infra-red spectroscopy, Raman spectroscopy, scanning electron microscopy combined with Energy dispersive spectroscopy and Thermalgravimetric analysis.展开更多
A new kind of polymethyl methacrylate （PMMA）-TiO2 nanocomposite was synthesized through polymerization. The thermal and photic stability of this PMMA TiO2 nanocomposites were investigated. The as prepared samples we...A new kind of polymethyl methacrylate （PMMA）-TiO2 nanocomposite was synthesized through polymerization. The thermal and photic stability of this PMMA TiO2 nanocomposites were investigated. The as prepared samples were characterized by scanning electron microscopy （SEM）, UV-Vis spectroscopy, differential thermal analysis （DTA） and the photo-induced weight loss, The results show that the photostability of the PMMA-TiO2 nanocomposite is higher than that of the pure PMMA under UV-light irradiation, The weight loss of the pure PMMA reaches 30 % after 300 h UVirradiation, while the composite only 0.3% under the identical experimental condition. The glass transition temperature （TR） of pure PMMA is only 80℃, while the Tg of the composite reaches 258℃. Compared with pure PMMA, the thermal stability of the composite is greatly enhanced.展开更多
Poly methyl methacrylate(PMMA)bone cement is used in augmenting and stabilizing fractured vertebral bodies through percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP).However,applications of PMMA bone ce...Poly methyl methacrylate(PMMA)bone cement is used in augmenting and stabilizing fractured vertebral bodies through percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP).However,applications of PMMA bone cement are limited by the high elasticity modulus of PMMA,its low biodegradability,and its limited ability to regenerate bone.To improve PMMA bio activity and biodegradability and to modify its elasticity modulus,we mixed PMMA bone cement with oxidized hyaluronic acid and carboxymethyl chitosan in situ cross-linking hydrogel loaded with bone morphogenetic protein-2(BMP-2)to achieve novel hybrid cement.These fabric ated PMMA-hydrogel hybrid cements exhibited lower setting temperatures,a lower elasticity modulus,and better biodegradability and biocompatibility than that of pure PMMA cement,while retaining acceptable setting times,mechanical strength,and inj ectability.In addition,we detected release of BMP-2 from the PMMA-hydrogel hybrid cements,significantly enhancing in vitro osteogenesis of bone marrow mesenchymal stem cells by up-regulating the gene expression of Runx2,Coll,and OPN.Use of PMMA-hydrogel hybrid cements loaded with BMP-2 on rabbit femoral condyle bone-defect models revealed their biodegradability and enhanced bone formation.Our study demonstrated the favorable mechanical properties,biocompatibility,and biodegradability of fabricated PMMA-hydrogel hybrid cements loaded with BMP-2,as well as their ability to improve osteogenesis,making them a promising material for use in PKP and PVP.展开更多
BACKGROUND In children with osteosarcoma around the knee joint without epiphysis involvement,joint-sparing surgery seems to be an ideal way to retain knee joint function.However,there are two points of debate with reg...BACKGROUND In children with osteosarcoma around the knee joint without epiphysis involvement,joint-sparing surgery seems to be an ideal way to retain knee joint function.However,there are two points of debate with regard to the technique:How to accurately achieve a safe surgical margin,and how to achieve intercalary reconstruction of the massive bone defect following resection of the tumor.CASE SUMMARY We present the case of an 8-year-old girl with osteosarcoma of the distal femur without involvement of the epiphysis.Epiphyseal distraction was applied to separate the epiphysis and metaphysis,and this provided a safe surgical margin.The massive bone defect was reconstructed with a custom-made antibioticloaded polymethyl methacrylate(PMMA)construct combined with a free nonvascularized fibular graft.Six months after surgery,bone union between the autograft and host bone was confirmed in both the proximal and distal femur by computer tomography(CT)examination.Moreover,considerable callus formation was found around the PMMA construct.After 28 mo of follow-up,there was no sign of recurrence or metastasis.The patient could walk without any aid and carry out her daily life activities satisfactorily.CONCLUSION In cases of osteosarcoma without epiphysis involvement,epiphyseal distraction can be easily applied to obtain a safe margin.Hybrid reconstruction with an antibiotic-loaded PMMA construct combined with a free non-vascularized fibular graft has the advantages of being easy to manufacture,less time-consuming to place,and less likely to get infected,while also ensuring bone union.Our case provides an alternative technique for biological reconstruction after joint-sparing surgery in patients with osteosarcoma around the knee without epiphyseal involvement.展开更多
