Dominik Jonas Federl

Hemiarthroplasty addresses joint damage confined to one side, preserving native cartilage and bone, but accelerated degeneration of the opposing cartilage can compromise outcomes. This systematic review should clarify whether coefficient of friction (COF) reliably predicts cartilage wear when evaluating hemiarthroplasty bearing materials (HBMs). Thirty in vitro studies reporting both outcomes were identified. Data were extracted on COF, wear, and testing parameters, and wear was standardized using a 0–4 rubric to enable cross-study comparison. Three analytical approaches were applied: linear model fits, Pearson’s correlations, and predictive modeling. Reported COFs increased significantly with testing time, while contact stress and sliding velocity showed variable associations with COF. Predictive models for cobalt–chromium (CoCr), the most studied HBM, showed moderate fit, suggesting that mechanical parameters explain only part of COF variability. For wear, linear models showed poor fit with COF, but correlations indicated positive associations with contact stress. Inconsistent effects of velocity and distance were found. Predictive models explained little variability. Together, these findings suggest that outcomes are strongly influenced by testing conditions, lubricants, and HBM selection, and COF alone is an unreliable predictor of cartilage wear in an experimental setting.

This study investigates the tribo-corrosion behavior of Ti6Al4V biomedical alloy, when sliding against fused filament fabrication (FFF) 3D-printed polyether ether ketone (PEEK) pins in a phosphate-buffered saline (PBS) solution. This research aims to evaluate wear mechanisms and electrochemical responses under simulated physiological conditions, providing critical insights for enhancing the durability and performance of biomedical implants. Potentiodynamic polarization tests demonstrate that the Ti6Al4V alloy possesses excellent corrosion resistance, which is further enhanced under sliding conditions compared to the test without sliding. When tested against 3D-printed PEEK, the alloy exhibits a mixed wear mechanism characterized by both abrasive and adhesive wear. Open-circuit potential (OCP) measurement of Ti6Al4V demonstrates the alloy’s superior electrochemical stability, indicating high corrosion resistance and a favorable coefficient of friction. These findings highlight the potential of 3D-printed PEEK as a viable alternative for biomedical applications, offering rapid patient-specific prototyping, tunable mechanical properties, and improved surface adaptability compared to conventional materials.