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Wear 376-377 (2017) 329–336

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Wear
journal homepage: www.elsevier.com/locate/wear

Biotribology behavior and fluid load support of PVA/HA composite


hydrogel as artificial cartilage
Kai Chen n, Xuehui Yang, Dekun Zhang n, Linmin Xu, Xin Zhang, Qingliang Wang
School of Materials Science and Engineering, China University of Mining and Technology, Xuzhou 221116, China

art ic l e i nf o a b s t r a c t

Article history: The human body joint motion is very complicated, which mainly includes sliding, swing, rotation.
Received 27 August 2016 Therefore, cartilage covering the joint surface bears the repeated friction which is caused by the different
Received in revised form movements during the whole life. So sliding, swing and torsion friction behavior of hydrogels need to be
18 November 2016
researched as synthetic articular cartilage. In this paper, PVA/HA composite hydrogel is cross-linked on
Accepted 22 November 2016
the UHMWPE surface through chemical grafting and freezing-thawing method. Biotribology behavior
and fluid load support are researched. The results show that swing and torsion friction coefficients are
Keywords: negligibly small, while sliding friction coefficient is largest. There is a negative linear relationship be-
PVA/HA composite hydrogel tween fluid load support and friction coefficient. Fluid load supports are relative high under swing and
Fluid load support
torsion friction, so the swing and torsion friction coefficients are relative low. Hydrogel can be re-
Biotribology
plenished by re-swelling to sustain the fluid pressurization during friction under lubrication condition.
Lubrication
Both fluid load support and biphasic lubrication due to its porous structure with large amount of water
contribute to the low friction coefficient.
& 2016 Elsevier B.V. All rights reserved.

1. Introduction The artificial joint replacement has become the effective way to
treat the joint disease or trauma. However, due to the lack of the
The hip and knee joint are the main load-bearing joints in nature metabolism of artificial implant materials, the compatibility
human body, and they are the main movement parts of human of prosthesis interface and life medium is poor. Moreover, the
body [1–3]. The basic daily movements of hip joint are flexion- contact interface of total joint replacement implants is hard-face
extension, adduction-abduction, internal and external rotation and to hard-face, and the contact surface exists wear. A large number
circumduction. The basic daily movements of knee joint are flex- of clinical medical research has confirmed that the wear of artifi-
ion-extension, adduction-abduction, internal and external rotation cial joints is the main reason of the aseptic loosening of joint re-
and horizontal migration of front and back. So human can com- placement. The local osteolysis which is caused by wear particles
plete all kinds of action because of the existing movement of hip leads to the aseptic loosening. This is the main reason of failure of
and knee joints. The joints are the largest load bearing biological artificial joint replacement [11–13].
Polyvinyl alcohol (PVA) hydrogel has three-dimensional net-
friction pairs. Therefore, cartilage covering the joint surface bears
work structure, which is similar to the natural articular cartilage.
the repeated friction which is caused by the different movements
Meanwhile, it possesses the properties of solid and liquid and it
during the whole life. Hence, the articular cartilage wears and fails,
also has a good biocompatibility, mechanical property and biolo-
which causes the symptom of pain, swelling and bone crepitus.
gical tribology performance. Recent years, PVA hydrogel is ex-
Finally, osteoarthritis is generated [4–9]. Nowadays, the osteoar-
pected to become the cartilage repair material and replace the
thritis which is caused by the wear of articular cartilage has be-
biological materials [14].
come the first disabling disease around the world. About 400 As the human body joints have many movement modes, the
million people suffer the joint disease. Due to limit of the self- research on the friction properties under different movement
repair ability, it cannot repair along once the damage or disease is modes is very important. Researchers researches mainly on tan-
caused. Therefore, the replace of artificial joint is set to rebuild the gential sliding friction and wear behavior of the hydrogel [15–18].
joint characteristic [10]. Besides, few researches study the flexion-extension (swing) and
adduction-abduction (rotation) of the hip and knee joints. There-
n
Corresponding authors.
fore, it is important to study and understand the biological tri-
E-mail addresses: cumtck@cumt.edu.cn (K. Chen), bology behavior and lubrication mechanism under different
dkzhang@cumt.edu.cn (D. Zhang). movement modes. This paper studies the friction properties and

http://dx.doi.org/10.1016/j.wear.2016.11.033
0043-1648/& 2016 Elsevier B.V. All rights reserved.
330 K. Chen et al. / Wear 376-377 (2017) 329–336

