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Friction 2023, 11(10): 1845-1861 https://doi.org/10.1007/s40544-022-0700-z
Research Article | Open Access | Issue | Published: 02 March 2023

Wear mechanism and debris analysis of PEEK as an alternative to CoCrMo in the femoral component of total knee replacement

Show Author's Information Xinyue ZHANG1,  Tao ZHANG1,  Kai CHEN2( ),  Handong XU1,  Cunao FENG2,  Dekun ZHANG2( )
School of Mechatronic Engineering, China University of Mining and Technology, Xuzhou 221116, China
School of Materials and Physics, China University of Mining and Technology, Xuzhou 221116, China
Keywords:
wear mechanism, polyetheretherketone (PEEK)-highly cross-linked polyethylene (XLPE), cobalt-chromium-molybdenum (CoCrMo)-XLPE, wear debris
Cite this article:
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, 2023, 11(10): 1845-1861. https://doi.org/10.1007/s40544-022-0700-z
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Abstract Full text Electronic supplementary material About this article

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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About this article

Wear mechanism and debris analysis of PEEK as an alternative to CoCrMo in the femoral component of total knee replacement

Show Author's information Xinyue ZHANG1, Tao ZHANG1, Kai CHEN2( ), Handong XU1, Cunao FENG2, Dekun ZHANG2( )
School of Mechatronic Engineering, China University of Mining and Technology, Xuzhou 221116, China
School of Materials and Physics, China University of Mining and Technology, Xuzhou 221116, China

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.

Keywords: wear mechanism, polyetheretherketone (PEEK)-highly cross-linked polyethylene (XLPE), cobalt-chromium-molybdenum (CoCrMo)-XLPE, wear debris

References(29)

