A Biphasic Model for Hip-Joint Replacement

The ball-and-socket geometry of the hip joint makes kinematic analysis of the joint motion relatively straightforward in comparison to other joints. The load-carrying surfaces of both ball and socket are covered with tough viscoelastic material known as cartilage. A number of lubrication theories have been proposed in the literature to account for the low coefficient of friction and low wear observed in healthy joints. The actual mechanism by which joints are capable of sustaining large repetitive loads with virtually no wear and with very little friction has not been fully understood. Therefore, analytical studies are presented for the understanding of the lubrication mechanism occurring in hip-joint replacements under restricted motion during standing or in the supporting phase during walking. The viscoelastic fluid has been considered to represent the synovial fluid in the fluid-film region. The problem described here has been analyzed in two regions (the porous matrix and the fluid-film region) separately along with suitable matching and boundary conditions at the interface. It has been concluded that the effect of the viscoelastic parameter for a particular gap is to increase the load capacity, indicating positive effects of the increase in concentration of suspended particles in the lubricant region. It has been observed that the coefficient of friction decreases with increasing values of the viscoelestic parameter. This is due to the fact that as the viscoelastic parameter increases, the concentration of hyaluronic acid molecules increases. It may also be noted from the results that the coefficient of friction decreases with increasing values of slip parameter. This shows that the slip velocity occurring at the porous boundary helps in maintaining normal functioning of human joints.     

A study of Bioloxdelta subject to water lubricated reciprocating wear

Biolox^®delta is the latest commercial ceramic material for artificial hip-joint replacements manufactured by CeramTec AG, Germany. This zirconia toughened alumina composite employs several toughening mechanisms and has been successfully implanted over the past 8 years. Although extensive in vitro testing has been carried out for ceramic-on-ceramic artificial joints, the wear mechanisms that occur in Biolox^®delta are not fully understood, in particular, the role of the zirconia. Reciprocating sliding wear tests were undertaken in ultra pure water according to ISO 6474 using a ball-on-flat configuration. Loads were varied in the range of 0.5-4 N and the reciprocating frequency was varied through 8.3-11.7 Hz over a stroke length of 10 mm in order to construct the Stribeck curve. The Stribeck curve indicated that there were two lubrication regimes for these test conditions, namely full fluid-film lubrication and mixed lubrication. The worn surfaces were characterised in detail using scanning electron microscopy (SEM), atomic force microscopy (AFM) and focused ion beam (FIB) cross-section milling. Damage, which comprised dislocation flow, inter- and transgranular fracture, was limited to one grain depth below the worn surface. The zirconia grains distributed in the alumina matrix near the worn surface had almost completely transformed to monoclinic symmetry. The observations of surface damage accumulation are discussed in relation to the current understanding of the wear mechanisms of alumina based ceramics.     

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.     

Lubrication regimes in lumbar total disc arthroplasty

A number of total disc arthroplasty devices have been developed. Some concern has been expressed that wear may be a potential failure mode for these devices, as has been seen with hip arthroplasty. The aim of this paper was to investigate the lubrication regimes that occur in lumbar total disc arthroplasty devices. The disc arthroplasty was modelled as a ball-and-socket joint. Elastohydrodynamic lubrication theory was used to calculate the minimum film thickness of the fluid between the bearing surfaces. The lubrication regime was then determined for different material combinations, size of implant, and trunk velocity. Disc arthroplasties with a metal-polymer or metal-metal material combination operate with a boundary lubrication regime. A ceramic-ceramic material combination has the potential to operate with fluid-film lubrication. Disc arthroplasties with a metal-polymer or metal-metal material combination are likely to generate wear debris. In future, it is worth considering a ceramic-ceramic material combination as this is likely to reduce wear.     

Tribology of total artificial joints.

The tribology of total artificial replacement joints is reviewed. The majority of prosthesis currently implanted comprise a hard metallic component which articulates on ultra high molecular weight polyethylene surface. These relatively hard bearing surfaces operate with a mixed or boundary lubrication regime, which results in wear and wear debris from the ultra high molecular weight polyethylene surface. This debris can contribute to loosening and ultimate failure of the prostheses. The tribological performance of these joints has been considered and a number of factors which may contribute to increased wear rates have been identified. Cushion bearing surfaces consisting of low elastic modulus materials which can articulate with full fluid film lubrication are also described. These bearing surfaces have shown the potential for greatly reducing wear debris.     

