ARTICULATION AND BACKSIDE WEAR ANALYSIS AFTER LONG-TERM IN VITRO WEAR SIMULATION OF VITAMIN E STABILIZED POLYETHYLENE ACETABULAR LINERS WITH A PRESS-FIT LOCKING MECHANISM

封面


如何引用文章

全文:

详细

A previous retrieval study analyzed the backside wear of short-term implanted liners against in vitro tested liners of similar life in service and showed comparable results among both groups, with no significant backside wear due to micro-motion.

The purpose — to obtain a picture of the overall wear (articulation and backside surfaces) of 0.1% vitamin e blended polyethylene liners, with a locking mechanism based on a press-fit cone in combination with a rough titanium conical inner surface in the fixation area, under a 20 million cycles hip wear simulation.

Materials and Methods. A semi-quantitative method was used in order to assess the damage on the backside of the liners and a 3d measuring machine to assess the creep and wear at the articulation surface.

Results. The total average backside wear score was 22.00±2.59 from a maximum total score of 147 after 5 million cycles (mc), increased to 31.92±5.57 after 10 mc, but showed no further increment after 15 and 20 mc. The reference liners (subjected only to axial load) showed similar wear scores and modes as the liners under wear simulation (axial load and movement). Small scratches produced during insertion and removal were clearly seen at the rim (fixation) area and no considerable abrasion was observed. The machining marks on the convex surface were always visible. Regarding the articulation surface, a steady state wear rate of 7 µm/year was measured.

Conlusion. These results determined that most of the backside wear produced on the liners occurred during their insertion and removal rather than during their life in service. Moreover, the wear at the articulation surface was similar to that seen in vivo at short- and mid-term on highly cross-linked polyethylene liners with and without vitamin e content.

作者简介

A. Puente Reyna

Aesculap AG, Research & Development; Ludwig Maximilians University Munich, Department of Orthopaedic Surgery, Physical Medicine & Rehabilitation, Campus Grosshadern Munich.

编辑信件的主要联系方式.
Email: ana_laura.puente_reyna@aesculap.de
78532 Tuttlingen. 德国

M. Holderied

Aesculap AG, Research & Development.

Email: fake@neicon.ru
78532 Tuttlingen. 德国

M. Jäger

Department of Orthopaedics and Trauma Surgery, University of Duisburg-Essen.

Email: fake@neicon.ru
45147 Essen. 德国

C. Schilling

Aesculap AG, Research & Development.

Email: fake@neicon.ru
78532 Tuttlingen. 德国

T. Grupp

Aesculap AG, Research & Development; Ludwig Maximilians University Munich, Department of Orthopaedic Surgery, Physical Medicine & Rehabilitation, Campus Grosshadern Munich.

