Computational development of a polyethylene wear model for the articular and backside surfaces in modular total knee replacements

Abstract A computational model to predict polyethylene wear in modular total knee replacements was developed. The results from knee simulator wear tests were implemented with finite element simulations to identify the wear factors of Archard's wear law. The calculated wear factor for the articular and backside surface was 1.03±0.22×10−7 mm3/Nm and 2.43±0.52×10−10 mm3/Nm, respectively. The difference in wear factors was attributed to differences in wear mode and wear mechanisms between the articular (mainly two-body rolling/sliding wear mode with an abrasive/adhesive wear mechanism) and the backside surfaces (mainly fretting wear mode with an adhesive wear mechanism).

[1]  Zhongmin Jin,et al.  Effect of conformity and contact stress on wear in fixed-bearing total knee prostheses. , 2009, Journal of biomechanics.

[2]  I. R. McColl,et al.  Finite element simulation and experimental validation of fretting wear , 2004 .

[3]  G. Engh,et al.  In Vivo Deterioration of Tibial Baseplate Locking Mechanisms in Contemporary Modular Total Knee Components , 2001, The Journal of bone and joint surgery. American volume.

[4]  R E Booth,et al.  Comparison of interface membranes obtained from failed cemented and cementless hip and knee prostheses. , 1994, Clinical orthopaedics and related research.

[5]  J. Archard,et al.  The wear of metals under unlubricated conditions , 1956, Proceedings of the Royal Society of London. Series A. Mathematical and Physical Sciences.

[6]  S. MacDonald,et al.  Commissioning of a displacement-controlled knee wear simulator and exploration of some issues related to the lubricant , 2011, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[7]  L. Whiteside,et al.  Second-generation locking mechanisms and ethylene oxide sterilization reduce tibial insert backside damage in total knee arthroplasty. , 2011, The Journal of arthroplasty.

[8]  W H Harris,et al.  Polyethylene wear debris and tissue reactions in knee as compared to hip replacement prostheses. , 1994, Journal of applied biomaterials : an official journal of the Society for Biomaterials.

[9]  D. Dowson,et al.  Prediction of lubricating film thickness in UHMWPE hip joint replacements. , 2001, Journal of biomechanics.

[10]  Yunhua Luo,et al.  Prediction of backside micromotion in total knee replacements by finite element simulation , 2012, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[11]  Ryan Willing,et al.  A holistic numerical model to predict strain hardening and damage of UHMWPE under multiple total knee replacement kinematics and experimental validation. , 2009, Journal of biomechanics.

[12]  T. Andriacchi,et al.  Tractive forces during rolling motion of the knee: implications for wear in total knee replacement. , 1997, Journal of biomechanics.

[13]  W. Harris,et al.  Aggressive Wear Testing of a Cross-Linked Polyethylene in Total Knee Arthroplasty , 2002, Clinical orthopaedics and related research.

[14]  R. Bourne,et al.  Retrieval analysis of modular total knee replacements: factors influencing backside surface damage. , 2012, The Knee.

[15]  M. Conditt,et al.  Backside wear of modular ultra-high molecular weight polyethylene tibial inserts. , 2004, The Journal of bone and joint surgery. American volume.

[16]  D W Murray,et al.  Which primary total knee replacement? A review of currently available TKR in the United Kingdom. , 1997, Annals of the Royal College of Surgeons of England.

[17]  Zhongmin Jin,et al.  Quantification of the effect of cross-shear on the wear of conventional and highly cross-linked UHMWPE. , 2008, Journal of biomechanics.

[18]  Mark Taylor,et al.  Comparison of long-term numerical and experimental total knee replacement wear during simulated gait loading. , 2007, Journal of biomechanics.

[19]  J. Fisher,et al.  The influence of stress conditions on the wear of UHMWPE for total joint replacements , 1997, Journal of materials science. Materials in medicine.

[20]  G. Engh,et al.  Clinical Results of Modular Polyethylene Insert Exchange with Retention of Total Knee Arthroplasty Components* , 2000, The Journal of bone and joint surgery. American volume.

[21]  Benjamin J Fregly,et al.  Predicting knee replacement damage in a simulator machine using a computational model with a consistent wear factor. , 2008, Journal of biomechanical engineering.

[22]  B. Fregly,et al.  Quantifying Multidirectional Sliding Motions in Total Knee Replacements , 2005 .

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

[24]  J Fisher,et al.  Wear simulation of ultra-high molecular weight polyethylene hip implants by incorporating the effects of cross-shear and contact pressure , 2008, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[25]  A. Wang,et al.  Lubrication and wear of ultra-high molecular weight polyethylene in total joint replacements , 1998 .

