Characterization of network parameters for UHMWPE by plane strain compression.

Ultra-high molecular weight polyethylene (PE) is used as a bearing material for total joint replacement prostheses since it is a tough, wear-resistant semicrystalline polymer. Despite its high resistance to wear, PE components have shown measureable wear in vivo, which can cause wear-particle induced osteolysis. Crosslinking of PE using ionizing radiation has been shown to increase wear resistance since both chemical crosslinks and physical entanglements provide high resistance to wear. Molecular characterization of crosslinked PEs is usually conducted using equilibrium swelling or by quantifying gel content. In this study, we compared crosslink densities and molecular weight between crosslinks derived from equilibrium swelling to those obtained by applying the Gaussian and Eight-Chain model to describe plane strain compression of the PE melt. The latter approach has the advantage of accounting for contributions of entanglements to the overall crosslink density, which solvent-based techniques largely neglect. As expected, the crosslink density calculated from model fitting increased monotonically with increase in radiation dose in a 0-200kGy dose range, with a corresponding monotonic decrease in molecular weight between crosslinks, but provided higher values of crosslink density and correspondingly lower values of molecular weight between crosslinks compared to the equilibrium swelling technique.

Storage conditions do not have detrimental effect on allograft collagen or scaffold performance.

Musculoskeletal allografts are a valuable alternative to autograft tissue in orthopaedic surgeries. However, the effects of the allografts' storage history on the collagen and subsequent allograft scaffold properties are unknown. In this study, we hypothesized that freezing and refrigeration of allografts for 1 week would alter the biologic performance and mechanical properties of the allograft collagen. Allograft collagen was characterized by SDS-PAGE migration pattern, amino acid profile and measured denaturation. Scaffolds made from allograft collagen were evaluated for fibroblast proliferation, platelet activation and scaffold retraction. Collagen gelation kinetics (elastic and inelastic moduli and the viscous-elastic transition point) were also evaluated. Fibroblast proliferation, platelet activation and scaffold retraction results showed only minor, though statistically significant, differences between the storage groups. In addition, there were no significant differences in rheological properties or collagen biochemistry. In conclusion, this study suggests that freezing or refrigeration for 1 week does not appear to have any detrimental effect on the mechanical properties and biologic performance of the collagen within allografts.

Injection temperature significantly affects in vitro and in vivo performance of collagen-platelet scaffolds.

Collagen-platelet composites have recently been successfully used as scaffolds to stimulate anterior cruciate ligament (ACL) wound healing in large animal models. These materials are typically kept on ice until use to prevent premature gelation; however, with surgical use, placement of a cold solution then requires up to an hour while the solution comes to body temperature (at which point gelation occurs). Bringing the solution to a higher temperature before injection would likely decrease this intra-operative wait; however, the effects of this on composite performance are not known. The hypothesis tested here was that increasing the temperature of the gel at the time of injection would significantly decrease the time to gelation, but would not significantly alter the mechanical properties of the composite or its ability to support functional tissue repair. Primary outcome measures included the maximum elastic modulus (stiffness) of the composite in vitro and the in vivo yield load of an ACL transection treated with an injected collagen-platelet composite. In vitro findings were that injection temperatures over 30 degrees C resulted in a faster visco-elastic transition; however, the warmed composites had a 50% decrease in their maximum elastic modulus. In vivo studies found that warming the gels prior to injection also resulted in a decrease in the yield load of the healing ACL at 14 weeks. These studies suggest that increasing injection temperature of collagen-platelet composites results in a decrease in performance of the composite in vitro and in the strength of the healing ligament in vivo and this technique should be used only with great caution.

Homotypic variation of canine flexor tendons: implications for the design of experimental studies in animal models.

Water, collagen and glycosamimoglycan contents, cross-sectional area, stiffness and elastic modulus were carefully quantitated in flexor digitorum superficialis tendons from mature canines. From these data the within- and between-animal variability was estimated and used to demonstrate sample size calculations for both two-group and paired (within-animal) study designs. The estimated between-dog variance was typically 50% or less of the total variance for the parameters investigated. In other words, the correlation among the tendons within an animal for most measures was not strong. Therefore, for some variables (e.g., elastic modulus) in this animal and tendon model, there is no appreciable gain in statistical power by using a paired study design. A two-group design could be used, but any within-animal correlation must be accounted for in the analysis. For other variables such as collagen content, a paired design would gain substantial power.