Hydrogels have been considered as potential candidates for cartilage replacement due to their high-water content, extreme network hydration, excellent biocompatibility and tunable mechanical properties. Currently, the development of high-performance cartilageinspired hydrogel lubrication materials has become a hot topic in the field of biomedical materials. This review focusses on the recent development of cartilage-inspired highstrength hydrogels from the viewpoints of bionic surface/interface and biotribology. Specifically, the composition structure and extraordinary lubrication mechanism of the natural articular cartilage are overviewed first. Subsequently, some of the novel biomimetic design strategies for preparing high strength cartilage hydrogels with various network structures are summarised in detail, while systematic evaluation of lubrication properties and mechanisms are discussed. Furthermore, new surface modification means for improving the lubrication feature of high strength cartilage hydrogel materials are presented. In addition, in order to demonstrate the application potential of cartilage hydrogels in clinical, several bonding methods to decorate hydrogels onto surfaces of natural bone tissues or artificial joint materials are introduced. Finally, current challenges and future research directions are discussed for cartilage-inspired hydrogel lubrication materials.
| INTRODUCTIONArticular cartilage in the human body is a layer of soft connective tissue covering the surface of bones, which exhibits excellent superlubricity and wear resistance properties during daily activities. Extremely low friction coefficients (0.001-0.03) can be obtained under variable physiological joint pressure (3-18 MPa) [1, 2], and the superior lubrication properties of the articular cartilage are attributed to its surface chemical composition and specific structure [3][4][5]. Despite its excellent load-bearing and lubricating properties, cartilage may become damaged due to ageing, trauma or disease, which causes a series of joint diseases, such as osteoarthritis, rheumatoid arthritis and so on [6][7][8][9]. Since there are no blood vessels or nerves inside the cartilage tissue, it is difficult to repair itself after damage. At present, the common methods for cartilage tissue repair mainly include cartilage transplantation [10,11], joint fusion [12], and chondrocyte transplantation [13,14]. However, the mechanical properties of cartilage repaired by these treatments often cannot meet the normal needs, which may induce problems such as donor site lesions [15,16]. For patients with severe joint disease, total joint replacement surgery is required.To date, tremendous efforts have been pursued to improve the quality of biomaterials for applications in artificial joints. Although different bearing couples such as 'hard-on-hard'This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is pr...