The biodegradation behavior of Mg,coated by polymethyl methacrylate as well as polymethyl methacrylate(PMMA)−bioactive glass(BG)composite was investigated.Electrophoretic deposition and dip coating techniques were ado...The biodegradation behavior of Mg,coated by polymethyl methacrylate as well as polymethyl methacrylate(PMMA)−bioactive glass(BG)composite was investigated.Electrophoretic deposition and dip coating techniques were adopted to prepare composite coating using a suspension of different percentages of the above two chemical materials.The deposited coatings were characterized using SEM,EDS,FTIR,and water contact angle measurements.Biodegradation behavior study of the coated Mg was performed using linear polarization,impedance spectroscopy,and immersion tests in simulated body fluid.The compact and homogeneous composite coating was developed as evidenced by electron microscopy results.The water contact angle measurement showed a 44°increase in the contact angle of the composite coated Mg compared to the uncoated one.The composite coating was covered by a bone-like hydroxyapatite layer after 336 h,indicating that the coating has an excellent in vitro bioactivity.The electrochemical testing results confirmed a significant reduction,96.9%,in the biodegradation rate of Mg coated with the composite prepared from 45 g/L PMMA+3.5 g/L 45S5 GB suspension compared to that of the uncoated one.Therefore,the composite coated Mg can be proposed as a promising material for biodegradable implant application.展开更多
With the advent of plastics and the wide range of fillers that are available have made modifications as precise as the tailored resins themselves. To modify the properties of polymer either by using fillers or by prep...With the advent of plastics and the wide range of fillers that are available have made modifications as precise as the tailored resins themselves. To modify the properties of polymer either by using fillers or by preparation of polymer blends gives rise to new materials with tailored properties. More complex, three-component systems, obtained by the addition of polymeric modifier to polymer filled composites may be of interest. Use of Fly ash cenospheres is very attractive because it is inexpensive and its use can reduce the environmental pollution to a significant extent. In the present study, Poly (Methyl Methacrylate) (PMMA)-Fly ash cenospheres composites were prepared using extrusion followed by Injection molding. The effect of matrix modification with Methyl methacrylate– acrylonitrile -butadiene–styrene (MABS) on the performance of PMMA- Fly ash cenospheres compositions was also, studied. It was found that with the addition of Fly ash cenospheres particulate as filler in PMMA showed marginal reduction in Tensile Strength, % Elongation and Impact strength and improvement in Flexural Strength, Heat Deflection Temperature and Vicat Softening Point. Compared with PMMA-cenospheres composites, the notched Impact Strength of the PMMA/MABS/cenospheres composites showed marginal enhancement in values at higher loading of cenospheres. The optimum performances in mechanical and thermal properties were obtained when the ratio of MABS to cenospheres was 1:2.展开更多
We report on a novel and convenient method of measuring secondary electron spectra for insulators in a secondary electron yield measurement system with a planar grid analyzer configuration and a metal mesh probe. In t...We report on a novel and convenient method of measuring secondary electron spectra for insulators in a secondary electron yield measurement system with a planar grid analyzer configuration and a metal mesh probe. In this measurement, the planar grid is negatively biased to force some emitted secondary electrons to return to the sample surface and to neutralize charges accumulated on the sample during the previous beam irradiation. The surface potential of the sample is then measured by use of a metal mesh probe. The grid bias for neutralization corresponding to the zero surface potential is determined based on the linear relationship between the surface potential and the grid bias. Once the surface potential equals zero, the secondary electron spectra of polymethyl methacrylate（PMMA） are studied experimentally by measuring the -curve and then fitting it to Everhart＇s formula. The measurement results show that the peak energy and the full width at half maximum of the spectra are 4.26 eV and 14.06 eV, respectively.展开更多
The primary objective of global studies is to develop the properties and durability of polymers for various applications.When it comes to dental disability,denture base materials must have sufficient mechanical and tr...The primary objective of global studies is to develop the properties and durability of polymers for various applications.When it comes to dental disability,denture base materials must have sufficient mechanical and tribological performance in order to withstand the forces experienced in the mouth.This work aims to investigate the effects of the addition of low content of cellulose nanocrystals(CNC)on the mechanical and tribological performance of the polymethyl methacrylate(PMMA)nanocomposites.Different weight percent of CNC(0,0.2,0.4,0.6,and 0.8 wt%)were added to the PMMA matrix followed by ball milling to evenly distribute the nanoparticles reinforced phase in the matrix phase.The findings emphasize the significant impact of CNC integration on the performance of PMMA nanocomposites.By increasing the content of the CNC nanoparticles,the mechanical properties of PMMA were improved.In addition,the tribological outcomes demonstrated a significant reduction in the friction coefficient besides an enhancement in the wear resistance as the weight percentage of nanoparticles increased.The surface of the worn samples was investigated by utilizing SEM to identify the wear mechanisms corresponding to the different compositions.In addition,a finite elment model(FEM)was developed to ascertain the thickness of the worn layer and the generated stressed on the surfaces of the nanocomposite throughout the friction process.展开更多
