Joint arthroplasty is a common surgery with an increasing incidence. The materials used in arthroplasty have a high standard, with a good biocompatibility, and osseointegration ability. The topic of joint wear remains a significant area of research, with the development of new materials leading to a reduction in the amount of loose material. [1]. Additive Manufacturing (AM) have advanced this field by customizing the implants for better comfort and a longer service life [2]. Nevertheless, the advent of additive technologies has also introduced a number of new challenges. One such challenge is the identification of the optimal manufacturing parameters for the production of structures suitable for osseointegration or the improvement of the tribological properties of articulating surfaces [3].
The longevity of implants is affected by the tribological behavior of the articulating surfaces, and interaction with the counterbody surface. CoCrMo and Ti6Al4V alloys are typically used for endoprostheses manufactured by the selective laser melting (SLM) additive technology [4]. The CoCrMo alloy is known for its high wear resistance, relatively strong mechanical properties, and a good corrosion resistance [5]. Furthermore, the formation of a passive oxide film on the metal surface in the human body also contributes to a better wear resistance of the CoCrMo implants [6]. This oxide layer is mainly composed of cobalt, chromium, and molybdenum oxides. Among these, Cr2O3 inhibits both the anodic and cathodic reactions. It acts as a physical barrier, limiting the transport of cations and anions to the metal surface, and serves as an electronic barrier for electrons [7, 8]. Ti6Al4V is frequently used in oncological implants due to its mechanical properties, which are similar to those of a human bone. This minimizes the stress shielding and promotes the osseointegration [9]. However, the alloy is susceptible to a high abrasion on the articulating surfaces. This issue can be potentially resolved by various surface modifications, such as a coating or micro texturing. Both coating and micro texturing can enhance the mechanical properties and the durability of the implants. However, the coating techniques may suffer from an instability of the coating layer. The micro texturing can modify the behavior of the lubricating layer for a more sustainable performance, while also allowing the use of various materials.
The surface texturing has a positive effect on the tribological properties by increasing the hydrodynamic pressure and reducing the surface wear. This leads to the separation of the contact surfaces by a thicker layer of a lubricant containing proteins, which alters the lubrication regime and reduces wear. Simultaneously, the textures serve as lubricant reservoirs, facilitating the desired separation of the articulating surfaces [10, 11]. Additionally, the textures can capture and remove wear particles from the contact area. Aseptic wear particles are produced as a result of the abrasive wear of the materials, primarily in the boundary and mixed lubrication regimes. Carefully chosen textures can efficiently remove the particles from the contact area or retain them within the texture, thereby enabling the articulating surfaces to maintain a smooth surface topography for longer periods in vivo [12, 13].
Several studies have investigated the effect of the micro texturing on the coefficient of friction [14–16]. Some of these studies suggest an increase in friction, which is mainly caused by the behavior of the protein components of the synovial fluid as it passes through the contact. This behavior is due to the shear stress of the aggregated proteins adhering to the surface (γ-globulin) or to the further layering of the albumin with already a lower shear. Nevertheless, it is important to supplement the given conclusions with kinematic conditions, which have a significant influence on the behavior of the lubricating layer and the design of the texture [17–19].
The potential applications of micro texturing extend to a range of implants, with the possibility of it becoming a standard treatment for all articulating surfaces in the future. However, the current focus is mainly on small joint replacements, where the number of surgeries is steadily increasing year on year [20]. Developments in this field often provide solutions that do not reflect current trends in endoprosthetics and replace them with proven procedures that are often at the expense of patient comfort. A clear example is the metatarsophalangeal joint, which is often affected by hallux valgus and hallux rigidus. In such cases, two treatment options are simultaneously offered to the patient. One is arthrodesis, which results in the loss of joint functionality. The other option is a mobile replacement of the affected joint. Despite a number of disadvantages, arthrodesis is the most common solution due to its simplicity and reliability. This is because it does not contain interlocking moving parts [21]. These statistics also indicate the necessity for further development in the field of functional MTP replacements in order to make them the surgeons' preferred solution due to their reliability.
Micro texturing is largely dependent on the load and the rate of movement of the interacting surfaces. As for loading, the contact conformity, contact pressure and material are important. Micro texturing on hard materials such as the CoCrMo or Ti6Al4V is especially promising for the small joint implants, where the articulating surfaces are less exposed to contact pressure and ranges of motion. A study by Shereff et al. [22] described the kinematics of the metatarsophalangeal joint for patients with a joint disability. The average total range of motion in the sagittal plane was 111 degrees, with approximately 76 degrees of dorsal flexion and 34 degrees of plantar flexion. The implant attempts to maintain a full range of motion, which has a significant impact on a person's stability and proper foot function. Zhang et al. [23] conducted a numerical study on the pressure distribution. They found that increase in the contact pressure for patients affected by the hallux valgus disease, which also led to a higher risk of the joint damage. The pressure for the normal joint is 1.53 MPa and affected joint 2.21 MPa. In the case of the Morgan et al. research [24] (číslo citace), the contact pressures were higher. In the case of the cadaver tests, the values were in excess of 30 MPa, with numerical simulations showing values as low as 10 MPa in the 200–230 MPa load range. The values were significantly higher for joint implants, depending on the material used. The pressure on the implant was recalculated in relation to the geometry of the pair, based on the predictions from the healthy joint [16, 25].
