Customized processing and manufacturing is the main constraint in the application of ultra-high-molecular-weight polyethylene (UHMWPE), especially in customized prosthetics, such as tibial inserts. In this study, the enabling of selective laser sintering (SLS) was explored to achieve direct fabrication of customized UHMWPE tibial insert. The mechanical properties and the dimensional accuracy of UHMWPE tibial inserts, fabricated by SLS method, were tested. The results showed that when the customized shape-controlled tibial insert was fabricated, its tensile strength increased from 14.1 to 24.1 MPa and the elongation increased from 5.4 to 390 % by a simple post-heat treatment. In the present paper, UHMWPE tibial insert could be made suitable for femoral component and tibial tray by enlarging the designed size by 10.5 % in the directions of X and Y and 6.5 % in the direction of Z. This study demonstrated that the new manufacturing capabilities for UHMWPE tibial insert will be developed further, which was motivated by the needs of customized manufacture.
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Charnley J (1966) Using Teflon in arthroplasty of the hip-joint. J Bone Joint Surg Am Vol 48(4):819–819
Del Prever EMB, Bistolfi A, Bracco P, Costa L (2009) UHMWPE for arthroplasty: past or future? J Orthop Traumatol 10(1):1–8
Dion NT, Bragdon C, Muratoglu O, Freiberg AA (2015) Durability of highly cross-linked polyethylene in total hip and total knee arthroplasty. Orthop Clin N Am 46:321–327
Kurtz SM, Muratoglu OK, Evans M, Edidin AA (1999) Advances in the processing, sterilization, and crosslinking of ultra-high molecular weight polyethylene for total joint arthroplasty. Biomaterials 20(18):1659–1688
Muratoglu OK, Merrill EW, Bragdon CR, O’Connor D, Hoeffel D, Burroughs B, Jasty M, Harris WH (2003) Effect of radiation, heat, and aging on in vitro wear resistance of polyethylene. Clin Orthop Relat Res 417(417):253–262
Haider H, Weisenburger JN, Kurtz SM, Rimnac CM, Freedman J, Schroeder DW, Garvin KL (2012) Does vitamin E-stabilized ultrahigh-molecular-weight polyethylene address concerns of cross-linked polyethylene in total knee arthroplasty? J Arthroplasty 27(3):461–469
Oral E, Neils A, Yabannavar P, Muratoglu OK (2014) The effect of an additional phosphite stabilizer on the properties of radiation cross-linked vitamin E blends of UHMWPE. J Orthop Res Off Publ Orthop Res Soc 32(6):757–761
Hope N, Bellare A (2014) A comparison of the efficacy of various antioxidants on the oxidative stability of irradiated polyethylene. Clin Orthop Relat Res 473(3):936–941
Tai Z, Chen Y, An Y, Yan X, Xue Q (2012) Tribological behavior of UHMWPE reinforced with graphene oxide nanosheets. Tribol Lett 46(1):55–63
Kurtz SM (2015) Editorial comment: advances in UHMWPE biomaterials. Clin Orthop Relat Res 473(3):926–927
Kurtz SM (2009) UHMWPE biomaterials handbook: ultra high molecular weight polyethylene in total joint replacement and medical devices. Academic Press
Pitteri S, Willems M (2003) Polyolefin compositions comprising a propylene polymer and UHMWPE. Google Patents
Williams JM, Adewunmi A, Schek RM, Flanagan CL, Krebsbach PH, Feinberg SE, Hollister SJ, Das S (2005) Bone tissue engineering using polycaprolactone scaffolds fabricated via selective laser sintering. Biomaterials 26(23):4817–4827
Leordean D, Radu S, Frățilă D, Berce P (2015) Studies on design of customized orthopedic endoprostheses of titanium alloy manufactured by SLM. Int J Adv Manuf Technol 79(5–8):905–920
XiaoHui S, Wei L, PingHui S, QingYong S, QingSong W, YuSheng S, Kai L, WenGuang L (2015) Selective laser sintering of aliphatic-polycarbonate/hydroxyapatite composite scaffolds for medical applications. Int J Adv Manuf Technol 81(1):15–25
Schumann D, Ekaputra AK, Lam CX, Hutmacher DW (2007) Biomaterials/scaffolds. Design of bioactive, multiphasic PCL/collagen type I and type II-PCL-TCP/collagen composite scaffolds for functional tissue engineering of osteochondral repair tissue by using electrospinning and FDM techniques. Methods Mol Med 140:101–124
Safdar A, Wei LY (2008) Microstructures of electron beam melted (EBM) biomaterial Ti-6Al-4V. MRS Proceedings. Cambridge University Press 1132: 1132-Z09-06
Giannatsis J, Dedoussis V (2009) Additive fabrication technologies applied to medicine and health care: a review. Int J Adv Manuf Technol 40(1–2):116–127
Tan KH, Chua CK, Leong KF, Cheah CM, Gui WS, Tan WS, Fe W (2005) Selective laser sintering of biocompatible polymers for applications in tissue engineering. Biomed Mater Eng 15:113–124
Rong-Ji W, Xin-Hua L, King-Ding W, Lingling W (2009) Optimizing process parameters for selective laser sintering based on neural network and genetic algorithm. Int J Adv Manuf Technol 42(11–12):1035–1042
Lim KLK, Ishak ZAM, Ishiaku US, Fuad AMY, Yusof AH, Czigany T, Pukanzsky B, Ogunniyi DS (2006) High density polyethylene/ultra high molecular weight polyethylene blend. II. Effect of hydroxyapatite on processing, thermal, and mechanical properties. J Appl Polym Sci 100(5):3931–3942
Rimell JT, Marquis PM (2000) Selective laser sintering of ultra high molecular weight polyethylene for clinical applications. J Biomed Mater Res 53(4):414–420
Goodridge RD, Hague RJM, Tuck CJ (2010) An empirical study into laser sintering of ultra-high molecular weight polyethylene (UHMWPE). J Mater Process Technol 210(1):72–80
Wang XC, Laoui T, Bonse J, Kruth JP, Lauwers B, Froyen L (2002) Direct selective laser sintering of hard metal powders: experimental study and simulation. Int J Adv Manuf Technol 19(5):351–357
Song C, Yang Y, Wang Y, Wang D, Yu J (2014) Research on rapid manufacturing of CoCrMo alloy femoral component based on selective laser melting. Int J Adv Manuf Technol 75(1–4):445–453
Yang B, Song C-h, Yu J-k, Yang Y-q, Gong X, Chen L-x, Wang Y-j, Wang J (2014) Intraoperative anthropometric measurements of tibial morphology: comparisons with the dimensions of current tibial implants. Knee Surg Sports Traumatol Arthrosc 22(12):2924–2930
Yang B, Yu J-K, Zheng Z-Z, Lu Z-H, Zhang J-Y (2014) Comparative study of sex differences in distal femur morphology in osteoarthritic knees in a Chinese population. PLoS One 9(2), e89394
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Changhui, S., Aibing, H., Yongqiang, Y. et al. Customized UHMWPE tibial insert directly fabricated by selective laser sintering. Int J Adv Manuf Technol 85, 1217–1226 (2016). https://doi.org/10.1007/s00170-015-8046-6
- Additive manufacturing
- Selective laser sintering
- Tibial insert