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폴리에틸렌-금속 관절면

Metal on Polyethylene in Total Hip Arthroplasty

김려섭|강준순
대한고관절학회 (The Korean Hip Society)|2010.12|Hip and Pelvis|제22권 제4호|pp. 241-246

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키워드

Polyethylene폴리에틸렌ArthroplastyHip고관절인공 관절 치환술

초록

고전적인 감마선 조사 방법으로 제조된 폴리에틸렌 관절면을 이용한 인공 고관절 치환술은 폴리에틸렌 라이너의 보관 과정이나 생체내 삽입 후 산화에 의한 변성에 의해 강도를 약화시켜 마모에대한 저항력이 크게 줄어들어 마모율이 증가되고 폴리에틸렌 라이너의 표층 분리나 골절까지 유발될 수 있다. 폴리에틸렌의 교차 결합과 산화 및 마모에 대한 최근 많은 연구가 진척되어 고도교차 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.

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.

참고문헌 (31)

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관련 논문AI추천

고관절 전치환술에서의 금속-금속 관절면박윤수, 임승재대한고관절학회 · Hip and Pelvis2010 · 제22권 제3호인공관절 라이너용 가교된 초고분자량폴리에틸렌(UHMWPE)의 열처리 조건에 따른 기계적 특성 변화구자욱, 김동훈, 김성곤, 김현묵, 최낙삼한국복합재료학회 · Composites Research2009 · 제22권 제2호금속-금속 관절면 고관절 인공관절 치환술한석구대한고관절학회 · Hip and Pelvis2013 · 제25권 제4호관절면 선택 및 약점 보완법김신윤, 박성기, 이정엽대한고관절학회 · Hip and Pelvis2009 · 제21권 제4호Total Hip Arthroplasty Using Metal Head on a Highly Cross-linked Polyethylene Liner김민욱, 박지훈, 이정호, 정영율대한고관절학회 · Hip and Pelvis2015 · 제27권 제4호폴리에틸렌 삽입물을 교체한 인공 고관절 재치환술강동근, 곽상준, 유기형, 유명철, 전영수, 조윤제대한고관절학회 · Hip and Pelvis2011 · 제23권 제4호

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