Crystallization pathways to alter the nanostructure and tensile properties of non-irradiated and irradiated, vitamin E stabilized UHMWPE

Improved oxidation stability and crosslink density of chemically crosslinked ultrahigh molecular weight polyethylene using the antioxidant synergy for artificial joints

Vitamin E (VE) is currently an approved antioxidant to improve the oxidation stability of highly crosslinked ultrahigh molecular weight polyethylene (UHMWPE) insert used commercially in total joint arthroplasty. However, the decrease in crosslink density caused by VE reduces wear resistance of UHMWPE, showing an uncoordinated challenge. In this work, we hypothesized that D-sorbitol (DS) as a secondary antioxidant can improve the antioxidant efficacy of VE on chemically crosslinked UHMWPE. The combined effect of VE and DS on oxidation stability of UHMWPE was investigated at a set of controlled hybrid antioxidant content. The hybrid antioxidant strategy showed significantly synergistic enhancement on the oxidation stability of chemically crosslinked UHMWPE compared with the single VE strategy. More strikingly, the crosslink density of the blends with hybrid antioxidants stayed at a high level since DS is not sensitive to crosslinking. The relationships between oxidation stability, mechanical properties, crosslink density, and crystallinity were investigated, by which the clinically relevant overall performance of UHMWPE was optimized. This work provides a leading-edge design mean for the development of joint bearings.

Research into the thermal stability and mechanical properties of vitamin E diffusion modified irradiation cross-linked graphene oxide/ultra-high molecular weight polyethylene composites

Recently, there has been increasing interest in modifying ultra-high molecular weight polyethylene (UHMWPE) due to glaring needs in the artificial joint replacement field. It is generally reported in the literature that irradiation cross-linking and adding graphene oxide (GO)/vitamin E (VE) can enhance the mechanical properties of UHMWPE, but this can sacrifice the oxidation stability and gel content. This paper examines how VE diffusion can influence irradiation cross-linked GO/UHMWPE composites and whether mechanical performance and oxidation resistance can be maintained simultaneously, which will provide new guidance for prolonging the longevity of UHMWPE implants. The GO/UHMWPE composites were fabricated by means of liquid ultrasonic dispersion, hot pressing and irradiation cross-linking, followed by VE diffusion and homogenization treatment. The results indicated that limited VE diffusion decreased the water absorption and wettability. The crystallinity, melting temperature, thermal stability, hardness and scratch resistance of the composites basically remain essentially the same, except in the case of pure UHMWPE. In addition, the oxidation resistance was improved significantly after incorporating VE. Furthermore, the diffusion and enhancement mechanisms were also demonstrated, respectively.