Wear Performance Analysis of UHMWPE for Total Knee Arthroplasty
A Comparative Study of Materials from Different Sources
Received: 1 October 2025 | Revised: 12 November 2025 | Accepted: 29 November 2025 | Online: 10 December 2025
Corresponding author: D. Darmanto
Abstract
Ultra-High Molecular Weight Polyethylene (UHMWPE) is a key material in orthopedic implants, particularly in Total Knee Arthroplasty (TKA), due to its excellent wear resistance and biocompatibility. This study aimed to evaluate and compare the wear behavior of domestically produced UHMWPE (PIN A) with commercially available products from China (PIN B) and the United States (PIN C). Wear tests were performed using a pin-on-disc tribometer under dry conditions to determine the wear volume, the wear rate, and the wear coefficient. Microstructural analysis was also conducted using Scanning Electron Microscopy (SEM), and hardness was measured with a Shore D durometer. The results showed that PIN A exhibited superior wear performance, having the lowest wear width of 1.198 mm at 4500, as well as the lowest wear volume and wear rate. Another significant observation was that the wear coefficient for PIN A was the lowest at 8.35×10-7 mm3/Nm, reflecting the best resistance to material loss under friction. PIN B showed a moderate wear coefficient of 1.19×10-6 mm³/Nm, while PIN C had the highest with 1.83×10-6 mm3/Nm, indicating the poorest wear resistance. SEM micrographs also confirmed that the microstructure of PIN A had a compact, layered, and fibrous morphology, which contributed to its superior mechanical performance. The trend shows that domestic UHMWPE can match or exceed the performance of imported materials when subjected to proper processing and supports the potential application in clinical orthopedic procedures.
Keywords:
UHMWPE, wear resistance, TKA, pin-on-disc, biomechanical properties, microstructure evaluationDownloads
References
P. Bracco, A. Bellare, A. Bistolfi, and S. Affatato, "Ultra-High Molecular Weight Polyethylene: Influence of the Chemical, Physical and Mechanical Properties on the Wear Behavior. A Review," Materials, vol. 10, no. 7, July 2017, Art. no. 791. DOI: https://doi.org/10.3390/ma10070791
E. Oral and O. K. Muratoglu, "Radiation cross-linking in ultra-high molecular weight polyethylene for orthopaedic applications," Nuclear Instruments and Methods in Physics Research Section B: Beam Interactions with Materials and Atoms, vol. 265, no. 1, pp. 18–22, Dec. 2007. DOI: https://doi.org/10.1016/j.nimb.2007.08.022
A. S. Alghamdi, "Creep Resistance of Polyethylene-based Nanocomposites," Engineering, Technology & Applied Science Research, vol. 9, no. 4, pp. 4367–4370, Aug. 2019. DOI: https://doi.org/10.48084/etasr.2759
S. Pal, "The Knee Joint and Its Artificial Replacement," in Design of Artificial Human Joints & Organs, Boston, MA: Springer US, 2014, pp. 195–210. DOI: https://doi.org/10.1007/978-1-4614-6255-2_12
D. S. Hungerford and K. A. Krackow, "Total Joint Arthroplasty of the Knee," Clinical Orthopaedics and Related Research (1976-2007), vol. 192, Feb. 1985. DOI: https://doi.org/10.1097/00003086-198501000-00004
O. Schindler, "Insall & Scott Surgery of the Knee," The Journal of Bone and Joint Surgery. British volume, vol. 88-B, no. 12, pp. 1678–1678, Dec. 2006. DOI: https://doi.org/10.1302/0301-620X.88B9.18858
J. J. Callaghan, The Adult Knee. Lippincott Williams & Wilkins, 2003.
A. J. Carr et al., "Knee replacement," The Lancet, vol. 379, no. 9823, pp. 1331–1340, Apr. 2012. DOI: https://doi.org/10.1016/S0140-6736(11)60752-6
A. Bistolfi et al., "Ultra-high molecular weight polyethylene (UHMWPE) for hip and knee arthroplasty: The present and the future," Journal of Orthopaedics, vol. 25, pp. 98–106, May 2021. DOI: https://doi.org/10.1016/j.jor.2021.04.004
E. M. B. Del Prever, A. Bistolfi, P. Bracco, and L. Costa, "UHMWPE for arthroplasty: past or future?," Journal of Orthopaedics and Traumatology, vol. 10, no. 1, pp. 1–8, Mar. 2009. DOI: https://doi.org/10.1007/s10195-008-0038-y
S. M. Kurtz, UHMWPE Biomaterials Handbook: Ultra High Molecular Weight Polyethylene in Total Joint Replacement and Medical Devices. Academic Press, 2009.
