Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Metal on Polyethylene in Total Hip Arthroplasty

폴리에틸렌-금속 관절면

  • Kang, Joon-Soon (Department of Orthopedic Surgery, College of Medicine, Inha University) ;
  • Kim, Ryuh-Sup (Department of Orthopedic Surgery, College of Medicine, Inha University)
  • 강준순 (인하대학교 의과대학 정형외과학교실) ;
  • 김려섭 (인하대학교 의과대학 정형외과학교실)
  • Published : 2010.12.31
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Abstract

Conventional gamma sterilization could induce substantial oxidative degradation during subsequent storage of the PE component in air and during their use in vivo. This oxidative degradation may induce high wear rates, delamination and/or gross fracture of the affected PE component. An improved understanding of the effects of cross-linking and oxidation on ultra high molecular weight polyethylene (UHMWPE) has lead to the common use of oxygen-protected packing during radiation sterilization and shelf storage. More recently, methods to deliberately highly cross link UHMWPE while reducing the material's potential to oxidize have been develop in the form of highly cross linked UHMWPE. We reviewed the manufacturing, sterilization, cross linking methods and clinical results of the new polyethylene.

고전적인 감마선 조사 방법으로 제조된 폴리에틸렌 관절면을 이용한 인공 고관절 치환술은 폴리에틸렌 라이너의 보관 과정이나 생체내 삽입 후 산화에 의한 변성에 의해 강도를 약화시켜 마모에 대한 저항력이 크게 줄어들어 마모율이 증가되고 폴리에틸렌 라이너의 표층 분리나 골절까지 유발될 수 있다. 폴리에틸렌의 교차 결합과 산화 및 마모에 대한 최근 많은 연구가 진척되어 고도 교차 결합 폴리에틸렌이 최근 개발되어 사용되고 있다. 본문에서는 폴리에틸렌의 기본 제조 공정, 방사선 조사와 산화, 교차 결합(cross linking) 유도 방법, 임상 결과에 대해 문헌 고찰을 해보고자 한다.

Keywords

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