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分析的润滑剂体积对三种不同类型聚乙烯衬垫材料产生的磨屑数量和特征的影响。

Influence of analyzed lubricant volumes on the amount and characteristics of generated wear particles from three different types of polyethylene liner materials.

机构信息

Department of Orthopaedics, University Medicine Rostock, Biomechanics and Implant Technology Laboratory, Rostock, 18057, Germany.

Centre for Electron Microscopy, University Medicine Rostock, 18057, Rostock, Germany.

出版信息

J Biomed Mater Res B Appl Biomater. 2018 Apr;106(3):1299-1306. doi: 10.1002/jbm.b.33944. Epub 2017 Jun 21.

DOI:10.1002/jbm.b.33944
PMID:28636252
Abstract

The articulating components of artificial joints consist mainly of metals, ceramics, or polymers. Resulting abrasive wear particles can promote osteolysis and aseptic loosening of the endo-prosthetic implants. Ultra-high-molecular-weight-polyethylene is the material used most for bearing couples in total hip replacement. In the present study, three types of polyethylene (PE) liners varying in material composition, i.e., (1) conventional PE (C-PE), (2) sequentially cross-linked PE (SX-PE), (3) cross-linked PE blended with vitamin E (EX-PE) articulating with two types of femoral heads were used. After ultrasound treatment of each simulator lubricant, different concentrations (0.1/0.25/0.5/1.0 mL) were taken and dissolved in hydrochloric acid (37%) in a similar manner. The aim was to analyze the characteristics of wear particles generated in a hip simulator, with respect to different volumes of the lubricant. Within the scope of particle analysis, distinct alterations for particle characteristics were determined in the lubricant volumes and types of PE material used. A significant decrease in particle number for SX-PE liners, compared to the C-PE inserts and even more for EX-PE inserts, was detected at each lubricant volume. Particle morphologies varied depending on PE material. Alterations in particle size and other morphologic parameters between the four tested volumes, could be proven for each PE type. In general, particle sizes and parameters (e.g., length and width) increased with increasing serum volumes. In conclusion, the chosen volume of the simulator lubricant used for particle analysis has a crucial influence on detected particle number, size distribution, and morphologic parameters. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 1299-1306, 2018.

摘要

人工关节的连接部件主要由金属、陶瓷或聚合物组成。由此产生的磨蚀性磨损颗粒会促进骨溶解和内假体植入物的无菌性松动。超高分子量聚乙烯是目前用于全髋关节置换中承载对的最常用材料。在本研究中,使用了三种不同材料组成的聚乙烯(PE)衬垫,即(1)常规 PE(C-PE)、(2)顺序交联 PE(SX-PE)、(3)与两种股骨头结合的维生素 E 交联 PE(EX-PE)。对每种模拟器润滑剂进行超声处理后,以类似的方式取出并溶解在不同浓度(0.1/0.25/0.5/1.0 mL)的盐酸(37%)中。目的是分析不同体积的润滑剂在髋关节模拟器中产生的磨损颗粒的特征。在颗粒分析范围内,确定了润滑剂体积和使用的 PE 材料类型对颗粒特征的明显改变。与 C-PE 植入物相比,SX-PE 衬垫的颗粒数明显减少,与 EX-PE 植入物相比甚至更多,在每种润滑剂体积下均如此。颗粒形态取决于 PE 材料。对于每种 PE 类型,都可以证明在四个测试体积之间,颗粒尺寸和其他形态参数发生了变化。一般来说,颗粒尺寸和参数(例如长度和宽度)随血清体积的增加而增加。总之,用于颗粒分析的模拟器润滑剂的选择体积对检测到的颗粒数量、尺寸分布和形态参数有重要影响。© 2017 Wiley Periodicals, Inc. J 生物材料 Res 部分 B: 应用生物材料,106B: 1299-1306, 2018。

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