2016
DOI: 10.1177/0954411915602914
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Wear simulation of a polyethylene-on-metal cervical total disc replacement under different concentrations of bovine serum lubricant

Abstract: Metal-on-polyethylene (MoP) total disc replacements (TDR) have been an alternative to spinal fusion in the lumbar spine under certain indications for more than a decade. Recently, cervical total disc replacement (C-TDR) has also become an alternative to cervical fusion. Knowledge acquired from years of in vitro simulator studies on other joint replacements has high-lighted the risks associated with premature wear due to unforeseen adverse clinical conditions and the effect of particulate debris on surrounding … Show more

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Cited by 9 publications
(4 citation statements)
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References 26 publications
(37 reference statements)
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“…For UHMWPE-on-cobalt chrome at both standard rig running and elevated temperatures, there was a trend of increasing wear factor with increasing protein concentration. These findings corroborate with those of several previous pin-on-plate (Galvin, 2003) and whole joint wear simulation studies (Good et al, 2000, Hyde et al, 2016) run at room temperature however, other studies also carried out at room temperature have reported an inverse relationship between protein concentration and wear (Liao et al, 1999, Liao et al, 2003, Muratoglu et al, 2004). Differences in simulation systems and test protocols, and the use of additives such as EDTA and antibiotics to the lubricant may have contributed to the different test outcomes.…”
Section: Discussionsupporting
confidence: 91%
“…For UHMWPE-on-cobalt chrome at both standard rig running and elevated temperatures, there was a trend of increasing wear factor with increasing protein concentration. These findings corroborate with those of several previous pin-on-plate (Galvin, 2003) and whole joint wear simulation studies (Good et al, 2000, Hyde et al, 2016) run at room temperature however, other studies also carried out at room temperature have reported an inverse relationship between protein concentration and wear (Liao et al, 1999, Liao et al, 2003, Muratoglu et al, 2004). Differences in simulation systems and test protocols, and the use of additives such as EDTA and antibiotics to the lubricant may have contributed to the different test outcomes.…”
Section: Discussionsupporting
confidence: 91%
“…The wear rate was shown to be proportional to the total protein content of the BCS (Hyde et al , 2016). Analogously, it was found that the wear loss of UHMWPE pin specimens increased with a concentration in both BSA and BSG ( p ≤ 0.05) (Figure 4), whereas the pin wear was almost negligible in the protein-free lubricants, such as DPPC, HA and PBS.…”
Section: Resultsmentioning
confidence: 99%
“…We used the Institute of Biomechanics of Valencia spine wear stimulator, complying with ISO 18192-1 standard [ 14 ] (Figure S2S, supplementary material). This machine has basins to submerge the TDR samples during the test in a BS solution with a protein content similar to the human synovial fluid [ 15 , 16 ], penicillin, amphotericin, and EDTA and kept at 37 ± 2 °C.…”
Section: Methodsmentioning
confidence: 99%