Vitamin E-Diffused Highly Cross-Linked UHMWPE Particles Induce Less Osteolysis Compared to Highly Cross-Linked Virgin UHMWPE Particles In Vivo

Recent in vitro findings suggest that UHMWPE wear particles containing vitamin E (VE) may have reduced biologic activity and decreased osteolytic potential. We hypothesized that particles from VE-stabilized, radiation cross-linked UHMWPE would cause less osteolysis in a murine calvarial bone model when compared to virgin gamma irradiated cross-linked UHMWPE. Groups received equal amount of particulate debris overlaying the calvarium for 10 days. Calvarial bone was examined using high resolution micro-CT and histomorphometric analyses. There was a statistically significant difference between virgin (12.2% ± 8%) and VE-UHMWPE (3% ± 1.4%) groups in regards to bone resorption (P = 0.005) and inflammatory fibrous tissue overlaying the calvaria (0.48 vs. 0.20, P < 0.0001). These results suggest that VE-UHMWPE particles have reduced osteolytic potential in vivo when compared to virgin UHMWPE.