Development of a six station knee wear simulator and preliminary wear results.

In order to assess the wear performance of different designs of total knee replacements (TKR), a six station multi-axis knee simulator has been designed, built and commissioned. The most important features of a knee simulator are representative angles of flexion-extension synchronized with a dynamically applied load, and a combination of rolling and sliding motion. The simulator typically applies flexion-extension of 0-65, anterior-posterior translation of up to 15 mm, a dynamic load of up to 5.0 kN, and operates at 1.0 Hz. The loads and motions are applied using computer controlled servohydraulic actuators and hence their profiles are easily modified. A preliminary wear test has been conducted using a Kinemax (Howmedica, United Kingdom) TKR. The test was conducted in 30 per cent bovine serum which was changed every 150,000 cycles, at which time the bearing surfaces were examined and the UHMWPE tibial component was weighed. Over eight million cycles, a tibial wear rate of 2.62 mg/10(6) cycles was measured. The mild wear observed was characterized by burnishing and slight scratching in the anterior posterior direction. These observations are broadly in line with both in vitro and ex vivo studies reported in the literature for this type of prosthesis. Delamination wear sometimes observed in vivo was not seen.