A. Wang, "Wear mechanisms of UHMWPE in total joint replacements," Wear, vol. 181–183, pp. 241–249, Feb. 1995. DOI: https://doi.org/10.1016/0043-1648(94)07027-X
J. Fisher, M. H. Stone, and E. Ingham, Wear of ultra high molecular weight polyethylene. Institute of Medical and Biological Engineering, University of Leeds, 2003.
V. M. Goldberg, "Principles of revision total knee arthroplasty," in Instructional course lectures, 2001.
S. Affatato and D. Brando, "Introduction to wear phenomena of orthopaedic implants," in Wear of Orthopaedic Implants and Artificial Joints, Elsevier, 2013, pp. 3–26. DOI: https://doi.org/10.1533/9780857096128.1.3
S. R. M. Paladugu and R. S. P.S., "Influence of gamma radiation on wear and oxidation properties of cross-linked UHMWPE components used in total knee arthroplasty- a review," Materials Today: Proceedings, vol. 56, pp. 1097–1102, 2022. DOI: https://doi.org/10.1016/j.matpr.2021.10.171
S. M. Kurtz, "The Clinical Performance of UHMWPE in Knee Replacements," in UHMWPE Biomaterials Handbook, Elsevier, 2016, pp. 123–144. DOI: https://doi.org/10.1016/B978-0-323-35401-1.00009-0
C. M. Rimnac, R. W. Klein, F. Betts, and T. M. Wright, "Post-irradiation aging of ultra-high molecular weight polyethylene," The Journal of Bone & Joint Surgery, vol. 76, no. 7, pp. 1052–1056, July 1994. DOI: https://doi.org/10.2106/00004623-199407000-00014
H. McKellop, F. Shen, B. Lu, P. Campbell, and R. Salovey, "Development of an extremely wear‐resistant ultra high molecular weight polythylene for total hip replacements," Journal of Orthopaedic Research, vol. 17, no. 2, pp. 157–167, Mar. 1999. DOI: https://doi.org/10.1002/jor.1100170203
A. Wang, "A unified theory of wear for ultra-high molecular weight polyethylene in multi-directional sliding," Wear, vol. 248, no. 1–2, pp. 38–47, Mar. 2001. DOI: https://doi.org/10.1016/S0043-1648(00)00522-6
J. Baena, J. Wu, and Z. Peng, "Wear Performance of UHMWPE and Reinforced UHMWPE Composites in Arthroplasty Applications: A Review," Lubricants, vol. 3, no. 2, pp. 413–436, May 2015. DOI: https://doi.org/10.3390/lubricants3020413
J. L. Tipper et al., "Quantitative analysis of polyethylene wear debris, wear rate and head damage in retrieved Charnley hip prostheses," Journal of Materials Science: Materials in Medicine, vol. 11, no. 2, pp. 117–124, Feb. 2000. DOI: https://doi.org/10.1023/A:1008901302646
E. Oral and O. K. Muratoglu, "Vitamin E diffused, highly crosslinked UHMWPE: a review," International Orthopaedics, vol. 35, no. 2, pp. 215–223, Feb. 2011. DOI: https://doi.org/10.1007/s00264-010-1161-y
P. Bracco and E. Oral, "Vitamin E-stabilized UHMWPE for Total Joint Implants: A Review," Clinical Orthopaedics & Related Research, vol. 469, no. 8, pp. 2286–2293, Aug. 2011. DOI: https://doi.org/10.1007/s11999-010-1717-6
X. Wang et al., "A stretchable hardness sensor for the assessment of skin disease in systemic sclerosis," RMD Open, vol. 9, no. 4, Nov. 2023, Art. no. e003512. DOI: https://doi.org/10.1136/rmdopen-2023-003512
C. H. Huang, Y. C. Lu, L. I. Hsu, J. J. Liau, T. K. Chang, and C. H. Huang, "Effect of material selection on tibial post stresses in posterior-stabilized knee prosthesis: a comparison among conventional, cross-linked, and vitamin E-stabilized polyethylene," Bone & Joint Research, vol. 9, no. 11, pp. 768–777, Nov. 2020. DOI: https://doi.org/10.1302/2046-3758.911.BJR-2020-0019.R2
D. D. D’Lima, B. J. Fregly, S. Patil, N. Steklov, and C. W. Colwell, "Knee joint forces: prediction, measurement, and significance," Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, vol. 226, no. 2, pp. 95–102, Feb. 2012. DOI: https://doi.org/10.1177/0954411911433372
M. Fink and B. Akra, "Comparison of the international regulations for medical devices–USA versus Europe," Injury, vol. 54, Oct. 2023, Art. no. 110908. DOI: https://doi.org/10.1016/j.injury.2023.110908
J. Tian et al., "Regulatory perspectives of combination products," Bioactive Materials, vol. 10, pp. 492–503, Apr. 2022. DOI: https://doi.org/10.1016/j.bioactmat.2021.09.002
H. Lestari, D. N. Izzhati, N. Rachmat, D. Setyawan, E. S. Saputra, and R. I. Ismail, "Pengukuran Jangkauan Gerak Pada Lutut Orang Indonesia Sebagai Data Awal Perancangan Kaki Tiruan Atas Lutut," Prosiding Sains Nasional dan Teknologi, vol. 1, no. 1, 2015.
