Evaluation of the wear rate of the acetabular component of a total hip replacement based on domestically produced ultra-high molecular weight polyethylene



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

BACKGROUND: In previously conducted tribological tests of “pin on disk”, domestically produced UHMWPE demonstrated a friction coefficient value that was not inferior to commercial samples of UHMWPE grades Gur1020 and Gur1050 (Chirulen). From a clinical point of view, the wear values of endoprosthesis components obtained under conditions simulated in vivo in accordance with ISO 14242-1, including kinematics, loading conditions and lubrication, are of decisive importance when selecting orthopedic implants.

AIM: Study of the degree of wear of the liner made of experimental UHMWPE of the friction pair of the hip endoprosthesis in accordance with ISO 14242 (parts 1, 2).

MATERIALS AND METHODS: The study is a pilot, single-center study; the object is a friction pair of the hip joint with a continuous sample of four samples. The study is experimental with obtaining quantitative and qualitative data, tracking of which was carried out after 0.5; 1; 2; 3; 4 and 5 million cycles. The study control is both descriptive and precise values taking into account before and after. Wear tests of the friction pairs of the hip joint endoprosthesis, one of the components of which is domestic UHMWPE manufactured by LLC “Inzhenernye Polymery” (Russia) were carried out in accordance with ISO 14242 (parts 1, 2) using a testing machine for wear tests of hip joint endoprostheses (LLC “CTS MES” part of the Electrontest group of companies), which allows assessing the abrasion resistance of the friction pair. The analysis of wear mechanisms was carried out based on the results of scanning electron microscopy, a study of roughness and deviation from sphericity of the components of the hip joint friction pair.

RESULTS: The input values of deviation from sphericity and roughness of the components of the friction pairs comply with ISO 7206-2. The average wear rate after 5 million cycles in accordance with ISO 14242-2 based on the calculation results for samples of three friction pairs is 19,8±2,1 mg/million cycles, which is lower or comparable to the wear rate in similar studies in accordance with literature data. Abrasive and fatigue wear of the inner surface of the liners are typical for UHMWPE under these test conditions: polishing, scratches, tearing and adhesion of particles.

CONCLUSIONS: Domestic experimental UHMWPE has a low wear rate compared to commercial imported analogues presented on the Russian market, which, when used as a material for the acetabular component, will ensure long-term clinical effectiveness of hip endoprostheses.

About the authors

Yulia S. Lukina

Priorov Central Institute for Trauma and Orthopedics; Mendeleev University of Chemical Technology of Russia

Author for correspondence.
Email: lukina_rctu@mail.ru
ORCID iD: 0000-0003-0121-1232
SPIN-code: 2814-7745

PhD

Russian Federation, Moscow; Moscow

Sergey M. Mihalkin

Electrontest Group of Companies LLC

Email: grp@electron-test.ru
Russian Federation, Moscow

Aleksandr S. Zabolotnov

Semenov Federal Research Center of Chemical Physics; 5Engineering Polymers LLC

Email: zabolotnov.ru@gmail.com
ORCID iD: 0000-0003-0695-9012
SPIN-code: 6604-4708

PhD

Russian Federation, Moscow; Moscow

Vladimir I. Zubtsov

Priorov Central Institute for Trauma and Orthopedics

Email: zubtsovvi@cito-priorov.ru
ORCID iD: 0009-0003-4556-2728
Moscow

Mihail M. Smorchkov

Priorov Central Institute for Trauma and Orthopedics

Email: smorchkovmm@cito-priorov.ru
ORCID iD: 0000-0003-4101-5877
SPIN-code: 9380-1870
Russian Federation, Moscow

Nikolay V. Zagorodniy

Priorov Central institute for Trauma and Orthopedics

Email: zagorodnijnv@cito-priorov.ru
ORCID iD: 0000-0002-6736-9772
SPIN-code: 6889-8166

