Wear behaviour of UHMWPE reinforced by carbon nanofiller and paraffin oil for joint replacement

Macrophages-derived exosomes modulates wear particle-induced osteolysis via miR-3470b targeting TAB3/NF-κB signaling

Image 1.

Mechanical and Tribological Performance of HDPE Matrix Reinforced by Hybrid Gr/TiO2 NPs for Hip Joint Replacement

Hip joint collapse is a very common health problem. Many cases need a joint replacement, so nano-polymeric composites are an ideal alternative solution. Due to its mechanical properties and wear resistance, HDPE might be considered a suitable alternative to frictional materials. The current research focuses on using hybrid nanofiller TiO2 NPs and nano-graphene with various loading compositions to evaluate the best loading amount. The compressive strength, modules of elasticity, and hardness were examined via experiments. The COF and wear resistance were evaluated via a pin-on-disk tribometer. The worn surfaces were analyzed based on 3D topography and SEM images. The HDPE samples with various compositions of 0.5%, 1.0%, 1.5%, and 2.0 wt.% filling content of TiO2 NPs and Gr (with a ratio of 1:1) were analyzed. Results revealed that hybrid nanofiller with a composition of 1.5 wt.% exhibits superior mechanical properties compared to other filling compositions. Moreover, the COF and wear rate decreased by 27.5% and 36.3%, respectively.

Wear Analysis of Tibial Inserts Made of Highly Cross-Linked Polyethylene Supplemented with Dodecyl Gallate before and after Accelerated Aging

The wear of the tibial insert is one of the primary factors leading to the failure of total knee arthroplasty. As materials age, their wear performance often degrades. Supplementing highly cross-linked polyethylene (HXLPE) with dodecyl gallate (DG) can improve the oxidation stability of tibial inserts for use in total knee arthroplasty (TKA). This study aimed to evaluate the wear resistance of HXLPE supplemented with DG (HXLPE-DG) tibial inserts before and after accelerated aging. HXLPE-DG tibial inserts were subjected to wear testing of up to 5 million loading cycles according to ISO 14243, and the resulting wear particles were analyzed according to ISO 17853. The wear rate, number, size, and shape of the wear particles were analyzed. The average wear rate of the unaged samples was 4.39 ± 0.75 mg/million cycles and was 3.22 ± 1.49 mg/million cycles for the aged samples. The unaged tibial inserts generated about 2.80 × 107 particles/mL following the wear test, but this was considerably lower for the aged samples at about 1.35 × 107 particles/mL. The average equivalent circle diameter (ECD) of the wear particles from the unaged samples was 0.13 μm (max: 0.80 μm; min: 0.04 μm), and it was 0.14 μm (max: 0.66 μm; min: 0.06 μm) from the aged samples. Moreover, 22.1% of the wear particles from the unaged samples had an aspect ratio (AR) of >4 (slender shape), while this was 15.4% for the aged samples. HXLPE-DG improves the wear performance of the material over time. HXLPE-DG is a novel material that has been demonstrated to have antiaging properties and high wear resistance, making it a promising candidate for use in TKA. Nevertheless, the results are preliminary and will be clarified in further studies.

Contact stress and sliding wear damage tolerance of hydroxyapatite and carbon nanotube reinforced polyethylene cup liner against zirconia femoral head

A finite element modeling (FEM) approach is carried out to estimate the contact stresses such as von-Mises and shear stress on the acetabular cup liner, made up of ultra-high molecular weight polyethylene (UHMWPE)-hydroxyapatite (HAp)-carbon nanotubes (CNT) based composites. The highlights of this work include the effects of liners' material (UHMWPE-HAp-CNT composites), radial clearance (0.05 to 1 mm), and liners' wall thickness (3 to 8 mm) on contact stresses. The thick liner (thickness: 8 mm) with conformal geometry (radial clearance 0.05 mm) produced the lowest contact stresses (von-Mises: 13.8-17.5 MPa and shear stress: 2.3-3.3 MPa). In contrast, the thin liner (thickness: 3 mm) with higher radial clearance (1 mm) showed the highest von-Mises stress (78.6-131.0 MPa) and shear stress (17.0-23.3 MPa). According to ISO 7206-1, nearly 6-7 times reduced contact stresses were observed because of the wider articulating contact area provided by thick cup liner and its conformity with respect to the femoral head. The UHMWPE-2 wt % CNT composite (UC) showed low von-Mises stress (16.1 MPa) and lowest shear stress (2.3 MPa); thus, it is the most damage tolerant material (wear rate: 2.6 × 10-7 mm3/Nm). The excellent mechanical properties such as hardness (165 MPa), elastic modulus (2.28 GPa), and tensile strength (36.7 MPa) are reasoned to elicit an increased sliding-wear resistance of UC. Thus, CNT-based UHMWPE composite can be the potential acetabular cup liner with a thickness of 8 mm and clearance of 0.05 mm without plastic deformation.

