Crosslinked polyethylene in knee arthroplasty: a simulator study evaluating the positive influence on the tribocontact area in the fixed-bearing knee
Background Crosslinked polyethylene (XPE) was developed to reduce the wear rate in hip as well as knee arthroplasty. The crosslinking process reduces the mechanical properties of ultra-high-molecular-weight polyethylene (UHMWPE), particularly its fatigue strength. UHMWPE fatigue occurs more frequent...
Gespeichert in:
| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2010-11, Vol.130 (11), p.1419-1424 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1424 |
|---|---|
| container_issue | 11 |
| container_start_page | 1419 |
| container_title | Archives of orthopaedic and trauma surgery |
| container_volume | 130 |
| creator | Utzschneider, S. Harrasser, N. Sadoghi, P. Weber, P. Schröder, C. Pietschmann, M. F. Jansson, V. |
| description | Background
Crosslinked polyethylene (XPE) was developed to reduce the wear rate in hip as well as knee arthroplasty. The crosslinking process reduces the mechanical properties of ultra-high-molecular-weight polyethylene (UHMWPE), particularly its fatigue strength. UHMWPE fatigue occurs more frequently in the knee than in the hip joint due to its changing tribocontact areas (TCAs) combined with high weight bearing. This is why XPE is still controversially discussed for use in total knee arthroplasty. Therefore, the potential advantage of using XPE in the knee was analysed in a simulator study with a focus on potential fatigue wear mechanisms.
Methods
Three different kinds of XPE and one conventional UHMWPE were tested over 5 million cycles in fixed-bearing knee designs. The TCAs were examined by replicas, and their extent was measured. The wear mechanism was analysed by scanning electron microscopy.
Results
The extent of the TCAs was less than 5% for all XPEs, whereas 35% for the conventional UHMWPE. Fatigue wear mechanisms were not observed.
Conclusion
The measured small extent of the TCAs as a predictor of a low wear rate without any fatigue wear mechanism shows a possible advantage for the use of XPE even in knee arthroplasty. |
| doi_str_mv | 10.1007/s00402-010-1159-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2261987052</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261987052</sourcerecordid><originalsourceid>FETCH-LOGICAL-c339t-6364d5ef2f1b81d303394adca2c7811b2223114c6b01dcb7510fb74b62f7fb203</originalsourceid><addsrcrecordid>eNp1kc1u1TAQhS0EorctD8AGWWIdmLHzyw5d8SdV6oauIzsZc93m2sF2quZBeF9iboFVV5Y953xHnsPYa4R3CNC8jwAliAIQCsSqK-QztsNSloXssH7OdtDJumihwjN2HuMtAIq2g5fsTEDdAYhyx37tg49xsu6ORj77aaV0WCdyxK3jd46Iq5AOwc-Timn9wBWP9rhMKvnAY1rGldO9mhaVrPvB04E2RrTJ3me_mRZyA3Hv_kxSsNoP3iU1pI1KKkfkgbEPNBaaVMiQHHrJXhg1RXr1eF6wm8-fvu-_FlfXX77tP14Vg5RdKmpZl2NFRhjULY4SttdSjYMSQ9MiaiGERCyHWgOOg24qBKObUtfCNEYLkBfs7Yk7B_9zoZj6W78Et0X2QtTYtQ1UYlPhSTXkXQUy_RzsUYW1R-hzEf2piB7yfSuil5vnzSN50Uca_zn-bn4TiJMgzvnbFP5HP039DbIilg4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261987052</pqid></control><display><type>article</type><title>Crosslinked polyethylene in knee arthroplasty: a simulator study evaluating the positive influence on the tribocontact area in the fixed-bearing knee</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Utzschneider, S. ; Harrasser, N. ; Sadoghi, P. ; Weber, P. ; Schröder, C. ; Pietschmann, M. F. ; Jansson, V.</creator><creatorcontrib>Utzschneider, S. ; Harrasser, N. ; Sadoghi, P. ; Weber, P. ; Schröder, C. ; Pietschmann, M. F. ; Jansson, V.</creatorcontrib><description>Background
Crosslinked polyethylene (XPE) was developed to reduce the wear rate in hip as well as knee arthroplasty. The crosslinking process reduces the mechanical properties of ultra-high-molecular-weight polyethylene (UHMWPE), particularly its fatigue strength. UHMWPE fatigue occurs more frequently in the knee than in the hip joint due to its changing tribocontact areas (TCAs) combined with high weight bearing. This is why XPE is still controversially discussed for use in total knee arthroplasty. Therefore, the potential advantage of using XPE in the knee was analysed in a simulator study with a focus on potential fatigue wear mechanisms.