Determination of contact area in 'cushion form' bearings for artificial hip joints

Current forms of artificial hip joints produce wear debris, which contributes to loosening of the prostheses. These 'hard' joints articulate with boundary or mixed lubrication, whereas the natural joint articulates with full fluid film lubrication. An artificial joint that articulates with full fluid film lubrication could greatly reduce wear and frictional torque and hence reduce the incidence of loosening and inflammatory tissue reaction. The use of a thin lining of low elastic modulus in the acetabular cup is one possible way of promoting full fluid film lubrication. In the design of such cushion forms of bearings, it is important to be able to predict the contact area, stress distribution and film thickness. This paper presents experimental techniques to determine the contact area in low elastic modulus layers and compares these measured areas with theoretical predictions using linear elasticity theory. At low loads experimental results and theoretical predictions were close. However, at loads above 300 N, the theory overestimated the width of the contact area by up to 8.5 per cent. This difference is mainly attributed to the non-linear behaviour of the elastomer at the higher levels of stress.     

Comparison of friction and lubrication of different hip prostheses

It is well documented that an important cause of osteolysis and subsequent loosening of replacement hip joints is polyethylene wear debris. To avoid this, interest has been renewed in metal-on-metal and ceramic-on-ceramic prostheses. Various workers have assessed the lubrication modes of different joints by measuring the friction at the bearing surfaces, using different lubricants. Measurements of friction factors of a series of hip prostheses were undertaken using carboxymethyl cellulose (CMC) fluids, silicone fluids, synovial fluid and different concentrations of bovine serum as the lubricant. The experimental results were compared with theoretical predictions of film thicknesses and lubrication modes. A strong correlation was observed between experiment and theory when employing CMC fluids or silicone fluids as the lubricant. Mixed lubrication was found to occur in the metal-on-metal (CoCrMo/CoCrMo) joints with all lubricants at a viscosity within the physiological range. This was also the case for the metal-on-plastic (CoCrMo/ultra-high molecular weight polyethylene) joints. The ceramic-on-ceramic (Al2O3/Al2O3) joints, however, exhibited full fluid film lubrication with the synthetic lubricants but mixed lubrication with the biological lubricants. Employing a biological fluid as the lubricant affected the friction to varying degrees when compared with the synthetic lubricants. In the case of the ceramic-on-ceramic joints it acted to increase the friction factor tenfold; however, for the metal-on-metal joints, biological fluids gave slightly lower friction than the synthetic lubricants did. This suggests that, when measuring friction and wear of artificial joints, a standard lubricant should be used.     

The effect of femoral head diameter upon lubrication and wear of metal-on-metal total hip replacements

It has been found that a remarkable reduction in the wear of metal-on-metal hip joints can be achieved by simply increasing the diameter of the joint. A tribological evaluation of metal-on-metal joints of 16, 22.225, 28 and 36 mm diameter was conducted in 25 per cent bovine serum using a hip joint simulator. The joints were subject to dynamic motion and loading cycles simulating walking for both lubrication and wear studies. For each size of joint in the lubrication study, an electrical resistivity technique was used to detect the extent of surface separation through a complete walking cycle. Wear of each size of joint was measured gravimetrically in wear tests of at least 2 x 10(6) cycles duration. Joints of 16 and 22.225 mm diameter showed no surface separation in the lubrication study. This suggested that wear would be proportional to the sliding distance and hence joint size in this boundary lubrication regime. A 28 mm diameter joint showed only limited evidence of surface separation suggesting that these joints were operating in a mixed lubrication regime. A 36 mm diameter joint showed surface separation for considerable parts of each walking cycle and hence evidence of the formation of a protective lubricating film. Wear testing of 16 and 22.225 mm diameter metal-on-metal joints gave mean wear rates of 4.85 and 6.30 mm3/10(6) cycles respectively. The ratio of these wear rates, 0.77, is approximately the same as the joint diameters ratio, 16/22.225 or 0.72, as expected from simple wear theory for dry or boundary lubrication conditions. No bedding-in was observed with these smaller diameter joints. For the 28 mm diameter joint, from 0 to 2 x 10(6) cycles, the mean wear rate was 1.62 mm3/10(6) cycles as the joints bedded-in. Following bedding-in, from 2.0 x 10(6) to 4.7 x 10(6) cycles, the wear rate was 0.54 mm3/10(6) cycles. As reported previously by Goldsmith et al. in 2000 [1], the mean steady state wear rate of the 36 mm diameter joints was lower than those of all the other diameters at 0.07 mm3/10(6) cycles. For a range of joints of various diameters, subjected to identical test conditions, mean wear rates differed by almost two orders of magnitude. This study has demonstrated that the application of sound tribological principles to prosthetic design can reduce the wear of metal-on-metal joints, using currently available materials, to a negligible level.     

