• Biomaterials Research
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• v.22 no.4
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• pp.259-270
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• 2018

Background: Total hip arthroplasty (THA) is probably one of the most successful surgical interventions performed in medicine. Through the revolution of hip arthroplasty by principles of low friction arthroplasty was introduced by Sir John Charnley in 1960s. Thereafter, new bearing materials, fixation methods, and new designs has been improved. The main concern regarding failure of THA has been the biological response to particulate polyethylene debris generated by conventional metal on polyethylene bearing surfaces leading to osteolysis and aseptic loosening of the prosthesis. To resolve these problems, the materials of the modern THA were developed since then. Methods: A literature search strategy was conducted using various search terms in PUBMED. The highest quality articles that met the inclusion criteria and best answered the topics of focus of this review were selected. Key search terms included 'total hip arthroplasty', 'biomaterials', 'stainless steel', 'cobalt-chromium', 'titanium', 'polyethylene', and 'ceramic'. Results: The initial search retrieved 6921 articles. Thirty-two articles were selected and used in the review. Conclusion: This article introduces biomaterials used in THA and discusses various bearing materials in currentclinical use in THA as well as the newer biomaterials which may even further decrease wear and improve THA survivorship.

• Journal of Biomedical Engineering Research
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• v.20 no.1
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• pp.37-44
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• 1999

Because of bone resorption, wear of ultra-high molecular weight polyethylene(UHMWPE) in total knee arthroplasty has been recognized as a major factor in long-term failure of knee implant. The surface damage and the following harmful wear debris of UHMWPE is largely related to contact stress. Most of the previous studies focused on the contact condition only at the articulating surface of UHMWPE. Recently, contact stress at the metal-backing interface has been implicated as one of major factors in UHMWPE wear. Therefore, the purpose of the is study is to investigate the effect of the contact stress for different thickness, conformity friction coefficient, and flexion degree of the UHMWPE component in total knee system, considering the contact conditions at both interfaces. In this study, a two-dimensional non-linear plane strain finite element model was developed. The results showed that the maximum value of von-Mises stress occurred below the articulating surface and the contact stress was lower for the more conforming models. All-polyethylene component showed lower stress distribution than the metal-backed component. With increased friction coefficient on the tibiofemoral contact surface, the maximum shear stress increased about twofold.

• Tribology and Lubricants
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• v.14 no.4
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• pp.1-6
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• 1998

인공관절 라이너에 널리 사용되는 대표적 생체재료인 초고분자량 폴리에틸렌(Ultra-High Molecular Weight Polyethylene)은 체내에 삽입되기 전에 멸균처리를 거쳐야 하며, 가장 보편적인 멸균방법은 감마선을 이용한 멸균처리이다. 그러나, 감마선은 폴리에틸렌의 화학분자 결합구조에 변화를 일으키며, 따라서 물리적, 기계적 물성치에 변화를 야기시킨다. 이는 인공관절 수명을 좌우하는 변형과 마모현상에도 결정적 영향을 줄 것으로 사려된다. 본 연구에서는 감마선 멸균처리가 UHMWPE의 크리프 변형 및 마모에 미치는 영향이 관찰되었고, 그 결과들은 감마선 멸균처리로 야기된 폴리에틸렌의 화학분자 결합구조의 변화(Crystallinity, Oxidation, Crosslinking)와 함께 분석되었다. 압축 제작된 초고분자량 폴리에틸렌 봉(extruded UHMWPE rod)으로부터 원통형의 시평을 제작하여 감마선 멸균처리를 행하고, 압축 크리프 실험과 마모 실험을 실시하여 멸균처리하지 않은 시편을 제작하여 감마선 멸균처리를 행하고, 압축 크리프 실험과 마모 실험을 실시하여 멸균처리하지 않은 시편 사이에는 크리프 복원정도를 제외하고 거의 차이가 없었으나, 반면에 마모의 경우, 감마선 멸균처리된 시편이 멸균처리하지 않은 시편보다 훨씬 적은 마모량을 보였다(p〈0.05). 이것은 crosslinking 증가에 따른 마모 저항력 향상으로 볼 수 있다.

• Proceedings of the Korean Society of Tribologists and Lubrication Engineers Conference
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• 2001.06a
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• pp.265-270
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• 2001

Hip joint simulator which Is an essential device for evaluating the wear of biomaterials (ultrahigh molecular weight polyethylene, Co-Cr alloy, alumina, etc.) used in total hip joint replacement was developed. This hip joint simulator mimics the joint motion and joint loading of human gait by adapting the 4 degree of freedom in kinematic motion (flexing/extension, adduction/abduction, Internal rotation/external rotation) and axial loading, Four stations are operated by 8 servo-motors and harmony drives. Joint leading was imposed by displacement control from a ball screw, LM guide, and spring system. Each kinematic link system operates separately or coupled modes. A heater and a thermocouple were installed for keeping the body temperature in each station.

• Journal of Korean Neurosurgical Society
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• v.59 no.6
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• pp.647-649
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• 2016

The device for intervertebral assisted motion (DIAM) is a dynamic implant that consists of a silicone bumper enveloped by a polyethylene terephthalate (PET) fiber sack. Silicone and PET were used because of their biological inertness, but repetitive motion of the spine can cause wear on the implant nonetheless. The purpose of this study is to report a case of foreign body reaction (FBR) against a DIAM. A 72-year-old female patient presented with lower back pain and both legs radiating pain. She had undergone DIAM implantation at L4-5 for spinal stenosis 5 years previously. The intervertebral disc space of L4-5, where the DIAM was inserted, had collapsed and degenerative scoliosis had developed due to left-side collapse. MRI showed L3-4 thecal sac compression and left L4-5 foraminal stenosis. The patient underwent removal of the DIAM and instrumented fusion from L3 to L5. During surgery, fluid and granulation tissue were evident around the DIAM. Histopathology showed scattered wear debris from the DIAM causing chronic inflammation due to the resulting FBR. A FBR due to wear debris of a DIAM can induce a hypersensitivity reaction and bone resorption around the implant, causing it to loosen.