Methods
Three different kinds of XPE and one conventional UHMWPE were tested over 5 million cycles in fixed-bearing knee designs. The TCAs were examined by replicas, and their extent was measured. The wear mechanism was analysed by scanning electron microscopy.
Results
The extent of the TCAs was less than 5% for all XPEs, whereas 35% for the conventional UHMWPE. Fatigue wear mechanisms were not observed.
Conclusion
The measured small extent of the TCAs as a predictor of a low wear rate without any fatigue wear mechanism shows a possible advantage for the use of XPE even in knee arthroplasty.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-010-1159-3</identifier><identifier>PMID: 20690024</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Arthroplasty, Replacement, Knee ; Basic Science ; Biomechanical Phenomena ; Equipment Failure Analysis ; In Vitro Techniques ; Joint surgery ; Knee Prosthesis ; Medicine ; Medicine & Public Health ; Microscopy, Electron, Scanning ; Orthopedics ; Polyethylene ; Polyethylenes</subject><ispartof>Archives of orthopaedic and trauma surgery, 2010-11, Vol.130 (11), p.1419-1424</ispartof><rights>Springer-Verlag 2010</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2010). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-6364d5ef2f1b81d303394adca2c7811b2223114c6b01dcb7510fb74b62f7fb203</citedby><cites>FETCH-LOGICAL-c339t-6364d5ef2f1b81d303394adca2c7811b2223114c6b01dcb7510fb74b62f7fb203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-010-1159-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-010-1159-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20690024$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Utzschneider, S.</creatorcontrib><creatorcontrib>Harrasser, N.</creatorcontrib><creatorcontrib>Sadoghi, P.</creatorcontrib><creatorcontrib>Weber, P.</creatorcontrib><creatorcontrib>Schröder, C.</creatorcontrib><creatorcontrib>Pietschmann, M. F.</creatorcontrib><creatorcontrib>Jansson, V.</creatorcontrib><title>Crosslinked polyethylene in knee arthroplasty: a simulator study evaluating the positive influence on the tribocontact area in the fixed-bearing knee</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Background
Crosslinked polyethylene (XPE) was developed to reduce the wear rate in hip as well as knee arthroplasty. The crosslinking process reduces the mechanical properties of ultra-high-molecular-weight polyethylene (UHMWPE), particularly its fatigue strength. UHMWPE fatigue occurs more frequently in the knee than in the hip joint due to its changing tribocontact areas (TCAs) combined with high weight bearing. This is why XPE is still controversially discussed for use in total knee arthroplasty. Therefore, the potential advantage of using XPE in the knee was analysed in a simulator study with a focus on potential fatigue wear mechanisms.
Methods
Three different kinds of XPE and one conventional UHMWPE were tested over 5 million cycles in fixed-bearing knee designs. The TCAs were examined by replicas, and their extent was measured. The wear mechanism was analysed by scanning electron microscopy.
Results
The extent of the TCAs was less than 5% for all XPEs, whereas 35% for the conventional UHMWPE. Fatigue wear mechanisms were not observed.
Conclusion
The measured small extent of the TCAs as a predictor of a low wear rate without any fatigue wear mechanism shows a possible advantage for the use of XPE even in knee arthroplasty.</description><subject>Arthroplasty, Replacement, Knee</subject><subject>Basic Science</subject><subject>Biomechanical Phenomena</subject><subject>Equipment Failure Analysis</subject><subject>In Vitro Techniques</subject><subject>Joint surgery</subject><subject>Knee Prosthesis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microscopy, Electron, Scanning</subject><subject>Orthopedics</subject><subject>Polyethylene</subject><subject>Polyethylenes</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc1u1TAQhS0EorctD8AGWWIdmLHzyw5d8SdV6oauIzsZc93m2sF2quZBeF9iboFVV5Y953xHnsPYa4R3CNC8jwAliAIQCsSqK-QztsNSloXssH7OdtDJumihwjN2HuMtAIq2g5fsTEDdAYhyx37tg49xsu6ORj77aaV0WCdyxK3jd46Iq5AOwc-Timn9wBWP9rhMKvnAY1rGldO9mhaVrPvB04E2RrTJ3me_mRZyA3Hv_kxSsNoP3iU1pI1KKkfkgbEPNBaaVMiQHHrJXhg1RXr1eF6wm8-fvu-_FlfXX77tP14Vg5RdKmpZl2NFRhjULY4SttdSjYMSQ9MiaiGERCyHWgOOg24qBKObUtfCNEYLkBfs7Yk7B_9zoZj6W78Et0X2QtTYtQ1UYlPhSTXkXQUy_RzsUYW1R-hzEf2piB7yfSuil5vnzSN50Uca_zn-bn4TiJMgzvnbFP5HP039DbIilg4</recordid><startdate>20101101</startdate><enddate>20101101</enddate><creator>Utzschneider, S.</creator><creator>Harrasser, N.</creator><creator>Sadoghi, P.</creator><creator>Weber, P.</creator><creator>Schröder, C.