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Ultravysokomolekulární polyethylen pro kloubní náhrady se zvýšenou životností
[Ultrahigh molecular weight polyethylene for total joint replacements with longer lifetime]
Miroslav Šlouf, Taťana Vacková, Martina Nevoralová, Jana Mikešová, Jiří Dybal, Jan Pilař, Alexander Zhigunov, Jiří Kotek, Jana Kredatusová, Petr Fulín
Language Czech Country Czech Republic
Grant support
NT12229
MZ0
CEP Register
Digital library NLK
Full text - Article
Source
NLK
ROAD: Directory of Open Access Scholarly Resources
from 1997
- MeSH
- alpha-Tocopherol MeSH
- Arthroplasty, Replacement * MeSH
- Biocompatible Materials chemical synthesis chemistry therapeutic use MeSH
- Biomechanical Phenomena MeSH
- Radiation Dosage MeSH
- Humans MeSH
- Polyethylenes * chemical synthesis chemistry therapeutic use MeSH
- Polymers * chemical synthesis chemistry therapeutic use MeSH
- Joint Prosthesis MeSH
- Materials Testing MeSH
- Gamma Rays MeSH
- Check Tag
- Humans MeSH
Ultrahigh molecular weight polyethylene (UHMWPE) is a key component of modern total joint replacements (TJR). The most frequently replaced human joints are hips and knees, followed by shoulders, elbows, etc. However, UHMWPE liners are the most loaded components of the implants. Consequently, the main materialrelated reasons of TJR failures are wear and oxidative degradation of the polymer. Resistance to wear (i.e. release of microscopic particles from the polymer surface) is increased by radiation-induced crosslinking. Oxidation stability (i.e. resistance of polymer to chain scissions and deterioration of mechanical properties) is enhanced by means of suitable thermal treatment and sterilization protocols. The most recent trend is to employ a biocompatible stabilizer – vitamin E – for further improvement and finetuning of UHMWPE performance. This review summarizes the recent developments in UHMWPE modifications, which come both from the author’s institute and from the world, and which should further increase lifespan of total joint replacements.
Ultrahigh molecular weight polyethylene for total joint replacements with longer lifetime
Literatura
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- $a Ultrahigh molecular weight polyethylene (UHMWPE) is a key component of modern total joint replacements (TJR). The most frequently replaced human joints are hips and knees, followed by shoulders, elbows, etc. However, UHMWPE liners are the most loaded components of the implants. Consequently, the main materialrelated reasons of TJR failures are wear and oxidative degradation of the polymer. Resistance to wear (i.e. release of microscopic particles from the polymer surface) is increased by radiation-induced crosslinking. Oxidation stability (i.e. resistance of polymer to chain scissions and deterioration of mechanical properties) is enhanced by means of suitable thermal treatment and sterilization protocols. The most recent trend is to employ a biocompatible stabilizer – vitamin E – for further improvement and finetuning of UHMWPE performance. This review summarizes the recent developments in UHMWPE modifications, which come both from the author’s institute and from the world, and which should further increase lifespan of total joint replacements.
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