Evaluation of a superior lubrication mechanism with biphasic hydrogels for artificial cartilage

To extend the durability of artificial joints, biomimetic artificial hydrogel cartilage is proposed as a way of improving the lubrication mechanism in artificial joints. The application of hydrogels with properties similar to those of articular cartilage can be expected to duplicate the superior load-carrying capacity and lubricating ability of natural synovial joints. Frictional behaviors with three kinds of poly(vinyl alcohol) (PVA) hydrogels with high water content were examined in reciprocating tests. Interstitial fluid pressure, von Mises stress and fluid flow were compared in biphasic finite element analysis, and frictional behavior was evaluated in terms of biphasic lubrication and surface lubricity. Hybrid gel prepared by a combination of cast-drying and freeze-thawing methods showed superior low friction.     

Research on swing friction lubrication mechanisms and the fluid load support characteristics of PVA–HA composite hydrogel

Hydrogel has been extensively studied for use as articular cartilage. This study aims to investigate fluid load support mechanism of polyvinyl alcohol–hydroxyapatite composite hydrogel. Finite element method is used to study swing friction lubrication mechanism and fluid load support. The friction coefficient increases with contact load and swing angle. The fluid flow has an important effect on the fluid load support, which decreases with an increase in contact load and swing angle. The fluid load support is very high (85%), and the hydrogel has low friction coefficient. It exhibits biphasic and self-generating lubrication mechanism.     

Friction Properties of Poly(vinyl alcohol) Hydrogel: Effects of Degree of Polymerization and Saponification Value

In this study, the friction of eight kinds of poly(vinyl alcohol) hydrogel (PVA-H) samples has been studied under various load and velocity conditions to elucidate the effects of PVA factors such as the degree of polymerization (DP) and the saponification value (SV) on the tribological behavior of PVA-H. Results showed the variations of the friction properties due to the PVA factors in the two friction conditions found for the hydrogels: elastic friction and hydrodynamic lubrication. In the elastic friction, the larger frictions were induced by the higher values of DP and SV. In the hydrodynamic lubrication, on the other hand, PVA-Hs with lower SV showed larger friction. The results can then be used to adjust the parameters of PVA-H in order to get given friction properties, for instance for the friction between catheter or scalpel and PVA-H, which can be used as a biomodel material of artery or oral mucosa, for the training of surgeons.     

浸渍PVA-H层的金属橡胶髋臼的摩擦性能试验研究

依据仿生设计原理研制浸渍聚乙烯醇水凝胶(PVA-H)层的金属橡胶髋臼和可完成复合运动模式的人工髋关节摩擦试验机。试验研究不锈钢球与浸渍PVA-H层的金属橡胶髋臼配副及与聚四氟乙烯髋臼配副的摩擦性能。结果表明,相同条件下金属橡胶仿生髋臼的摩擦扭矩较小。分析认为,这是由于浸渍PVA-H层的金属橡胶髋臼本身具有良好的弹性阻尼,能够减少冲击,其多孔结构内储存润滑液,能靠变载挤压条件下的流体动静压效应改善润滑。     

Comparison of human and animal femoral head chondral properties and geometries

Investigations into tissue-preserving orthopaedic treatments should consider the tribology of articular cartilage; where simulations using animal joints are a predominant choice. However, very few studies have investigated the differences between human and animal cartilage. The aim of the present study was to characterise the differences in geometry and mechanical properties of human, porcine, bovine and ovine articular cartilage. Creep indentation was performed on osteochondral plugs taken from the superior region of femoral heads of all these species. Cartilage thickness was measured via the resistive force change of a needle descending through cartilage and bone. A biphasic finite element model was used to derive equilibrium elastic modulus and permeability. Results showed that human cartilage was significantly thicker than all other species tested. A positive correlation was found between femoral head diameter and cartilage thickness when comparing between species of quadrupeds. Human cartilage had the largest equilibrium elastic modulus, which was significant when comparing against porcine and bovine. However, porcine cartilage had significantly lower permeability. Significant differences in geometry and mechanical properties of articular cartilage were found between all species tested. It is necessary to consider these variations when choosing animal tissue to represent human.     

