Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Comparison of Biomechanical Properties of Dura Mater Substitutes and Cranial Human Dura Mater : An In Vitro Study

  • Kizmazoglu, Ceren (Department of Neurosurgery, Dokuz Eylul University School of Medicine) ;
  • Aydin, Hasan Emre (Department of Neurosurgery, Kutahya Health Science University Evliya Celebi Training and Research Hospital) ;
  • Kaya, Ismail (Department of Neurosurgery, Kutahya Health Science University Evliya Celebi Training and Research Hospital) ;
  • Atar, Murat (Department of Neurosurgery, Sultan Abdulhamid Han Training and Research Hospital) ;
  • Husemoglu, Bugra (Department of Biomechanics, Dokuz Eylul University School of Medicine Health Science Institute) ;
  • Kalemci, Orhan (Department of Neurosurgery, Dokuz Eylul University School of Medicine) ;
  • Sozer, Gulden (Department of Pathology, Forensic Medicine Institution) ;
  • Havitcioglu, Hasan (Department of Biomechanics, Dokuz Eylul University School of Medicine Health Science Institute)
  • Received : 2019.05.22
  • Accepted : 2019.07.26
  • Published : 2019.11.01
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Abstract

Objective : The aim of this study was to investigate the biomechanical differences between human dura mater and dura mater substitutes to optimize biomimetic materials. Methods : Four groups were investigated. Group I used cranial dura mater (n=10), group II used $Gore-Tex^{(R)}$ Expanded Cardiovascular Patch (W.L. Gore & Associates Inc., Flagstaff, AZ, USA) (n=6), group III used $Durepair^{(R)}$ (Medtronic Inc., Goleta, CA, USA) (n=6), and group IV used $Tutopatch^{(R)}$ (Tutogen Medical GmbH, Neunkirchen am Brand, Germany) (n=6). We used an axial compression machine to measure maximum tensile strength. Results : The mean tensile strengths were $7.01{\pm}0.77MPa$ for group I, $22.03{\pm}0.60MPa$ for group II, $19.59{\pm}0.65MPa$ for group III, and $3.51{\pm}0.63MPa$ for group IV. The materials in groups II and III were stronger than those in group I. However, the materials in group IV were weaker than those in group I. Conclusion : An important dura mater graft property is biomechanical similarity to cranial human dura mater. This biomechanical study contributed to the future development of artificial dura mater substitutes with biomechanical properties similar to those of human dura mater.

Keywords

References

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