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Badanie stanu powierzchni wkładki polimerowej endoprotezy stawu kolanowego metodą termografii impulsowej
Języki publikacji
Abstrakty
Providing of joint prostheses with high reliability is particularly important because the loss of their functional properties may cause invasive surgery revision. The main exploitation problems with prostheses are loosening (septic or aseptic) and the wear of inserts made of UHMWPE. Identification of the types and mechanisms of cooperating surfaces wear of the knee prostheses affects the improvement of materials selection, design and increase their reliability and durability. Typical kinds of damage of UHMWPE element of the prosthesis include abrasive wear, plastic deformation and creep, fatigue wear (pitting), changing the chemical composition and colour, changing in the structure, cracking. This paper presents the test results of the UHMWPE insert surface of the knee replacement which was used by the patient for 13 months. Microscopic studies, pulse thermography and 3D scanning of the UHMWPE insert were carried out. 3D scanning element has paved the way for reconstruction of the shape of the working surface of the insert of prosthesis. Surface defects in the tested insert were revealed by using innovative methods of pulsed thermography. In order to identify defects, located on the surface, microscopic studies were carried out. They have shown a complex mechanism of wear. Many signs of abrasive wear, fatigue wear (pitting) and microcracks have been observed. Analysis of the bio-bearing operation also indicates the signs of early fatigue wear. The causes of wear of tested elements include too high load applied exceeding several times the weight of the human body, closed space in which products of friction are accumulated.
Celem pracy jest określenie charakteru uszkodzeń powierzchni wkładki endoprotezy stawu kolanowego wykonanej z PE-UHMW usuniętej reoperacyjnie z powodu obluzowania aseptycznego po 13 miesiącach użytkowania z wykorzystaniem nowoczesnych technik badania powierzchni materiału.
Wydawca
Czasopismo
Rocznik
Tom
Strony
76--80
Opis fizyczny
Bibliogr. 26 poz., fig., tab.
Twórcy
autor
- Faculty of Production Engineering, University of Life Sciences in Lublin
autor
- Faculty of Production Engineering, University of Life Sciences in Lublin
autor
- Faculty of Production Engineering, University of Life Sciences in Lublin
autor
- Faculty of Production Engineering, University of Life Sciences in Lublin
Bibliografia
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- [2] Winiecki M.: Problem of the biomechanical biocompatibility of bone and constructional materials for bone implants in the light of modern two phase poroelastic model of bone tissue. Eksploatacja i Niezawodność —Maintenance and Reliability 2 (2004) 74÷79.
- [3] Rybak T., Gierzyńska-Dolna M., Sulej-Chojnacka J., Wiśniewski T.: Nowe materiały na wkładki endoprotez stawu kolanowego. Tribologia: tarcie, zużycie, smarowanie 5 (2010) 223÷233.
- [4] Gierzyńska-Dolna M., Nabrdalik M.: Procesy zużycia endoprotez stawu kolanowego. Inżynieria Materiałowa Materials Engineering 5 (2005)661÷663.
- [5] Kurtz S.: The UHMWPE Handbook: ultra-high molecular weight polyethylenein total joint replacement. Elsevier Academic Press, London (2004).
- [6] Van Ijsseldijk E., Lebel B., Stoel B., Valstar E., Gouzy S., Vielpeau C.,Kaptein B.: Validation of the in vivo volumetric wear measurement for total knee prostheses in model-based RSA. Journal of Biomechanics 46(2013) 1387÷1391.
- [7] Wimmer M., Andriacchi T., Natarajan R., Loos J., Karlhuber M., PetermannJ., Schneider E., Rosenberg A.: A striated pattern of wear in ultra high molecular weight polyethylene components of Miller-Galante total knee arthroplasty. Journal of Arthroplasty 1 (1998) 8÷16.
- [8] Chakrabarty G., Vashishtha M., Leeder D.: Polyethylene in knee arthroplasty:A review. Journal of Clinical Orthopaedics and Trauma 2 (2015)108÷112.
