Changes in the components of synovial fluid in the human body have an important influence on the tribological behavior of artificial joints. Based on the concentration of components in the synovial fluid after arthroplasty, “hard−soft” joint pair materials composed of cobalt‒chrome‒molybdenum (CoCrMo) and highly crosslinked polyethylene (XLPE) were used as the research objects. Composite synovial fluid containing different concentrations of albumin (Alb), γ-globulin (γ-Glo), hyaluronic acid (HA), and phospholipids (PLs) was prepared. By studying the influence mechanism of single component concentration changes on the tribological properties of joint pair materials, the friction and wear behavior of joint pair materials in different composite synovial fluids are systematically explored. The coupling mechanism among the components is clarified, and the wear mechanism of the joint pair materials under different composite synovial fluids is revealed. In addition, the results of 2 million in vitro simulated wear experiments of CoCrMo‒XLPE artificial joints in composite synovial fluid were further studied. Furthermore, this study validated the influence of the concentration of the composite synovial fluid on the friction and wear properties of artificial joints under actual working conditions. The results show that the four main components in the composite synovial fluid have a great influence on the friction and wear properties of the “hard–soft” joint pair materials. When the concentration of PL increased from 0 to 0.45 mg/mL, the wear rate decreased by 69.6%, and the coefficient of friction (COF) decreased by 63.3%. The coupling mechanism between PLs, HA, and proteins significantly affects the adsorption of the membrane and affects the tribological behavior of the artificial joint. In addition, the simulated wear results of artificial joints in composite synovial fluid are consistent with those of friction and wear testers. The concentration of each component in the composite synovial fluid significantly affects the lubrication of the artificial joint, and the degree of influence becomes more obvious during long-term service. In summary, this study provides a theoretical basis for the study of composite synovial fluid and the improvement of the lubrication performance of artificial joints and is highly important for prolonging the service life of artificial joints.
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Hydrogels with high water content, excellent permeability and biocompatibility, are widely used in the biomedical field. In this study, a kind of ordered structure reinforced HA composite hydrogel with high water content, high strength, low friction and fatigue resistance was developed through molecular network design, combined with temperature field induced orientation and nano reinforcement technology. The hydrogel has a honeycomb network with vertically ordered orientation, showing higher network regularity, greater freedom of network cross-linking points, and enhanced flexibility and rigidity of the polymer chain. Its compressive strength is 11 MPa, compressive modulus is 5.2 MPa, friction coefficient is 0.05, and it also has excellent crack propagation and compressive fatigue resistance, exhibiting higher mechanical strength and better tribological properties. Thus, the new applications of hydrogels in biomedical field and soft biological equipment are expanded.

Hydrogels exhibit promising applications, particularly due to their high water content and excellent biocompatibility. Despite notable progress in hydrogel technology, the concurrent enhancement of water content, mechanical strength, and low friction poses substantial challenges to practical utilization. In this study, employing molecular and network design guided based on multiple synergistic enhancement mechanisms, we have developed a robust polyvinyl alcohol (PVA)–polyacrylic acid (PAA)–polyacrylamide (PAAm) three-network (TN) hydrogel exhibiting high water content, enhanced strength, low friction, and fatigue resistance. The hydrogel manifests a water content of 63.7%, compression strength of 6.3 MPa, compression modulus of 2.68 MPa, tensile strength reaching 7.3 MPa, and a tensile modulus of 10.27 MPa. Remarkably, even after one million cycles of dynamic loading, the hydrogel exhibits no signs of fatigue failure, with a minimal strain difference of only 1.15%. Furthermore, it boasts a low sliding coefficient of friction (COF) of 0.043 and excellent biocompatibility. This advancement extends the applications of hydrogels in emerging fields within biomedicine and soft bio-devices, including load-bearing artificial tissues, artificial blood vessels, tissue scaffolds, robust hydrogel coatings for medical devices, and joint parts of soft robots.

