Implant Impressions Episode 1: Anne

Are you considering joint replacement surgery and want to hear firsthand accounts of the procedure? We recently had the pleasure of interviewing a joint replacement surgery patient (Anne, 85) to learn more about their experience and gain insight into their patient perspective. This video will offer a look into the subjective experience, thoughts and feelings of a person who has gone through the joint replacement surgery process.

Self-driven Biomedical sensor: in situ wear debris from artificial hip joint

Header image adapted from Liu, 2021. Left: Working mechanism of the fabricated TENG. Right: The short-circuit current of the TENG with different debris sizes.

Mechanically assisted corrosion of metal alloys in hip implants also releases solid particles as well as metal ions into the synovial fluid. Compared to metal ions/particles in blood particles at the surrounding tissues, far fewer studies had been reported on synovial fluid during in-vitro study. Moreover, the metal ions concentrations and the wear particles sizes reported in different studies have greater variations. Also, the Wear debris can either reside as solid particles or can dissolve and further enhance the ion content. Thus it is extremely desirable to produce a technique for in-situ wear debris characterization which might be significant in predicting wear rate and understanding the wear mechanism of implant bearings.

Based on the variety of material selection, device structure, and operating mode, biomedical sensors such as the Triboelectric nanogenerator (TENG) was developed as a newly emerging energy technology for monitoring the creation of wear debris in artificial joints where the artificial joint itself can be used as a TENG by the coupling of triboelectrification and electrostatic induction (Liu et al.2021). With the TENG, different micron sizes of wear debris can be separated based on different voltage amplitude. However, the developed method is highly sensitive to test medium and did not provide any rationale in lubricant containing environment which needs further modification.

Read this interesting article using the below link:

 

 

This article was written by MM Raihan as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Raihan is researching In-situ Measurement of Nano-scale Wear Utilising Advanced Sensors at the University of Leeds, UK.

Role emotional and mental health support to help early recovery of hip replacement patients

Replacement of the human joints when diseased or damaged during trauma is an incredibly effective operation. Every year, orthopaedic surgeries effectively restore physical function and relieve pain for millions of Europeans. However, despite great surgical achievements and uniform pain alleviation after total joint replacement, there is still significant heterogeneity in functional progress after joint replacement.

Besides, physical condition, poor mental health has been identified as a key parameter impacting early recovery. The patients who are being waiting for hip replacement or already done so, need mental health support apart from just focusing on pain relief. In a study on 900 patients in UK, 72% showed deterioration in their mental health before and after the surgery. Poor functional performance have been linked to inadequate mental health, such as anxiety and depression, as well as poor coping skills and social support.

According to data from the Swedish Hip Arthroplasty Register, depression and anxiety levels were strong predictors of pain alleviation and patient satisfaction. Thus an appropriate assessment of emotional health has been suggested that may enable a modification in the way patients are managed. The emotional support can help to improve the pain tolerance of the patients. It was also observed that patients with limited pain tolerance, whether they have good or bad emotional health, are more likely to report lower postoperative gains. Thus anyone with arthritis who is awaiting or had surgery should not be left alone. Apart from the emotional support, personalised self-management support, signposting to financial support and advice have been recommended. Teams of clinicians, including physical therapists, behavioural psychologists, and other support specialists, may get involved in such activities.

More study is required to establish perioperative postoperative techniques that simultaneously promote the physical and emotional health of the patients in order to ensure maximal functional gain following technically successful surgery.

References

  1. https://www.versusarthritis.org/news/2021/june/we-are-calling-for-more-support-for-those-waiting-for-joint-replacement-surgery/
  2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808180/

This article was written by MM Raihan as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Raihan is researching In-situ Measurement of Nano-scale Wear Utilising Advanced Sensors at the University of Leeds, UK.

Can you go surfing after a hip replacement?

High-impact sports are generally discouraged after surgery including surfing, Rugby, martial arts, and football due to significant risk of falling. In contrast, Golf, cycling, hiking, and swimming (avoid breaststroke) are all recommended as low-impact activities. There is lack of evidence available about surfing following hip resurfacing arthroplasty (HRA) or total hip arthroplasty (THA).

