An in vitro wear study of alumina-alumina total hip prostheses.

Four 28 mm diameter alumina-alumina hip prostheses were tested in the Mkll Durham hip simulator for 5 x 10(6) cycles using 25 per cent bovine serum as lubricant. Wear of the heads and cups was measured gravimetrically. The mean and standard deviation of the wear rate for the alumina cups was 0.097 +/- 0.039 mm3/10(6) cycles. The femoral heads produced such low wear that it could not be measured by weighing but could be detected byincreased surface roughness measurements. Such low wear rates represent about one-five-hundredthof the wear of ultra-high molecular weight polyethylene (UHMWPE) against ceramic in a similar test and supports work which indicates that fluid film lubrication exists in these joints.     

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.     

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.     

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.     

Wear and deformation of ceramic-on-polyethylene total hip replacements with joint laxity and swing phase microseparation

Wear of polyethylene and the resulting wear debris-induced osteolysis remains a major cause of long-term failure in artificial hip joints. There is interest in understanding engineering and clinical conditions that influence wear rates. Fluoroscopic studies have shown separation of the head and the cup during the swing phase of walking due to joint laxity. In ceramic-on-ceramic hips, joint laxity and microseparation, which leads to contact of the head on the superior rim of the cup, has led to localized damage and increased wear in vivo and in vitro. The aim of this study was to investigate the influence of joint laxity and microseparation on the wear of ceramic on polyethylene artificial hip joints in an in vitro simulator. Microseparation during the swing phase of the walking cycle produced contact of the ceramic head on the rim of the polyethylene acetabular cup that deformed the softer polyethylene cup. No damage to the alumina ceramic femoral head was found. Under standard simulator conditions the volume change of the moderately crosslinked polyethylene cups was 25.6 +/- 5.3 mm3/million cycles and this reduced to 5.6 +/- 4.2 mm3/million cycles under microseparation conditions. Testing under microseparation conditions caused the rim of the polyethylene cup to deform locally, possibly due to creep, and the volume change of the polyethylene cup when the head relocated was substantially reduced, possibly due to improved lubrication. Joint laxity may be caused by poor soft tissue tension or migration and subsidence of components. In ceramic-on-polyethylene acetabular cups wear was decreased with a small degree of joint laxity, while in contrast in hard-on-hard alumina bearings, microseparation accelerated wear. These findings may have significant implications for the choice of fixation systems to be used for different types of bearing couples.     

Soft layer lubrication of artificial hip joints

An experimental study of the lubrication mechanisms existing in prototype artificial hip joints which have compliant surface linings, has shown that for a lining with a hardness of about 4N/mm², fluid film lubrication can be achieved even with the low viscosity synovial fluid present in diseased joints after surgery. In tests, a synthetic lubricant was used in place of the synovial fluid. The best results seem to be produced with a 2 mm thick layer.     

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.     

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.     

Study on the tribological properties of surfactant-modified MoS2 micrometer spheres as an additive in liquid paraffin

Tribological properties of MoS₂ micrometer spheres modified by self-prepared surfactant as an additive in liquid paraffin (LP) are studied and compared with those of the commercial colloidal MoS₂ on a four-ball tester and an Optimol SRV oscillating friction and wear tester. The worn surfaces are examined with SEM and XPS, respectively. Results show that MoS₂ micrometer sphere is a much better extreme-pressure additive and anti-wear and friction-reducing additive in LP than the commercial colloidal MoS₂. The boundary lubrication mechanism can be deduced as an effective chemical adsorption protective film formed by the long chain alkyl and active elements (S and N) in the prepared surfactant and tribochemical reaction film composed of the tribochemical reaction products of the additive. Moreover, sliding and rolling frictions exist simultaneously in the MoS₂ micrometer spheres /LP lubricating system, which also do more contributions to the good tribological properties.     

Tribological investigation of CaF2 nanocrystals as grease additives

Calcium fluoride (CaF₂) nanocrystals with average grain size of 60 nm were synthesized via a precipitation method. The morphology and structure of nanocrystals were characterized by means of transmission electron microscopy (TEM) and X-ray powder diffraction (XRD). TEM and XRD showed that CaF₂ nanocrystals are cubic particles in submicron scale. The tribological properties of the prepared CaF₂ nanocrystals as an additive in lithium grease were evaluated with a four-ball tester. The results indicated that these nanocrystals exhibit excellent antiwear, friction reduction and extreme pressure (EP) properties. It was also found that the EP and antiwear capabilities of the grease are not proportional to the content of CaF₂ nanocrystals but there existed a certain value. The rubbed surface after friction test was investigated with X-ray photoelectron spectroscopy and scanning electron microscopy to understand the action mechanism. The results show that a boundary film mainly composed of CaF₂, CaO, iron oxide and some organic compounds was formed on the rubbed surface after friction test and the thickness of boundary film was about 12 nm. The disproportion of stoichiometric ratio of Ca and F in boundary lubrication film indicates that tribochemical reaction of CaF₂ nanocrystals occurred on the worn steel surface at severe tribological conditions.     

