PurposeThis study aims to systematically investigate the tribological behaviors of metal and polyethylene using lubricants composed of four synovial fluid (SF) components. In addition, the changes in protein conformation during wear were analyzed to establish the correlation between protein conformation and tribological properties.Design/methodology/approachA pin-on-disk tester with multidirectional sliding motion was used for tribological properties observation between metal and polyethylene pairs. Simulated SFs with four main constituents were used as the testing lubricants. Differential scanning calorimetry and Raman were used to characterize the changes in protein conformation during wear.FindingsThe coupling of lipids and hyaluronic acid further suppressed protein denaturation. The protein structures of the adsorption film and the ensnared protein chains in the friction zone were maintained to a certain extent, thus improving the friction and wear of polyethylene.Originality/valueThese findings established the correlation between protein conformation and friction and wear, promoting the understanding of the lubrication mechanism of artificial joints.