Dr. Sci. (Med.), Academician of the Russian Academy of Sciences

Russian Federation, Moscow

References

  1. Ferguson RJ, Palmer A, Taylor A, et al. Hip and knee replacement 1: hip replacement. Lancet. 2018;392(10158):1662–1671. doi: 10.1016/S0140-6736(18)31777-X
  2. Ho SP, Carpick RW, Boland T, LaBerge M. Nanotribology of CoCr–UHMWPE TJR prosthesis using atomic force microscopy. Wear. 2002;253:1145–1155.
  3. Affatato S, Leardini W, Zavalloni M. Hip joint simulators: state of the art, bioceramics and alternative bearings in joint arthroplasty. Ceramics in Orthopaedics. 2006;Session 6:171–180.
  4. Howie DW, Haynes DR, Rogers SD, McGee MA, Pearcy MJ. The response to particulate debris. Orthop Clin North Am. 1993;24(4):571–581.
  5. Harris WH. Osteolysis and particle disease in hip replacement —a review. Acta Orthopaedica Scandinavica. 1994;65(1):113–123. doi: 10.3109/17453679408993734
  6. Schaaff P. The role of fretting damage in total hip arthroplasty with modular design hip joints — evaluation of retrieval studies and experimental simulation methods. J Appl Biomater Biomech. 2004;2(3):121–135.
  7. Wang A, Stark C, Dumbleton JH. Role of cyclic plastic deformation in the wear of UHMWPE acetabular cups. J Biomed Mater Res. 1995;29(5):619–626. doi: 10.1002/jbm.820290509
  8. Bistolfi A, Giustra F, Bosco F, et al. Ultra-high molecular weight polyethylene (UHMWPE) for hip and knee arthroplasty: The present and the future. Journal of Orthopaedics. 2021;25:98–106. doi: 10.1016/j.jor.2021.04.004
  9. Kandahari A, Yang X, Laroche K, et al. A review of UHMWPE wear-induced osteolysis: the role for early detection of the immune response. Bone Research. 2016;4:16014. doi: 10.1038/boneres.2016.14
  10. McKellop HA, Campbell P, Park SH, et al. The origin of submicron polyethylene wear debris in total hip arthroplasty. Clin Orthop Relat R. 1995;(311):3–20.
  11. Wroblewski BM. Cementless versus cemented total hip arthroplasty —a scientific controversy. Orthop Clin North Am. 1993;24:591–597.
  12. Chu CR. Short-term analysis vs long-term data on total hip replacement survivorship. JAMA Surgery. 2015;150(10):989. doi: 10.1001/jamasurg.2015.1337
  13. Zabolotnov AS, Chelmodeev RI, Lukina YuS, et al. Effect of ultra-low content of graphite nanoplatelets on tribological properties of composites based on ultra-high molecular weight polyethylene. N.N. Priorov Journal of Traumatology and Orthopedics. 2024;31(4):587–598. doi: 10.17816/vto635226 EDN: SVCYPD
  14. Young SK, Keller TS, Greer KW, Gorhan MC. Wear Testing of UHMWPE Tibial Components: Influence of Oxidation. Journal of Tribology. 2000;122:323.
  15. Hua Z, Dou P, Jia H, et al. Wear test apparatus for friction and wear evaluation hip prostheses. Frontiers in Mechanical Engineering. 2019;5:12.
  16. Oliveira ALL, Trigo FC, Queiroz RD, Carvalho RT. Development of a protocol for the performance evaluation of wear machines used in tests of joint prostheses. Mech Mach Theory. 2013;61:59–67.
  17. Wang A, Lee R, Herrera L, Korduba L. Wear of ultra-high molecular weight polyethylene moving along a circular path in a hip simulator. Wear. 2013;301:157–161.
  18. Saikko V. Friction measurement in the biaxial rocking motion hip joint simulator. J Tribol. 2009;131:011201.
  19. Kaddick C, Wimmer MA. Hip simulator wear testing according to the newly introduced standard ISO 14242. Proc Inst Mech Eng H. 2001;215(5):429–42. doi: 10.1243/0954411011536019
  20. Gremillard L, Martin L, Zych L, et al. Combining ageing and wear to assess the durability of zirconia-based ceramic heads for total hip arthroplasty. Acta Biomaterialia. 2013;9(7):7545–7555. doi: 10.1016/j.actbio.2013.03.030
  21. Wiśniewski T, Rubach R, Łapaj Ł, Garncarek W. Friction and Wear Test of Components of a Hip Joint Endoprosthesis with Ceramic–Polyethylene Material Contact Using Hip Joint Movement Simulator. Tribologia. 2024;2:121–129.
  22. Affatato S, Frigo M, Toni A. An in vitro investigation of diamond-like carbon as a femoral head coating. J Biomed Mater Res. 2000;53(3):221–6. doi: 10.1002/(sici)1097-4636(2000)53:3<221::aid-jbm6>3.0.co;2-z
  23. Trommer RM, Maru MM, Oliveira Filho WL, et al. Multi-Scale Evaluation of Wear in UHMWPE-Metal Hip Implants Tested in a Hip Joint Simulator. Biotribology. 2015;4:1–11.
  24. Wiśniewski T, Wielowiejska-Giertuga A, Rubach R, Łapaj Ł, Magda J. Research on friction wear of hip joint endoprostheses of polyethylene-metal material combination on hip joint simulator. Tribologia. 2018;281–285:153–158.
  25. Mattei L, Di Puccio F, Ciulli E, Pauschitz A. Experimental investigation on wear map evolution of ceramic-on-UHMWPE hip prosthesis. Tribology International. 2020;143:106068.
  26. Saikko V, Vuorinen V, Revitzer H. Analysis of UHMWPE wear particles produced in the simulation of hip and knee wear mechanisms with the Random POD system. Biotribology. 2015;1–2:30–34.
  27. Niemczewska-Wójcik M. Wear mechanisms and surface topography of artificial hip joint components at the subsequent stages of tribological tests. Measurement. 2017;107:89–98.
  28. Wilkinson JM, Hamer AJ, Stockley I, et al. Polyethylene wear rate and osteolysis: critical threshold versus continuous dose-response relationship. J Orthop Res. 2005;23(3):520–525. doi: 10.1016/j.orthres.2004.11.005
  29. Schmalzried TP, Jasty M, Harris WH. Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space. J Bone Joint Surg Am. 1992;74:849–863.
  30. Ingham E, Fisher J. The role of macrophages in osteolysis of total joint replacement. Biomaterials. 2005;26(11):1271–1286. doi: 10.1016/j.biomaterials.2004.04.035
  31. Ribeiro R, Gonçalves AC, de Albuquerque MCF. Planning and construction of mechanism for surface wear testing and fault analysis in quadril joint prosthetic tribosystem. The International Journal of Advanced Manufacturing Technology. 2020;106:4193–4202. doi: 10.1007/S00170-019-04892-8

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) Eco-Vector


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 77-76249 от 19.07.2019.