Vanlommel et al. thus undertook a study in a single surgeon series to evaluate the quality and viability of resuming this intense sport after HRA, with the hypothesis that return to surfing is viable after HRA. They examined 45 patients who had practised surfing prior to the beginning of pain and hip surgery. For 37 (82%) patients, complete clinical and radiological follow-up was done including several questionnaires. The results were amazing. More than 80% of patients commenced surfing within the first 6 months after surgery. During surfing, 21 patients (72%) were completely pain free. More than 80% of patients began surfing within 6 months of their surgery. 21 patients (72%) were fully pain-free when surfing.

Wait don’t go for surfing right now if you have just undergone HRA or THA surgery. This study is a short term evaluation. A prospective study based on preclinical laboratory simulation and high quality clinical study such as the High-Activity Arthroplasty Score remains necessary to let you go enjoy surfing.

To read the interesting article, follow the provided link

Vanlommel, Jan, Markus Goldhofer, and William L. Walter. “Surfing after hip resurfacing surgery.Clinical journal of sport medicine 32.2 (2022): 135-138.
 
This article was written by MM Raihan as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers. Raihan is researching In-situ Measurement of Nano-scale Wear Utilising Advanced Sensors at the University of Leeds, UK.

Measurement of fluid film thickness in tribology

The measurement of film thickness is an important aspect in tribology, which is the study of friction, wear, and lubrication. The thickness of the lubricant film plays a crucial role in determining the lubrication regime of a system, and in turn, affects the friction and wear behavior of the system. There are several methods that are used to measure the thickness of a lubricant film, depending on the application and the type of lubricant.

One of the most widely used methods for measuring film thickness is the optical interferometry method. This method uses the interference of light waves to measure the thickness of a thin film. A light source is shone onto the surface of the film, and the reflected light is analyzed to determine the thickness of the film. This method is highly precise and can be used to measure film thicknesses in the nanometer range. It can be used to measure the thickness of transparent and semi-transparent films.

Another commonly used method is the laser-based method, this method uses the laser to measure the film thickness by analyzing the laser’s reflection, diffraction, or absorption.

Another method is the mechanical method; this method uses a mechanical probe to measure the film thickness. The probe is lowered into the lubricant film, and the position of the probe is measured to determine the thickness of the film.

Finally, there is the electrical method; this method uses an electrical signal to measure the film thickness by analyzing the capacitance or the impedance of the lubricant film. This method is based on the dielectric properties of the lubricant and it can be used to measure the film thickness of both liquid and solid lubricants. This method is relatively simple, easy to use, and can be used in-situ and in real-time.

In conclusion, the film thickness can be measured by different methods such as optical interferometry, laser-based, mechanical and electrical method. The choice of the method depends on the lubricant, the range of the film thickness, and the accuracy required.

References

[1] Dwyer-Joyce, R.S., Drinkwater, B.W. and Donohoe, C.J., 2003. The measurement of lubricant–film thickness using ultrasound. Proceedings of the Royal Society of London. Series A: Mathematical, Physical and Engineering Sciences, 459(2032), pp.957-976.

[2] https://www.sciencedirect.com/science/article/pii/S0167892208708459

 

This article was written by Mahdieh Mosayebias part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Mahdieh is researching the Design of Self Lubricating Prothesis at ETH Zurich, Switzerland.

Newtonian and Non-Newtonian Fluids

Fluids, including liquids and gases, fall into two categories: Newtonian fluids and non-Newtonian fluids. A key difference between these two fluids is that they respond differently to the applied forces. The rheology of non-Newtonian fluids changes dramatically under processing conditions, however, that of Newtonian fluid remains constant.

Newtonian fluids: These fluids obey Newton’s law of viscosity and have a linear correlation between the rate of angular deformation and shear stress. In such fluids, viscosity remains constant regardless of shear rate. Water, air, glycerine, gasoline, alcohol can be taken as examples of these Newtonian fluids.