The CoCrMo alloy shows a good abrasion resistance. However, since its mechanical properties differ significantly from those of a human bone, it is susceptible to tribocorrosion and aseptic loosening. Wang et al. [26] compared the CoCrMo alloys with the Ti alloys, specifically in terms of the tribocorrosion. The study concluded that the Ti alloy was better alternative to the CoCrMo alloy, due to its lower wear and potential for the health hazardous ions, such as Co(III) and Cr(VI). The Ti6Al4V exhibits a high wear rate [27, 28], which can be resolved by surface modifications or modifications that create a lubricating film to separate the joint surfaces.
Production and impact of the micro textures
Micro textures are frequently used in the arthroplasty of large joints as they offer a better surface wear resistance and lubrication compared to the smooth surfaces [27, 29–31]. For small replacements, the texturing has an even greater potential due to lower contact pressures. The most used texture shape is a circular or rounded dimple oriented in the slip direction. This is due to its locally increasing hydrodynamic pressures and manufacturing efficiency. The selected parameter is the aspect ratio between the texture depth (hp) and the diameter (dp), commonly referred to as ε. This ratio, in combination with the texture's surface coverage density (Sp) and the shape, determine the efficiency in different lubrication regimes during the implant cycle [32, 33]. It is expected that the friction reduction will be more pronounced for shallow dimples (3–10 µm) having smaller diameters (100–200 µm) [34]. The effect of surface textures on friction will be further driven mainly by the parameters of the textures. Depending on the aspect ratio ε, the textures will either provide an enhanced hydrodynamic effect
(ε < 0.1) or serve as a lubricant reservoir (ε > 0.1). Several studies suggest that an optimal ratio value is 0.1 or lower, depending on the material used [35]. However, the conclusions regarding the coverage density are not clear. Some studies proved that tribological properties can improve with an increasing texture density, while others showed the opposite trend, with improvement occurring with a decreasing density [36]. Qui et al. [37] conducted experiments on the conformal contact system under the boundary lubrication conditions. They investigated three texture densities of 26%, 41%, and 58% at an ε ratio of 0.1. The results showed that the lowest friction coefficient was achieved at 58%. Li et al. [38] investigated the effect of three different densities of hemispherical pits (5%, 13%, and 35%) at the ε ratio of 0.01. They found that the lowest friction coefficient was achieved with a density of 13%. Similarly, Raeymaekers et al. [39] found that densities of approximately 15% and ε ratios in the range of 0.1 to 0.3 produced the best results. Zhang et al. [40] proposed a patelloid texture produced by a pulsed laser ablation. Pin-on-plate tests demonstrated a long-term decrease in the coefficient of friction, resulting in a reduction of the wear rate in the hydrodynamic lubrication regime.
The lubrication properties are influenced not only by the density of the micro texture coverage but also by the arrangement of the texture. The textures are arranged according to the direction of movement, with longitudinal, transverse, or oblique orientation. The textures are arranged mainly in a square, triangular (hexagonal), or a random pattern. Choudhury et al. [41] investigated the distribution of the micro textures in square, circular, and triangular arrays on the hip replacements. They concluded that the square arrangement provided the best tribological properties. According to Braun et al. [42], the use of the circular textures of a suitable size in a triangular arrangement can lead to a reduction in the friction of up to 80%. Schneider et al. [35] concluded that a pitting aspect ratio of 10% results in a reduction in friction of 0.1. A triangular pattern is superior to a square arrangement, provided that the texture design is of high quality.
The texturing technology has a major influence on the overall function of the texture. Among micro machininig tilling method [43], laser machining is the most common technique. However, it has a drawback: it forms sharp corners that act as stress concentrators. This leads to two-body abrasive wear, where the sharp rims cause micro-scratches on the counter-surface, increasing the coefficient of friction (citace). To mitigate this issue, efforts are made to round the rims and reduce their negative impact. This text discusses different methods of the surface modification or rough surface preparation in titanium implants. The methods are based on the mechanical, thermal, chemical, electrochemical, and laser techniques. It should be noted that these methods do not only remove the rims caused by the laser machining but also modify the overall surface. [44, 45]. Over the past decade, the patented DLyte technology has garnered a significant attention. Unlike the conventional technologies, the DLyte only smooths the peaks of the roughness, not the valleys, through a selective surface smoothing. The DLyte operates on the principle of an ion transport by free solids, which is a combination of an electrical flow and a particle movement through an electrolytic medium [46–48].
Aim of the study
Additive methods together with the micro texturing and the DLyte technology have the potential to introduce a customized, on-order manufacturing of the implants. However, it is crucial to investigate closer the behavior of the specific alloys that are suitable for additive production, such as the CoCrMo and Ti6Al4V alloys, in joint implant simulations.
This study investigates the behavior of synovial fluid in the contact region of textured specimens made of Ti6Al4V alloy using colorimetric interferometry and friction coefficient. Colorimetric interferometry was proven to bring an essential insight into assessing lubrication mechanisms in hip replacements before [49]. Subsequently, the results are compared with those of a conventional CoCrMo alloy. In addition, attention is paid to the DLyte method, which has the potential to modify the final surface in terms of local irregularities.