• Fibers and Polymers
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• v.7 no.4
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• pp.442-445
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• 2006

The purpose of this study was to compare the subjective fabric hand evaluation and wear comfort of PET treated by Ultraviolet and to evaluate the subjective results from the investigation of microclimate temperature. The subjective hand evaluation was performed by 20 subjects (age: 20-25) with 5-point scale questionnaires to investigate the change of PET knit fabrics treated for different times, specifically, 0, 30 and 90 minutes. The questionnaires were composite with 8 questions; roughness, smoothness, wetness, stiffness, coolness, touch, preference, and comfort. In order to evaluate sensations of wear comfort, we made garments with UV treated fabric and five female students were tested. They walked at the speed of 6.7 km/ hr for 15 minutes in an environment, which was controlled at $29^{\circ}C,\;75{\pm}5%$ RH. Before and after exercising, the microclimate under clothing and subjective wear comfort was measured. The results of subjective evaluation of fabric hand were that untreated and treated for 30 minutes PET were recognized as similar and have a good evaluation on comfort, preference, and touch. According to the result of wear comfort, clothing treated by UV for 90 minutes had the lowest value on the thermal and humidity sensations. In addition, the value of tactile and comfort sensation was the highest on the clothing treated by UV for 90 minutes. In the case of objective evaluation, PET treated for 90 minutes was the lowest on microclimate humidity. PET irradiated by UV for 90 minutes was more 'cool' in thermal sensation and more 'dry' in wet sensation. Accordingly, it was consistent with the result of subjective wear comfort.

• Macromolecular Research
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• v.17 no.8
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• pp.603-608
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• 2009

Novel ultra-high molecular weight polyethylene (UHMWPE)/zirconia composites were previously prepared by the in situ polymerization of ethylene using a Ti-based Ziegler-Natta catalyst supported on to the surface of zirconia, as a bearing material for artificial joints. Tribological tests revealed that a uniform dispersion of zirconia in UHMWPE markedly increased the wear resistance. The effects of zirconia content on the oxidation behavior of the ${\gamma}$-ray-treated UHMWPE/zirconia composite surfaces were examined. The oxidation index that estimates the oxidation degree as the content of total carbonyl compounds was monitored using Fourier transform infrared spectroscopy-attenuated total reflectance. The changes in the surface composition due to the oxidation were confirmed by electron spectroscopy for chemical analysis. The extent of oxidation decreased with increasing zirconia content, which was attributed to the increased crystallinity as well as the decreased polymer portion of the UHMWPE/zirconia composites.

• Journal of the Korean Chemical Society
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• v.21 no.5
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• pp.384-388
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• 1977

Clay-polymer thickened greases were made by dispersing bentone-polyethylene and bentone-atactic polypropylene into mineral oil at an adequate temperature, and the physical properties such as wear and water washout characteristics, oxidation and shear stabilities, and dropping point of the greases were tested. Even if the greases failed to meet some properties, it was found that those greases can be used for some special purposes, by observing and comparing the properties with those of clay-metallic soap thickened greases that were made in this experiment.

• Hip & pelvis
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• v.30 no.4
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• pp.276-281
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• 2018

Pseudotumors are not uncommon complications after total hip arthroplasty (THA) and may occur due to differences in bearing surfaces of the head and the liner ranging from soft to hard articulation. The most common causes of pseudotumors are foreign-body reaction, hypersensitivity and wear debris. The spectrum of pseudotumor presentation following THA varies greatly-from completely asymptomatic to clear implant failure. We report a case of pseudo-tumor formation with acetabular cup aseptic loosening after revision ceramic-on-metal hip arthroplasty. The patient described herein underwent pseudotumor excision and re-revision complex arthroplasty using a trabecular metal shell and buttress with ceramic-on-polyethylene THA. Surgeons should be aware of the possibility of a pseudotumor when dealing with revisions to help prevent rapid progression of cup loosening and implant failure, and should intervene early to avoid complex arthroplasty procedures.

• Fibers and Polymers
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• v.7 no.4
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• pp.446-449
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• 2006

The purpose of this study was to evaluate the comfort of PET clothing treated by UV. The physiological responses of the human body were investigated. Mean skin temperature and physiological signals such as Electroencephalogram (EEG), and heart rate (Electrocardiogram, (ECG)) were examined for 20 minutes during stable wearing conditions. Mean skin temperature was measured every two seconds using Ramanathan's method. Physiological responses were measured using Biopac MP100 series and analyzed using the software, Acqknowledge 3.5.2. Psychological effects were analyzed every five minutes. Comfort of untreated PET clothing decreased with the passage of time. Compared with PET clothing untreated, treated for 30 minutes, and treated for 90 minutes, the analysis of EEG showed that PET clothing treated for 90 minutes was the most comfortable after 20 minutes. In addition, the interval of the heart rate shown on the ECG was the highest in PET clothing treated for 90 minutes. Skin temperature was the lowest in PET treated for 90 minutes. We thus conclude that suitable UV irradiation would improve comfort.