Non-Newtonian fluids: These fluids do not obey Newton’s law of viscosity and the viscosity declines or enhances respective to the type of fluid under applied shear. The five ways, describing how non-Newtonian fluids behave, are explained as follows (figure 1):

  • Dilatant: The viscosity of the fluid increases with an increase in shear stress. Quicksand and mud slurry are two examples of dilatant fluids.
  • Pseudoplastic: The viscosity of the fluid decreases with an increase in shear stress. Blood and ketchup are two examples of pseudoplastic fluids.
  • Bingham plastic: These fluids, like oil paint, have a linear relationship between the rate of angular deformation and shear stress. The difference between these fluids and Newtonian ones is that they have internal yield stress making them a time-dependent relation.
  • Rheopectic: The viscosity of the fluid increases with an increase in shear stress and the relation is time-dependent. Gypsum paste can be taken as an example.
  • Thixotropic: The viscosity of the fluid decreases with an increase in shear stress and the relation is time-dependent. Paint and glue are two examples of thixotropic fluids.

References

[1] Newtonian and Non-Newtonian Fluids | Newton’s Law of Viscosity (apsed.in)

This article was written by Mahdieh Mosayebias part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Mahdieh is researching the Design of Self Lubricating Prothesis at ETH Zurich, Switzerland.

3D Printing in Dentistry – Digital Dental Implant Planning

Being a ‘frequent customer’ personally who has visited the dental clinic multiple times since last summer, I am officially getting a dental implant. From a patient’s point of view, during the whole process, all I have to do was visit a dental imaging clinic, stay still in front of a 360 X-ray scanner, lay down with local anaesthesia and after some carpenter works, the titanium implant is planted in my jawbone. As being personally also working in an implant-related field for my PhD, I want to reveal some details about digital implant design that the patient may not know or be informed of.

Step 1:

Scans of the patient can be taken by either a CBCT scanner (Cone Beam Computed Tomography) or an intra-oral scanner. The data was obtained and saved in an STL format and imported into the professional software for data alignment.

CBCT scanner (Cone Beam Computed Tomography) (left) Intra-oral scanner (right) [3]

Step 2:

The data was obtained and saved in an STL format and imported into the virtual implant planning software for data alignment. The specialists and technicians visualize the implant and start prosthetic planning via the CAD process. The surgical guide and prosthetic components involved are also designed with the software.

3Shape Implant Studio – an example of implant planning software

Step 3:

The manufacturing method of implants and surgical guides can either be subtractive like computer numerical control [CNC] machining; milling or additive i.e. 3D printing, for example, stereolithography (SLA), digital light projection (DLP), jet printing (PolyJet®/ProJet®), and direct laser sintering (DLMS)/selective laser sintering (SLS).

Step 4:

Now the “Best” part, the surgery! Just joking.

Digital implant design workflow [2]

The digital workflow has sped up the treatment process and improved the accuracy of implant design and dental implant placement, which have led to more successful implant surgeries.

References:

[1] https://pocketdentistry.com/digital-workflow-in-implant-dentistry/
[2] https://decisionsindentistry.com/article/utilizing-digital-workflow-implant-treatment-%E2%80%A8planning/
[3] https://www.cavendishimaging.com/cbct/specialist-dentistry/dental-implant-planning/ (Header Image)

This post was written by Esperanza Shi as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Esperanza is researching the Optimisation of Scanning Strategies for 3D Printed Artificial Joints at Imperial College London, UK.

3D Printed Protective Face Mask For Athletes

It’s really hard to miss out on the news about football players wearing Zorro’s masks during the games. When Son Heung-min showed up at the Qatar World Cup as South Korea face Brazil, wearing that shining, chic, black face mask, everyone on the internet was talking about it. Actually, many football players have been seen wearing similar masks to the match, including Croatian player Joško Gvardiol and Tunisia’s Ellyes Skhiri as in the cover picture. So, what are these face masks for and how are they made?

Example of 3D Printed sports face orthotic

Protective face masks have been loved by many athletes who have recently fractured a nose or an eye socket but are eager to get back to the pitch as soon as possible. The 3D surface imaging, 3D modelling, and 3D printing technology enable the design process to be accurate and customisable, 100% specific to the face of the athletes. The masks are designed to be lightweight, comfortable and unobtrusive, but provide incredible strength to protect fractured bones or prevent future injury.

