Wear resistance of the biocompatible phospholipid polymer‐grafted highly cross‐linked polyethylene liner against larger femoral head

The use of larger femoral heads to prevent the dislocation of artificial hip joints has recently become more common. However, concerns about the subsequent use of thinner polyethylene liners and their effects on wear rate have arisen. Previously, we prepared and evaluated the biological and mechanical effects of a novel highly cross‐linked polyethylene (CLPE) liner with a nanometer‐scaled graft layer of poly(2‐methacryloyloxyethyl phosphorylcholine) (PMPC). Our findings showed that the PMPC‐grafted particles were biologically inert and caused no subsequent bone resorptive responses and that the PMPC‐grafting markedly decreased wear in a hip joint simulator. However, the metal or ceramic femoral heads used in this previous study had a diameter of 26 mm. Here, we investigated the wear‐resistance of the PMPC‐grafted CLPE liner with a 40‐mm femoral head during 10 × 10⁶ cycles of loading in the hip joint simulator. The results provide preliminary evidence that the grafting markedly decreased gravimetric wear rate and the volume of wear particles, even when coupled with larger femoral heads. Thus, we believe the PMPC‐grafting will prolong artificial hip joint longevity both by preventing aseptic loosening and by improving the stability of articular surface.