Discussion of Orientation and Performance of Crosslinked Ultrahigh-Molecular-Weight Polyethylene Used for Artificial Joints

Previously, the orientation structure of ultrahigh-molecular-weight polyethylene (UHMWPE) for artificial joints was considered to be unchanged after irradiation crosslinking. Therefore, much of the research related to the long-term failure of artificial joints has focused on material improvements. In this study, ultrasmall-angle X-ray scattering (USAXS) and the small/wide-angle X-ray scattering (SAXS-WAXS) combined technique reveal that the orientation structures of UHMWPE materials at all scales (nanoscale to microscale) are responsible for the long-term failure of artificial joints. To further illustrate the formation of these hierarchical oriented structures, a simple model is presented. In this model, first, the migration of free radicals plays a vital role, and the different steric hindrances in different directions directly lead to uneven migration behavior of free radicals. Second, the uneven migration of free radicals contributes to an inhomogeneous concentration of free radicals, thus resulting in observable crosslinking nonuniformities. Finally, all the hierarchical structural nonuniformities promote long-term failure of artificial joints after long-term wear.

2D materials for bone therapy

Due to their prominent physicochemical properties, 2D materials are broadly applied in biomedicine. Currently, 2D materials have achieved great success in treating many diseases such as cancer and tissue engineering as well as bone therapy. Based on their different characteristics, 2D materials could function in various ways in different bone diseases. Herein, the application of 2D materials in bone tissue engineering, joint lubrication, infection of orthopedic implants, bone tumors, and osteoarthritis are firstly reviewed comprehensively together. Meanwhile, different mechanisms by which 2D materials function in each disease reviewed below are also reviewed in detail, which in turn reveals the versatile functions and application of 2D materials. At last, the outlook on how to further broaden applications of 2D materials in bone therapies based on their excellent properties is also discussed.

Polyvinylidene fluoride - Hydroxyapatite 0-3 biocomposite filaments processed by twin-screw extrusion

Polyvinylidene fluoride - hydroxyapatite composite filaments were processed by twin-screw extrusion at different processing angular velocities and characterized by scanning electron and atomic force microscopies, differential scanning calorimetry and tensile tests. Polymer-ceramic composites with a 0-3 connectivity were successfully obtained. Regardless of the used processing parameters, all composite filaments present very similar melting (∼152°C) and solidification (∼139°C) points and elastic moduli (∼1.0 GPa) for hydroxyapatite as dispersed phase in the composite with concentrations up to 25 wt%, indicating that they are adequate for twin-screw extrusion and 3D printing. However, the yield strength (∼29 MPa), ultimate tensile strength (∼36 MPa) and tensile point (∼29 MPa) parameters are similar only for hydroxyapatite concentrations up to 15 wt%, once higher concentrations of hydroxyapatite as dispersed phase result in fragile samples (∼50% lower for each studied property).

Wear Assessment of Tibial Inserts Made of Highly Cross-Linked Polyethylene Supplemented with Dodecyl Gallate in the Total Knee Arthroplasty

Background: the wear of tibial insert is still one of primary factors leading to failure of total knee arthroplasty (TKA). Dodecyl gallate (DG) has shown improvements in the oxidation stability of highly cross-linked polyethylene (HXLPE). This study aimed to assess the application of HXLPE supplemented with DG (HXLPE-DG) on the tibial insert in TKA concerning the wear resistance and the potential impact on implant fixation; Methods: tibial inserts made of HXLPE-DG were subjected to a 3 million loading-cycle wear test following ISO 14243-1:2009. The loss of mass and wear rate of the tibial inserts were calculated. The quantity, size,- and shape of wear particles were recorded; Results: the test specimens lost an average mass of 16.00 mg ± 0.94 mg, and were on an average wear rate of 3.92 mg/million cycles ± 0.19 mg/million cycles. The content of wear particles in the calf serum medium was 3.94 × 10⁸ particles/mL ± 3.93 × 10⁷ particles/mL, 96.66% ± 0.77% of the particles had an equivalent circular diameter less than 0.5 μm. The aspect ratio of wear particles was 1.40 (min: 1.01; max: 6.42). Conclusions: HXLPE-DG displayed advantages over the commonly used materials for tibial inserts and presented the potential of application in TKA.