Artefacts in the mechanical characterization of porcine articular cartilage due to freezing

Many experimental protocols for investigating articular cartilage mechanics have involved the use of a freeze-thaw cycle for storage or tissue manipulation. It was hypothesized that mechanical properties are altered due to freeze-thaw cycling. The aim of this study, therefore, was to examine the possibility of protocol-induced artefacts in the mechanical properties of porcine articular cartilage specimens related specifically to freeze-thaw events. Twenty-eight osteochondral specimens [14 from the femoral condyles (FCs) and 14 from the patella-femoral (PF) groove] were tested in confined compression before and after being frozen at -20 degrees C for 7 days. The fluid-independent and fluid-dependent mechanical properties (aggregate modulus of the solid phase and the half-life of stress relaxation respectively) were determined and compared. The aggregate modulus decreased by 13.5 per cent and 20.1 per cent for the PF and FC regions respectively (p = 0.002) and the half-life of the stress relaxation at 10 per cent strain decreased by 6.4 per cent and 12.6 per cent for the PF and FC specimens respectively (p = 0.0341). In conclusion, it has been shown that the protocol used, which involved freezing to -20 degrees C and thawing after 7 days, caused artefacts in the mechanical properties of porcine osteochondral specimens. It is suggested that protocols requiring freezing must be critically reviewed to eliminate such artefacts.     

Influence of proteoglycan contents and of tissue hydration on the frictional characteristics of articular cartilage

In this work, the hypothesis that water content and substances present on the articular surface play an important role in lubrication through the formation of a layer with a high content of water on the articular surface is analysed. The hydrophilic properties of proteoglycans exposed at the articular surface and hydration of tissue are the main responsible factors for the formation of this layer. The role of the articular surface in the frictional characteristics of articular cartilage was examined using specimens (femoral condyles of pigs) with intact and wiped surfaces tested in intermittent friction tests. Results indicated that the intact condition presented low friction in comparison with the wiped condition. The measured water loss of the articular cartilage after sliding and loading indicated a gradual decrease in the water content as the time evolved, and rehydration was observed after the submersion of unloaded specimens in the saline bath solution. Micrographic analyses indicated the presence of a layer covering the articular surface, and histological analyses indicated the presence of proteoglycans in this superficial layer. The hydration of the cartilage surface layer and proteoglycan in this layer influence lubrication.     

Tribology of human and artificial joints.

Studies of human joint lubrication mechanisms have led to the conclusion that under normal healthy conditions they are fluid film lubricated. The main features responsible for allowing this mechanism to operate are the dynamic nature of the loading and the compliance of the bearing surfaces (articular cartilage). In contrast, artificial joints, being made of much more rigid materials, have been demonstrated to be lubricated by a mixed regime, where some load is carried by the fluid film and some by solid to solid contact. Since some surface contact takes place then wear remains a problem and friction is much higher than in human joints. The use of compliant surface bearings for artificial joints has been explored and shown to be of great advantage, reproducing the effects of natural joints. However, elastomeric materials are known to degrade in aqueous solutions so this aspect has been examined to ensure a reasonable life in the human body. Joints of the lower limb--hip, knee, and ankle--have similar load and motion patterns and behave in a similar way in terms of lubrication. Joints of the hand are not in any way similar in their behaviour and so a typical upper limb joint, the finger, has been studied to see if improvements can be made to the design of replacement artificial joints. Novel suggestions like plastic on plastic joints have been shown to be an alternative which is worthy of further consideration.     

Recent developments in the tribology of artificial joints

A history of the tribological development of artificial joints compares how these are lubricated with the mechanisms involved in human joints. It is concluded that while healthy human joints are lubricated by fluid film action, all current artificial joints at best are lubricated by mixed lubrication and hence wear is taking place throughout the life of the prosthesis. A new concept in artificial joints is described. Soft elastic layers simulate articular cartilage and if selected carefully can develop full fluid film lubrication with consequential low friction and minimal wear.     

Mechanical and tribological properties of poly(hydroxyethyl methacrylate) hydrogels as articular cartilage substitutes

Poly(hydroxyethyl methacrylate) (p(HEMA)) hydrogels have been proposed as promising biomaterials to replace damaged articular cartilage. A major obstacle to their use as replacement bearing tissue is their poor mechanical properties in comparison with healthy articular cartilage. The purpose of this study was to obtain p(HEMA) hydrogels with physicochemical and mechanical properties close to healthy articular cartilage, by introducing a hydrophilic monomer, namely acrylic acid (AA). Formulations of hydrogels with different amounts of hydrophilic monomer (acrylic acid, AA) were synthesized and tested: p(HEMA), p(HEMA-co-5%AA), p(HEMA-co-25%AA). The macro-mechanical tests were reproduced at nanoscale in order to verify if the superficial properties of the hydrogels are similar to the bulk ones.     

