To engineer a hydrogel elastomer for use as an in vivo tissue replacement, it is imperative to ensure superior fatigue resistance, guaranteeing a prolonged service life. Investigating the molecular mechanisms of strain energy accumulation and transmission, which occur during the compression of elastomeric materials, is instrumental in elucidating the causes of hydrogel material fatigue. Such insights are of immense value for the development of durable artificial tissue replacements, ensuring their longevity and sustained functionality within the human body. We synthesized hydrogel elastomers through polyvinyl alcohol (PVA) and waterborne polyurethane (WPU) with good biocompatibility, and studied their fatigue behavior through molecular dynamics (MD). The results of this analysis demonstrate that the introduction of energy dissipation structures between mechanically supported molecular frameworks can enhance the relaxation efficiency of polymers. This improvement leads to enhanced resistance of hydrogels to compression fatigue. A total of 1,000,000 cycles of compression tests were conducted to verify that WPU/PVA did not exhibit any significant compression fatigue under high stress of 50 % strain. In contrast, PVA hydrogel exhibited obvious fatigue due to the absence of an energy dissipation structure. These results revealed the source of compression fatigue resistance of hydrogel elasticity and provided powerful guidance for the design and synthesis of artificial tissues.
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