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BioMed Research International
Volume 2014, Article ID 567374, 9 pages
Research Article

CR TKA UHMWPE Wear Tested after Artificial Aging of the Vitamin E Treated Gliding Component by Simulating Daily Patient Activities

1Aesculap AG, Research & Development, Am Aesculap Platz, 78532 Tuttlingen, Germany
2Julius Wolff Institut, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany
3Orthopedic Department, Ludwig-Maximilians-University, Campus Großhadern, Marchioninistraße 15, 81377 Munich, Germany

Received 20 June 2014; Revised 15 September 2014; Accepted 28 September 2014; Published 20 November 2014

Academic Editor: Markus A. Wimmer

Copyright © 2014 Jens Schwiesau et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The wear behaviour of total knee arthroplasty (TKA) is dominated by two wear mechanisms: the abrasive wear and the delamination of the gliding components, where the second is strongly linked to aging processes and stress concentration in the material. The addition of vitamin E to the bulk material is a potential way to reduce the aging processes. This study evaluates the wear behaviour and delamination susceptibility of the gliding components of a vitamin E blended, ultra-high molecular weight polyethylene (UHMWPE) cruciate retaining (CR) total knee arthroplasty. Daily activities such as level walking, ascending and descending stairs, bending of the knee, and sitting and rising from a chair were simulated with a data set received from an instrumented knee prosthesis. After 5 million test cycles no structural failure of the gliding components was observed. The wear rate was with  mg/million cycles falling within the limit of previous reports for established wear test methods.