Meng Qingen, Liu Feng, Fisher John, Jin Zhongmin
Institute of Medical and Biological Engineering, School of Mechanical Engineering, University of Leeds, Leeds, UK.
Proc Inst Mech Eng H. 2013 May;227(5):523-34. doi: 10.1177/0954411912472845. Epub 2013 Jan 23.
It is important to study the lubrication mechanism of metal-on-metal hip resurfacing prosthesis in order to understand its overall tribological performance, thereby minimize the wear particles. Previous elastohydrodynamic lubrication studies of metal-on-metal hip resurfacing prosthesis neglected the effects of the orientations of the cup and head. Simplified pelvic and femoral bone models were also adopted for the previous studies. These simplifications may lead to unrealistic predictions. For the first time, an elastohydrodynamic lubrication model was developed and solved for a full metal-on-metal hip resurfacing arthroplasty. The effects of the orientations of components and the realistic bones on the lubrication performance of metal-on-metal hip resurfacing prosthesis were investigated by comparing the full model with simplified models. It was found that the orientation of the head played a very important role in the prediction of pressure distributions and film profiles of the metal-on-metal hip resurfacing prosthesis. The inclination of the hemispherical cup up to 45° had no appreciable effect on the lubrication performance of the metal-on-metal hip resurfacing prosthesis. Moreover, the combined effect of material properties and structures of bones was negligible. Future studies should focus on higher inclination angles, smaller coverage angle and microseparation related to the occurrences of edge loading.
研究金属对金属髋关节表面置换假体的润滑机制对于理解其整体摩擦学性能从而减少磨损颗粒至关重要。以往关于金属对金属髋关节表面置换假体的弹流润滑研究忽略了髋臼杯和股骨头方向的影响。以往研究还采用了简化的骨盆和股骨骨骼模型。这些简化可能导致不切实际的预测。首次针对全金属对金属髋关节表面置换术开发并求解了弹流润滑模型。通过将完整模型与简化模型进行比较,研究了部件方向和实际骨骼对金属对金属髋关节表面置换假体润滑性能的影响。结果发现,股骨头的方向在预测金属对金属髋关节表面置换假体的压力分布和膜厚分布方面起着非常重要的作用。半球形髋臼杯倾斜至45°对金属对金属髋关节表面置换假体的润滑性能没有明显影响。此外,骨骼的材料特性和结构的综合影响可以忽略不计。未来的研究应集中在与边缘负荷发生相关的更高倾斜角度、更小覆盖角度和微分离方面。