Graphitic Tribological Layers in Metal-on-Metal Hip Replacements

作者:Liao Y; Pourzal R; Wimmer M A; Jacobs J J; Fischer A; Marks L D*
来源:Science, 2011, 334(6063): 1687-1690.
DOI:10.1126/science.1213902

摘要

Arthritis is a leading cause of disability, and when nonoperative methods have failed, a prosthetic implant is a cost-effective and clinically successful treatment. Metal-on-metal replacements are an attractive implant technology, a lower-wear alternative to metal-on-polyethylene devices. Relatively little is known about how sliding occurs in these implants, except that proteins play a critical role and that there is a tribological layer on the metal surface. We report evidence for graphitic material in the tribological layer in metal-on-metal hip replacements retrieved from patients. As graphite is a solid lubricant, its presence helps to explain why these components exhibit low wear and suggests methods of improving their performance; simultaneously, this raises the issue of the physiological effects of graphitic wear debris.