Polymethyl methacrylate (PMMA) microspheres with clear surface and diameter close to 1 祄 were synthesized by newly soap-free emulsion polymerization. The results showed that the presence of ethanol and NaCl made the...Polymethyl methacrylate (PMMA) microspheres with clear surface and diameter close to 1 祄 were synthesized by newly soap-free emulsion polymerization. The results showed that the presence of ethanol and NaCl made the increase of diameter and distribution, while the presence of toluene could avoid the problem of the increase of distribution, resulting a harvest of PMMA microspheres with a diameter close to 1 祄.展开更多
Based on the strong fluorescence and the highly thermal stability of sodium tris (pyridine dicarboxylato) europate (Na 3Eu(DPA) 3), polymethyl methacrylate (PMMA) composite material incorporated with the complex, P...Based on the strong fluorescence and the highly thermal stability of sodium tris (pyridine dicarboxylato) europate (Na 3Eu(DPA) 3), polymethyl methacrylate (PMMA) composite material incorporated with the complex, PMMA: Na 3Eu(DPA) 3, was prepared at 250 ℃. The fluorescence behavior of PMMA: Na 3Eu(DPA) 3 material was examined. The results show that the composite material keeps the luminescent characteristics of the Eu 3+ chelate after PMMA is incorporated with Na 3Eu(DPA) 3, and strong orange-red emission of the composite was observed. The fluorescence intensity of the composite material increases with the increase of the weight ratio of Na 3Eu(DPA) 3 to PMMA, but the relationship is not linear.展开更多
Background:Massage is generally believed to be a simple and effective method for preventing necrosis when intravascular injection emboli are suspected.Due to its good dispersive properties,polymethyl methacrylate(PMMA...Background:Massage is generally believed to be a simple and effective method for preventing necrosis when intravascular injection emboli are suspected.Due to its good dispersive properties,polymethyl methacrylate(PMMA)was used as the test filler.The main purpose of this study was to observe whether local massage as a simple remedial measure can promote the diffusion of filler and reduce the necrosis rate for intra-arterial embolism.Methods:Rabbit ears with the central ear artery(CEA)main trunk totally or segmentally obstructed 5 min after PMMA injection were studied.In order to simulate the massage effect of the fingers,the massage group was treated with a small beauty massage bar with a fixed vibration frequency along the direction of the blood flow.CEA blood flow and skin lesions were also analyzed.Results:The baseline data were similar between the control and massage groups.Compared to the control group,the recanalization rate of the CEA trunk in the treatment group increased significantly after massage.However,there was no significant difference in the visible rate of transparent embolus on the 1st day after treatment,nor in the necrosis degree or area of soft tissue damage on the 7th day after treatment.Further analysis showed that massage tended to have a positive effect on segmentally obstructed cases at 5 min after injection but a negative effect on totally obstructed ears at 5 min.Conclusion:Local massage cannot reduce the complications of tissue necrosis after intra-arterial PMMA injection.Prevention is key to reducing complications.展开更多
文摘Carbon nanofibers have revolutionized nanotechnology due to their potential applications in emerging frontiers of research and industrial sectors. This can be attributed to their superior properties such as higher mechanical strength, unique surface characteristics, and improved adherence that is transmitted into the polymer matrix to form a nanocomposite with improved properties. Polymethyl methacrylate is a common carbon source for the synthesis of carbon nanofibres of its high mechanical strength, thermal stability, and low moisture and water absorbing capacity that allows its products to have several applications. In this work, we report the successful electrospinning of carbon nanofibres from Poly methyl methacrylate and functionalizing the resulting carbon nanofibres. The functionalized carbon nanofibres were analyzed to determine their solubility/dispersion in selected organic solvents, then characterized using Fourier transform infra-red spectroscopy, Raman spectroscopy, scanning electron microscopy combined with Energy dispersive spectroscopy and Thermalgravimetric analysis.
