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



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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.

作者简介

Yulia Lukina

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

编辑信件的主要联系方式.
Email: lukina_rctu@mail.ru
ORCID iD: 0000-0003-0121-1232
SPIN 代码: 2814-7745

PhD

俄罗斯联邦, Moscow; Moscow

Sergey Mihalkin

Electrontest Group of Companies LLC

Email: grp@electron-test.ru
俄罗斯联邦, Moscow

Aleksandr Zabolotnov

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

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

PhD

俄罗斯联邦, Moscow; Moscow

Vladimir Zubtsov

Priorov Central Institute for Trauma and Orthopedics

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

Mihail Smorchkov

Priorov Central Institute for Trauma and Orthopedics

Email: smorchkovmm@cito-priorov.ru
ORCID iD: 0000-0003-4101-5877
SPIN 代码: 9380-1870
俄罗斯联邦, Moscow

Nikolay Zagorodniy

Priorov Central institute for Trauma and Orthopedics

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

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

俄罗斯联邦, Moscow

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