Email: fake@neicon.ru
78532 Tuttlingen. 德国

参考

  1. Sadoghi P., Liebensteiner M., Agreiter M., Leithner A., Böhler N., Labek G. Revision surgery after total joint arthroplasty: a complication-based analysis using worldwide arthroplasty registers. J Arthroplasty. 2013;28(8):1329-1332. doi: 10.1016/j.arth.2013.01.012.
  2. Nieuwenhuis J.J., Malefijt J. De W., Hendriks J.C., Gosens T., Bonnet M. unsatisfactory results with the cementless Omnifit acetabular component due to polyethylene and severe osteolysis. Acta Orthop Belg. 2005;71(3):294-302.
  3. Noble P.C., Durrani S.K., Usrey M.M., Mathis K.B., Bardakos N.V. constrained cups appear incapable of meeting the demands of revision THa. Clin Orthop Relat Res. 2012;470(7):1907-1916. doi: 10.1007/s11999-011-2212-4.
  4. Powers C.C., Ho H., Beykirch S.E., Huynh C., Hopper R.H. Jr., Engh C.A. Jr., Engh C.A. A Comparison of a second- and a third-generation modular cup design: is new improved? J Arthroplasty. 2010;25(4):514-521. doi: 10.1016/j.arth.2009.02.018.
  5. Wasielewski R.C., Jacobs J.J., Arthurs B., Rubash H.E. The acetabular insert-metal backing interface: an additional source of polyethylene wear debris. J Arthroplasty. 2005;20(7):914-922. doi: 10.1016/j.arth.2005.04.033.
  6. Kawaji H., Koistinen A., Korhonen R., Lappalainen R., Lohman M., Soininen A. et al. Back-side wear in Hexloc cups clinico-radiological, immunohistopathological, finite element, and retrieval analysis studies. J Long Term Eff Med Implants. 2014;24(4):319-331.
  7. Kurtz S.M., Ochoa J.A., White C.V., Srivastav S., Cournoyer J. Backside nonconformity and locking restraints affect liner/shell load transfer mechanisms and relative motion in modular acetabular components for total hip replacement. J Biomech. 1998;31(5):431-437.
  8. Kligman M., Furman B.D., Padgett D.E., Wright T.M. Impingement contributes to backside wear and screwmetallic shell fretting in modular acetabular cups. J Arthroplasty. 2007;22(2):258-264. doi: 10.1016/j.arth.2005.01.025.
  9. Kurtz S.M., Ochoa J.A., Hovey C.B., White C.V. Simulation of initial frontside and backside wear rates in a modular acetabular component with multiple screw holes. J Biomech. 1999;32(9):967-976.
  10. Khalily C., Tanner M.G., Williams V.G., Whiteside L.A. Effect of locking mechanism on fluid and particle flow through modular acetabular components. J Arthroplasty. 1998;13(3):254-258.
  11. Puente Reyna A.L., Jäger M., Floerkemeier T., Frecher S., Delank K.S., Schilling C., Grupp T.M. Backside wear analysis of retrieved acetabular liners with a pressfit locking mechanism in comparison to wear simulation in vitro. Biomed Res Int. 2016;2016:8687131. doi: 10.1155/2016/8687131.
  12. Akbari A., Roy M.E., Whiteside L.A., Katerberg B.J., Schnettgoecke D.J. Minimal backside surface changes observed in retrieved acetabular liners. J Arthroplasty. 2011;26(5):686-692. doi: 10.1016/j.arth.2010.07.012.
  13. Bali K., Mccalden R.W., Naudie D.D., Macdonald S.J., Teeter M.G. Backside Wear Is Not dependent on the acetabular Socket design in crosslinked polyethylene liners. Clin Orthop Relat Res. 2016;474(2):374-382. doi: 10.1007/s11999-015-4471-y.
  14. Schwiesau J., Schilling C., Kaddick C., Utzschneider S., Jansson V., Fritz B. et al. definition and evaluation of testing scenarios for knee wear simulation under conditions of highly demanding daily activities. Med Eng Phys. 2013;35(5):591-600. doi: 10.1016/j.medengphy.2012.07.003.
  15. Hood R.W., Wright T.M., Burstein A.H. Retrieval analysis of total knee prostheses: a method and its application to 48 total condylar prostheses. J Biomed Mater Res. 1983;17(5):829-842. doi: 10.1002/jbm.820170510.
  16. Nebergall A.K., Greene M.E., Laursen M.B., Nielsen P.T., Malchau H., Troelsen A. Vitamin e diffused highly crosslinked polyethylene in total hip arthroplasty at five years: a randomised controlled trial using radiostereometric analysis. Bone Joint J. 2017;99-B(5):577-584. doi: 10.1302/0301-620x.99B5.37521.
  17. Sillesen N.H., Greene M.E., Nebergall A.K., Huddleston J.I., Emerson R., Gebuhr P. et al. 3-year follow-up of a long-term registry-based multicentre study on vitamin e diffused polyethylene in total hip replacement. Hip Int. 2016;26(1):97-103. doi: 10.5301/hipint.5000297.
  18. Hagio K., Saito M., Okawa T., Moriyama S., Nakamura Y., Naito M. Polyethylene wear associated with 26- and 32-mm heads in total hip arthroplasty: a multicenter, prospective study. J Arthroplasty. 2016;31(12):28052809. doi: 10.1016/j.arth.2016.05.063.
  19. Nebergall A.K., Greene M.E., Rubash H., Malchau H., Troelsen A., Rolfson O. Thirteen-year evaluation of highly cross-linked polyethylene articulating with either 28-mm or 36-mm femoral heads using radiostereometric analysis and computerized tomography. J Arthroplasty. 2016;31(9 Suppl):269-276. doi: 10.1016/j.arth.2016.02.076.