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.     

三种固液复合润滑系统的真空边界润滑特性

为研究MoS2/815Z、MoS2/RP4751和MoS2/RIPP4758三种固液复合润滑体系在真空边界润滑工况下的润滑特性,对三种固液复合润滑体系进行了真空往复滑动摩擦试验和真空螺旋轨道摩擦(SOT)试验研究,并对SOT试验后的球盘摩擦副平盘表面进行扫描电镜(SEM)和X射线能量色散谱仪(EDS)分析。试验结果表明,MoS2/815Z和MoS2/RIPP4758复合润滑体系中的固液润滑剂间为选择性结合,在摩擦过程中能够很好地发挥固液润滑剂的优势,有利于对偶转移膜和边界润滑膜的形成,MoS2/815Z的平均润滑寿命达到了2327 圈/μg,大于固体润滑剂和液体润滑剂的润滑寿命之和。MoS2薄膜与RP4751液体润滑剂复合后不能很好地发挥固液润滑剂各自的优势,在摩擦过程中不易形成有效的对偶转移膜和边界润滑膜,并且使得薄膜在较短的时间内大量消耗从而造成摩擦副表面处于乏油状态,最终导致MoS2/RP4751复合润滑体系的摩擦因数快速增大和润滑失效。     

Type of motion and lubricant in wear simulation of polyethylene acetabular cup.

The wear of ultra-high molecular weight polyethylene, the most commonly used bearing material in prosthetic joints, is often substantial, posing a significant clinical problem. For a long time, there has been a need for simple but still realistic wear test devices for prosthetic joint materials. The wear factors produced by earlier reciprocating and unidirectionally rotating wear test devices for polyethylene are typically two orders of magnitude too low, both in water and in serum lubrication. Wear is negligible even under multidirectional motion in water. A twelve-station, circularly translating pin-on-disc (CTPOD) device and a modification of the established biaxial rocking motion hip joint simulator were built. With these simple and inexpensive devices, and with the established three-axis hip joint simulator, realistic wear simulation was achieved. This was due to serum lubrication and to the fact that the direction of sliding constantly changed relative to the polyethylene specimen. The type and magnitude of load was found to be less important. The CTPOD tests showed that the subsurface brittle region, which results from gamma irradiation sterilization of polyethylene in air, has poor wear resistance. Phospholipid and soy protein lubrication resulted in unrealistic wear. The introduction of devices like CTPOD may boost wear studies, rendering them feasible without heavy investment.     

A 12-station anatomic hip joint simulator

A novel 12-station hip joint simulator with an anatomic position of the prosthesis was designed and built. The motion of the simulator consists of flexion-extension and abduction-adduction. The load is of the double-peak type. The validation test was done with three similar 28 mm CoCr-polyethylene joints in diluted calf serum lubricant for 3.3 x 10(6) cycles. The bearing surfaces of the polyethylene cups were burnished, the CoCr heads were undamaged, the wear particles were in the 0.1-1 microm size range, and the mean wear factor of the polyethylene cups was 5.7 x 10(-7) mm(3)/N m. These essential observations were in good agreement with clinical findings. In addition, three similar 50 mm CoCr/CoCr joints, representing the contemporary large-diameter metal-on-metal articulation were tested. The wear of the CoCr/CoCr joints was calculated from the Co and Cr concentrations of the used lubricant quantified with atomic absorption spectroscopy. The bearing surfaces of the CoCr/CoCr joints showed mild criss-cross scratching only. The average wear factor of polyethylene cups was 275 times that of the CoCr/CoCr joints. The tribological behaviour of the large-dia. CoCr/CoCr appeared to be dominated by fluid film lubrication, as indicated by very low frictional heating and wear, making it tribologically superior to the conventional CoCr/polyethylene, and therefore very interesting clinically. In conclusion, the simulator proved to be a valid, reliable, practical, economical, and easy-to-operate tool for wear studies of various hip replacement designs.     

Start up and steady state friction of alumina against alumina

Using a pin-on-disc testing machine, the authors investigated the start up and steady state friction of highly polished alumina against itself and studied the factors affecting the friction. The lubricants used in this paper were 1 wt.% water solution of carboxymethyl cellulose sodium salt (CMC-Na 1 wt.% water solution) and distilled water. It is observed that many factors, such as lubricants, load, sliding velocity, resting time and start up acceleration etc., have an influence on the friction of alumina.against alumina. The experimental results indicate that the coefficients of the start up and steady state friction when CMC-Na 1 wt.% water solution is the lubricant are much smaller than when distilled water us used, and it is possible that alumina-on-alumina hip joints may enjoy full fluid film lubrication with good machining, good fit and a proper lubricant.     

Design considerations for cushion form bearings in artificial hip joints.