聚合物基人工关节材料摩擦学性能的研究进展

综述了近年来国内外人工关节材料及其摩擦学性能的研究现状和进展，重点介绍评述了聚合物基关节材料的增强方法与实际应用。大量的研究结果表明，提高人工关节材料抗磨损性能的主要途径还是对材料进行复合以及表面改性。不同的处理参数对材料抗磨损性能有很大影响，合理地选择处理方法可以很大程度上提高材料的抗磨损性能。对人工关节软骨的研究作了简要的介绍，对今后的研究重点提出了建议。     

The effect of glycosaminoglycan depletion on the friction and deformation of articular cartilage

Glycosaminoglycans (GAGs) have been shown to be responsible for the interstitial fluid pressurization of articular cartilage and hence its compressive stiffness and load-bearing properties. Contradictory evidence has been presented in the literature on the effect of depleting GAGs on the friction properties of articular cartilage. The aim of this study was to investigate the effect of depleting GAGs on the friction and deformation characteristics of articular cartilage under different tribological conditions. A pin-on-plate machine was utilized to measure the coefficient of friction of native and chondroitinase ABC (CaseABC)-treated articular cartilage under two different models: static (4 mm/s start-up velocity) and dynamic (4 mm/s sliding velocity; 4 mm stroke length) under a load of 25 N (0.4 MPa contact stress) and with phosphate-buffered saline as the lubricant. Indentation tests were carried out at 1 N and 2 N loads (0.14 MPa and 0.28 MPa contact stress levels) to study the deformation characteristics of both native and GAG-depleted cartilage samples. CaseABC treatment rendered the cartilage tissue soft owing to the loss of compressive stiffness and a sulphated-sugar assay confirmed the loss of GAGs from the cartilage samples. CaseABC treatment significantly increased (by more than 50 per cent) the friction levels in the dynamic model (p < 0.05) at higher loading times owing to the loss of biphasic lubrication. CaseABC treatment had no effect on friction in the static model in which the cartilage surfaces did not have an opportunity to recover fluid because of static loading unlike the cartilage tissue in the dynamic model, in which translation of the cartilage surfaces was involved, ensuring effective biphasic lubrication. Therefore the depletion of GAGs had a smaller effect on the coefficient of friction for the static model. Indentation tests showed that GAG-depleted cartilage samples had a lower elastic modulus and higher permeability than native tissue. These results corroborate the role of GAGs in the compressive and friction properties of articular cartilage and emphasize the need for developing strategies to control GAG loss from diseased articular cartilage tissue.     

The effect of porosity of articular cartilage on the lubrication of a normal human hip joint.

The effect of porosity of articular cartilage on the lubrication of a normal human hip joint has been studied. The poroelasticity equation of articular cartilage and the modified Reynolds equation for the synovial fluid lubricant have been successfully solved under squeeze-film motion and for the conditions experienced in a normal human hip joint. It has been shown that porosity of the articular cartilage depletes the lubricant film thickness, rather than increasing it, particularly when the lubricant film thickness becomes small. Furthermore, it has been shown that articular cartilage can be treated as a single-phase incompressible elastic material in the lubrication modelling under physiological walking conditions.     

Boundary Lubrication in Natural Articular Joints

This review concentrates on studies into the behaviour of natural articular cartilage under boundary lubrication. This includes investigations into the chemical composition at the surface of cartilage, carried out as a means of identifying the boundary lubricant. Studies on the friction of cartilage sliding against cartilage and cartilage sliding steel or glass under conditions expected to be in the boundary regime are described. Additionally, model studies on the possible mechanisms of boundary lubrication using well-defined artificial surfaces are also discussed. Although there appears to be some contradiction between the results of friction measurements, an explanation can, at least in part, be given in terms of the layer of cartilage that is being measured. The different chemical nature and lubricating behaviour of the layers found at or near the surface are discussed in relation to the various results given in the literature.     

Effects of ageing on the biomechanical properties of rat articular cartilage

Previous studies have demonstrated that male Sprague Dawley (SD) rats experience age-related bone loss with the same characteristics as that in ageing men. As articular cartilage, like bone, is a critical component of the health and function of the musculoskeletal system, the authors hypothesized that articular cartilage in the untreated male SD rats could be a suitable model for studying the age-related deterioration of articular cartilage in men. To test this hypothesis, male SD rats were killed at between 6 and 27 months. The right femur of each rat was removed. The effects of ageing on the structural integrity of the distal femoral articular cartilage were studied by biomechanical testing with a creep indentation apparatus. The aggregate modulus, Poisson's ratio, permeability, thickness, and percentage recovery of articular cartilage were determined using finite element/non-linear optimization modelling. No significant differences were observed in these biomechanical properties of the distal femoral articular cartilage as a function of age. Therefore, untreated male SD rats appear to be unsuitable for studying the age-related changes of articular cartilage as they occur in men. However, and more intriguingly, it is also possible that ageing does not affect the biomechanical properties of articular cartilage in the absence of cartilage pathology.     

