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Polyethylene as a Bearing Surface

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Interfaces in Total Hip Arthroplasty

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Abstract

Ultra-high molecular-weight polyethylene (UHM-WPE) is the most commonly used bearing material in total joint replacement. Wear of UHMWPE is a serious clinical problem that limits the longevity of orthopaedic implants. Excessive wear may lead to gross mechanical failure such as fracture and disas-sociation [3] and the release of particulate wear debris may induce biological responses that cause implant loosening [4, 5].

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References

  1. Lombardi, A-V Jr, Engh GA, Volz RG, Albrigo JL, Brainard BJ. Fracture/dissassociation of the polyethylene in metal-backed patellar components in total knee arthroplasty. J Bone Joint Surg 1988;70-A(6): 675–679.

    Google Scholar 

  2. Stulberg SD, Stulberg BN, Harnati Y, Tsao A. Failure mechanisms of metal-backed patellar components. Clin Orthop 1988;236:88–105.

    PubMed  Google Scholar 

  3. Wright TM, Rimnac CM, Stulberg SD et al. Wear of polyethylene in total joint replacement: observations from retrieved PCA knee implants. Clin Orthop 1992;276:126–134.

    PubMed  Google Scholar 

  4. Peters PC, Engh GA, Dwyer KA, Vinh TN. Osteolysis after total knee arthroplasty without cement. J Bone Joint Surg 1992;74A(7):864–876.

    Google Scholar 

  5. Santavirta S, Konttinen YT, Hoikka V, Eskola A. Immuno-pathological response to loose cementless acetabular components. J Bone Joint Surg 1991;73B(I):38–42.

    Google Scholar 

  6. Clarke IC. Titanium alloy alumina ceramics and UHMWPE use in total joint replacemen. In: SM Lee (ed.) Advances in biomaterials. Lancaster, PA, Technomic Pub, 1987; 217–232.

    Google Scholar 

  7. Halley, DK and Wroblewski BM. Long-term results of low-friction arthroplasty in patients 30 years of age or younger. Clin Orthop 1986;211:43–50.

    PubMed  Google Scholar 

  8. Moreland JR, Jinnah R. Fracture of a Charnley acetabular component from polyethlylene wear. Clin Orthop 1986;207:94–96.

    PubMed  Google Scholar 

  9. Bartel D, Bicknell VL, Wright TM. The effect of conformity thickness and material on stresses on ultra-high molecular weight components in total joint replacement. J Bone Joint Surg 1986;68A(7):1041–1051.

    Google Scholar 

  10. Dowson D, Wallbridge NC. Laboratory wear tests and clinical observations of the penetration of femoral heads into acetabular cups in total replacement hip joints 1: Charnley prosthesis with polytetrafluoroethylene acetabular cups. Wear 1985;104:203–221.

    Article  CAS  Google Scholar 

  11. Salvati EA, Wilson PD. A ten-year follow-up of our first one hundred consecutive Charnley total hip replacements. J Bone Joint Surg 1981;63A(5):753–767.

    Google Scholar 

  12. Wright TM, Burstein AH, Bartel DL. Retrieval analysis of total joint replacements: A six-year experience. Proceedings of the Second Annual Symposium on Corrosion and Degradation of Implant Materials, Philadelphia. ASTM, 1985;415-429.

    Google Scholar 

  13. Salvati EA, Wright TM, Burstein AH, Bartel DL. Fracture of polyethylene acetabular cups J Bone Joint Surg 1979;61A(8): 1239–1242.

    Google Scholar 

  14. Yaniamuro T. Advances in clinical use of artificial joint of the hip and knee In: LR Rubin (ed.) Biomaterials in reconstructive surgery. St Louis: CV Mosby Co, 1993; 339–377.

    Google Scholar 

  15. Wroblewski BM. Direction and rate of socket wear in Charnley low friction arthroplasty. J Bone Joint Surg 1985;67B(5):757–761.

    Google Scholar 

  16. BarteL DL, Burstein AH, Toda MD, Edwards DL. The effect of conformity and plastic thickness on contact stresses in metal-backed plastic implants. J Biomech Eng 1985;107:193.

    Article  PubMed  CAS  Google Scholar 

  17. Collier JP, Mayor MB, Surprenant VA, Suprenant HP Dauphinais LA, Jensen RE. The biological problems of polyethylene as a bearing surface Clin Orthop 1990;261:107.

    PubMed  Google Scholar 

  18. Bloebaum RD, Nelson K, Dorr LD, Hoffman AA, Lyman DJ. Investigation of early delamination observed in retrieved heat treated tibial inserts Clin Orthop 1991;269:120.

    PubMed  Google Scholar 

  19. Streichcr RM. Ionizing irradiation for sterilization and modification of high molecular weight polyethylenes. Plast Rubber Proc Appl 1988;10:221–229.

    Google Scholar 

  20. Li S, Saum KA, Collier JP, Kasprazak D. Oxidation of UMH-WPE over long time periods. Trans Soc Biomater 1994; 17:425.

