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PEEK-OPTIMA®及PEEK-OPTIMA®-耐磨性能与高交联聚乙烯的关节磨损情况

Wear of PEEK-OPTIMA® and PEEK-OPTIMA®-Wear Performance articulating against highly cross-linked polyethylene.

作者信息

East Rebecca H, Briscoe Adam, Unsworth Anthony

机构信息

King's College Hospital, London, UK.

Invibio Biomaterials Solutions Ltd, Thornton-Cleveleys, UK.

出版信息

Proc Inst Mech Eng H. 2015 Mar;229(3):187-93. doi: 10.1177/0954411915576353.

Abstract

The idea of all polymer artificial joints, particularly for the knee and finger, has been raised several times in the past 20 years. This is partly because of weight but also to reduce stress shielding in the bone when stiffer materials such as metals or ceramics are used. With this in mind, pin-on-plate studies of various polyetheretherketone preparations against highly cross-linked polyethylene were conducted to investigate the possibility of using such a combination in the design of a new generation of artificial joints. PEEK-OPTIMA(®) (no fibre) against highly cross-linked polyethylene gave very low wear factors of 0.0384 × 10(-6) mm(3)/N m for the polyetheretherketone pins and -0.025 × 10(-6) mm(3)/N m for the highly cross-linked polyethylene plates. The carbon-fibre-reinforced polyetheretherketone (PEEK-OPTIMA(®)-Wear Performance) also produced very low wear rates in the polyetheretherketone pins but produced very high wear in the highly cross-linked polyethylene, as might have been predicted since the carbon fibres are quite abrasive. When the fibres were predominantly tangential to the sliding plane, the mean wear factor was 0.052 × 10(-6) mm(3)/N m for the pins and 49.3 × 10(-6) mm(3)/N m for the highly cross-linked polyethylene plates; a half of that when the fibres ran axially in the pins (0.138 × 10(-6) mm(3)/N m for the pins and 97.5 × 10(-6) mm/ N m for the cross-linked polyethylene plates). PEEK-OPTIMA(®) against highly cross-linked polyethylene merits further investigation.

摘要

在过去20年里,全聚合物人工关节的想法,尤其是用于膝盖和手指的人工关节,已经被多次提出。部分原因是出于重量考虑,也是为了在使用金属或陶瓷等较硬材料时减少骨骼中的应力屏蔽。考虑到这一点,针对各种聚醚醚酮制剂与高度交联聚乙烯进行了销盘试验,以研究在新一代人工关节设计中使用这种组合的可能性。聚醚醚酮(PEEK-OPTIMA®)(无纤维)与高度交联聚乙烯的组合,聚醚醚酮销的磨损系数非常低,为0.0384×10(-6) 立方毫米/牛米,高度交联聚乙烯板的磨损系数为-0.025×10(-6) 立方毫米/牛米。碳纤维增强聚醚醚酮(PEEK-OPTIMA®-磨损性能)在聚醚醚酮销中也产生了非常低的磨损率,但在高度交联聚乙烯中产生了非常高的磨损,这正如所预测的那样,因为碳纤维具有相当大的磨蚀性。当纤维主要与滑动平面相切时,销的平均磨损系数为0.052×10(-6) 立方毫米/牛米,高度交联聚乙烯板的平均磨损系数为49.3×10(-6) 立方毫米/牛米;这是纤维在销中轴向排列时的一半(销的磨损系数为0.138×10(-6) 立方毫米/牛米,交联聚乙烯板的磨损系数为97.5×10(-6) 立方毫米/牛米)。聚醚醚酮(PEEK-OPTIMA®)与高度交联聚乙烯的组合值得进一步研究。

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