Implants surface articulating joint replacement

Wear is defined as the loss of material from a surface as the result of relative motion. In this chapter, the wear processes in polymer implants are discussed. Polymers are used in a wide variety of implants in the human body such as joint replacement implants, pacemakers, catheters and heart valves. Wear of polymer implants is almost exclusive to joint replacement implants, such as those used to replace the hip or knee. These implants involve the articulation of a metal or ceramic against a polymer. Typically these implants operate with a mixed or boundary lubrication regime and, therefore, there is contact between the bearing surfaces that can lead to the generation of wear debris. The chapter is divided into sections that cover implants, wear processes, polymers used in implants, the effect of wear debris on the body and, finally, likely future trends. 

PE remains the workhorse of joint replacement liners as it functions as a low-friction implant articulating surface. There have been many adaptations and... 

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