Articular cartilage covering the joint surface provides an excellent lubrication and load-bearing interface for the daily activities of the human body, which is characterized by high load-bearing, low friction, and wear resistance. Articular cartilage will be damaged and degenerated with age, congenital diseases, trauma, and other factors, however, the vascularization of articular cartilage leads to its weak self-repair ability, which ultimately accelerates the occurrence of osteoarthritis and seriously affects the quality of life of patients. Hydrogels are similar to biological soft tissue and have both solid and liquid properties, which have the characteristics of natural cartilage microstructure similarity, high water content, excellent biocompatibility, stable physical and chemical properties, etc., and have developed into the best alternative material for articular cartilage. However, the mechanical properties and lubricating properties of traditional hydrogels are insufficient, which makes it difficult to meet the application of artificial articular cartilage. Therefore, the development of mechanical enhancement and biomimetic lubrication technology to improve the mechanical properties and lubrication properties of biomimetic cartilage hydrogel materials has attracted extensive attention. In this paper, the research progress of hydrogel-based cartilage replacements is reviewed from the aspects of mechanical enhancement and biomimetic lubrication, and the design strategies and mechanisms of mechanical enhancement such as nanocomposites, multi-network, hydrophobic association, topological structure, supramolecular polymers, and biomimetic ordered structures are introduced, as well as the design ideas and lubrication mechanisms of biomimetic lubrication based on interfacial modulation, polymer brushes, lubricant boundary lubrication, and stimulus-response. Furthermore, based on the structural and functional biomimicry of the natural articular cartilage system, the research progress of high mechanical properties and low-friction biomimetic articular cartilage substitutes was reviewed, and their potential value as articular cartilage substitutes was discussed. Finally, the current problems of biomimetic articular cartilage materials, as well as the future research focus and development direction are discussed.

The polyetheretherketone (PEEK)-highly cross-linked polyethylene (XLPE), all-polymer knee prosthesis has excellent prospects for replacing the traditional metal/ceramic-polyethylene joint prosthesis, improving the service life of the joint prosthesis and the quality of patients’ life. The long-term wear mechanism of PEEK-XLPE knee joint prosthesis is comprehensively evaluated from wear amount, wear morphology, and wear debris compared to that of CoCrMo-XLPE joint prosthesis. After 5 million cycles of in vitro wear, the wear loss of XLPE in PEEK-XLPE (30.9±3.2 mg) is lower than that of XLPE in CoCrMo-XLPE (32.1±3.1 mg). Compared to the XLPE in CoCrMo-XLPE, the plastic deformation of XLPE in PEEK-XLPE is more severe in the early stage, and the adhesive peeling and adhesion are lighter in the later stage. The size distribution of XLPE wear debris in PEEK-XLPE is relatively dispersed, which in CoCrMo-XLPE is relatively concentrated. Wear debris is mainly flake and block debris, and the wear mechanism of XLPE was abrasive wear. The wear volume per unit area of PEEK femoral condyle (10.45×105 μm3/mm2) is higher than that of CoCrMo (8.32×105 μm3/mm2). The PEEK surface is mainly furrows and adhesions, while the CoCrMo surface is mainly furrows and corrosion spots. The PEEK wear debris is mainly in flakes and blocks, and the CoCrMo wear debris is mainly in the shape of rods and blocks. The wear mechanism of PEEK is abrasive wear and adhesion, and that of CoCrMo is abrasive wear and corrosion.

Inspired by the cartilage-bone structure in natural joints, soft-hard integrated materials have received extensive attention, which are the most promising candidates for artificial joints due to their combination of excellent load-bearing properties and lubricating properties. The latest progress showed that the combination of hydrogel and titanium alloy can realize a bionic natural joint lubrication system on the surface of titanium alloy. However, obtaining a tough interface between the hydrogel (soft and wet) and the titanium substrate (hard and dry) is still a great challenge. Here, we designed a "soft (hydrogel)-hard (Ti6Al4V)" integrated material with outstanding combination, which simulates the structure and function of cartilage-bone in the natural joint. The load-bearing properties, binding performance, and tribological behaviors for different forms of the soft-hard integrated materials were investigated. The results showed that the hydrogel layer and Ti6Al4V substrate possess ultra-high interfacial toughness (3,900 J/m2). In addition, the combination of the hydrogel layer and Ti6Al4V substrate provided a good lubrication system to endow the "soft (hydrogel)-hard (Ti6Al4V)" integrated material with high load-bearing and excellent tribological properties. Therefore, this study provided an effective strategy for prolonging the service life of Ti6Al4V in the biomedical field.