Mechanical, Wear and Thermal Behavior of Polyethylene Blended with Graphite Treated in Ball Milling

Additive manufacturing, civil, and biomechanical applications are among the most important sectors, where the filler’s presence can significantly improve the quality of polymeric products blends. The high market demand of new low-cost material to be used as shock absorbers and mechanical joints arouses our curiosity to study a relatively common commercial polymer and filler. The possible improvement by blending high-density polyethylene (HDPE) and graphite was investigated for these sectors. To achieve this objective, we have prepared HDPE/graphite nanocomposites following mechanical treatment to understand which parameter provides the researched properties. As widely reported in the literature, milling treatment leads to the decrease of the particle size and the exfoliation of graphitic layers. Therefore, graphite has been previously treated with a ball mill for different times (1–16 h) to enhance its lubricating action. We checked an improvement in stiffness, yielding strength, thermal stability, and, in particularly, wear resistance that increased by 65% with respect to that of polyethylene (PE). A treatment time of eight hours in ball milling could be enough to give an appreciable improvement. The wear behavior of HDPE with treated graphite has not been deeply investigated so far, and it could be important because HDPE is considered a “carrier polymer” for different low-friction applications.

A A, Moradi O, Rezvani Ghomi E. Thermal Degradation Kinetics and Modeling Study of Ultra High Molecular Weight Polyethylene (UHMWP)/Graphene Nanocomposite

The incorporation of nanofillers such as graphene into polymers has shown significant improvements in mechanical characteristics, thermal stability, and conductivity of resulting polymeric nanocomposites. To this aim, the influence of incorporation of graphene nanosheets into ultra-high molecular weight polyethylene (UHMWPE) on the thermal behavior and degradation kinetics of UHMWPE/graphene nanocomposites was investigated. Scanning electron microscopy (SEM) analysis revealed that graphene nanosheets were uniformly spread throughout the UHMWPE's molecular chains. X-Ray Diffraction (XRD) data posited that the morphology of dispersed graphene sheets in UHMWPE was exfoliated. Non-isothermal differential scanning calorimetry (DSC) studies identified a more pronounced increase in melting temperatures and latent heat of fusions in nanocomposites compared to UHMWPE at lower concentrations of graphene. Thermogravimetric analysis (TGA) and derivative thermogravimetric (DTG) revealed that UHMWPE's thermal stability has been improved via incorporating graphene nanosheets. Further, degradation kinetics of neat polymer and nanocomposites have been modeled using equations such as Friedman, Ozawa-Flynn-Wall (OFW), Kissinger, and Augis and Bennett's. The "Model-Fitting Method" showed that the auto-catalytic nth-order mechanism provided a highly consistent and appropriate fit to describe the degradation mechanism of UHMWPE and its graphene nanocomposites. In addition, the calculated activation energy (Ea) of thermal degradation was enhanced by an increase in graphene concentration up to 2.1 wt.%, followed by a decrease in higher graphene content.

Synthetic Polymeric Materials for Bone Replacement

Some treatment options available to repair bone defects are the use of autogenous and allogeneic bone grafts. The drawback of the first one is the donor site’s limitation and the need for a second operation on the same patient. In the allograft method, the problems are associated with transmitted diseases and high susceptibility to rejection. As an alternative to biological grafts, polymers can be used in bone repair. Some polymers used in the orthopedic field are poly(methyl methacrylate), poly(ether-ether-ketone), and ultra-high molecular weight polyethylene (UHMWPE). UHMWPE has drawn much attention since it combines low friction coefficient and high wear and impact resistance. However, UHMWPE is a bioinert material, which means that it does not interact with the bone tissue. UHMWPE composites and nanocomposites with hydroxyapatite (HA) are widely studied in the literature to mitigate these issues. HA is the main component of the inorganic phase in the natural bone, and the addition of this bioactive filler to the polymeric matrix aims to mimic bone composition. This brief review discusses some polymers used in orthopedic applications, focusing on the UHMWPE/HA composites as a potential bone substitute.