 

References:

Header Image Adapted from: https://www.theguardian.com/football/2022/nov/28/why-are-world-cup-players-wearing-strange-face-masks-on-the-pitch

https://www.technologyinmotion.com/orthotics/sports-facemask/

 

This post was written by Esperanza Shi as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Esperanza is researching the Optimisation of Scanning Strategies for 3D Printed Artificial Joints at Imperial College London, UK.

BioTrib Conversations: ChatGPT on biotribological research

Generative text AI tools, such as ChatGPT, have recently garnered significant attention due to its ability to provide comprehensive responses and eloquent answers across many domains of knowledge. Whilst it represents a significant technological advancement, it has been met with both positive and negative reviews. Elon Musk wrote that “ChatGPT is scary good”. It has also received widespread criticism particularly around efficacy and integrity from educators, academics and journalists plus many more.

But how should we embrace these tools? Professor Michael Bryant asks ChatGPT ‘What are the current research challenges in biotribology?’

Biotribology is the study of friction, wear, and lubrication of biological systems, including joints, implants, and prosthetics. Some of the current research challenges in biotribology include:

1. Understanding the complex interactions between biological tissues and synthetic materials: One of the major challenges in biotribology is to understand the complex interactions between biological tissues and synthetic materials used in implants and prosthetics. This requires a deep understanding of the mechanical, chemical, and biological properties of both the biological tissues and the synthetic materials.

2. Developing advanced testing methods: Biomechanical testing of biological tissues is challenging due to their complex nature. Developing advanced testing methods that can accurately measure friction, wear, and lubrication in biological systems is a critical research challenge.

3. Designing and developing better implant materials: Developing new materials and coatings for implants that can better mimic the natural properties of biological tissues is another important research challenge. This can help improve the biocompatibility, durability, and longevity of implants.

4. Improving lubrication of joint replacements: The lubrication of joint replacements is a critical factor in their performance and longevity. Developing better lubrication strategies and materials is a key research challenge in biotribology.

5. Studying the effects of aging and disease: Aging and disease can significantly impact the friction, wear, and lubrication of biological systems. Studying the effects of aging and disease on biotribology can provide valuable insights into the development of better treatments and therapies for patients.

It is a good job BioTrib is working across all of these domains to address the current research challenges highlighted by ChatGPT. What will be interesting to see is how these changes with time as the field advances. Certainly some of these challenges have been of focus to researchers for many a year.

This article was written by ChatGPT and BioTrib Lead Scientist, Professor Michael Bryant.

Alginate based bioinks for 3D bioprinting of engineered orthopedic tissues

Alginate is widely used as a biomaterial in 3D bioprinting due to its biocompatibility, biodegradability, high accessibility, shear thinning behavior, and cross-linking speed. The rheological properties of the bioink are the key factor influencing printability (ability to form and maintain the design shape), therefore investigations are conducted to enhance the weak mechanical properties of alginate gel in order to obtain hybrid hydrogels with high printability. Indeed, when using 3D bioprinting, the objective is to obtain a multilayer construction that retains its mechanical stability over time and, in order to produce relevant in vitro tissue models, the final goal is to match the native mechanical properties of the tissue.

In the review ‘Alginate based hydrogel inks for 3D bioprinting of engineered orthopedic tissues’, Murab et al. provide an overview of the different parameters such as printing method, concentration of alginate and crosslinker, and shape of the printed structures on the properties of the alginate-based printed construct. Specifically, they reviewed different strategies used in the last few years to increase the mechanical and biological performances of alginate-based hydrogels for bioprinting of bone and cartilage. For example, the advantageous properties of alginate and type I collagen have been combined to create a lattice structure with improved mechanical properties and higher expression of cartilage-specific genes in primary rat articular cartilage chondrocytes compared to the alginate control.

Another example of cartilage tissue engineering using alginate combined the latter with polycaprolactone (PCL) to create a stable PCL support scaffold with bioprinted alginate in between. The resulting construct exhibits good mechanical stability and the goat cartilage cells embedded in alginate were found to have high viability with the production of a cartilage-like matrix. Although encouraging results are presented in the literature, there is still a long way to go to use the alginate-based hydrogels for in vitro orthopedic models.

 

References

Murab, Sumit, et al. “Alginate based hydrogel inks for 3D bioprinting of engineered orthopedic tissues.” Carbohydrate Polymers (2022): 119964.