文摘A new kind of polymethyl methacrylate （PMMA）-TiO2 nanocomposite was synthesized through polymerization. The thermal and photic stability of this PMMA TiO2 nanocomposites were investigated. The as prepared samples were characterized by scanning electron microscopy （SEM）, UV-Vis spectroscopy, differential thermal analysis （DTA） and the photo-induced weight loss, The results show that the photostability of the PMMA-TiO2 nanocomposite is higher than that of the pure PMMA under UV-light irradiation, The weight loss of the pure PMMA reaches 30 % after 300 h UVirradiation, while the composite only 0.3% under the identical experimental condition. The glass transition temperature （TR） of pure PMMA is only 80℃, while the Tg of the composite reaches 258℃. Compared with pure PMMA, the thermal stability of the composite is greatly enhanced.
基金supported by the National Key R&D Program of China(No.2018YFA0703000)the National Natural Science Foundation of China(Nos.82071564,82072412,and 81772326)+1 种基金the Fundamental Research Program Funding of Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine(No.JYZZ070)Project of Shanghai Science and Technology Commission(No.19XD1434200/18431903700)。
文摘Poly methyl methacrylate(PMMA)bone cement is used in augmenting and stabilizing fractured vertebral bodies through percutaneous vertebroplasty(PVP)and percutaneous kyphoplasty(PKP).However,applications of PMMA bone cement are limited by the high elasticity modulus of PMMA,its low biodegradability,and its limited ability to regenerate bone.To improve PMMA bio activity and biodegradability and to modify its elasticity modulus,we mixed PMMA bone cement with oxidized hyaluronic acid and carboxymethyl chitosan in situ cross-linking hydrogel loaded with bone morphogenetic protein-2(BMP-2)to achieve novel hybrid cement.These fabric ated PMMA-hydrogel hybrid cements exhibited lower setting temperatures,a lower elasticity modulus,and better biodegradability and biocompatibility than that of pure PMMA cement,while retaining acceptable setting times,mechanical strength,and inj ectability.In addition,we detected release of BMP-2 from the PMMA-hydrogel hybrid cements,significantly enhancing in vitro osteogenesis of bone marrow mesenchymal stem cells by up-regulating the gene expression of Runx2,Coll,and OPN.Use of PMMA-hydrogel hybrid cements loaded with BMP-2 on rabbit femoral condyle bone-defect models revealed their biodegradability and enhanced bone formation.Our study demonstrated the favorable mechanical properties,biocompatibility,and biodegradability of fabricated PMMA-hydrogel hybrid cements loaded with BMP-2,as well as their ability to improve osteogenesis,making them a promising material for use in PKP and PVP.
