Modification of joint prosthesis surfaces by ultrashort pulse laser treatment for improved joint lubrication

Abstract

Abstract Endoprostheses such as hip replacements are subject to wear. Lubrication of the joint interface plays a key role in the wear process, but the mechanisms of lubrication is challenging to understand. The main issue is the three-body abrasion which leads to a shorter life cycle. In order to improve the life cycle, the surfaces of the articulating components can be modified, for example by pulsed femtosecond-laser microstructuring. By microstructuring of the implant surface, the viscosity of the synovial fluid between the joint can be increased due to the non-Newtonian properties of the synovia. This leads to better lubrication and therefore lower particle abrasion. The objective of this study was to evaluate the impact of different microstructures on the viscosity of a joint fluid substitute. Various microstructures were investigated in a modified rheometer setup featuring a decreased gap size. As a test fluid, a synovial fluid substitute was used. The results show that an increase in the viscosity of the synovial fluid substitute can be achieved by microstructuring. An increase of viscosity of up to 20 % compared to the unstructured reference was observed with ring-structures with a diameter of 100 μm and a depth of 20 μm.