The micro-scale abrasive wear behavior of TiZrNbTa (TZNT) alloy in Hank’s solution and distilled water was studied using the TE66 machine. The effect of load and sliding distance was considered. The results of experiments show that the wear volume of the TZNT alloy is increased with increasing distance because of the greater damage, but the wear volume is not present the same regularity as the increase of load due to the effect of several factors. Only three-body abrasive wear is present at the lower load, while the mixed wear mechanism includes three-body and two-body abrasive wears at the higher load. Through observation, the wear appears under the same sliding distance at various simulated body fluids. The wear appearance is related to the wear mechanism. For wastage map, under the conditions of this paper, the majority of the area is medium wastage, the rest is low wastage, and there is no high wastage. The wastage map is related to the wear volume of the alloy under different conditions.
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