Wear Resistant Nanocomposites Based on Biomedical Grade UHMWPE Paraffin Oil and Carbon Nano-Filler: Preliminary Biocompatibility and Antibacterial Activity Investigation

In the present paper, we investigate the effectiveness of nanocomposites (composed of ultra-high molecular weight polyethylene (UHMWPE) mixed with carbon nano-filler (CNF) and medical grade paraffin oil (PO), from the biological point of view. Wear measurements were carried out without (air) and with lubricant (distilled water, natural, and artificial lubricant), and antibacterial activity and cytotoxicity were evaluated. The results highlighted that the presence of CNF is important in the nanocomposite formulation because it reduces the wear rate and prevents oxidative degradation during its processing. An amount of 1.0 wt % of CNF is best because it reaches the optimal distribution within the polymeric matrix, resulting in the best wear resistant, bio-active, and anti-bacterial nanocomposite among all investigated samples.

A New Industrial Technology for Mass Production of Graphene/PEBA Membranes for CO2/CH4 Selectivity with High Dispersion, Thermal and Mechanical Performance

Polyether block amide (PEBA) nanocomposite membranes, including Graphene (GA)/PEBA membranes are considered to be a promising emerging technology for removing CO2 from natural gas and biogas. However, poor dispersion of GA in the produced membranes at industrial scale still forms the main barrier to commercialize. Within this frame, this research aims to develop a new industrial approach to produce GA/PEBA granules that could be used as a feedstock material for mass production of GA/PEBA membranes. The developed approach consists of three sequential phases. The first stage was concentrated on production of GA/PEBA granules using extrusion process (at 170-210 °C, depending on GA concentration) in the presence of Paraffin Liquid (PL) as an adhesive layer (between GA and PEBA) and assisted melting of PEBA. The second phase was devoted to production of GA/PEBA membranes using a solution casting method. The last phase was focused on evaluation of CO2/CH4 selectivity of the fabricated membranes at low and high temperatures (25 and 55 °C) at a constant feeding pressure (2 bar) using a test rig built especially for that purpose. The granules and membranes were prepared with different concentrations of GA in the range 0.05 to 0.5 wt.% and constant amount of PL (2 wt.%). Also, the morphology, physical, chemical, thermal, and mechanical behaviors of the synthesized membranes were analyzed with the help of SEM, TEM, XRD, FTIR, TGA-DTG, and universal testing machine. The results showed that incorporation of GA with PEBA using the developed approach resulted in significant improvements in dispersion, thermal, and mechanical properties (higher elasticity increased by ~10%). Also, ideal CO2/CH4 selectivity was improved by 29% at 25 °C and 32% at 55 °C.

Fabrication of Novel CeO2/GO/CNTs Ternary Nanocomposites with Enhanced Tribological Performance

Increasing demands of multi-functional lubricant materials with well distributed nanoparticles has been generated in the field of oil lubrication. In this study, one-dimensional (1-D) acidified multi-walled carbon nanotubes (CNTs) and two-dimensional (2-D) graphene oxide (GO) sheets were dispersed together under an ultra-sonication condition to form CNTs/GO hybrids and the corresponding CNTs/GO hybrids decorated with uniform zero-dimensional (0-D) cerium oxide (CeO2) nanoparticles were prepared via a facile hydrothermal method. The tribological performance of CeO2/CNTs/GO ternary nanocomposite was systematically investigated using a MS-T3000 ball-on-disk tester. The results demonstrated that CeO2/GO/CNTs nanocomposites can effectively reduce the friction of sliding pairs in paraffin oil. Moreover, the oil with 1 wt% of CeO2/GO/CNTs exhibited the best lubrication properties with the lowest friction coefficient and wear scar diameters (WSD) compared with adding only GO nanosheet, CeO2, and CeO2/CNTs hybrid nanocomposite as lubricant additives. It is concluded that due to the synergistic effect of 0D CeO2, 1D CNTs, and 2D GO during sliding process, a dimensionally mixed CeO2/GO/CNTs nanocomposite exhibits excellent lubricating properties, providing innovative and effective additives for application in the field of lubrication.

Tribological Behavior of Nanocomposites Based on UHMWPE Aged in Simulated Synovial Fluid

Ultra High molecular weight polyethylene (UHMWPE) suffers wear degradation in total joint replacements and it needs to be improved. Thus, we enhanced wear resistance of UHMWPE with carbon nanofiller and paraffin oil and studied its tribological behavior in Simulated Synovial Fluid (SSF) for 60 days at 37 °C to reproduce the conditions of a real joint. Ageing in biological fluid accelerates the wear action but nanocomposite exhibited a higher wear resistance compared to UHMWPE because of its higher structural homogeneity. Carbon nanofiller closes the porosity of UHMWPE hindering SSF to penetrate inside. Wear resistance of the nanocomposite with 1.0 wt.% of CNF improved of 65% (before ageing) and of 70% (after 60 days in SSF) with respect to pure UHMWPE.