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cadera / hip - Active Congress.......

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MARTES / TUESDAY<br />

24<br />

ments, since the UHMWPE wear can be<br />

significantly reduced with respect to the<br />

standard irradiated (25 kGy) UHMWPE. The<br />

results under unidirectional sliding conditions<br />

show, however, that the XLPEs are subjected<br />

to more wear compared to the unirradiated<br />

UHMWPE. Therefore, in situations where the<br />

unidirectional sliding motion is the main type<br />

of motion between the articulating components,<br />

as encountered in most of the current<br />

Total Knee Replacement designs, XLPEs<br />

should not be used. It is now recognised that<br />

the different kinematics in the <strong>hip</strong> and knee<br />

can lead to different wear mechanism surface<br />

and wear rate of the UHMWPE component<br />

[12]. For Total Hip Replacements, it is now<br />

widely accepted that wear is related to the<br />

mechanical response of UHMWPE material<br />

under multidirectional conditions. In Total<br />

Hip Replacements the large variation in the<br />

direction of the velocity vector leads to cross<br />

shearing of the strain hardened polyethylene<br />

and accelerates wear. However, for Total<br />

Knee Replacements the major contribution<br />

in sliding motion seems to be unidirectional,<br />

depending on the prosthesis design, and<br />

thus the response of UHMWPE under unidirectional<br />

conditions seems to be the most<br />

important. Retrieved total knee components<br />

present scratches on the UHMWPE component<br />

predominantly parallel to the wear<br />

sliding direction [6-7]. Thus, in the Total Knee<br />

Replacements, with a preferentially unidirectional<br />

motion, the wear may be lower due to<br />

the orientation and strain hardening of the<br />

UHMWPE in the direction of motion. Two factors<br />

must be taken into account, which effect<br />

in the UHMWPE wear behaviour has not still<br />

been totally addressed: the high variability<br />

in knee designs and the much higher stress<br />

contacts than for the <strong>hip</strong>.<br />

The optical microscopy at low magnifi cation<br />

are presented in Figures 5a to 5d, showing<br />

that the unirradiated and irradiated UHM-<br />

WPEs exhibit a higher wear damage when<br />

compared to XLPEs, in concordance with the<br />

weight loss results. It should be noted that<br />

parallel scratches found on the pin surfaces<br />

in the unidirectional tests (POD I) are not<br />

present here and only multidirectional shallow<br />

scratches are seen.<br />

Optical microscopy images at higher magnifi<br />

cation, on the middle of the pin diameter<br />

were taken; see Figures 5e to 5h. The central<br />

plateau was not considered because the optical<br />

microscope was not able to observe any<br />

feature beside the fl atness of this region. The<br />

fi gures reveal a similar ripple-like microstructure<br />

for all the pins studied. In this case, the<br />

ripples are less aligned than those founded<br />

for the unidirectional wear tests. Again, the<br />

microstructure of the ripples is more evident<br />

in the unirradiated and irradiated UHMWPEs<br />

than in the XLPEs, which reinforces the<br />

theory that the XLPEs have a lower plasticity,<br />

as discussed for the unidirectional wear<br />

results. The ripples are perpendicular to the<br />

sliding direction, which under the multidirectional<br />

sliding condition applied results in a<br />

radial orientation of the ripples as if the sliding<br />

directions were from the centre of the pin to<br />

its border.<br />

The SEM observation was focused in the<br />

formation of UHMWPE particles that detach<br />

from the pin surface producing wear debris.<br />

In the following, the scanning electron micrographs<br />

of the unirradiated (Figure 5i), irradiated<br />

(Figure 5j) XPLE I (Figure 5k), and XLPE<br />

II (Figure 5l) materials are shown.<br />

The ripple-like microstructure already identifi<br />

ed by optical microscopy is present on<br />

the zone outside the central plateau, for<br />

the unirradiated and irradiated UHMWPEs.<br />

The central plateau of the pin shows a very<br />

homogeneous and fl at microstructure, where<br />

no ripples can be identifi ed. However, there<br />

is formation of particles and fi brils in the<br />

central plateau. The formation of fi brils was<br />

also observed on the rest of the worn surface.<br />

All the fi brils are oriented along the sliding<br />

direction and perpendicular to the ripple-like<br />

microstructure (radial from the pin centre to

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