- [9] Cybo J., Maszybrocka J., Frąckowiak J. E.: Morphology changes of ultra high molecular weight polyethylene occurring on the surface, in the subsuperficial zone, and in volume as a result of friction in polymer/metalsystem. Inżynieria Materiałowa Materials Engineering 3 (2004) 295÷298.
- [10] Battaglia S., Taddei P., Castiello E., Tozzi S., Sudanese A., Affatato S.:Combined effect of the body mass index and implant size on the wear of retrieved total knee prostheses. Journal of the Mechanical Behavior of Biomedical Materials 38 (2014) 69÷77.
- [11] Montewka M., Skrzek A., Plewik D., Rudzki S., Wysokiński A., Kozioł-Montewka M.: Zakażenia miejsca operowanego — charakterystyka czynnikówryzyka, endogennych źródeł zakażenia i metody zapobiegania. Postępy Mikrobiologii 3 (2012) 227÷235.
- [12] Shi W., Dong H., Bell T.: Tribological behaviour and microscopic wear mechanisms of UHMWPE sliding against thermal oxidation-treatedTi6Al4V. Original Research Article Materials Science and Engineering291 (2000) 27÷36.
- [13] Szczęsny G., Babiak I., Kowalewski M., Górecki A.: Septyczne obluzowania protez stawów biodrowego i kolanowego. Chirurgia Narządów Ruchu i Ortopedia Polska 3 (2005) 179÷184.
- [14] Podrez-Radziszewska M., Lachowicz M., Haimann K., Dudziński W.: Analiza mikroskopowa mechanizmu zużycia polietylenu o ultra wysokiej masie cząsteczkowej w endoprotezach stawów. Tribologia: tarcie, zużycie, smarowanie 2 (2005) 67÷83.
- [15] Kim H., Fernandez J., Akbarshahi M., Walter J., Fregly B., Pandy M.:Evaluation of predicted knee-joint muscle forces during gait using an instrumented knee implant. Journal of Orthopaedic Research 27 (2009)1326÷1331.
- [16] Paul J.: Approaches to design — force actions transmitted by joints inhuman body. Proceedings of the Royal Society London B192 (1976)163÷172.
- [17] Miller R., Edwards W., Deluzio K.: Energy expended and knee joint load accumulated when walking, running, or standing for the same amount of time. Gait&Posture 41 (2015) 326÷328.
- [18] Schipplein O., Andriacchi T.: Interaction between active and passive knee stabilizers during level walking. Journal of Orthopedic Research 9 (1991)113÷121.
- [19] Morrison J.: The mechanics of the knee joint in relation to normal walking. Journal of Biomechanics 3 (1970) 51÷61.
- [20] Majkowska B., Jażdżewska M., Miotke D., Zieliński A.: Ocena odporności na zużycie ścierne stopów Ti na elementy pary trącej endoprotez stawu kolanowego. Inżynieria Materiałowa Materials Engineering 5 (2013)501÷504.
- [21] Stępniewski A.: Analiza strukturalna, geometryczna i statyczna mechanizmu stawu kolanowego. Acta Mechanica et Automatica 1 (2010) 80÷85.
- [22] Scott S., Winter D.: Internal forces at chronic running injury sites. Medicineand Science in Sports and Exercise 3 (1990) 360÷366.
- [23] Greenwald A., Heim C.: Ultra-high molecular weight polyethylene in totalknee arthroplasty — revision total knee arthroplasty. Springer, New York(2005).
- [24] Wimmer M., Andriacchi T.: Tractive forces during rolling motion of theknee: implications for wear in total knee replacement. Journal of Biomechanics2 (1997) 131÷137.
- [25] Muratoglu O., Ruberti J., Melotti S., Spiegelberg S., Greenbaum E., HarrisW.: Optical analysis of surface changes on early retrievals of highly cross linked and conventional polyethylene tibial inserts. Journal of Arthroplasty18 (2003) 42÷47.
- [26] Gierzyńska-Dolna M.: Procesy tribologiczne w węzłach ruchowych endoprotez.Tribologia: tarcie, zużycie, smarowanie 4 (2003) 163÷172.
Uwagi
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-184baacf-e773-4a67-be0f-675e55720da9