The friction and wear behaviors of cartilage replacement materials against articular cartilage are considered essential characteristics that determine the function and performance of the replacement. Previous studies have often been conducted under a reciprocal linear motion, while a cross-shear motion has been shown to widely exist in joints. The difference resulting between cross-shear motion and reciprocal linear motion, and the effect of bearing surface roughness on the frictional and wear behaviors of cartilage should be further investigated. In this study, experimental tribology investigations were conducted under the cross-shear motion for articular cartilage against commonly used three replacement materials, including high cross-linked polyethylene (HXLPE), polyether ether ketone (PEEK), and cobalt-chromium molybdenum alloy (CoCrMo). The experimental results showed that there was no significant difference in friction and wear behavior between cross-shear and reciprocal linear motion. For the implants with low surface roughness, the water contact angle of the bearing surface affected the friction and wear behaviors of the cartilage, while for the implants with high rough surfaces, the surface roughness of the material affected the friction and wear behaviors of the cartilage. The damage of cartilage under cross-shear motion mainly consisted of deformations and accumulations. This phenomenon was especially evident at high roughness. Of the three bearing materials considered, PEEK was more suitable for osteochondral implants.
There is great difficulty in quickly calculating the impingement‐free range of motion (IFROM) of hip components with complex shapes after total hip arthroplasty. We have established a new algorithm to investigate the effect of different shapes of hip components on the IFROM and impingement‐free safe zone (IFSZ). Then find the best combination of hip prosthesis and the optimal mounting position of the elevated‐rim liner under different radiographic anteversion (RA) and radiographic inclination (RI) of the cup. We found the larger the opening angle of the beveled‐rim liner and the smaller the cross‐sectional area of the stem neck with an inverted teardrop cross‐sectional shape, the greater the IFROM of the hip component. The beveled‐rim liner in combination with the stem neck with an inverted teardrop‐shaped cross‐section could provide the greatest IFSZ (excluding the flat‐rim liner). The optimal orientation of the elevated‐rim liner was the posterior‐inferior side (RI ≤ 37°), posterior‐superior side (RI ≥ 45°), and posterior side (37° ≤ RI ≤ 45°). Our novel algorithm provides a solution to analyze the IFROM of any hip prosthesis with any complex shape. The shape and size of the cross‐section of the stem neck, the orientation of the elevated rim, and the shape and opening angle of the liner are all critical factors for the quantitative calculation of the IFROM and mounting safe zone of the prosthesis. Stem necks with inverted teardrop cross‐section and beveled‐rim liner improved the IFSZ. The optimal direction of the elevated rim is not constant but varies with RI and RA.
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