Diamond-like carbon (DLC) coatings deposited on the articulating surfaces of total hip or knee arthroplasties have the potential to enhance the overall biotribological behavior and longevity. In this contribution, we employ an ultrahigh molecular weight polyethylene ball-on-three cobalt chromium or titanium alloy pin configuration lubricated by simulated body fluid to effectively carry out screening tests. Thus, the influence of the choice of the coated component (metallic and/or polymeric) as well as the differences between a higher and lower load case with non- and conventionally cross-linked polyethylene were studied. The studied coating systems featured excellent mechanical properties with a substantial enhancement of indentation hardness and elastic modulus ratios. The adhesion of the coatings as determined in modified scratch tests can be considered as very good to polymeric and as satisfactory to metallic substrates, thus confirming the potential for the use in total joint arthroplasties. Although the coatings predominantly led to an increase in friction due to the considerably higher roughness, wear was substantially reduced. While only the metallic components were mostly coated in studies reported in literature, our investigation showed that a coating of the polymer component in particular is of decisive importance for enhancing the wear performance and increasing the service life of load-bearing implants. Moreover, single sided coating results in higher wear of the uncoated counter-part. Therefore, coating systems deposited on both articulating surfaces, polymeric and metallic, should be pursued in the future.
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