基金Supported by National Natural Science Foundation of China,No.81301671
文摘BACKGROUND In children with osteosarcoma around the knee joint without epiphysis involvement,joint-sparing surgery seems to be an ideal way to retain knee joint function.However,there are two points of debate with regard to the technique:How to accurately achieve a safe surgical margin,and how to achieve intercalary reconstruction of the massive bone defect following resection of the tumor.CASE SUMMARY We present the case of an 8-year-old girl with osteosarcoma of the distal femur without involvement of the epiphysis.Epiphyseal distraction was applied to separate the epiphysis and metaphysis,and this provided a safe surgical margin.The massive bone defect was reconstructed with a custom-made antibioticloaded polymethyl methacrylate(PMMA)construct combined with a free nonvascularized fibular graft.Six months after surgery,bone union between the autograft and host bone was confirmed in both the proximal and distal femur by computer tomography(CT)examination.Moreover,considerable callus formation was found around the PMMA construct.After 28 mo of follow-up,there was no sign of recurrence or metastasis.The patient could walk without any aid and carry out her daily life activities satisfactorily.CONCLUSION In cases of osteosarcoma without epiphysis involvement,epiphyseal distraction can be easily applied to obtain a safe margin.Hybrid reconstruction with an antibiotic-loaded PMMA construct combined with a free non-vascularized fibular graft has the advantages of being easy to manufacture,less time-consuming to place,and less likely to get infected,while also ensuring bone union.Our case provides an alternative technique for biological reconstruction after joint-sparing surgery in patients with osteosarcoma around the knee without epiphyseal involvement.
文摘The biodegradation behavior of Mg,coated by polymethyl methacrylate as well as polymethyl methacrylate(PMMA)−bioactive glass(BG)composite was investigated.Electrophoretic deposition and dip coating techniques were adopted to prepare composite coating using a suspension of different percentages of the above two chemical materials.The deposited coatings were characterized using SEM,EDS,FTIR,and water contact angle measurements.Biodegradation behavior study of the coated Mg was performed using linear polarization,impedance spectroscopy,and immersion tests in simulated body fluid.The compact and homogeneous composite coating was developed as evidenced by electron microscopy results.The water contact angle measurement showed a 44°increase in the contact angle of the composite coated Mg compared to the uncoated one.The composite coating was covered by a bone-like hydroxyapatite layer after 336 h,indicating that the coating has an excellent in vitro bioactivity.The electrochemical testing results confirmed a significant reduction,96.9%,in the biodegradation rate of Mg coated with the composite prepared from 45 g/L PMMA+3.5 g/L 45S5 GB suspension compared to that of the uncoated one.Therefore,the composite coated Mg can be proposed as a promising material for biodegradable implant application.
文摘With the advent of plastics and the wide range of fillers that are available have made modifications as precise as the tailored resins themselves. To modify the properties of polymer either by using fillers or by preparation of polymer blends gives rise to new materials with tailored properties. More complex, three-component systems, obtained by the addition of polymeric modifier to polymer filled composites may be of interest. Use of Fly ash cenospheres is very attractive because it is inexpensive and its use can reduce the environmental pollution to a significant extent. In the present study, Poly (Methyl Methacrylate) (PMMA)-Fly ash cenospheres composites were prepared using extrusion followed by Injection molding. The effect of matrix modification with Methyl methacrylate– acrylonitrile -butadiene–styrene (MABS) on the performance of PMMA- Fly ash cenospheres compositions was also, studied. It was found that with the addition of Fly ash cenospheres particulate as filler in PMMA showed marginal reduction in Tensile Strength, % Elongation and Impact strength and improvement in Flexural Strength, Heat Deflection Temperature and Vicat Softening Point. Compared with PMMA-cenospheres composites, the notched Impact Strength of the PMMA/MABS/cenospheres composites showed marginal enhancement in values at higher loading of cenospheres. The optimum performances in mechanical and thermal properties were obtained when the ratio of MABS to cenospheres was 1:2.
基金Supported by the National Natural Science Foundation of China under Grant Nos U1537210 and 11375139the National Key Laboratory of Space Microwave Technology China under Grant No 9140C530101130C53013
文摘We report on a novel and convenient method of measuring secondary electron spectra for insulators in a secondary electron yield measurement system with a planar grid analyzer configuration and a metal mesh probe. In this measurement, the planar grid is negatively biased to force some emitted secondary electrons to return to the sample surface and to neutralize charges accumulated on the sample during the previous beam irradiation. The surface potential of the sample is then measured by use of a metal mesh probe. The grid bias for neutralization corresponding to the zero surface potential is determined based on the linear relationship between the surface potential and the grid bias. Once the surface potential equals zero, the secondary electron spectra of polymethyl methacrylate（PMMA） are studied experimentally by measuring the -curve and then fitting it to Everhart＇s formula. The measurement results show that the peak energy and the full width at half maximum of the spectra are 4.26 eV and 14.06 eV, respectively.
