Abstract
The polyetheretherketone (PEEK)-highly cross-linked polyethylene (XLPE), all-polymer knee prosthesis has excellent prospects for replacing the traditional metal/ceramic-polyethylene joint prosthesis, improving the service life of the joint prosthesis and the quality of patients’ life. The long-term wear mechanism of PEEK-XLPE knee joint prosthesis is comprehensively evaluated from wear amount, wear morphology, and wear debris compared to that of CoCrMo-XLPE joint prosthesis. After 5 million cycles of in vitro wear, the wear loss of XLPE in PEEK-XLPE (30.9±3.2 mg) is lower than that of XLPE in CoCrMo-XLPE (32.1±3.1 mg). Compared to the XLPE in CoCrMo-XLPE, the plastic deformation of XLPE in PEEK-XLPE is more severe in the early stage, and the adhesive peeling and adhesion are lighter in the later stage. The size distribution of XLPE wear debris in PEEK-XLPE is relatively dispersed, which in CoCrMo-XLPE is relatively concentrated. Wear debris is mainly flake and block debris, and the wear mechanism of XLPE was abrasive wear. The wear volume per unit area of PEEK femoral condyle (10.45×105 µm3/mm2) is higher than that of CoCrMo (8.32×105 µm3/mm2). The PEEK surface is mainly furrows and adhesions, while the CoCrMo surface is mainly furrows and corrosion spots. The PEEK wear debris is mainly in flakes and blocks, and the CoCrMo wear debris is mainly in the shape of rods and blocks. The wear mechanism of PEEK is abrasive wear and adhesion, and that of CoCrMo is abrasive wear and corrosion.
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Acknowledgements
This study was supported by the National Natural Science Foundation of China (Grant No. 51875564), Natural Science Foundation of Jiangsu Province (Grant No. BK20211243), the National Key R&D Program of China (Grant No. 2016YFC1101803).
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Xinyue ZHANG. She is a Ph.D. candidate at China University of Mining and Technology, China. She is a joint Ph.D. Student at The University of British Columbia, Canada, from 2021 to 2022. She has published 10 journal papers. Her current research interests cover the bionic design of functional materials, tribology of soft materials, and bio-tribology of artificial joints.
Dekun ZHANG. He received his Ph.D. degree from China University of Mining and Technology, China, in 2003. He has been a professor at China University of Mining and Technology since 2008. His current research interests cover fretting, friction reliability of mining machinery, bio-tribology of artificial joints, bionic design of functional materials, and wear-resistant materials. He has published 2 monographs and more than 180 papers, of which over 100 publications are included in SCI, and he has also obtained more than 30 patents for invention. His main academic part-time jobs include the deputy chairman of the Tribological Branch of the Chinese Mechanical Engineering Society and the chairman of the Tribological Branch of the Jiangsu Mechanical Engineering S ociety, China.
Kai CHEN. He received his Ph.D. degree from China University of Mining and Technology, China, in 2015. He is currently an associate professor at China University of Mining and Technology. He has published over 50 journal papers and applied for 10 patents. His current research interests cover the bionic design of functional materials, tribology of soft materials, bio-tribology of artificial joints, and wear-resistant materials.
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Wear mechanism and debris analysis of PEEK as an alternative to CoCrMo in the femoral component of total knee replacement
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Zhang, X., Zhang, T., Chen, K. et al. Wear mechanism and debris analysis of PEEK as an alternative to CoCrMo in the femoral component of total knee replacement. Friction 11, 1845–1861 (2023). https://doi.org/10.1007/s40544-022-0700-z
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DOI: https://doi.org/10.1007/s40544-022-0700-z