 

This article was written by Marie Moulin as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Marie is researching the Bioprinting of Bone and Cartilage at Uppsala University, Sweden.

Volumetric Bioprinting of Meniscus

The fabrication of functional constructs that mimic the physiological characteristics of tissues would represent a major breakthrough for the creation of complex in vitro models or for regenerative medicine. Current 3D biofabrication technologies, such as stereolithography or extrusion bioprinting, are used to attempt to achieve this goal by combining cells and biomaterials according to a specific architecture, layer by layer. This additive manufacturing method limits the ability to create clinically relevant sized constructs, as the printing time for centimeter-sized constructs is too high to preserve cell viability (cells remain in the cartridge and construct, outside of an optimal culture environment). Volumetric bioprinting is a promising technology that could produce clinically relevant sized living constructs in less than a minute.

This emerging technology uses the principle of medical tomography in reverse, projecting a 2D patterned optical light field into a volume of photopolymer, which causes cross-linking in the area where the light exposure builds up to produce a 3D construct. Paulina Nuñez Bernal et al. described in 2019 the utilisation of this technic to create a 3D meniscus-shaped construct with high resolution, high cell density, and cell viability (>85%). To do so, a gelatin-based photoresponsive hydrogel (gelMA) containing chondroprogenitor cells (ACPCs) was used. Over time, the cells in the printed constructs synthesized fibrocartilage ECM, which increased the mechanical properties of the meniscus to a compressive modulus value comparable to that of native fibrocartilage. This achievement using volumetric bioprinting could be promising for the future of knee joint repair.

 

References

Bernal, Paulina Nuñez, et al. “Volumetric bioprinting of complex living‐tissue constructs within seconds.” Advanced materials 31.42 (2019): 1904209.

 

This article was written by Marie Moulin as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Marie is researching the Bioprinting of Bone and Cartilage at Uppsala University, Sweden.

Wettability in biotribology applications

Wettability enhancement can improve the lubrication conditions by forming the tribofilm on the surface, reducing wear rate and friction coefficient[1];one of the way is by grafting hydrophilic acrylic acid on UHMWPE. The presence of carboxylic groups in the acrylic acid enhances the interaction with the bioactive molecules such as proteins, peptides, etc. With the grafting ratio of 5.5% , the water contact angle reduced from 83o to 35o due to the great polarity and affinity for water by the carboxyl group present in the acrylic acid. As the surface wettability improves with the graft ratio, the tensile strength decreases while the wear rate declines initially and starts to rise again. Another study done by the Lu et al.[2] on ultrasonically infiltrated with GO mixed with UHMWPE significantly changed the wettability. The surface wettability increased with the increase of ultrasound-induced time resulted in the reduction of COF and wear rate. There are various studies suggesting the improvement in the tribological properties with the enhancement of surface wettability. However, the tribological properties does depend on other various factors such as sliding speed, surface topography, materials properties, sliding temperature, applied load and pressure etc.

Figure 1 a) hydrophobic surface b) hydrophillic surface [5]
Similarly, it is not as straightforward for the bio-compatibility of materials. Wettability influences the protein adsorption, blood coagulation, bacterial adhesion, cell adhesion, platelet adhesion/activation etc [3]. Osteoblast adhesion were decreased with the increase in contact angle from 0o to 106o while fibroblast adhesion was maximum between contact angles 60o to 80o[4]. Various studies mentioned that the hydrophobic surface suitable for the cell spreading, proliferation and differentiation while the hydrophillic surface enhances the cell attachments, proliferation and differentiation [4,5,6]. Adsorption of water molecules is higher in superhydrophilic surfaces preventing protein adhesion which might lead to lower cell adhesion. Thus, moderate hydrophilicity surfaces are most effective for cell adhesion and proliferation. However, the other argument is better cell proliferation and differentiation on superhydrophobic surfaces as the cells would have more surface area available for attachment and proliferation.

Wettability properties can be measured by different methods such as contact angle measurements and Wilhelmy plate method. Understanding the wettability properties of a material can be useful in controlling the tribological behavior and the biocompatibility of a material in biotribological applications.

