The Effect of Crosslinking UHMWPE on In Vitro Wear Rates of Fixed and Mobile Bearing Knees

Author(s):  
DE McNulty ◽  
SW Swope ◽  
DD Auger ◽  
T Smith
Keyword(s):  
Materials ◽  
2020 ◽  
Vol 13 (10) ◽  
pp. 2349 ◽  
Author(s):  
Saverio Affatato ◽  
Maria Cristina Valigi ◽  
Silvia Logozzo

It is well known that wear occurring in polyethylene menisci is a significant clinical problem. At this regard, wear tests on biomaterials medical devices are performed in order to assess their pre-clinical performance in terms of wear, durability, resistance to fatigue, etc. The objective of this study was to assess the wear of mobile total knee polyethylene inserts after an in vitro wear test. In particular, the wear behavior of mobile bearing polyethylene knee configurations was investigated using a knee joint wear simulator. After the completion of the wear test, the polyethylene mobile menisci were analyzed through a consolidated procedure by using 3D optical scanners, in order to evaluate the 3D wear distribution on the prosthesis surface, wear depths, wear rates, amount of material loss and contact areas. The results in terms of wear rates and wear volumes were compared with results of gravimetric tests, finding equivalent achievements.


2011 ◽  
Vol 8 (2) ◽  
pp. 103328 ◽  
Author(s):  
P. J. Ellison ◽  
A. Traynor ◽  
B. P. Casey ◽  
S. N. Collins ◽  
K. Trier ◽  
...  

2016 ◽  
Vol 25 (12) ◽  
pp. 3733-3740 ◽  
Author(s):  
Thomas J. Heyse ◽  
Joshua Slane ◽  
Geert Peersman ◽  
Philipp Dworschak ◽  
Susanne Fuchs-Winkelmann ◽  
...  

Author(s):  
S Williams ◽  
M Butterfield ◽  
T Stewart ◽  
E Ingham ◽  
M Stone ◽  
...  

Wear of polyethylene and the resulting wear debris-induced osteolysis remains a major cause of long-term failure in artificial hip joints. There is interest in understanding engineering and clinical conditions that influence wear rates. Fluoroscopic studies have shown separation of the head and the cup during the swing phase of walking due to joint laxity. In ceramic-on-ceramic hips, joint laxity and microseparation, which leads to contact of the head on the superior rim of the cup, has led to localized damage and increased wear in vivo and in vitro. The aim of this study was to investigate the influence of joint laxity and microseparation on the wear of ceramic on polyethylene artificial hip joints in an in vitro simulator. Microseparation during the swing phase of the walking cycle produced contact of the ceramic head on the rim of the polyethylene acetabular cup that deformed the softer polyethylene cup. No damage to the alumina ceramic femoral head was found. Under standard simulator conditions the volume change of the moderately crosslinked polyethylene cups was 25.6 ± 5.3 mm3/million cycles and this reduced to 5.6 ± 4.2 mm3/million cycles under microseparation conditions. Testing under microseparation conditions caused the rim of the polyethylene cup to deform locally, possibly due to creep, and the volume change of the polyethylene cup when the head relocated was substantially reduced, possibly due to improved lubrication. Joint laxity may be caused by poor soft tissue tension or migration and subsidence of components. In ceramic-on-polyethylene acetabular cups wear was decreased with a small degree of joint laxity, while in contrast in hard-on-hard alumina bearings, microseparation accelerated wear. These findings may have significant implications for the choice of fixation systems to be used for different types of bearing couples.


2021 ◽  
Vol 13 (2) ◽  
pp. 47-51
Author(s):  
Samaneh Abbasi ◽  
Soodabe Ebrahimi ◽  
Arash Shisheian ◽  
Maryam Farhadian