</creator><creator>Pietschmann, M. F.</creator><creator>Jansson, V.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20101101</creationdate><title>Crosslinked polyethylene in knee arthroplasty: a simulator study evaluating the positive influence on the tribocontact area in the fixed-bearing knee</title><author>Utzschneider, S. ; Harrasser, N. ; Sadoghi, P. ; Weber, P. ; Schröder, C. ; Pietschmann, M. F. ; Jansson, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-6364d5ef2f1b81d303394adca2c7811b2223114c6b01dcb7510fb74b62f7fb203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Arthroplasty, Replacement, Knee</topic><topic>Basic Science</topic><topic>Biomechanical Phenomena</topic><topic>Equipment Failure Analysis</topic><topic>In Vitro Techniques</topic><topic>Joint surgery</topic><topic>Knee Prosthesis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microscopy, Electron, Scanning</topic><topic>Orthopedics</topic><topic>Polyethylene</topic><topic>Polyethylenes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Utzschneider, S.</creatorcontrib><creatorcontrib>Harrasser, N.</creatorcontrib><creatorcontrib>Sadoghi, P.</creatorcontrib><creatorcontrib>Weber, P.</creatorcontrib><creatorcontrib>Schröder, C.</creatorcontrib><creatorcontrib>Pietschmann, M. F.</creatorcontrib><creatorcontrib>Jansson, V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Utzschneider, S.</au><au>Harrasser, N.</au><au>Sadoghi, P.</au><au>Weber, P.</au><au>Schröder, C.</au><au>Pietschmann, M. F.</au><au>Jansson, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Crosslinked polyethylene in knee arthroplasty: a simulator study evaluating the positive influence on the tribocontact area in the fixed-bearing knee</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2010-11-01</date><risdate>2010</risdate><volume>130</volume><issue>11</issue><spage>1419</spage><epage>1424</epage><pages>1419-1424</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Background
Crosslinked polyethylene (XPE) was developed to reduce the wear rate in hip as well as knee arthroplasty. The crosslinking process reduces the mechanical properties of ultra-high-molecular-weight polyethylene (UHMWPE), particularly its fatigue strength. UHMWPE fatigue occurs more frequently in the knee than in the hip joint due to its changing tribocontact areas (TCAs) combined with high weight bearing. This is why XPE is still controversially discussed for use in total knee arthroplasty. Therefore, the potential advantage of using XPE in the knee was analysed in a simulator study with a focus on potential fatigue wear mechanisms.
Methods
Three different kinds of XPE and one conventional UHMWPE were tested over 5 million cycles in fixed-bearing knee designs. The TCAs were examined by replicas, and their extent was measured. The wear mechanism was analysed by scanning electron microscopy.
Results
The extent of the TCAs was less than 5% for all XPEs, whereas 35% for the conventional UHMWPE. Fatigue wear mechanisms were not observed.
Conclusion
The measured small extent of the TCAs as a predictor of a low wear rate without any fatigue wear mechanism shows a possible advantage for the use of XPE even in knee arthroplasty.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20690024</pmid><doi>10.1007/s00402-010-1159-3</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2010-11, Vol.130 (11), p.1419-1424 |
| issn | 0936-8051 1434-3916 |
| language | eng |
| recordid | cdi_proquest_journals_2261987052 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Arthroplasty, Replacement, Knee Basic Science Biomechanical Phenomena Equipment Failure Analysis In Vitro Techniques Joint surgery Knee Prosthesis Medicine Medicine & Public Health Microscopy, Electron, Scanning Orthopedics Polyethylene Polyethylenes |
| title | Crosslinked polyethylene in knee arthroplasty: a simulator study evaluating the positive influence on the tribocontact area in the fixed-bearing knee |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-09T02%3A08%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Crosslinked%20polyethylene%20in%20knee%20arthroplasty:%20a%20simulator%20study%20evaluating%20the%20positive%20influence%20on%20the%20tribocontact%20area%20in%20the%20fixed-bearing%20knee&rft.jtitle=Archives%20of%20orthopaedic%20and%20trauma%20surgery&rft.au=Utzschneider,%20S.&rft.date=2010-11-01&rft.volume=130&rft.issue=11&rft.spage=1419&rft.epage=1424&rft.pages=1419-1424&rft.issn=0936-8051&rft.eissn=1434-3916&rft_id=info:doi/10.1007/s00402-010-1159-3&rft_dat=%3Cproquest_cross%3E2261987052%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2261987052&rft_id=info:pmid/20690024&rfr_iscdi=true |