Metal-on-metal hip joint tribology

The basic tribological features of metal-on-metal total hip replacements have been reviewed to facilitate an understanding of the engineering science underpinning the renaissance of these hard-on-hard joints. Metal-on-polymer hip replacements operate in the boundary lubrication regime, thus leading to the design guidance to reduce the femoral head diameter as much as is feasible to minimize frictional torque and volumetric wear. This explains why the gold-standard implant of this form from the past half-century had a diameter of only 22.225 mm (7/8 in). Metal-on-metal implants can operate in the mild mixed lubrication regime in which much of the applied load is supported by elastohydrodynamic films. Correct tribological design leads to remarkably low steady state wear rates. Promotion of the most effective elastohydrodynamic films calls for the largest possible head diameters and the smallest clearances that can reasonably be adopted, consistent with fine surface finishes, good sphericity and minimal structural elastic deformation of the cup on its foundations. This guidance, which is opposite in form to that developed for metal-on-polymer joints, is equally valid for solid (monolithic) metallic heads on metallic femoral stems and surface replacement femoral shells. Laboratory measurements of friction and wear in metal-on-metal joints have confirmed their potential to achieve a very mild form of mixed lubrication. The key lies in the generation of effective elastohydrodynamic lubricating films of adequate thickness compared with the composite roughness of the head and cup. The calculation of the film thickness is by no means easy, but the full procedure is outlined and the use of an empirical formula that displays good agreement with calculations based upon the full numerical solutions is explained. The representation of the lambda ratio, lambda, embracing both film thickness and composite roughness, is described.     

Lubrication and wear modelling of artificial hip joints: A review

The tribological performance of artificial hip joints is a critical issue for their success, because adverse tissue reaction to wear debris causes loosening and failure. Many studies on wear and lubrication of hip prostheses have been published in the last 10 years, mostly on experimental tests. Theoretical/numerical models have been proposed for investigating geometrical and material parameters also. This paper reviews recent literature on lubrication and wear models, stressing simplifying hypotheses, input data, methods and results. It is pointed out that actually lubrication and wear are described neglecting each other while new advanced models including both aspects could be helpful.     

Macroscopic Tribological Testing of Alkanethiol Self-assembled Monolayers (SAMs): Pin-on-disk Tribometry with Elastomeric Sliding Contacts

We demonstrate that the frictional properties of alkanethiol self-assembled monolayers (SAMs) with various surface-chemical and structural features can be investigated on a macroscopic scale by employing an elastomer as the sliding partner in pin-on-disk tribometry. The mild contact conditions at the elastomeric tribological interface allow the SAM films to remain virtually intact despite the tribological stress. Sliding contact between SAMs and elastomers over the speed range available from an ordinary tribometer in a liquid environment induced a broad range of lubrication mechanisms, ranging from boundary to fluid-film lubrication regimes. Thus, the impact of both the chemical and structural characteristics of SAMs on the formation of fluid films and interfacial friction forces could be probed in the absence of wear processes. Given the large SAM “toolbox” that is readily available for the modification of surface-chemical characteristics, this approach provides an opportunity to investigate the influence of surface chemistry on the frictional properties of elastomeric tribological contacts.     