基金the King Salman Center for Disability Research for funding this work through Research Group(No.KSRG-2023-538).
文摘The primary objective of global studies is to develop the properties and durability of polymers for various applications.When it comes to dental disability,denture base materials must have sufficient mechanical and tribological performance in order to withstand the forces experienced in the mouth.This work aims to investigate the effects of the addition of low content of cellulose nanocrystals(CNC)on the mechanical and tribological performance of the polymethyl methacrylate(PMMA)nanocomposites.Different weight percent of CNC(0,0.2,0.4,0.6,and 0.8 wt%)were added to the PMMA matrix followed by ball milling to evenly distribute the nanoparticles reinforced phase in the matrix phase.The findings emphasize the significant impact of CNC integration on the performance of PMMA nanocomposites.By increasing the content of the CNC nanoparticles,the mechanical properties of PMMA were improved.In addition,the tribological outcomes demonstrated a significant reduction in the friction coefficient besides an enhancement in the wear resistance as the weight percentage of nanoparticles increased.The surface of the worn samples was investigated by utilizing SEM to identify the wear mechanisms corresponding to the different compositions.In addition,a finite elment model(FEM)was developed to ascertain the thickness of the worn layer and the generated stressed on the surfaces of the nanocomposite throughout the friction process.
文摘Polymethyl methacrylate (PMMA) microspheres with clear surface and diameter close to 1 祄 were synthesized by newly soap-free emulsion polymerization. The results showed that the presence of ethanol and NaCl made the increase of diameter and distribution, while the presence of toluene could avoid the problem of the increase of distribution, resulting a harvest of PMMA microspheres with a diameter close to 1 祄.
文摘Based on the strong fluorescence and the highly thermal stability of sodium tris (pyridine dicarboxylato) europate (Na 3Eu(DPA) 3), polymethyl methacrylate (PMMA) composite material incorporated with the complex, PMMA: Na 3Eu(DPA) 3, was prepared at 250 ℃. The fluorescence behavior of PMMA: Na 3Eu(DPA) 3 material was examined. The results show that the composite material keeps the luminescent characteristics of the Eu 3+ chelate after PMMA is incorporated with Na 3Eu(DPA) 3, and strong orange-red emission of the composite was observed. The fluorescence intensity of the composite material increases with the increase of the weight ratio of Na 3Eu(DPA) 3 to PMMA, but the relationship is not linear.
基金funded by Hafod Bioscience B.V., which also provided Artecoll products for this experiment
文摘Background:Massage is generally believed to be a simple and effective method for preventing necrosis when intravascular injection emboli are suspected.Due to its good dispersive properties,polymethyl methacrylate(PMMA)was used as the test filler.The main purpose of this study was to observe whether local massage as a simple remedial measure can promote the diffusion of filler and reduce the necrosis rate for intra-arterial embolism.Methods:Rabbit ears with the central ear artery(CEA)main trunk totally or segmentally obstructed 5 min after PMMA injection were studied.In order to simulate the massage effect of the fingers,the massage group was treated with a small beauty massage bar with a fixed vibration frequency along the direction of the blood flow.CEA blood flow and skin lesions were also analyzed.Results:The baseline data were similar between the control and massage groups.Compared to the control group,the recanalization rate of the CEA trunk in the treatment group increased significantly after massage.However,there was no significant difference in the visible rate of transparent embolus on the 1st day after treatment,nor in the necrosis degree or area of soft tissue damage on the 7th day after treatment.Further analysis showed that massage tended to have a positive effect on segmentally obstructed cases at 5 min after injection but a negative effect on totally obstructed ears at 5 min.Conclusion:Local massage cannot reduce the complications of tissue necrosis after intra-arterial PMMA injection.Prevention is key to reducing complications.
