Evaluation of Cytocompatibility of PEEK-Based Composites as a Function of Manufacturing Processes.

The biocompatible polymer polyetheretherketone (PEEK) is a suitable candidate to be part of potential all-polymer total joint replacements, provided its use is associated with better osseointegration, mechanical performance, and wear resistance. Seeking to meet the aforementioned requirements, respectively, we have manufactured a PEEK composite with different fillers: carbon fibers (CF), hydroxyapatite particles (HA) and graphene platelets (GNP). The mechanical outcomes of the composites with combinations of 0, 1.

Does cyclic stress play a role in highly crosslinked polyethylene oxidation?

Background: Minimizing the impact of oxidation on ultrahigh-molecular-weight polyethylene components is important for preserving their mechanical integrity while in vivo. Among the strategies to reduce oxidation in modern first-generation highly crosslinked polyethylenes (HXLPEs), postirradiation remelting was considered to afford the greatest stability. However, recent studies have documented measurable oxidation in remelted HXLPE retrievals.

Hollow porous implants filled with mesoporous silica particles as a two-stage antibiotic-eluting device.

A new type of implantable drug eluting device is presented, consisting of a bed of mesoporous microparticles packed inside a reservoir with a porous wall. This provides two sets of variables for drug release control that can be tailored independently. The first is related to the microparticles (packing density, size and pore structure) and the second to the reservoir (pore diameter and thickness of the wall, permeation area).

Polyethylene oxidation in total hip arthroplasty: evolution and new advances.

Ultra-high molecular weight polyethylene (UHMWPE) remains the gold standard acetabular bearing material for hip arthroplasty. Its successful performance has shown consistent results and survivorship in total hip replacement (THR) above 85% after 15 years, with different patients, surgeons, or designs. As THR results have been challenged by wear, oxidation, and liner fracture, relevant research on the material properties in the past decade has led to the development and clinical introduction of highly crosslinked polyethylenes (HXLPE).

Effect of Nitinol surface treatments on its physico-chemical properties.

The main purpose of this work is the study of different physicochemical treatments on Nitinol slabs and wires, with the aim of inducing the formation of a TiO(2) surface film capable of increasing the corrosion resistance of the material and of reducing the release of Ni when the Nitinol samples were immersed in simulated body fluid (SBF). To this end, a battery of measurements (surface roughness, contact angle, electrochemical corrosion, chemical analysis as a function of depth, and Ni release to SBF) has been used to characterize Nitinol commercial samples, as received, and also after the different treatments performed. The results clearly indicate the effectiveness of the passivation TiO(2) layer as a barrier against Ni leaching, and the detrimental effects of any processes (such as polishing or cutting) that result in exposure of areas not coated by the TiO(2) film.

Knee model of hydrodynamic lubrication during the gait cycle and the influence of prosthetic joint conformity.

Background: The influence of the total joint components' elastic deformation on lubrication is generally accepted, but little is known about the influence of joint conformity under hydrodynamic lubrication based on fluid film interposition. The aim of this study was to evaluate induced pressure and stresses in the knee under fluid film lubrication during the stance phase of walking under various joint conformity conditions.

Methods: A theoretical two-dimensional (2D) geometric model of knee prosthesis contact, with Dirichlet boundary conditions at both edges, and with a conformity index (CI) of 0, 0.

Update on UHMWPE research: from the bench to the bedside.

Ultra-high molecular weight polyethylene (UHMWPE) is the key material for achieving excellent long-term results in total joint arthroplasties. Despite the fact that there has been a substantial amount of research and development over the years, new aspects of this material are still controversial and the most recent innovations have had a variable reception regarding clinical use. Advancements in conventional UHMWPE in the 1990s (nitrogen atmosphere irradiation, barrier package) were further improved by introduction of first-generation crosslinked polyethylene, as seen both from laboratory findings and clinical results.