References:

[1] Y. Deng, D. Xiong, and K. Wang, “Biotribological properties of UHMWPE grafted with AA under lubrication as artificial joint,” J Mater Sci Mater Med, vol. 24, no. 9, pp. 2085–2091, Sep. 2013, doi: 10.1007/s10856-013-4970-x.
[2] P. Lu, M. Wu, X. Liu, X. Ye, W. Duan, and X. Miao, “Surface modification and biotribological behavior of UHMWPE nanocomposites with GO infiltrated by ultrasonic induction,” J Biomed Mater Res B Appl Biomater, vol. 109, no. 6, pp. 808–817, Jun. 2021, doi: 10.1002/JBM.B.34746

 

This article was written by Dilesh Raj Shrestha as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Dilesh is researching the Development of 3D-printable, self-lubricated polymer composites with improved wear resistance for total joint replacement at Luleå University of Technology, Sweden.

 

Biotribological Lubrication Mechanisms

The joints experience the dynamic environment (load, speed), thus the various mode of lubrication mechanism can exist. However, number of lubricating mechanism has been proposed over the time such as weeping/squeeze film, boosted, boundary, elasthydrodynamic, micro-elastohydrodynamic, and mixed [1]–[3]. Friction and wear of any tribological systems can be influenced by the materials property, surface properties, operating conditions and the environment[4]. Since synovial joints are among the complex and sophisticated tribological systems, so it is likely that many mode of lubrication mechanisms are present.

Figure 1: Lubrication mechanism for right hip joint

If anyone walks, the interface might be lubricated with synovial fluid via the number of processes such as hydrodynamic, squeeze film/weeping, etc by supporting the load wherever it can. The synovial fluid is squeezed out under loading and consequently lubricates the articular cartilage during off loading(see figure 1). Some of the studies suggest that the synovial fluid cannot separate the articulating surface all the time [5]. When a synovial joint experience the continuous load such as standing for a longer duration, all the fluid is squeezed out of the contact and the load bearing surfaces experiences the boundary lubrication mechanism where the two articulating surface rub with each other. Thus, it can be concluded that synovial joints can encounter the fluild-film, mixed and boundary lubrication similar to the engineering bearings[1]. Murakami et al. [6] termed it as a ‘adaptive multimode lubrication’. The main three mechanism widely studied after their introduction are biphasic lubrication (a form of full film lubrication, since introduced by Mow et al. [7], electrohydrodynamic lubrication (since introduced by Dowson) and brush lubrication(a form of boundary lubrication, since introduced by Hardy et al. [8].

There is limited information on the lubrication mechanism on the artificial total joint replacement. Lubrication mechanism in artificial joints have more variables than the natural synovial joints such as material used, design, contact conditions, patient specific factors, surgical factors etc. Many designers believed that the full film lubrication is difficult to achieve so the efforts have been made towards the improvement in boundary and dry lubricated wear behaviour of implants[9], [10]. Based on the boundary lubrication theory, Charnley[11] developed the low friction arthroplasty using UHMWPE as the acetabular cup combined with the stainless steel femoral head in total hip replacement resulting low wear. In addition to this, various implant design were proposed based on fluid film, elasto-hydrodynamic, elasto-mixed etc[1].

Suitable selection of design parameters (head diameter, diametral clearance etc.) promotes the contact to undergo full hydrodynamic lubrication in hard/hard bearings implants[12]. For instance, when the head diameter is small(16 to 22.5 mm) the surface is under boundary lubrication regime, and when the head diameter is 28 mm it is under mixed lubrication regime[13]. This is because of the tendency to provide surface separation for considerable amount of gait cycle and hence evidence of lubricating film formation. Also, with the increase in the diameter results in higher sliding area which will increase the wear under boundry or mixed lubrication regime. To conclude, it is obvious that the all boundary, mixed and elasto-hydrodynamic lubrication mechanism have been supported by the past studies but most of the implants likely experienced mixed lubrication regimes more than other two.  Continuous studies are being carried out in order to mimic the natural synovial joints which undergoes full range of conditions.

 

This article was written by Dilesh Raj Shrestha as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Dilesh is researching the Development of 3D-printable, self-lubricated polymer composites with improved wear resistance for total joint replacement at Luleå University of Technology, Sweden.

