Third-body wear of highly cross-linked polyethylene in a hip simulator1

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Abstract

The wear performance of a radiation cross-linked melted ultrahigh-molecular-weight polyethylene (UHMWPE) articulating against 28-mm cobalt chrome femoral heads in the presence of third-body particulate debris was investigated in a hip simulator and compared with the wear of conventional UHMWPE. Particles of aluminum oxide or bone cement containing barium sulfate were added to the serum. In the presence of aluminum oxide particles, the incremental wear rates of conventional UHMWPE averaged as high as 149 ± 116 mg/million cycles compared with 37 ± 38 mg/million cycles for the highly cross-linked components. The difference in the average weight loss was statistically significant at P < .01. With bone cement particles, the conventional UHMWPE components had an average incremental wear rate of 19 ± 5mg/million cycles, and the wear rate of the highly cross-linked UHMWPE components was 0.5 ± 0.7 mg/million cycles.

Section snippets

Materials and methods

The conventional (gamma in nitrogen) UHMWPE, which served as the control material, and the highly cross-linked UHMWPE acetabular liners were prepared as follows: Cylindrical discs (9 cm in diameter and 4 cm in height) were machined from ram-extruded GUR 1 050 UHMWPE bar stock (Poly-Hi Solidur, Lenni, PA). Eight control acetabular liners (28 mm inner diameter by 49 mm outer diameter) of the Inter-Op design (Centerpulse Orthopaedics, Austin, TX) were machined from some of these discs. To obtain

Results

Table 1 lists the average values of the incremental wear rates with and without third-body particles for each phase. Fig. 4 shows the average weight change of these liners as a function of the number of cycles of testing over the entire 13 million cycles of simulated gait. The average incremental wear rate (Fig. 5) of the conventional and highly cross-linked liners in the presence of aluminum oxide particles continually increased over time. The weight loss of the conventional components was

Discussion

The present study investigated the effect of 2 different kinds of third-body particles with different physical characteristics on the wear of conventional versus highly cross-linked polyethylene acetabular components in a hip simulator. To date, one experimental model for evaluating polyethylene wear in the presence of hard third-body particles has been reported [14], and no tests have been standardized. Other studies have attempted to simulate the effect of third-body wear using scratched or

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    1

    Benefits or funds were received in partial or total support of the research material described in this article from the William H. Harris Foundation and Centerpulse Orthopaedics, Austin, Texas.

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