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Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_9 | Pages 84 - 84
1 May 2016
Niikura M Nogi S Han Y Turner A Yutani T Uetsuki K Tomita N
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INTRODUCTION

Ultra-High Molecular Weight Polyethylene (UHMWPE) wear debris is thought to be a main factor in the development of osteolysis (1). However, the method for the evaluation of the biological response to UHMWPE particles has not yet been standardized.

In this study, four different types of UHMWPE particles were generated using a mechanized pulverizing method and the biological responses of macrophages to the particles were investigated using an inverted cell culturing process (2).

MATERIALS & METHODS

Virgin samples were manufactured via Direct Compression Molding (DCM) technique from UHMWPE GUR1050 resin powder (Ticona, USA). For vitamin E (VE)-blended sample, the resin was mixed with VE at 0.3 wt% and the mixture was then molded using DCM. The crosslinked virgin samples were made by gamma ray irradiation to UHMWPE GUR1020 resin sheet (Meditech, USA) with doses of 95kGy ±10% and annealed. The VE-blended crosslinked samples were made by electron beam irradiation to VE-blended samples with doses of 300kGy and annealed. The material conditions were summarized in Figure 1. To pulverize the samples, the Multi-Beads Shocker (Yasui Kikai, Japan) was used.

After pulverization, samples were dispersed in an ethanol solution and sequentially filtered through polycarbonate filters. Over 100 sections of the filter were selected randomly and images of the particles were analyzed using scanning electron microscope (SEM).

To analyze the macrophage biological response, an inverted cell culturing process was used (2). The mouse macrophage-like cells were seeded at densities of 4×105cells per well in a 96-well culture plate and incubated for 1h. UHMWPE particles suspended in the culture medium were then added to each well in the appropriate amount. After that, fresh medium was added to fill the wells, and a sealing film was used to cover the culture plate. The culture plate was then inverted to cause the UHMWPE particles interact with the adhered macrophages. The inverted culture plate was incubated for 8h. The amount of TNF-α was measured by enzyme-linked immunosorbent assay (ELISA).


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_15 | Pages 80 - 80
1 Mar 2013
Iwade H Kawasaki T Tajima K Sakurai Y Uetsuki K Turner A Tomita N
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Background

dl-α-Tocopherol (vitamin E) blended ultra-high molecular weight Polyethylene (UHMWPE) was originally developed as a bearing material for use in knee prostheses (1). The reduced biological response observed for vitamin E (VE) blended UHMWPE wear particles in in vitro experimentation (2) has also demonstrated the materials potential for use in other orthopedic applications, especially total hip arthroplasty (THR). However, due to the excellent results achieved by highly crosslinked UHMWPE in hip simulator testing (3), the use of VE blended UHMWPE in THR would similarly require crosslinking. It was previously reported that VE radicals are formed during radiation crosslinking of VE blended UHMWPE (4), and it is hypothesized that these VE radicals may negatively impact the materials biological activity. In this study, ascorbic acid 6-palmitate (lipophilic vitamin C) was applied to electron-beam-irradiated VE blended UHMWPE in an attempt to oxidatively reduce the VE radicals. Electron Spin Resonance (ESR) was used to measure the number of VE radicals within the material and evaluate the regenerating effect of ascorbic acid 6-palmitate.

Materials & Methods

UHMWPE resin powder (GUR 1050, Ticona, USA) was mixed with dl-a-Tocopherol (vitamin E) at 0.3 wt% and molded under direct compression at 25 MPa and 220°C. Virgin samples were produced by the same process, but without the addition of vitamin E (VE). Cylindrical pins (length: 40 mm, diameter: 3.5 mm) were then machined from these samples, packaged in a vacuum, and irradiated by electron-beam at 300 kGy. Samples were subsequently doped with either ascorbic acid 6-palmitate (Sigma, Japan) or ethanol (Ethanol 99.5%, Kishida, Japan) and subjected to a hydrostatic pressure of 100 MPa for 7, 14, and 21 days at room temperature. Radical measurements were made using ESR at 9.44 GHz and room temperature. All ESR spectra were recorded at 0.1 mW microwave power and 0.1 mT modulation amplitude.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_15 | Pages 353 - 353
1 Mar 2013
Uetsuki K Sugimoto T Kawasaki T Turner A Tomita N
Full Access

Introduction

Vitamin-E (VE)-blended UHMWPE has been developed as a bearing-surface material due to the antioxidant ability of VE and has demonstrated a low wear rate in knee simulator [1]. Additionally, in vitro biological response testing has revealed that wear particles from VE blended UHMWPE induce the secretion of inflammatory cytokines at significantly lower levels compared to conventional UHMWPE [2]. However, as the joint kinematics are different between the knee and the hip, it is not guaranteed that these improvements will be repeated in the hip. In this study, the wear resistance of VE-blended UHMWPE was evaluated in knee and hip simulator tests and the effects of VE concentration and electron-beam irradiation were investigated.

Materials and Methods

VE blended samples (GUR_VE xx%) were manufactured via direct compression molding following the blending of UHMWPE resin powder with VE at several concentrations (0, 0.1, 0.3, 1.0%). Cross-linking for the VE samples was achieved by 10 MeV electron beam at several irradiance doses (30, 90, 300 kGy) and annealed below the melting point of UHMWPE.

Knee and hip simulator testing were carried out according to ISO 14243 and ISO 14242, respectively, and the volumetric wear was calculated. The gel fraction was determined by measuring the weight of the samples before and after soaking in decahydronaphthalene at 150°C. The oxidative resistance of the material was determined by measuring the Oxidation Index (OI) following ASTM F2102 before and after compulsory aging (ASTM2003). Radical measurements were made using high-sensitivity X-band ESR.