UHMWPE 2
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Wear and debris generation of Ultrahigh molecular weight polyethylene in total artificial joints

that can occur during the walking cycle. The PEDEBA tribometer was

developed to allow, for the first time, visualisation of the contact and

wear processes in knee prostheses under different tribological

conditions of sliding, rolling and combined rolling and sliding. Oxidative

degradation of the UHMWPE was found to increase the wear of

UHMWPE as was damage to the femoral counterface. The total

number of wear particles at failure was quantified for the first time. In

order to enable realistic in vitro cell culture studies to be undertaken,

sterile endotoxin free wear tests were developed to generate

physiologically relevant wear debris. These studies have been carried

out with micron and submicron size polyethylene particles and for the

first time with real UHMWPE wear debris. Cell culture models have

been successfully developed, to assess the inflammatory response,

the immune response, bond resorption potential and bone growth

potential, both in the presence and absence of the UHMWPE wear

particles. It was found that debris caused an inhibiting effect on

osteoblast growth and inhibition of osteoclast cell growth and function.

Many aspects of the application of this focused fundamental research

project and the exploitation of the research methods in new applied

research and development projects are underway.
These developments and projects include studies of alternative and modified polyethylenes for hip prostheses, metal on metal, metal on ceramic and ceramic on ceramic bearings for hip prostheses and surface engineered hip prostheses. Further work is being carried out in the development of standard accelerated test methodologies for hip prostheses, the develoment and evaluation of knee jont simulators and the development of in vitro tissue equivalent cell culture models for predictions of functional compatibility. These new projects and developments have involved 20 different industrial partners and the value of the externally funded work is in excess of 3 M ECUs.

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