Pf. Williams et al., FABRICATION AND CHARACTERIZATION OF DIPALMITOYLPHOSPHATIDYLCHOLINE-ATTRACTING ELASTOMERIC MATERIAL FOR JOINT REPLACEMENTS, Biomaterials, 16(15), 1995, pp. 1169-1174
Wear debris associated with the polyethylene components of total joint
replacements has been shown to induce bone resorption which contribut
es to implant loosening. In an effort to promote lubrication and reduc
e wear in artificial hip joints, the use of the cushion bearing concep
t has been proposed previously; however, an elastomeric material teste
d as a cushion bearing has been shown to have poor tribological proper
ties during initiation of motion from rest. The goal of this project w
as to fabricate and characterize an elastomer that has the ability to
attract to its surface naturally occurring boundary lubricants from an
aqueous solution. The test elastomer and appropriate controls were ch
aracterized using fluorescence, electron spin resonance and X-ray phot
oelectron spectroscopy. The test elastomer was found to have an enhanc
ed ability to attract dipalmitoylphosphatidylcholine, a known physiolo
gical boundary lubricant. A cushion bearing that also encourages bound
ary lubrication represents a potential improvement over currently exis
ting orthopaedic implant-bearing materials.