Biotribology: Friction,wear, and lubrication of natural synovial joints

Studies have been carried out over the past several years to explore possible interconnections between tribology — the study of friction, wear, and lubrication — and arthrology, more specifically, mechanisms of synovial joint lubrication and degeneration. The focus of this paper is on the tribological behaviour of natural and so-called ‘normal’ synovial joints. A separate paper deals with possible connections between tribology and degenerative joint disease (e.g., osteoarthritis). The purpose of this paper is fourfold: (1) to present a summary of salient work on mechanisms of synovial joint lubrication; (2) to review the key findings of our in vitro wear studies made with bovine articular cartilage; (3) to discuss the significance of the cartilage wear studies in relation to existing joint lubrication theories; and (4) to describe a new device being used for studies of cartilage-on-cartilage deformation, friction, wear and damage under in vitro conditions.     

The bio-tribological characteristics of synthetic tissue grafts

The use of synthetic connective tissue grafts became popular in the mid-1980s, particularly for anterior cruciate ligament reconstruction; however, this trend was soon changed given the high failure rate due to abrasive wear. More than 20 years later, a vast range of grafts are available to the orthopaedic surgeon for augmenting connective tissue following rupture or tissue loss. While the biomechanical properties of these synthetic grafts become ever closer to the natural tissue, there have been no reports of their bio-tribological (i.e. bio-friction) characteristics. In this study, the bio-tribological performance of three clinically available synthetic tissue grafts, and natural tendon, was investigated. It was established that the natural tissue exhibits fluid-film lubrication characteristics and hence is highly efficient when sliding against opposing tissues. Conversely, all the synthetic tissues demonstrated boundary or mixed lubrication regimes, resulting in surface-surface contact, which will subsequently cause third body wear. The tribological performance of the synthetic tissue, however, appeared to be dependent on the macroscopic structure. This study indicates that there is a need for synthetic tissue designs to have improved frictional characteristics or to use a scaffold structure that encourages tissue in-growth. Such a development would optimize the bio-tribological properties of the synthetic tissue and thereby maximize longevity.     

人工关节材料的表面润滑设计与应用

人工关节的摩擦磨损问题仍然是基础研究中最重要的问题,借助表面改性技术改善假体的摩擦学性能是人工关节未来发展的必经之路。从润滑角度考虑,对假体关节材料摩擦性能的研究主要集中在表面功能化润滑结构设计以及新型仿生润滑剂研究两方面。针对功能化润滑结构,介绍表面织构设计以及聚合物刷的应用,分析表面织构参数对不同运动工况下摩擦副摩擦性能的影响,阐述表面织构的润滑机制;总结不同种类的聚合物刷结构对摩擦体系耐磨性能的调控,阐明"刷型"结构在摩擦界面的水润滑特点,提出环境介质对聚合物刷结构及性质的影响作用。针对关节润滑剂,介绍传统的关节滑液组分向聚合物仿生润滑剂的拓展。指出微/纳结构的嵌套设计与协同润滑以及润滑剂结构仿生与功能仿生的结合,将是未来的重要发展方向。     

Tribological assessment of a flexible carbon-fibre-reinforced poly(ether-ether-ketone) acetabular cup articulating against an alumina femoral head

New material combinations have been introduced as the bearing surfaces of hip prostheses in an attempt to prolong their life by overcoming the problems of failure due to wear-particle-induced osteolysis. This will hopefully reduce the need for revision surgery. The study detailed here used a hip simulator to assess the volumetric wear rates of large-diameter carbon-fibre-reinforced pitch-based poly(ether-ether-ketone) (CFR-PEEK) acetabular cups articulating against alumina femoral heads. The joints were tested for 25 x 10(6) cycles. Friction tests were also performed on these joints to determine the lubrication regime under which they operate. The average volumetric wear rate of the CFR-PEEK acetabular component of 54 mm diameter was 1.16 mm(3)/10(6) cycles, compared with 38.6 mm(3)/10(6) cycles for an ultra-high-molecular-weight polyethylene acetabular component of 28 mm diameter worn against a ceramic head. This extremely low wear rate was sustained over 25 x 10(6) cycles (the equivalent of up to approximately 25 years in vivo). The frictional studies showed that the joints worked under the mixed-boundary lubrication regime. The low wear produced by these joints showed that this novel joint couple offers low wear rates and therefore may be an alternative material choice for the reduction of osteolysis.     