[26]  C. Ranawat,et al.  All-polyethylene tibial implant in young, active patients a concise follow-up, 10 to 18 years. , 2012, The Journal of arthroplasty.

[27]  M Beaugonin,et al.  Simulation of a knee joint replacement during a gait cycle using explicit finite element analysis. , 2002, Journal of biomechanics.

[28]  Benjamin J Fregly,et al.  Computational wear prediction of a total knee replacement from in vivo kinematics. , 2005, Journal of biomechanics.

[29]  Zhongmin Jin,et al.  Computational wear prediction of artificial knee joints based on a new wear law and formulation. , 2011, Journal of biomechanics.

[30]  T. Bauer,et al.  Relationship between wear debris particles and polyethylene surface damage in primary total knee arthroplasty. , 1999, The Journal of arthroplasty.

[31]  R B Bourne,et al.  Tibial Post Wear in Posterior Stabilized Total Knee Arthroplasty: An Unrecognized Source of Polyethylene Debris , 2001, The Journal of bone and joint surgery. American volume.

[32]  Jason P. Halloran,et al.  Explicit finite element modeling of total knee replacement mechanics. , 2005, Journal of biomechanics.

[33]  J. Callaghan,et al.  Osteolysis Associated with a Cemented tModular Posterior-Cruciate-Substituting Total Knee Design: Five to Eight-Year Follow-up , 2002, The Journal of bone and joint surgery. American volume.

[34]  C. Ranawat,et al.  Review Article: Osteolysis After Total Knee Arthroplasty , 2007 .

[35]  Thomas P. Andriacchi,et al.  The influence of slip velocity on wear of total knee arthroplasty , 2005 .

[36]  J. Brandt.  Wear and Boundary Lubrication in Modular Total Knee Replacements , 2009 .

[37]  G. Engh,et al.  Tibial insert undersurface as a contributing source of polyethylene wear debris. , 1997, Clinical orthopaedics and related research.

[38]  John Fisher,et al.  The influence of contact stress on the wear of UHMWPE for total replacement hip prostheses , 1995 .

[39]  John Fisher,et al.  Wear of moderately cross-linked polyethylene in fixed-bearing total knee replacements , 2012, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[40]  Aiguo Wang,et al.  Quantification of the effect of cross-path motion on the wear rate of ultra-high molecular weight polyethylene , 2003 .

[41]  D. D’Lima,et al.  Polyethylene Wear and Variations in Knee Kinematics , 2001, Clinical orthopaedics and related research.

[42]  Zhongmin Jin,et al.  Enhanced computational prediction of polyethylene wear in hip joints by incorporating cross-shear and contact pressure in additional to load and sliding distance: effect of head diameter. , 2009, Journal of biomechanics.

[43]  Michael C. Mosier,et al.  Cemented all-polyethylene and metal-backed polyethylene tibial components used for primary total knee arthroplasty: a systematic review of the literature and meta-analysis of randomized controlled trials involving 1798 primary total knee implants. , 2011, The Journal of bone and joint surgery. American volume.

[44]  S M Kurtz,et al.  Constitutive modeling of ultra-high molecular weight polyethylene under large-deformation and cyclic loading conditions. , 2002, Biomaterials.

[45]  A. Wang,et al.  A unified theory of wear for ultra-high molecular weight polyethylene in multi-directional sliding , 2001 .

[46]  D. Dennis,et al.  Polyethylene wear on the distal tibial insert surface in total knee arthroplasty , 1998 .

[47]  Dong Zhao,et al.  Computational Wear Prediction of UHMWPE in Knee Replacements , 2006 .

[48]  T. Bauer,et al.  "Backside" polyethylene deformation in total knee arthroplasty. , 2003, The Journal of arthroplasty.

[49]  M. Harman,et al.  Effect of stair descent loading on ultra-high molecular weight polyethylene wear in a force-controlled knee simulator , 2002, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[50]  S. Pal,et al.  Probabilistic computational modeling of total knee replacement wear , 2008 .

[51]  Zhongmin Jin,et al.  Wear of crosslinked polyethylene under different tribological conditions , 2006, Journal of materials science. Materials in medicine.

[52]  Darryl D'Lima,et al.  How have wear testing and joint simulator studies helped to discriminate among materials and designs? , 2008, The Journal of the American Academy of Orthopaedic Surgeons.

[53]  W H Harris,et al.  Localized osteolysis in stable, non-septic total hip replacement. , 1986, The Journal of bone and joint surgery. American volume.

[54]  T. Brown,et al.  A sliding-distance-coupled finite element formulation for polyethylene wear in total hip arthroplasty. , 1996, Journal of biomechanics.