[1]
Grupp T M, Schilling C, Schwiesau J, Pfaff A, Altermann B, Mihalko W M. Tibial implant fixation behavior in total knee arthroplasty: A study with five different bone cements. J Arthroplasty 35(2): 579–587 (2020)
DOI Google Scholar
[2]
Feng B, Zhu W, Bian Y Y, Chang X, Cheng K Y, Weng X S. China artificial joint annual data report. Chinese Med J 134(6): 752–753 (2021)
DOI Google Scholar
[3]
Wang Y X, Li Z L, Li J, Zhao Z D, Wang H R, Hou C, Li W, Liu C H. Effect of medial meniscus extrusion on arthroscopic surgery outcome in the osteoarthritic knee associated with medial meniscus tear: A minimum 4-year follow-up. Chinese Med J 132(21): 2550–2558 (2019)
DOI Google Scholar
[4]
Argenson J N, Boisgard S, Parratte S, Descamps S, Bercovy M, Bonnevialle P, Briard J L, Brilhault J, Chouteau J, Nizard R, et al. Survival analysis of total knee arthroplasty at a minimum 10 years’ follow-up: A multicenter French nationwide study including 846 cases. Orthop Traumatol-Sur 99(4): 385–390 (2013)
DOI Google Scholar
[5]
De Steiger R N, Muratoglu O, Lorimer M, Cuthbert A R, Graves S E. Lower prosthesis-specific 10-year revision rate with crosslinked than with non-crosslinked polyethylene in primary total knee arthroplasty. Acta Orthop 86(6): 721–727 (2015)
DOI Google Scholar
[6]
Zhang X Y, Lou Z C, Yang X H, Chen Q, Chen K, Feng C N, Qi J W, Luo Y, Zhang D K. Fabrication and characterization of a multilayer hydrogel as a candidate for artificial cartilage. ACS Appl Polym Mater 3(10): 5039–5050 (2021)
DOI Google Scholar
[7]
Zhang X G, Zhang Y L, Jin Z M. A review of the bio-tribology of medical devices. Friction 10(1): 4–30 (2022)
DOI Google Scholar
[8]
Xu H D, Zhang D K, Chen K, Zhang T. Taper fretting behavior of PEEK artificial hip joint. Tribol Int 137: 30–38 (2019)
DOI Google Scholar
[9]
Sandeep Kumar Y, Rajeswara Rao K V S, Sunil R Y. Investigation of wear behavior of biopolymers for total knee replacements through invitro experimentation. Int J Eng 33(8): 1560-1566 (2020)
DOI Google Scholar
[10]
Vidya V, Anoop C A, Jinan S, Anwar R, Senthil Saravanan M S. Tribological analysis of cross linked UHMWPE used in artificial knee replacement. Mater Today Proc 27(3): 2748–2751 (2020)
DOI Google Scholar
[11]
Abdelgaied A, Brockett C L, Liu F, Jennings L M, Jin Z M, Fisher J. The effect of insert conformity and material on total knee replacement wear. P I Mech Eng H 228(1): 98–106 (2014)
DOI Google Scholar
[12]
Pruitt L A, Ansari F, Kury M, Mehdizah A, Patten E W, Huddlestein J, Mickelson D, Chang J, Hubert K, Ries M D. Clinical trade-offs in cross-linked ultrahigh-molecular-weight polyethylene used in total joint arthroplasty. J Biomed Mater Res B 101B(3): 476–484 (2013)
DOI Google Scholar
[13]
Koh Y G, Hong H T, Kang K T. Biomechanical effect of UHMWPE and CFR-PEEK insert on tibial component in unicompartmental knee replacement in different varus and valgus alignments. Materials 12(20): 3345–3360 (2019)
DOI Google Scholar
[14]
Zhang X Y, Zhang D K, Chen K, Xu H D, Feng C N. Tribological characterization of all-polymer prosthesis based on multi-directional motion. J Thermoplast Compos (2021).
DOI Google Scholar
[15]
Liao J J, Smith D W, Miramini S, Gardiner B S, Zhang L H. Investigation of role of cartilage surface polymer brush border in lubrication of biological joints. Friction 10(1): 110–127 (2022)
DOI Google Scholar
[16]
Cowie R M, Briscoe A, Fisher J, Jennings L M. Wear and friction of UHMWPE-on-PEEK OPTIMATM. J Mech Behav Biomed 89: 65–71 (2019)
DOI Google Scholar
[17]
Rankin K E, Dickinson A S, Briscoe A, Browne M. Does a PEEK femoral TKA implant preserve intact femoral surface strains compared with CoCr? A preliminary laboratory study. Clin Orthop Relat R 474(11): 2405–2413 (2016)
DOI Google Scholar
[18]
De Ruiter L, Janssen D, Briscoe A, Verdonschot N. The mechanical response of a polyetheretherketone femoral knee implant under a deep squatting loading condition. P I Mech Eng H 231(12): 1204–1212 (2017)
DOI Google Scholar
[19]
De Ruiter L, Janssen D, Briscoe A, Verdonschot N. A preclinical numerical assessment of a polyetheretherketone femoral component in total knee arthroplasty during gait. J Exp Orthop 4(1): 3 (2017)
DOI Google Scholar
[20]
Yang S, Xie F B, Cui W, Zhang Y L, Jin Z M. A review of the clinical and engineering performance of dual-mobility cups for total hip arthroplasty. Am J Transl Res 13(8): 9383–9394 (2021)
Google Scholar
[21]
Brockett C L, Carbone S, Fisher J, Jennings L M. PEEK and CFR-PEEK as alternative bearing materials to UHMWPE in a fixed bearing total knee replacement: An experimental wear study. Wear 374–375: 86–91 (2017)
DOI Google Scholar
[22]
Cowie R M, Briscoe A, Fisher J, Jennings L M. PEEK-OPTIMATM as an alternative to cobalt chrome in the femoral component of total knee replacement: A preliminary study. P I Mech Eng H 230(11): 1008–1015 (2016)
DOI Google Scholar
[23]
Cowie R M, Pallem N M, Briscoe A, Jennings L M. Third body wear of UHMWPE-on-PEEK-OPTIMATM. Materials 13(6): 1264 (2020)
DOI Google Scholar
[24]
Stratton-Powell A A, Pasko K M, Brockett C L, Tipper J L. The biologic response to polyetheretherketone (PEEK) wear particles in total joint replacement: A systematic review. Clin Orthop Relat R 474(11): 2394–2404 (2016)
DOI Google Scholar
[25]
Meng X C, Du Z, Wang Y. Characteristics of wear particles and wear behavior of retrieved PEEK-on-HXLPE total knee implants: A preliminary study. RSC Adv 8(53): 30330–30339 (2018)
DOI Google Scholar
[26]
International Organization for Standardization. ISO/AWI 14243-3 Implants for surgery—Wear of total knee-joint prostheses—Part 3: Loading and displacement parameters for wear testing machines with displacement control and corresponding environmental conditions for test. ISO, 2014.
[27]
International Organization for Standardization. ISO 14243-2:2016 Implants for surgery—Wear of total knee-joint prostheses—Part 2: Methods of measurement. ISO, 2016.
[28]
Cui W, Yang S, Zhang X G, Zhang Y L, Zhang J, Zhang X, Chen D X, Jin Z M. Research progress in wear testing and computational simulation of total knee replacement in China. Chin J Orthop 41(7): 459-470 (2021) (in Chinese)
Google Scholar
[29]
Valero-Vidal C, Casabán-Julián L, Herraiz-Cardona I, Igual-Muñoz A. Influence of carbides and microstructure of CoCrMo alloys on their metallic dissolution resistance. Mater Sci Eng C-Mater 33(8): 4667–4676 (2013)
DOI Google Scholar
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Publication history

Received: 06 May 2022
Revised: 14 July 2022
Accepted: 26 September 2022
Published: 02 March 2023
Issue date: October 2023

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© The author(s) 2022.

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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