  20. Lee J.H., Lee B.W., Lee B.J., Kim S.Y. Midterm results of primary total hip arthroplasty using highly crosslinked polyethylene: minimum 7-year follow-up study. J Arthroplasty. 2011;26(7):1014-1049. doi: 10.1016/j.arth.2011.03.015.
  21. Glyn-Jones S., Thomas G.E., Garfjeld-Roberts P., Gundle R., Taylor A., Mclardy-Smith P., Murray d.W. The john charnley award: Highly crosslinked polyethylene in total hip arthroplasty decreases long-term wear: a double-blind randomized trial. Clin Orthop Relat Res. 2015;473(2):432-438. doi: 10.1007/s11999-014-3735-2.
  22. Johanson P.E., Digas G., Herberts P., Thanner J., Kärrholm J. Highly crosslinked polyethylene does not reduce aseptic loosening in cemented THa 10-year findings of a randomized study. Clin Orthop Relat Res. 2012;470(11):3083-3093. doi: 10.1007/s11999-012-2400-x.
  23. Dumbleton J.H., Manley M.T., Edidin A.A. A literature review of the association between wear rate and osteolysis in total hip arthroplasty. J Arthroplasty. 2002;17(5):649-661.
  24. Shareghi B., Johanson P.E., Kärrholm J. Wear of Vitamin e-Infused Highly cross-linked polyethylene at Five years. J Bone Joint Surg Am. 20176;99(17):1447-1452. doi: 10.2106/jBjS.16.00691.
  25. Scemama C., Anract P., Dumaine V., Babinet A., Courpied J.P., Hamadouche M. Does vitamin e-blended polyethylene reduce wear in primary total hip arthroplasty: a blinded randomised clinical trial. Int Orthop. 2017 jun;41(6):1113-1118. doi: 10.1007/s00264-016-3320-2.
  26. Oral E., Wannomae K.K., Hawkins N., Harris W.H., Muratoglu O.K. Alpha-tocopherol-doped irradiated uHMWpe for high fatigue resistance and low wear. Biomaterials. 2004;25(24):5515-5522. doi: 10.1016/j.biomaterials.2003.12.048.
  27. Oral E., Muratoglu O.K. Vitamin e diffused, highly crosslinked uHMWpe: a review. Int Orthop. 2011; 35(2):215-223. doi: 10.1007/s00264-010-1161-y.
  28. Muratoglu O.K., Wannomae K.K., Rowell S.L., Micheli B.R., Malchau H. Ex vivo stability loss of irradiated and melted ultra-high molecular weight polyethylene. J Bone Joint Surg Am. 2010;92(17):28092816. doi: 10.2106/jBjS.I.01017.
  29. Kurtz S.M., Hozack W.J., Purtill J.J., Marcolongo M., Kraay M.J., Goldberg V.M. et al. 2006 Otto aufranc award paper: significance of in vivo degradation for polyethylene in total hip arthroplasty. Clin Orthop Relat Res. 2006;453: 47-57. doi: 10.1097/01.blo.0000246547.18187.0b.
  30. Wannomae K.K., Bhattacharyya S., Freiberg A., Estok D., Harris W.H., Muratoglu O. In vivo oxidation of retrieved cross-linked ultra-high-molecular-weight polyethylene acetabular components with residual free radicals. J Arthroplasty. 2006;21(7):1005-1011.
  31. Grupp T.M., Holderied M., Mulliez M.A., Streller R., Jäger M., Blömer W., Utzschneider S. Biotribology of a vitamin e-stabilized polyethylene for hip arthroplasty - Influence of artificial ageing and third-body particles on wear. Acta Biomater. 2014;10(7):3068-3078. doi: 10.1016/j.actbio.2014.02.052.
  32. Popoola O.O., Mimnaugh K., Orozco-Villasenor D.A., Peiserich M. Vitamin e-grafted crosslinked ultrahighmolecular weight polyethylene (Ve-Hxpe) inhibits fluid absorption and has long term oxidative stability. Biotribology. 2015;4:12-17. doi: 10.1016/j.biotri.2015.09.006.
  33. Pang H.N., Naudie D.D., Mccalden R.W., Macdonald S.J., Teeter M.G. Highly crosslinked polyethylene improves wear but not surface damage in retrieved acetabular liners. Clin Orthop Relat Res. 2015;473(2):463-468. doi: 10.1007/s11999-014-3858-5.
  34. Yamaguchi M., Bauer T.W., Hashimoto y. deformation of the acetabular polyethylene liner and the backside gap. J Arthroplasty. 1999;14(4):464-469.
  35. Krieg A.H., Speth B.M., Ochsner P.E. Backside volumetric change in the polyethylene of uncemented acetabular components. J Bone Joint Surg Br. 2009;91(8):1037-1043. doi: 10.1302/0301-620x.91B8.21850.
  36. Taniguchi N., Jinno T., Takada R., Koga D., Ando T., Okawa A., Haro H. do screws and screw holes affect osteolysis in cementless cups using highly crosslinked polyethylene? a 7 to 10-year follow-up case-control study. Orthop Traumatol Surg Res. 2018 jan 30. pii: S1877-0568(18)30023-9. doi: 10.1016/j.otsr.2017.12.009.
  37. Urban R.M., Hall D.J., Della Valle C., Wimmer M.A., Jacobs J.J., Galante J.O. Successful long-term fixation and progression of osteolysis associated with firstgeneration cementless acetabular components retrieved post mortem. J Bone Joint Surg Am. 2012;94(20):18771885. doi: 10.2106/jBjS.j.01507.
  38. Schmalzried T.P., Brown I.C., Amstutz H.C., Engh C.A., Harris W.H. The role of acetabular component screw holes and/or screws in the development of pelvic osteolysis. Proc Inst Mech Eng H. 1999;213(2): 147-153.
  39. Dansk Hoftealloplastik Register: National Årsrapport 2014 [danish Hip arthroplasty Register: National annual Report 2014]. available at: http://danskhoftealloplastikregister. dk/wp-content/uploads/2015/11/dHR-årsrapport-2014. pdf. (in danish).

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © ,


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.


##common.cookie##