 

References:

[1] D. Dowson, “Bio-tribology,” Faraday Discuss, vol. 156, no. 0, pp. 9–30, Jul. 2012, doi: 10.1039/C2FD20103H.
[2] D. J. Groen and A. Unsworth, “Tribology of Human and Artificial Joints,” http://dx.doi.org/10.1243/PIME_PROC_1991_205_287_02, vol. 205, no. 3, pp. 163–172, Aug. 2016, doi: 10.1243/PIME_PROC_1991_205_287_02.
[3] M. J. Furey and B. M. Burkhardt, “Biotribology: Friction, wear, and lubrication of natural synovial joints,” Lubrication Science, vol. 9, no. 3, pp. 255–271, May 1997, doi: 10.1002/LS.3010090303.
[4] R. K. Nanstad, “Encyclopedia of Materials Science and Engineering, ed. MB Bever.,” Pergamon Press, New York, 1986.
[5] C. W. McCutchen, “Lubrication of and by Articular Cartilage,” Cartilage, pp. 87–107, Jan. 1983, doi: 10.1016/B978-0-12-319503-6.50009-8.
[6] T. Murakami, H. Higaki, Y. Sawae, N. Ohtsuki, S. Moriyama, and Y. Nakanishi, “Adaptive multimode lubrication in natural synovial joints and artificial joints,” Proc Inst Mech Eng H, vol. 212, no. 1, pp. 23–35, 1998, doi: 10.1243/0954411981533791.
[7] V. C. Mow, S. C. Kuei, W. M. Lai, and C. G. Armstrong, “Biphasic Creep and Stress Relaxation of Articular Cartilage in Compression: Theory and Experiments,” J Biomech Eng, vol. 102, no. 1, pp. 73–84, Feb. 1980, doi: 10.1115/1.3138202.
[8] W. B. H. Akdy, “Boundary lubrication.—The temperature coefficient,” Proceedings of the Royal Society of London. Series A, Containing Papers of a Mathematical and Physical Character, vol. 101, no. 713, pp. 487–492, Sep. 1922, doi: 10.1098/RSPA.1922.0060.
[9] T. MURAKAMI, “The Lubrication in Natural Synovial Joints and Joint Prostheses,” JSME international journal. Ser. 3, Vibration, control engineering, engineering for industry, vol. 33, no. 4, pp. 465–474, Dec. 1990, doi: 10.1299/JSMEC1988.33.465.
[10] D. D., “Are our joint replacement materials adequate?,” Proc. Instn. Mech. Engrs, Int. Conf. The Changing Role of Engineering in Orthopaedics, 1989, vol. 1, 1989, Accessed: Jan. 17, 2023. [Online]. Available: https://cir.nii.ac.jp/crid/1573950399846027776
[11] J. Charnley, “Low Friction Principle,” Low Friction Arthroplasty of the Hip, pp. 3–15, 1979, doi: 10.1007/978-3-642-67013-8_2.
[12] Z. M. Jin and D. Dowson, “A full numerical analysis of hydrodynamic lubrication in artificial hip joint replacements constructed from hard materials,” http://dx.doi.org/10.1243/0954406991522310, vol. 213, no. 4, pp. 355–369, Aug. 2016, doi: 10.1243/0954406991522310.
[13] S. L. Smith, D. Dowson, and A. A. J. Goldsmith, “The effect of femoral head diameter upon lubrication and wear of metal-on-metal total hip replacements,” http://dx.doi.org/10.1243/0954411011533724, vol. 215, no. 2, pp. 161–170, Aug. 2016, doi: 10.1243/0954411011533724.

General influence of polymer crystallinity on biotribological applications

Crystallinity is a fundamental property of polymers that describes the degree of order in their molecular structure. It can have a significant impact on the tribological properties of a material in biotribological applications. The tribological properties of a material refer to its behavior during friction, wear and lubrication. In general, polymers with higher crystallinity tend to have better mechanical and thermal properties, such as increased strength and stiffness, as well as better wear resistance. This is due to the fact that the ordered arrangement of molecules in a highly crystalline polymer allows for stronger intermolecular interactions, leading to a more durable material.

