Abstract
Ultra-high molecular weight polyethylene is a semicrystalline polymer, which means that a portion of the molecules is in a solid crystalline phase and the remaining portion is in a rubbery amorphous phase. Varying the polymer chemistry in the two phases can alter the mechanical properties of the material. When highly cross-linked polyethylene is formed, the cross-links occur in the amorphous but not the crystalline region. Remelting after irradiation-induced cross-linking neutralizes the free radicals that are caused by irradiation but also decreases the amount of crystallinity. Decreased crystallinity can contribute to a decrease in mechanical properties. Annealing below the melt temperature after irradiation retains a higher level of crystallinity. However, heating below the melt temperature does not neutralize irradiation-induced free radicals that can then react with oxygen, causing oxidative degradation. Newer "second-generation" highly cross-linked polyethylenes have been developed that are annealed below the melt temperature, but use either a pharmacologic antioxidant, mechanical deformation, or sequential low-dose irradiation and annealing treatments rather than heating above the melt point to neutralize residual free radicals. High-pressure treatment at elevated temperatures also can increase crystallinity. However, increased crystallinity is associated with an increase in modulus and contact stress, which can increase wear. Although cross-linking ultra-high molecular weight polyethylene can reduce wear, currently available highly cross-linked polyethylenes also decrease mechanical properties when compared with conventional ultra-high molecular weight polyethylene, so that use of these materials in total knee arthroplasty may contribute to mechanical failure of the bearing surface.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.