A viscoelastic analysis of the tensile weakening of deep femoral head articular cartilage

Articular cartilage from below the surface of the femoral head of the hip joint shows a profound age-dependent weakening in its tensile mechanical properties. This ageing is also associated with a reduced viscoelastic response in the older tissue. A constitutive model of the viscoelastic behaviour of deep articular cartilage (as discussed by Egan in 1988) is used to generate a graphical pattern which represents the mechanical behaviour. This constitutive approach suggests that the tensile weakening of the older cartilage is due to an age-related reduction in the recruitment of load-carrying structures as the tissue is deformed. The viscoelastic constitutive model also predicts a reduction in the tensile strength of deep articular cartilage with rate of deformation. This prediction is supported by experimental fracture stress data. A weakening of the tensile integrity of the microstructure of articular cartilage could make the tissue less able to sustain normal compressive physiological loading without damage and thus make the tissue more susceptible to osteoarthritic degeneration. The constitutive approach indicates that the weakening of the older tissue may be related to changes within the microstructure which determine how applied mechanical energy is stored and dissipated.     

Tribology-optimised silk protein hydrogels for articular cartilage repair

Porous hydrogels were made from silk fibre as potential materials for cartilage repair. The aim was to develop materials which mimicked the tribological behaviour of cartilage, with controlled pore-sizes and optimised mechanical properties. Mechanical tests showed hydrogels had a comparable compressive modulus to cartilage, with stiffness improved by decreasing pore size. Under static loading and during shear hydrogels demonstrated significant interstitial fluid support. Friction testing showed the hydrogels had a cartilage-like frictional response, dominated by this interstitial fluid support. Silk hydrogels showed little wear, early signs of which were changes in surface morphology that did not correlate with the equilibrium friction coefficient. Consequently both wear and friction should be monitored when assessing the tribological performance of hydrogels.     

The potential of hydrogels as synthetic articular cartilage

The relatively poor mechanical properties of conventional synthetic hydrogels are illustrated and compared with those of articular cartilage. By using the composite structure of the natural material as a model a new family of hydrogels, based on interpenetrating polymer network (IPN) technology, has been developed. The underlying synthetic strategies are discussed and the properties of a novel representative network presented. IPN formation produces networks that are stiffer and stronger than the hydrogel copolymers of similar water content. In this behaviour these simple IPNs begin to mimic the properties of biological hydrogel composites. Thus, these materials have exciting potential for demanding in vivo applications.     

The Fractal Structure of Equine Articular Cartilage

The naturally occurring structure of articular cartilage has proven to be an effective means for the facilitation of motion and load support in equine and other animal joints. Cartilage has been found to be a complex and dynamic medium, which has led to an incomplete understanding of the nature and operating mechanisms acting within a joint. Although cartilage has biphasic and triphasic properties, it is believed that the performance of equine articular joints is influenced by the surface roughness of the joint cartilage (Ateshian et al., '98; Chan et al., 2011; Yao and Unsworth, '93). Various joint types with different motions and regimes of lubrication have altered demands on the articular surface that may affect cartilage surface properties. In research performed on freshly harvested samples, equine articular cartilage has been shown to possess a multiscale structure and a fractal dimension. It is thought that by determining the fractal dimension (D) of articular cartilage, a better understanding of the friction, wear, and lubrication mechanisms for biomechanic surfaces can eventually be reached. This study looks at the fractal dimensions of three different articular cartilage surfaces in the equine carpus: the radiocarpal, midcarpal, and carpometacarpal surfaces. The three surfaces provide an ideal comparison of fractal dimensions for a different range of motion, geometry, and loading. In each sample, identical treatment was performed during measurement by a stylus profilometer. SCANNING 34: 418–426, 2012. © 2012 Wiley Periodicals, Inc.     

Correlation between friction of articular cartilage and reflectance intensity from superficial images

The lubrication mechanism of articular cartilage is characterized by an efficient performance. In this work, friction of articular cartilage was evaluated with in-site images of articular surface. The images were captured with the laser light reflected at the interface between a prism and articular cartilage. The attenuation of reflectance was associated with the increase of the contact of collagen network of articular cartilage. The light reflectance and friction coefficient for short sliding presented a significant positive correlation. Friction tests were also carried out for short (30 s) and long (300 s) preloading times. The results indicate that depletion of fluid film is responsible for the increase of friction and the recovery of the fluid film was observed for the long preloading after the early stage of sliding.