Figure 1 Microscale (tribometer) friction response of UHMWPE using a diamond probe as a function of normal load (Karuppiah et al. 2008)
Figure 1 Microscale (tribometer) friction response of UHMWPE using a diamond probe as a function of normal load (Karuppiah et al. 2008)

In contrast, polymers with lower crystallinity tend to have poorer mechanical properties and increased wear. The disordered arrangement of molecules in these materials leads to weaker intermolecular interactions, making them more susceptible to deformation and wear. In biotribological applications, such as artificial joint replacements, this can lead to increased wear on the implant and a shorter lifespan for the device.

Crystallinity also affects the coefficient of friction of a polymer. Polymers with higher crystallinity tend to have a lower coefficient of friction, as the orderly arrangement of molecules allows for less deformation and better sliding properties. In contrast, polymers with lower crystallinity tend to have a higher coefficient of friction, as the disordered arrangement of molecules leads to increased deformation and poorer sliding properties. This can be a significant issue in biotribological applications where low friction is desired, such as in artificial joint replacements or in biomedical devices that need to slide against living tissue.

Furthermore, Crystallinity can also have an impact on the biocompatibility of a polymer. Polymers with higher crystallinity tend to be more biocompatible, as they are less likely to cause an inflammatory response in the body. In contrast, polymers with lower crystallinity tend to be less biocompatible, as the disordered structure of the polymer can lead to an increased risk of an inflammatory response.

In conclusion, Crystallinity is a crucial property that plays a significant role in the tribological properties of a polymer, including wear resistance, coefficient of friction, and biocompatibility. In biotribological applications, such as artificial joint replacements, it is important to carefully consider the crystallinity of a polymer when selecting materials. The crystallinity of a polymer can be controlled by various methods such as thermal treatment, addition of additives, and so on. Therefore, by understanding the effects of crystallinity on the tribological properties of a polymer, scientists and engineers can make more informed decisions when designing and developing biotribological devices.

 

Sources:

Wang and S. Ge, “The mechanical property and tribological behavior of uhmwpe: Effect of molding pressure,” Wear, vol. 263, no. 7-12, pp. 949–956, 2007.

K. Karuppiah, A. L. Bruck, S. Sundararajan, J.Wang, Z. Lin, Z.-H. Xu, and X. Li, “Friction and wear behavior of ultra-high molecular weight polyethylene as a function of polymer crystallinity,” Acta Biomaterialia, vol. 4, no. 5, pp. 1401–1410, 2008.

 

This article was written by Dilesh Raj Shrestha as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Dilesh is researching the Development of 3D-printable, self-lubricated polymer composites with improved wear resistance for total joint replacement at Luleå University of Technology, Sweden.

PhD as an International Student

Pursuing a PhD as an international student can be a challenging but rewarding experience. It requires a great deal of dedication, hard work and a willingness to adapt to a new environment. However, with the right preparation and mindset, an international student can successfully navigate the PhD journey.

One of the first steps in pursuing a PhD as an international student is researching universities and finding the right program that fits your academic and career goals. Look into the universities that offer the program you are interested in and ensure they have a good reputation, vital research programs in your field of study and a diverse student population. Additionally, research the availability of funding and scholarships for international students as well as the cost of living in the area.

Another important aspect is ensuring that you meet the academic requirements for the program and that your academic background aligns with the program. For example, many universities require international students to take additional English language proficiency exams such as TOEFL or IELTS.

It’s also crucial to be aware of cultural differences and be prepared to adapt to a new environment. This may include learning about the customs and traditions of the country you will be studying in and being open to trying new foods and experiencing different ways of life.

Networking and building relationships with other students and professors are also essential. These connections can help you navigate the academic and social aspects of being an international student. Joining student organisations or clubs can also be a great way to make friends and feel more at home.

Lastly, taking care of your physical and mental health throughout your PhD journey is important. It may include finding ways to relax, de-stress, and stay active and healthy.

In summary, with the proper preparation, mindset and support, an international student can successfully triumph the PhD journey and achieve their academic and career goals.

This article was written by Edona Hyla as part of an ongoing series of scientific communications written and curated by BioTrib’s Early Stage Researchers.

Edona’s research is focussing on Understanding the Nature, Origin and Degradation of Implant Debris at the University of Leeds, UK