人工关节材料生物摩擦声学测试研究

硬相对硬相人工关节因其低磨损率的特点,更为适用于日常活动量较大的年轻患者群体。而在该类关节的术后随访中发现,伴随人体的运动,一部分人工关节会由于摩擦而产生异样噪声,临床发生率为0.7%～20.9%。该现象成因复杂,涉及材料摩擦磨损、不良润滑、人工关节失配以及边缘载荷等因素。针对硬相人工关节在服役中的异响问题,提出生物摩擦学与声学交叉研究方法,建立了人工关节材料的生物摩擦声学测试系统,主要包括人工关节材料摩擦学测试装置、类消声室、以及声压信号测试采集系统,能够实现人工关节材料摩擦学与声学参数的在线测量。基于该系统试验研究ZrO2陶瓷关节材料在去离子水与仿生关节滑液润滑状态下的摩擦声学表现,发现在仿生关节液下得到较好的润滑,存在薄膜润滑情况,摩擦表面呈抛光迹象,声压及声功率值均小于去离子水润滑条件下,且与摩擦因数有较好吻合,异响频率与临床发现更为接近。通过该系统的建立与试验验证,初步探索了人工关节材料的生物摩擦声学的测试方法。     

Fretting wear of carburized titanium alloy against ZrO2 under serum lubrication

Fretting wear of carburized titanium alloys was investigated on the universal multifunctional tester (UMT) with the ball-on-flat fretting style under bovine serum lubrication. The tangential load and friction coefficient during the fretting process were analyzed, and the evolution of fretting log during the fretting process was investigated to understand the wear mechanism of the titanium alloy and carburized titanium alloy. Furthermore, the wear scar was examined using a SEM and three-dimension surface profiler. It was found that the friction coefficient of the titanium alloy increased faster than that of carburized titanium alloy in the first stage under serum lubrication, and then remained steady with a similar value in the second stage. The Ft-D curve indicated that there was wear mechanism transition from gross slip to mixed stick and slip. Finally, it was observed that there was a slight damage of the titanium alloy and carburized titanium alloy showed excellent performance during the fretting wear process under serum lubrication. All of the results suggested that carburized titanium alloy was a potential candidate for the stem material in artificial joints.     

An elastohydrodynamic lubrication (EHL) model of wear particle migration in an artificial hip joint

A full fluid ball-in-socket elastohydrodynamic lubrication (EHL) analysis of an artificial hip joint made of a metallic femoral head and ultra-high molecular weight polyethylene (UHMWPE) acetabular cup was considered. Since artificial hips operate in a mixed lubrication mode, wear occurs and wear particles lead to reduced hip lifetimes. This study involves simulating these particles within the lubrication regime. Hip deformation was compared to models employing finite element analysis and the spherical fast-Fourier transform technique. Particle modeling results were compared to suspension modeling experiments by other researchers. Results show a strong influence of lubricant fluid velocity on that of the wear particles.     

Development of an Apparatus to Investigate Friction Characteristics of Constant-Velocity Joints

Constant-velocity (CV) joints have become standard design and an integral part of modern vehicles, primarily due to their superiority in terms of CV torque transfer. Despite widespread usage of constant velocity joints there are certain aspects of their friction, wear, and contact characteristics that are not well understood. In this article, the need to directly measure CV joint internal contact and friction forces is addressed by designing and constructing an instrumented advanced CV joint friction apparatus using actual tripod-type joint assemblies. The apparatus is capable of measuring key performance parameters such as friction and wear under different realistic operating conditions of oscillatory speeds and CV joint articulation angles. The apparatus incorporates a custom-installed triaxial force sensor inside of the CV joint to measure in situ internal CV joint forces (including friction). The CV joint apparatus is under full computer control and is communicating with all measurement components via a master Labview control program. Experiments under different articulation angles and lubrication conditions were performed and the measurements were correlated with published data.     

Fluid-Film Lubrication Regimes Revisited

Dimensionless film-thickness equations are provided for four fluid-film lubrication regimes found for nonconformal surfaces. Side-leakage effects are present in the equations. These regimes are isoviscous-rigid; piezoviscous-rigid, isoviscous-elastic, or soft EHL; and piezoviscous-elastic, or hard EHL. The influence or lack of influence of elastic and viscous effects is a factor that distinguishes these regimes. The film-thickness equation for the respected regimes come from earlier theoretical studies. Results are presented as a map of the lubrication regimes, with film thickness contours on a log-log grid of the viscosity and elasticity parameters for four values of the ellipticity parameter.