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Basic Science
intermediate
X-Type

Polyethylene in Arthroplasty - UHMWPE and XLPE

Biomaterials

A 58-year-old man undergoes primary total hip arthroplasty for osteoarthritis. During preoperative discussion, the surgeon explains bearing surface options including conventional polyethylene versus highly cross-linked polyethylene. The patient asks about the differences between these materials. Regarding polyethylene bearing surfaces in total joint arthroplasty:

Mark each as TRUE or FALSE

A

Ultra-high molecular weight polyethylene (UHMWPE) has a molecular weight greater than 2-6 million g/...

B

Highly cross-linked polyethylene (XLPE) is created by gamma or electron beam irradiation which break...

C

Cross-linking increases both wear resistance and mechanical strength of polyethylene; free radicals ...

D

Free radicals generated during irradiation cause oxidative degradation if not eliminated; thermal tr...

E

Vitamin E (alpha-tocopherol) is added to XLPE as an antioxidant to stabilize free radicals without t...

Answer the questions to see explanations

Click T (True) or F (False) for each option