Asperity lubrication in human joints.

The asperity lubrication in human joints is examined in the present paper, with particular reference to the tertiary undulation with wavelengths of around 20-45 microns. It was found that, under dynamic physiological loading conditions, the secondary waviness of the cartilaginous surface (typically 0.5 mm wavelength) could be effectively flattened to sustain a fluid film of 0.1-0.3 micron thick, while the tertiary waviness could be squashed to sustain a much thinner fluid film of 0.01 micron (10 nm) thick with normal synovial fluid as the lubricant. The calculated film thickness for the tertiary undulation was less than 5 nm when the ankle joint was lubricated by Ringer's solution or pathological synovial fluids, or when only quasi-static loading conditions were considered, while a sufficiently thick fluid film could still be formed when the secondary undulations were considered alone. It was thus suggested that the fluid film lubrication mechanism was operative for human joints with normal synovial fluid as the lubricant under physiological dynamic loading conditions and the mixed lubrication mechanism could take over when static loading conditions prevailed or when watery lubricants (eta approximately 0.001 Pa s) were used.