Background: Acrylic resin teeth wear resistance has an important role in the denture longevity. This study aimed to clarify the effect of glaze coating on wear resistance of three types of artificial acrylic teeth. Methods: In this in vitro study, the wear resistance rate of three of acrylic denture teeth (GENIUS, STON and CLASSIC) was compared with Ivoclar teeth (n=25/group). The wear resistance was measured by estimating the weight loss in pre and post removing glaze coating, following 5000 cycles in the chewing simulator device. Data analysis was made using paired t test, one-way ANOVA and Tukey’s post hoc test. Results: ANOVA test showed that there was no significant difference between the mean amount of wear of GENIUS, CLASSIC, STON and IVOCLAR teeth in the first stage (P <0.061), but this difference was significant (P <0.001) in the second stage. The result of Tukey post hoc test showed that wear rates of GENIUS were significantly lower than other groups (P<0.001). Comparison between the mean wear rates of each dental group at the first and second stages showed a significant difference between average teeth wear resistance of CLASSIC, STON and IVOCLAR in the first and second stages (P <0.001). Conclusions: In conclusion, the teeth wear resistance of STON and CLASSIC were similar to IVOCLAR. Also, after removing the glaze coating, the teeth wear resistance decreased in all groups but was not statistically significant for group GENIUS.


2020 ◽  
Vol 8 (5_suppl4) ◽  
pp. 2325967120S0029
Author(s):  
Thomas J. Heyse ◽  
Orcun Taylan ◽  
Joshua Slane ◽  
Harry van Lenthe ◽  
Geert Peersman ◽  
...  

Aims and Objectives: Inexplicable pain to the medial proximal tibia is a frequent finding leading to revision after unicondylar knee arthroplasty (UKA). This study is an effort to find out, if there are any differences between mobile (MB) and fixed bearing (FB) UKA designs in terms of resulting strain in the medial proximal tibia as measured in an in vitro cadaver setup. It was hypothesized that MB UKA would result in lower bone strain. Materials and Methods: Five pairs of fresh-frozen full leg cadaver specimens were mounted in a kinematic rig that applied a dynamic squatting motion knee flexion after prior 3D CT. The rig allowed for 6 degrees-of-freedom at the knee while forces were applied to the quadriceps and hamstrings. During testing, an infrared camera system tracked the location of reflective markers attached to the tibia and femur with bicortical bone pins. Tibial cortical bone strain was measured with stacked strain gauge rosettes attached at predefined anterior and posterior positions on the medial cortex. Sensor outputs were recorded at 2000 Hz and synchronized with kinematic data prior and after pairwise implantation of MB and FB UKA directly comparing those between left and right knees from the same donor. Results: Bone strain values consistently increased with increasing flexion angle. FB UKA significantly increased strain in the anterior region of the medial tibial bone, while MB closely replicated strain values of the native knee. Conclusion: Proximal tibial bone strain seems to be lesser following MB UKA in comparison with FB UKA. Clinical studies will have to show, if this translates into a higher rate of pain problems with FB UKA.


2011 ◽  
Vol 8 (5) ◽  
pp. 103304 ◽  
Author(s):  
T. M. Grupp ◽  
R. K. Miehlke ◽  
M. Hintner ◽  
J. Schwiesau ◽  
C. Kaddick ◽  
...  

2005 ◽  
Vol 128 (2) ◽  
pp. 275-281 ◽  
Author(s):  
S. A. Atwood ◽  
F. E. Kennedy ◽  
J. H. Currier ◽  
D. W. Van Citters ◽  
J. P. Collier

The long-term success of a total knee replacement depends on the wear performance of a polyethylene bearing that separates a metal femoral component from a metal tibial tray. Although fixed bearing designs secure the polyethylene bearing to the tibial tray, mobile bearing knees allow the polyethylene to move relative to the tibial tray. This study has evaluated the wear performance of an intended articulation on the inferior surface of the LCS®-Rotating Platform mobile bearing by conducting clinically relevant tribological testing and comparing results to retrieved knee bearings. A retrieval analysis leads to the conclusion that third-body particles in the contact produce curvilinear scratches longer than the expected rotation of the knee on both the polyethylene bearing and the CoCr tibial tray. Tribological testing shows that polymethylmethacrylate (PMMA) bone cement particles produce worn surfaces most similar to retrievals. Porous-coating beads and bone debris also have the ability to damage both surfaces. Worn polyethylene surfaces from pin-on-flat tests show scratches longer than the excursion length, and “skipping marks”—pits spaced at smaller rotation intervals along a scratch—as observed in retrievals. These wear features suggest that a ratcheting mechanism, which moves the third-body particles further along the scratch with each cycle, may be responsible for the observed wear.


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