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Research

VITELENE®, A VITAMIN E-STABILISED HIGHLY CROSSLINKED POLYETHYLENE: WEAR, MECHANICAL AND OXIDATION PROPERTIES

European Orthopaedic Research Society (EORS) 24th Annual Meeting, 14–16 September 2016. Part 2.



Abstract

INTRODUCTION

Highly cross linked polyethylenes (HXPE) have to be treated thermally after irradiation to eliminate residual free radicals. By adding vitamin E in the polyethylene powder a post-irradiation thermal treatment is not necessary.

In this review the correlation between the intrinsic properties and the long-term stability of Vitelene® as a high performance material for artificial hip articulation will be displayed.

MATERIALS & METHODS

Three different types of polyethylene (UHMWPE; GUR1020) were analyzed to compare mechanical properties as well as oxidative stability: PESTD (γ, 30 kGy, N2), HXPEREM (γ, 75 kGy, remelted, EO), Vitelene® (β, 80 kGy, 0.1% Vitamin E, EO).

Artificial aging (ASTM F2003 − 70 °C, O2 at 5 bar) was used to simulate environmental damage. To evaluate the oxidation stability the Oxidation-Induction-Time (OIT) was measured by Differential Scanning Calorimetry (DSC - ASTM D3895) and the Oxidation Index (OI) was determined by Fourier-Transformation-Infrared-Spectroscopy (FTIR - ASTM F2102). The mechanical properties were analyzed by tensile- and impact investigations (ASTM D638 and ISO 11542-2) as well as by Small Punch Testing (SPT - ASTM F2183). The amount of wear was measured gravimetrically (ISO 14242-2).

RESULTS

OIT [minutes], after 0, 14, 28, 42, 56 and 70 days aging, respectively 0.47, 0.41, 0.45, 0.42, 0.42 and not determined (nd) for PESTD, 0.46, 0.46, 0.47, 0.41, 0.41 and nd for HXPEREM, 12.09±0.50, 11.67±0.54, 10.78±0.25, 10.42±0.36, nd and 9.25±0.19 for Vitelene®.

Cristallinity [%], after 0, 14, 28 and 42 days aging, respectively 55±2, 63±2, 79±4, 88±3 for PESTD, 47±2, 48±0, 50±1, 57±1 for HXPEREM, 52±1, 51±1, 53±14, 53±2 for Vitelene®.

OI, after 0, 14, 28, 35 and 42 days aging, respectively 0.11±0.03, 0.67±0.15, 4.48±1.17 for PESTD, 0.07±0.05, 0.06±0.02, 0.09±0.02, 0.24±0.05, 0.69±0.36 for HXPEREM, 0.06±0.01, 0.08±0.01, 0.08±0.01, 0.09±0.01, 0.09±0.01 for Vitelene®.

Tensile Strength [MPa], after 0 and 42 days aging, respectively 47.9±10, 0.7±0 for PESTD, 56.0±4.0, 25.0±2.0 for HXPEREM, 53.1±1.0, 52.0±4.3 for Vitelene®.

Elongation [%], after 0 and 42 days aging, respectively 469±69 and 0 for PESTD, 343±14, 7±3 for HXPEREM, 372±11, 380±15 for Vitelene®.

Impact Strength [kJ/m²], after 0 and 42 days aging, respectively 149±6, 4±1 for PESTD, 95±1, 5±1 for HXPEREM, 86±10, 91±7 for Vitelene®.

SPT - Average Ultimate Load [N], after 0, 14 and 28 days aging, respectively 61.5±4.0, 56.3±5.3, 8.2±0.2 for PESTD, 71.4±2.2, 68.0±9.9, 64.4±8.2 for Vitelene®.

Wear [mg/Mio cycles] (Ø36 mm Biolox® delta), after 0, 14 and 42 days aging, respectively 19.0±0.6, 30.3±3.1 and 365.8±37,2 for PESTD, 2.0±0.3, nd and 52.0±16.4 for HXPEREM, 2.5±0.5, nd and 2.3±0.7 for Vitelene®.

CONCLUSION

The mechanical properties of Vitelene® are unchanged even after 42 days of artificial aging which is correlated to low wear in total hip arthroplasty. Vitamin E stabilization is effective in preventing oxidation and aging of the polyethylene after irradiation cross linking.