Oxidation-resistant and wear-resistant polyethylenes for human joint replacements and methods for making them
The present invention presents methods for making oxidation-resistant and wear-resistant polyethylenes and medical implants made therefrom. Preferably, the implants are components of prosthetic joints, e.g., a bearing component of an artificial hip or knee joint. The resulting oxidation-resistant and wear-resistant polyethylenes and implants are also disclosed.
1. A method for producing a wear-resistant and oxidation-resistant medical implant of a joint prosthesis, said method comprising the steps of:
(I) providing an oxidation-resistant medical implant of a joint prosthesis comprising a polyethylene component; and
(II) irradiating the oxidation-resistant medical implant at a radiation dose of above 5 Mrad to about 25 Mrad so as to crosslink the implant thereby improving its wear resistance, without thermally treating the implant to extinguish free radicals in the irradiated and crosslinked implant during or subsequent to irradiating the oxidation-resistant implant; wherein the oxidation-resistant implant contains an antioxidant rendering it resistant to oxidation caused by free radicals generated by the irradiation of step (II); and the irradiated oxidation-resistant implant possesses the characteristics of: a degree of swelling of between about 1.7 to about 3.6; a molecular weight between crosslinks of between about 400 to about 3,500 g/mol; and a gel content of between about 95% to about 99%.
2. The method of claim 1 , wherein the radiation dose is from above 5 Mrad to about 10 Mrad.
3. The method of claim 1 , wherein the polyethylene is selected from the group consisting of: ultra high molecular weight polyethylene and high molecular weight polyethylene.
4. The method of claim 1 , wherein the anti-oxidant is selected from the group consisting of: vitamin A, vitamin C, vitamin E, phenols, aromatic amines, salts and condensation products of amines with aldehydes, ketones, or thio compounds, and salts and condensation products of aminophenols with aldehydes, ketones, or thio compounds.
5. The method of claim 4 , wherein the anti-oxidant is vitamin E.
6. The method of claim 1 , wherein the irradiation is performed with radiation selected from the group consisting of: gamma radiation and electron beam radiation.
7. The method of claim 1 , wherein the irradiation also sterilizes the implant.
8. The method of claim 1 , wherein the oxidation-resistant medical implant is produced according to the process selected from the group consisting of: (a) mixing the anti-oxidant and polyethylene powder and fusing the mixture to produce an oxidation-resistant preformed polyethylene and machining the oxidation-resistant medical implant from the oxidation-resistant preformed polyethylene; and (b) mixing the anti-oxidant and the polyethylene powder and fusing the mixture in a mold to produce a direct molded oxidation-resistant medical implant.
9. The method of claim 8 , wherein the polyethylene is selected from the group consisting of: ultra high molecular weight polyethylene and high molecular weight polyethylene.
10. The method of claim 1 , wherein the polyethylene is selected from the group consisting of: ultra high molecular weight polyethylene and high molecular weight polyethylene; and the irradiation is performed with radiation selected from the group consisting of: gamma radiation and electron beam radiation.
11. The method of claim 10 , wherein the anti-oxidant is selected from the group consisting of: vitamin A, vitamin C, vitamin E, phenols, aromatic amines, salts and condensation products of amines with aldehydes, ketones, or thio compounds, and salts and condensation products of aminophenols with aldehydes, ketones, or thio compounds.
12. The method of claim 1 , wherein providing an oxidation-resistant medical implant comprises:
either (a) mixing the anti-oxidant and polyethylene powder and fusing the mixture to produce an oxidation-resistant preformed polyethylene and machining the oxidation-resistant implant from the oxidation-resistant preformed polyethylene or (b) mixing the anti-oxidant and the polyethylene powder and fusing the mixture in a mold to produce a direct molded oxidation-resistant medical implant; and
packaging the oxidation-resistant implant in a sealed package.
13. The method of claim 12 , wherein the irradiating the oxidation-resistant medical implant is performed while the implant is packaged in the sealed package.
14. The method of claim 12 , wherein once the oxidation-resistant medical implant is packaged in the sealed package, and the oxidation-resistant implant remains in the sealed package until the implant is to be implanted.
15. The method of claim 12 , wherein packaging the oxidation-resistant medical implant comprises packaging the oxidation-resistant medical implant in an airtight package in an oxygen reduced atmosphere.
16. The method of claim 1 , wherein oxidation-resistant medical implant is irradiated at a radiation dose of above 10 Mrad to about 25 Mrad.