An investigation of the microstructure, mechanical properties, and tribological performance of ultra high molecular weight polyethylene for applications in total joint arthroplasty

Ultra high molecular weight polyethylene (UHMWPE) is the most common bearing material in joint arthroplasty due to its biocompatibility, its wear resistance, and its mechanical toughness. Despite the favorable properties of UHMWPE and its success as a biomaterial, billions of dollars are spent annually to revise tens of thousands of failed artificial joints. Over half of these revision procedures are related to mechanical failure of the polymer bearing or osteolysis resulting from polymer wear.;Contemporary material processing steps involving thermal treatment and/or radiation treatment seek to improve outcomes through improving the tribological properties of UHMWPE. However, it is widely recognized that achieving wear resistance through radiation-induced crosslinking comes at the cost of reduced mechanical properties. Moreover, current wear theories for orthopaedic UHMWPE are incomplete in that they predict zero wear in the absence of crossing motion. Wear nonetheless occurs in linear reciprocation, necessitating an alternate theory.;The present work explains the effects of thermal treatments and radiation treatments on the properties of GUR1050 UHMWPE. A test matrix allows comparisons of different treatments across different test platforms. Characterization techniques include DSC, FTIR spectroscopy, tensile testing, x-ray diffraction, and electron microscopy. A novel quantitative stereology technique is developed to quantify crystallite size in the semicrystalline material.;Seven clinically relevant materials are subjected to rolling-sliding tribotesting to determine polyethylene wear behavior in linear reciprocation. The multi-station tribotester employed for this work enables high throughput testing, and the specimen geometry allows direct measurement of wear rates without a gravimetric soak control. The results of the material characterization tests can be used to accurately predict the rolling-sliding wear behavior of UHMWPE. Wear rate is directly related to crystallite size divided by the material yield strength. A modification of the delamination theory of wear is proposed to explain the wear mechanism.;The results and conclusions of the present study can be used to specify future UHMWPE treatments that might eliminate a toughness-reducing radiation dose while improving the wear properties of the polymer. Such treatments would improve the in vivo performance of UHMWPE and hence would improve orthopaedic surgery outcomes.