Effect of geometrical, operational and material parameters in the lubrication regime of hard-on-hard hip implants

Abstract

The lubrication regime of a hip implant is influenced by various parameters, including material, geometry, roughness, relative angular movement, and loading circumstances. These factors impact friction and wear performance, ultimately limiting the implant's longevity. In this study, a ball-on-plane model is considered to predict the lubrication regime across the entire gait cycle for the metal-on-metal and ceramic-on-ceramic hip implants. According to ISO 14242-1, a normal walking gait cycle is considered for the loads and rotations in the hip implant for this study. A comprehensive analysis is done to estimate the lubrication regime by considering different material combinations, body weights, femoral head sizes, clearances, and roughness across the entire gait cycle. The correlation coefficients show that the geometrical parameters are dominant in affecting the lubrication film thickness compared to the operational and material parameters. The femoral head size and body weight are found to be the most dominant and least dominant parameter respectively. Among the hard-on-hard tribo-pairs, ceramics operate predominantly in the full-film lubrication regime compared to metals due to its fine surface finish. The present research suggests that in order to maximise the longevity of a hip implant, an orthopaedic surgeon should choose one with a larger femoral head diameter, less clearance, and an ultra-fine surface finish, regardless of any material tribo-pair.