Lubrication mechanisms and contact mechanics have been analysed in a new generation of 'cushion form' bearings for artificial hip joints, which comprise low elastic modulus layers on the articulating surfaces. Comparisons have been made with 'hard' bearings used in existing prostheses and also with the natural hip joint. Lubricating film thicknesses are enhanced by larger contact areas and lower contact pressures. For a fixed contact area, simultaneous changes in layer thickness and radial clearance have been shown to have a small effect on elastohydrodynamic film thickness. Hard bearings designed with the same contact area as the cushion bearings produced a similar film thickness, but lubricant film thickness is not optimized in current designs. The main advantage of using a cushion bearing with low elastic modulus layers was found to be associated with microelastohydrodynamic lubrication. Careful selection of the elastic modulus is important in order to ensure that this lubrication regime was effective. Low elastic modulus layers may also produce local deformations, which enhance squeeze film action. The elastic modulus of the material should not be lower than necessary to produce effective microelastohydrodynamic lubrication, as a further reduction in modulus only increases the strain distribution in the material. A lubricant film thickness of 0.3 microns has been predicted for a cushion hip prosthesis with a femoral head diameter of 32 mm and radius of contact zone of 16 mm, using a 2 mm thick layer with an elastic modulus of 20 MPa.     

Transient elastohydrodynamic lubrication in artificial knee joint with non-Newtonian fluids

This paper presents the transient analysis of a human artificial knee joint under elastohydrodynamic lubrication (EHL) for point contact with non-Newtonian lubricants. The artificial knee joints use ultra high molecular weight polyethylene (UHMWPE) against metal with time-varying speed and load during walking. This numerical simulation employed a perturbation method, Newton Raphson method and multigrid method with full approximation technique to solve simultaneously both the time-dependent Reynolds equation, with non-Newtonian fluid based on a Carreau model, and the elasticity equation.The general numerical schemes are implemented to investigate the characteristics of elastohydrodynamic lubrication in human artificial knee joints; profiles of pressure and film thickness are determined, with varying material and lubricant properties, applied loads and speeds. The results show that the elastohydrodynamic fluid film thickness between the metallic component of the artificial knee joint and the soft polyethylene bearing becomes larger as the contact area increases and the fluid film pressure decreases. At the beginning of the first walking cycle, the film thickness is lower than in subsequent cycles because of the time required to develop the fluid film; after the first cycle, the fluid film is similar for every cycle and is dependent on transient applied load and speed during human movement.     

Tribological role of synovial fluid compositions on artificial joints — a systematic review of the last 10 years

Biological components of synovial fluid and their concentration play a crucial role in the lubrication mechanism of artificial joints, particularly boundary lubrication. The purpose of this review was to summarise and critically analyse the lubrication mechanism and their tribological outcomes to artificial joints. Thirteen papers published between 01/01/2003 and 28/02/2013 met the inclusion criteria for the review. Four major biological components of synovial fluid (albumin, globulin, hyaluronic acid and lubricin) were found to have an influence on film thickness, friction coefficient and wear rate. The role of these components was reported to be varied, depending on not only their composition and concentration but also surface material properties, wettability, temperature and pressure. The findings suggest that an appropriate synovial fluid composition should be represented in a simulated body fluid in order to evaluate an implant material and subsequently to conduct biotribology tests. Copyright © 2014 John Wiley & Sons, Ltd.     

The Effectiveness of Boundary and Hydrodynamic Lubrication when Cold Rolling Aluminum Metal

How hydrodynamic and boundary lubrication affect a lubricant's film strength when cold rolling aluminum was studied using a laboratory mill. The film strength of the lubricant was determined by increasing the amount of reduction until a rapid rise in load and temperature produced a herringbone pattern on the surface of the metal. The hydrodynamic lubrication was changed by increasing the viscosity of the base oil or by increasing the rolling speed. The boundary lubrication was changed by increasing the concentration of the additives or by changing the type of additives. The results of the test showed that either increasing the amount of the hydrodynamic lubrication or increasing the amount of the boundary lubrication were effective ways to increase the film strength of the lubricant; however, the effectiveness of each decreased as the calculated film thickness of the lubricant increased. It is proposed that this can be explained by the decrease in contact area between the work roll asperities and the surface of the sheet as the thickness of the lubricant film increases.     

Chemical structure characterization of the boundary lubrication film using X-ray photoelectron spectroscopy and scanning Auger microprobe techniques

The chemical structure of the solid reaction film formed on the metal surface under boundary lubrication for a practical rubbing system is characterized using X-ray photoelectron spectroscopy and scanning Auger microprobe techniques in this paper. Analysis of the spectra suggests that the boundary lubrication film can be qualitatively divided into three layers,i.e. it consists of an adsorbed-reaction film, a mixed-reaction film and a diffusion reaction film. The significant experimental results are that the chemical states of the elements in the film are strongly dependent on the lubrication regime and their position within the lubrication film, with which some tribological phenomena can be reasonably explained.