Abstract

The importance of fluid-film lubrication mechanisms experienced in hip implants is reviewed. For the different types of hip implants currently used in clinical practice, including conventional/cross-linked polyethylene-on-metal/ceramic, metal-on-metal and ceramic-on-ceramic bearing couples, a detailed review is presented of theoretical fluid-film lubrication analyses along with friction measurements and wear studies, both having a strong emphasis on the fluid-film mechanisms involved. Future studies and improvements of hip implants from a fluid-film lubrication point of view are discussed.

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