The majority of total joint replacements employs ultra-high molecular weight polyethylene (UHMWPE) for one of the bearing components. These bearings may fail due to the stresses generated in the joint during use, and fatigue failure of the device may occur due to extended or repeated loading of the implant. One method of analysis for fatigue failure is the application of fracture mechanics to predict the growth of cracks in the component. Traditional analyses use the linear elastic stress intensity factor K to describe the stresses near a loaded crack. For many materials, such as metals, it is the range of stress intensity, Delta K, that determines the rate of crack propagation for fatigue analysis. This work shows that crack propagation in UHMWPE correlates to the maximum stress intensity, K-max, experienced during cyclic loading. This K-max dependence is expected due to the viscoelastic nature of the material and the absence of crazing or other cyclic load dependent crack tip phenomena. Such a dependence on a non-cyclic component of the stress allows cracks to propagate under load with little or no fluctuating stresses. Consequently, traditional fatigue analyses, which depend on the range of the stress to predict failure, are not always accurate for this material. For example, significant static stresses that develop near stress concentrations in the component locking mechanisms of orthopedic implants make such locations likely candidates for premature failure due the inherent underestimate of crack growth obtained from conventional fatigue analyses. (C) 2007 Elsevier Ltd. All rights reserved.