D. Darmanto, R. Novriansyah, P. W. Anggoro, R. Ismail, J. Jamari, and A. P. Bayuseno, "A review on flexion angle in high-flexion total knee arthroplasty for indonesian’s need," Frontiers in Mechanical Engineering, vol. 8, Nov. 2022, Art. no. 1049796. DOI: https://doi.org/10.3389/fmech.2022.1049796
D. Darmanto, R. Novriansyah, R. Ismail, J. Jamari, P. W. Anggoro, and A. P. Bayuseno, "Reconstruction of the artificial knee joint using a reverse engineering approach based on computer-aided design," Journal of Medical Engineering & Technology, vol. 46, no. 2, pp. 136–147, Feb. 2022. DOI: https://doi.org/10.1080/03091902.2022.2026502
D. Darmanto, R. Novriansyah, R. Ismail, J. Jamari, A. P. Bayuseno, and P. W. Anggoro, "Computer-Aided Design for Analyzing the Influence of Single Radius on Flexion Angle of Artificial Knee Joint," in 2021 IEEE International Biomedical Instrumentation and Technology Conference (IBITeC), Yogyakarta, Indonesia, Oct. 2021, pp. 114–118. DOI: https://doi.org/10.1109/IBITeC53045.2021.9649381
W. J. Long and G. R. Scuderi, "High-Flexion Total Knee Arthroplasty," The Journal of Arthroplasty, vol. 23, no. 7, pp. 6–10, Oct. 2008. DOI: https://doi.org/10.1016/j.arth.2008.06.024
M. Wahyudi, R. Ismail, and J. Jamari, "Friction and Wear Analysis of UHMWPE Material Using Pin-on-Disc Tester with Lubricant and Non-Lubricant," Journal of Physics: Conference Series, vol. 1569, no. 3, July 2020, Art. no. 032057. DOI: https://doi.org/10.1088/1742-6596/1569/3/032057
H. Haider and D. Baykal, "Wear Assessment of UHMWPE with Pin-on-Disc Testing," in UHMWPE Biomaterials Handbook, Elsevier, 2016, pp. 553–578. DOI: https://doi.org/10.1016/B978-0-323-35401-1.00030-2
R. G. Bayer, Mechanical Wear Fundamentals and Testing, Revised and Expanded. Taylor & Francis, 2004. DOI: https://doi.org/10.1201/9780203021798
J. F. Archard, "Contact and Rubbing of Flat Surfaces," Journal of Applied Physics, vol. 24, no. 8, pp. 981–988, Aug. 1953. DOI: https://doi.org/10.1063/1.1721448
D. Baykal, R. S. Siskey, H. Haider, V. Saikko, T. Ahlroos, and S. M. Kurtz, "Advances in tribological testing of artificial joint biomaterials using multidirectional pin-on-disk testers," Journal of the Mechanical Behavior of Biomedical Materials, vol. 31, pp. 117–134, Mar. 2014. DOI: https://doi.org/10.1016/j.jmbbm.2013.05.020
V. Saikko and T. Ahlroos, "Wear simulation of UHMWPE for total hip replacement with a multidirectional motion pin-on-disk device: Effects of counterface material, contact area, and lubricant," Journal of Biomedical Materials Research, vol. 49, no. 2, pp. 147–154, Feb. 2000. DOI: https://doi.org/10.1002/(SICI)1097-4636(200002)49:2<147::AID-JBM1>3.3.CO;2-8
H. Xin, H. Liang, L. Zhang, J. Jia, X. Li, and Z. Jin, "Bio‐tribological characterisation of ultra‐high molecular weight polyethylene against different metal counterparts," Biosurface and Biotribology, vol. 8, no. 2, pp. 140–149, June 2022. DOI: https://doi.org/10.1049/bsb2.12038
G. W. Stachowiak, Ed., Wear – Materials, Mechanisms and Practice, 1st ed. Wiley, 2005. DOI: https://doi.org/10.1002/9780470017029