    Google Scholar 

  21. Saun KA. Oxidation vs depth and time for polyethylene-gamma sterilized in air. Trans ORS 1994;19:174:130.

    Google Scholar 

  22. Rimnac CM. Klcin RW, Khanna N, Weintraub JT. Post-irradiation aging of ultra high molecular weight polyethylene. Trans Soc Biomater 1993;16:328.

    Google Scholar 

  23. Rimnac CM Klein RW, Betts F, Wright TM. Post-irradiation aging of ultra high molecular weight polyethylene J Bone Joint Surg 1994;76A(7):1052–1056.

    Google Scholar 

  24. Eyerer P, Ke YC. Properties changes of UHMW polyethylene hip cup endoprostheses J Biol Mater Res 1984;18:1137–1151.

    Article  CAS  Google Scholar 

  25. Eyerer P, Kurth NM, McKellup HA, Mittlmeier T, Characterization of UHMWPE hip cups on joint simulators. J Biol Mater Res 1987;21:275–291.

    Article  CAS  Google Scholar 

  26. Trieu HH, Paxson RD. The oxidized surface layer in shelf-aged UHMWPE implants. Trans Orth 1995;758.

    Google Scholar 

  27. Trieu HH, Avent R, Paxson RD. Effect of sterilisation on shelf-aged UHMWPE tibial inserts. Trans Soc Biomat 1995;18:109.

    Google Scholar 

  28. Trieu HH, Avent R. Effect of sterilisation on UHMWPE implants. Accepted for the SecondAnnual Combined Orthopaedic Research Societies Meeting in 1995.

    Google Scholar 

  29. Fisher J, Hailey JL, Chan KL, Shaw D, Stone M. The effect of ageing following irradiation on the wear of UHMWPE. Trans ORS 1995;20:120.

    Google Scholar 

  30. Ries M, Rose R, Greer J, Weaver K, Sauer W, Beals N. Sterilisation induced effects on UHMWPE performance. Trans ORS 1995;20:757.

    Google Scholar 

  31. Chapiro A. Tech Dev Prospects Steril Ioniz-Radiat Int Conf 1974; 367-374.

    Google Scholar 

  32. Blunn GW, Joshi A, Engelbrecht E, Lilley PA, Harding K, Walker PS. A retrieval and in-vitro study of degradation of ultra-high molecular weight polyethylene total knee replacements. Fourth World Biomaterials Conference 1992; 276

    Google Scholar 

  33. Blunn GW Joshi AB, Walker PS. Performance of ultra-high molecular weight polyethylene in knee replacement. Trans ORS 1993;18:500.

    Google Scholar 

  34. Walker PS, Blunn GW, Joshi AB, Sathasivam S. Modulation of delamination by surface wear in total knees. Trans ORS 1993;18:499.

    Google Scholar 

  35. Blunn GW Joshi A, Hardinge K, Engelbrecht E, Walker PS. The effect of bearing conformity on the wear of polyethylene tibial components. Trans ORS 1992;17:357.

    Google Scholar 

  36. Blunn GW, Walker PS, Joshi A, Hardinge K. The dominance of cyclic sliding in producing wear in total knee replacements. Clin Orthop 1991;273:253–260.

    PubMed  Google Scholar 

  37. Walker PS, Salvati E. The measurement and effects of friction and wear in artificial hip joints J Biomed Mater Res Symp 1973;4:327–342.

    Article  Google Scholar 

  38. Kilgus DJ, Moreland JR, Finerman AM, Funahashi TT, Tipton JS. Catastrophic wear of tibial polyethylene insets. Clin Orthop 1991;273:223–231.

    PubMed  Google Scholar 

  39. Landy MM, Walker PS. Wear of ultra-high-molecular-weight polyethylene components of 90 retrieved knee prostheses. J Arthroplasty 1988;3:S73–S84.

    Article  PubMed  Google Scholar 

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Authors
  1. J. E. Parr
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  2. W. Haggard
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  3. H. H. Trieu
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Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, University of Bristol, UK

    Ian D. Learmonth MB, ChB, FRCS, FRCS Ed, FCS (SA) Orth (Professor and Head, Honorary Consultant) (Professor and Head, Honorary Consultant)

  2. Bristol Royal Infirmary and Southmead Hospital, UK

    Ian D. Learmonth MB, ChB, FRCS, FRCS Ed, FCS (SA) Orth (Professor and Head, Honorary Consultant) (Professor and Head, Honorary Consultant)

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© 2000 Springer-Verlag London

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Parr, J.E., Haggard, W., Trieu, H.H. (2000). Polyethylene as a Bearing Surface. In: Learmonth, I.D. (eds) Interfaces in Total Hip Arthroplasty. Springer, London. https://doi.org/10.1007/978-1-4471-0477-3_9

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  • DOI: https://doi.org/10.1007/978-1-4471-0477-3_9

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1150-4

  • Online ISBN: 978-1-4471-0477-3

  • eBook Packages: Springer Book Archive

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