Highly crosslinked ultrahigh-molecular-weight polyethylene (UHMWPE)
bearings are wear-resistant to reduce aseptic loosening but are susceptible
to oxidize in vivo/in vitro, as reported in clinical studies. Despite
widespread acceptance of antioxidants in preventing oxidation, the
crosslinking efficiency of UHMWPE is severely impacted by antioxidants,
the use of which was trapped in a trace amount. Herein, we proposed
a new strategy of polyphenol-assisted chemical crosslinking to facilitate
the formation of a crosslinking network in high-loaded tea polyphenol/UHMWPE
blends. Epigallocatechin gallate (EGCG), a representative of tea polyphenol,
was mixed with UHMWPE and peroxide. Multiple reactive phenolic hydroxyl
groups of tea polyphenol coupled with the nearby free radicals to
form extra crosslinking sites. The crosslinking efficiency was remarkably
enhanced with increasing tea polyphenol content, even at a concentration
of 8 wt %. Given by the hydrogen donation principle, the high-loaded
tea polyphenol also enhanced the oxidation stability of the crosslinked
UHMWPE. The antioxidative performance was preserved even after tea
polyphenol elution. Moreover, superior antibacterial performance was
achieved by the in situ tea polyphenol release from the interconnected
pathways in the present design. The strategy of polyphenol-assisted
chemical crosslinking is applicable for producing highly crosslinked,
antioxidative, and antibacterial UHMWPE, which has promising prospects
in clinical applications.