Customized UHMWPE tibial insert directly fabricated by selective laser sintering

Customized processing and manufacturing is the main constraint in the application of ultra-high-molecular-weight polyethylene (UHMWPE), especially in customized prosthetics, such as tibial inserts. In this study, the enabling of selective laser sintering (SLS) was explored to achieve direct fabrication of customized UHMWPE tibial insert. The mechanical properties and the dimensional accuracy of UHMWPE tibial inserts, fabricated by SLS method, were tested. The results showed that when the customized shape-controlled tibial insert was fabricated, its tensile strength increased from 14.1 to 24.1 MPa and the elongation increased from 5.4 to 390 % by a simple post-heat treatment. In the present paper, UHMWPE tibial insert could be made suitable for femoral component and tibial tray by enlarging the designed size by 10.5 % in the directions of X and Y and 6.5 % in the direction of Z. This study demonstrated that the new manufacturing capabilities for UHMWPE tibial insert will be developed further, which was motivated by the needs of customized manufacture.

[1]  Colleen L Flanagan,et al.  Bone tissue engineering using polycaprolactone scaffolds fabricated via selective laser sintering. , 2005, Biomaterials.

[2]  C K Chua,et al.  Selective laser sintering of biocompatible polymers for applications in tissue engineering. , 2005, Bio-medical materials and engineering.

[3]  A. Edidin,et al.  Advances in the processing, sterilization, and crosslinking of ultra-high molecular weight polyethylene for total joint arthroplasty. , 1999, Biomaterials.

[4]  Liu Wei,et al.  Microstructures of Electron Beam Melted (EBM) Biomaterial Ti-6Al-4V , 2008 .

[5]  Yong-qiang Yang,et al.  Intraoperative anthropometric measurements of tibial morphology: comparisons with the dimensions of current tibial implants , 2014, Knee Surgery, Sports Traumatology, Arthroscopy.

[6]  T. Gioe,et al.  Analysis of unicompartmental knee arthroplasty in a community-based implant registry. , 2003, Clinical orthopaedics and related research.

[7]  Yingfei An,et al.  Tribological Behavior of UHMWPE Reinforced with Graphene Oxide Nanosheets , 2012, Tribology Letters.

[8]  Orhun K. Muratoglu,et al.  The effect of an additional phosphite stabilizer on the properties of radiation cross‐linked vitamin E blends of UHMWPE , 2014, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[9]  R. Hague,et al.  An empirical study into laser sintering of ultra-high molecular weight polyethylene (UHMWPE) , 2010 .

[10]  Wang Lingling,et al.  Optimizing process parameters for selective laser sintering based on neural network and genetic algorithm , 2009 .

[11]  J. Giannatsis,et al.  Additive fabrication technologies applied to medicine and health care: a review , 2009 .

[12]  Liu Kai,et al.  Selective laser sintering of aliphatic-polycarbonate/hydroxyapatite composite scaffolds for medical applications , 2015 .

[13]  S. Kurtz UHMWPE Biomaterials Handbook: Ultra High Molecular Weight Polyethylene in Total Joint Replacement and Medical Devices , 2009 .

[14]  N. Hope,et al.  A Comparison of the Efficacy of Various Antioxidants on the Oxidative Stability of Irradiated Polyethylene , 2015, Clinical orthopaedics and related research.

[15]  Ahmad Anas Yusof,et al.  High density polyethylene/ultra high molecular weight polyethylene blend. II. Effect of hydroxyapatite on processing, thermal, and mechanical properties , 2006 .

[16]  Ji-ying Zhang,et al.  Comparative Study of Sex Differences in Distal Femur Morphology in Osteoarthritic Knees in a Chinese Population , 2014, PloS one.

[17]  P. Marquis,et al.  Selective laser sintering of ultra high molecular weight polyethylene for clinical applications. , 2000, Journal of biomedical materials research.

[18]  L. Costa,et al.  UHMWPE for arthroplasty: past or future? , 2008, Journal of Orthopaedics and Traumatology.

[19]  Dietmar W Hutmacher,et al.  Biomaterials/scaffolds. Design of bioactive, multiphasic PCL/collagen type I and type II-PCL-TCP/collagen composite scaffolds for functional tissue engineering of osteochondral repair tissue by using electrospinning and FDM techniques. , 2007, Methods in molecular medicine.

[20]  D. Schroeder,et al.  Does vitamin E-stabilized ultrahigh-molecular-weight polyethylene address concerns of cross-linked polyethylene in total knee arthroplasty? , 2012, The Journal of arthroplasty.

[21]  Jean-Pierre Kruth,et al.  Direct Selective Laser Sintering of Hard Metal Powders: Experimental Study and Simulation , 2002 .

[22]  Dan Leordean,et al.  Studies on design of customized orthopedic endoprostheses of titanium alloy manufactured by SLM , 2015 .

[23]  Orhun Muratoglu,et al.  Durability of highly cross-linked polyethylene in total hip and total knee arthroplasty. , 2015, The Orthopedic clinics of North America.

[24]  Di Wang,et al.  Research on rapid manufacturing of CoCrMo alloy femoral component based on selective laser melting , 2014 .