Elsevier S & T

The UHMWPE Handbook: Ultra-High Molecular Weight Polyethylene in Total Joint Replacement

Kurtz, Steven M.

In stock
No reviews
28.500 KD inc. VAT
License
Table of contents
  • Cover
  • Contentsvii
  • Contributorsxi
  • Prefacexiii
  • 1. A Primer on UHMWPE1
  • Introduction1
  • What Is a Polymer?2
  • What Is Polyethylene?4
  • Crystallinity6
  • Thermal Transitions7
  • Overview of the Handbook9
  • 2. From Ethylene Gas to UHMWPE Component: The Process of Producing Orthopedic Implants13
  • Introduction13
  • Polymerization: From Ethylene Gas to UHMWPE Powder14
  • Conversion: From UHMWPE Powder to Consolidated Form22
  • Machining: From Consolidated Form to Implant31
  • Conclusion32
  • 3. Packaging and Sterilization of UHMWPE37
  • Introduction37
  • Gamma Sterilization in Air38
  • Gamma Sterilization in Barrier Packaging41
  • Ethylene Oxide Gas Sterilization44
  • Gas Plasma Sterilization45
  • Shelf Life of UHMWPE Components for Total Joint Replacement47
  • Overview of Current Trends48
  • 4. The Origins of UHMWPE in Total Hip Arthroplasty53
  • Introduction and Timeline53
  • The Origins of a Gold Standard (1958–1982)55
  • Charnley’s First Hip Arthroplasty Design with PTFE (1958)56
  • Implant Fixation with Pink Dental Acrylic Cement (1958–1966)56
  • Interim Hip Arthroplasty Designs with PTFE (1958–1960)58
  • Final Hip Arthroplasty Design with PTFE (1960–1962)58
  • Implant Fabrication at Wrightington61
  • The First Wear Tester62
  • Searching to Replace PTFE64
  • UHMWPE Arrives at Wrightington66
  • Implant Sterilization Procedures at Wrightington66
  • Overview68
  • 5. The Clinical Performance of UHMWPE in Hip Replacements71
  • Introduction71
  • Joint Replacements Do Not Last Forever73
  • Range of Clinical Wear Performance in Cemented Acetabular Components75
  • Wear Versus Wear Rate of Hip Replacements77
  • Comparing Wear Rates Between Different Clinical Studies79
  • Comparison of Wear Rates in Clinical and Retrieval Studies82
  • Current Methods for Measuring Clinical Wear in Total Hip Arthroplasty83
  • Range of Clinical Wear Performance in Modular Acetabular Components85
  • Conclusion86
  • 6. Alternatives to Conventional UHMWPE for Hip Arthroplasty93
  • Introduction93
  • Metal-on-Metal Alternative Hip Bearings94
  • Ceramics in Hip Arthroplasty101
  • Highly Crosslinked and Thermally Stabilized UHMWPE109
  • Summary114
  • 7. The Origins and Adaptations of UHMWPE for Knee Replacements123
  • Introduction123
  • Frank Gunston and the Wrightington Connection to Total Knee Arthroplasty126
  • Polycentric Knee Arthroplasty129
  • Unicondylar Polycentric Knee Arthroplasty132
  • Bicondylar Total Knee Arthroplasty134
  • Patello–Femoral Arthroplasty141
  • UHMWPE with Metal Backing142
  • Conclusion146
  • 8. The Clinical Performance of UHMWPE in Knee Replacements151
  • Introduction151
  • Biomechanics of Total Knee Arthroplasty153
  • Clinical Performance of UHMWPE in Knee Arthroplasty160
  • Osteolysis and Wear in Total Knee Arthroplasty172
  • UHMWPE Is the Only Alternative for Knee Arthroplasty182
  • 9. The Clinical Performance of UHMWPE in Shoulder Replacements189
  • Introduction189
  • The Shoulder Joint190
  • Shoulder Replacement191
  • Biomechanics of Total Shoulder Replacement195
  • Contemporary Total Shoulder Replacements197
  • Clinical Performance of Total Shoulder Arthroplasty203
  • Controversies in Shoulder Replacement207
  • Future Directions in Total Shoulder Arthroplasty211
  • Conclusion213
  • 10. The Clinical Performance of UHMWPE in the Spine219
  • Introduction219
  • Biomechanical Considerations for UHMWPE in the Spine222
  • Total Disc Replacement Designs Using UHMWPE226
  • Clinical Performance of UHMWPE in the Spine237
  • Alternatives to UHMWPE for Total Disc Arthroplasty in the Spine239
  • Conclusion240
  • 11. Mechanisms of Crosslinking and Oxidative Degradation of UHMWPE245
  • Introduction245
  • Mechanisms of Crosslinking245
  • UHMWPE Oxidation250
  • Oxidative Degradation after Implant Manufacture256
  • In Vivo Absorption of Lipids257
  • 12. Characterization of Physical, Chemical, and Mechanical Properties of UHMWPE263
  • Introduction263
  • What Does the Food and Drug Administration Require?264
  • Physical Property Characterization265
  • Intrinsic Viscosity269
  • Chemical Property Characterization274
  • Mechanical Property Characterization280
  • Other Testing284
  • Conclusion284
  • 13. Development and Application of the Small Punch Test to UHMWPE287
  • Introduction287
  • Overview and Metrics of the Small Punch Test288
  • Accelerated and Natural Aging of UHMWPE291
  • In Vivo Changes in Mechanical Behavior of UHMWPE294
  • Effect of Crosslinking on Mechanical Behavior and Wear295
  • Shear Punch Testing of UHMWPE298
  • Fatigue Punch Testing of UHMWPE301
  • Conclusion305
  • 14. Computer Modeling and Simulation of UHMWPE309
  • Introduction309
  • Overview of Available Modeling and Simulation Techniques310
  • Characteristic Material Behavior of UHMWPE311
  • Material Models for UHMWPE317
  • Discussion334
  • 15. Compendium of Highly Crosslinked and Thermally Treated UHMWPEs337
  • Introduction337
  • Honorable Mention338
  • Crossfire339
  • DURASUL342
  • Longevity345
  • Marathon348
  • Prolong351
  • XLPE352
  • Current Trends and Prevalence in Total Hip and Total Knee Arthroplasty353
  • The Future for Highly Crosslinked UHMWPE357
  • Appendix365
  • Index369
Book details
  • Vendor Elsevier S & T
  • SKU 9780124298514
  • ISBN-13 9780080481463
  • Author Kurtz, Steven M.
  • Category Medical
  • Subject Physical Medicine & Rehabilitation

Do you have questions about this book?

Ask an expert!

Description eBook delivery & access Reviews
Recently, the orthopedic industry developed new processing techniques (radiation crosslinking), which are expected to dramatically reduce wear and improve the longevity of hip implants beyond 10 years.

This book describes the history and properties of ultra-high molecular weight polyethylene (UHMWPE) used in artificial joints by describing its properties and reviewing the latest clinical results.

* The most up-to-date information on the properties of UHMWPE

* Endorsed by Ticona - the world's leading manufacturer of UHMWPE for medical use

* An enormous 'installed base' of over 1.4 million procedures each year

* UHMWPE has been used by orthopedists for over 40 years, yet its properties and performance in situ are still not well understood