R. M. Cowie, A. Briscoe, and L. M. Jennings, "The influence of cross shear and contact pressure on the wear of UHMWPE-on-PEEK-OPTIMATM for use in total knee replacement," Journal of the Mechanical Behavior of Biomedical Materials, vol. 148, Dec. 2023, Art. no. 106196. DOI: https://doi.org/10.1016/j.jmbbm.2023.106196
M. J. Dreyer et al., "Anomalous Wear Behavior of UHMWPE During Sliding Against CoCrMo Under Varying Cross-Shear and Contact Pressure," Tribology Letters, vol. 70, no. 4, Dec. 2022, Art. no. 119. DOI: https://doi.org/10.1007/s11249-022-01660-w
S. M. Kurtz, The UHMWPE Handbook: Ultra-High Molecular Weight Polyethylene in Total Joint Replacement. Elsevier, 2004. DOI: https://doi.org/10.1520/STP1445-EB
E. Oral, S. L. Rowell, and O. K. Muratoglu, "The effect of α-tocopherol on the oxidation and free radical decay in irradiated UHMWPE," Biomaterials, vol. 27, no. 32, pp. 5580–5587, Nov. 2006. DOI: https://doi.org/10.1016/j.biomaterials.2006.07.017
L. G. De Moura, C. Henrique Da Silva, R. M. Trommer, C. M. Almeida, M. M. Maru, and C. Rodrigo De Mello Roesler, "Wear and friction resistance of UHMWPE with anisotropic microstructure shaped by mechanical compression," Journal of the Mechanical Behavior of Biomedical Materials, vol. 167, July 2025, Art. no. 106980. DOI: https://doi.org/10.1016/j.jmbbm.2025.106980
O. K. Muratoglu, R. S. Perinchief, C. R. Bragdon, D. O. O’Connor, R. Konrad, and W. H. Harris, "Metrology to Quantify Wear and Creep of Polyethylene Tibial Knee Inserts," Clinical Orthopaedics & Related Research, vol. 410, pp. 155–164, May 2003. DOI: https://doi.org/10.1097/01.blo.0000063604.67412.04
O. O. Popoola, J. Q. Yao, T. S. Johnson, and C. R. Blanchard, "Wear, delamination, and fatigue resistance of melt‐annealed highly crosslinked UHMWPE cruciate‐retaining knee inserts under activities of daily living," Journal of Orthopaedic Research, vol. 28, no. 9, pp. 1120–1126, Sept. 2010. DOI: https://doi.org/10.1002/jor.21104
V. Vidya, C. A. Anoop, S. Jinan, R. Anwar, and M. S. Senthil Saravanan, "Tribological analysis of cross linked UHMWPE used in artificial knee replacement," Materials Today: Proceedings, vol. 27, pp. 2748–2751, 2020. DOI: https://doi.org/10.1016/j.matpr.2019.11.329
A. Iatecola et al., "Osseointegration Improvement of Co-Cr-Mo Alloy Produced by Additive Manufacturing," Pharmaceutics, vol. 13, no. 5, May 2021, Art. no. 724. DOI: https://doi.org/10.3390/pharmaceutics13050724
M. Geetha, A. K. Singh, R. Asokamani, and A. K. Gogia, "Ti based biomaterials, the ultimate choice for orthopaedic implants – A review," Progress in Materials Science, vol. 54, no. 3, pp. 397–425, May 2009. DOI: https://doi.org/10.1016/j.pmatsci.2008.06.004
J. Geringer, B. Forest, and P. Combrade, "Wear analysis of materials used as orthopaedic implants," Wear, vol. 261, no. 9, pp. 971–979, Nov. 2006. DOI: https://doi.org/10.1016/j.wear.2006.03.022
Downloads
How to Cite
License
Copyright (c) 2025 D. Darmanto, M. A. Wahid, P. W. Anggoro, R. Ismail, R. Novriansyah, I. N. Jujur, Y. Setyoadi, B. W. B. Santoso, Y. Stefanditya

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain the copyright and grant the journal the right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after its publication in ETASR with an acknowledgement of its initial publication in this journal.