fluid load support of PVA/HA composite hydrogel under different 2.3. Experiment device and parameter
movement modes (sliding friction, swing friction and rotating
friction). Also, the effects of three movement modes on the friction The sliding, swing, rotation friction tests was carried on the
lubrication of PVA/HA composite hydrogel are explored. PVA/HA UMT multi-functional micro friction testing machine to test the
composite hydrogel was bonded with the acetabulum of ultra- cobalt chromium molybdenum (CoCrMo) alloy balls with PVA/HA
high-molecular-weight polyethylene (UHMWPE) by the chemical composite hydrogel (Test diagram is shown in Fig. 2). The diameter
bonding method, and the friction and wear properties are tested of CoCrMo ball is 28 mm, and The UHMWPE sample of sliding
by hip simulation experiments. The bearing and damage me- friction is 20 mm  20 mm  30 mm. The thickness of the PVA/HA
chanism of PVA/HA composite hydrogel is studied, which provides composite hydrogel is 2 mm, and lubricating media is 25% bovine
theoretical basis for the study of bionic joint repair materials. serum. The sliding test loads are chosen as 10 N, 20 N, 30 N and
40 N and the speeds are chosen as 1 mm/s, 5 mm/s, 10 mm/s,
20 mm/s, 30 mm/s, 40 mm/s and 60 mm/s. The sliding distance of
2. Experiment material and method CoCrMo ball is 10 mm, and the experimental parameters are
shown in Table 1.
2.1. Preparation method of PVA/HA composite hydrogel The swing test load are 10 N, 20 N and 30 N and the swing
angle are 5°, 10° and 15°, which is shown in Table 2. The rotation
Potassium dichromate and concentrated sulfuric acid were test load of are 10 N, 30 N and 50 N and the rotation angle are 5°,
weighed with mass percent of 1:4. It was put into the thermostat 10° and 15°, which is shown in Table 3. The UHMWPE sample of
water bath with 70°C. It was stirred to uniformity and dichromate swing friction and rotation friction is φ30 mm.
oxidation solution formed. The UHMWPE sample was immerged
in the 70°C dichromate oxidation solution for 10 min. PVA, HA and 2.4. Friction finite element model of PVA/HA composite hydrogel
deionized water were weighed with mass percent (15% PVA, 3%
HA and 82% deionized water). After swelling 24 h under room 2.4.1. Sliding friction finite element model of PVA/HA composite
temperature, it was immerged in the thermostat water bath with hydrogel
95°C. The PVA/HA composite hydrogel solution was produced. PVA According to the size of PVA/HA composite hydrogel and
and deionized water were weighed with mass percent of 7% and CoCrMo alloy ball, the friction finite element model of CoCrMo
91.5%. The former steps were repeated and PVA solution was alloy ball and PVA/HA composite hydrogel was established. The
produced. Concentrated sulphuric acid with 1.5% were put into as thickness of the PVA/HA composite hydrogel is 2 mm, and the
catalyst and grafting solution was produced. The cleaned thickness of UHMWPE is 2 mm. The diameter of CoCrMo alloy ball
UHMWPE sample was immerged in the grafting solution and put is 28 mm. Saint-Venant method is used to simplify this model. The
into the thermostat water bath with 90°C for 2 h. The UHMWPE CoCrMo ball was divided into 14608 entity unit with 8 node re-
sample was cleaned with 90°C deionized water to clean the un- ducing integration (C3D8R), and PVA/HA composite hydrogel was
reacted PVA. The produced 15%PVA and 3%HA composite hydrogel divided into 22560 entity unit with 8 node pore pressure in-
was put into the surface UHMWPE sample to make PVA/HA tegration (C3D8RP). The UHMWPE was divided into 22560 entity
composite hydrogel reach to 2mm. The sample was put into the unit with 8 node reducing integration (C3D8R), and the model of
cooled storage incubator with 20°C for 6–10 h and thawed for 2– CoCrMo ball and PVA/HA composite hydrogel was established
3 h under the room temperature. This process was repeated for (Fig. 3). The face-to-face contact effect was used to simulation
9 times and PVA/HA composite hydrogel artificial cartilage was analysis, molybdenum cobalt chromium ball surface was set as the
produced [19]. main plane and PVA/HA composite hydrogel as minor plane. PVA/
HA composite hydrogel was fixed with UHMWPE to restrain the
2.2. Acetabulum grafting PVA/HA composite hydrogel movement of UHMWPE on the direction of horizon, vertical and
rotation. The pore pressure of PVA/HA composite hydrogel layer
The UHMWPE was processed into acetabulum with roughing surrounding was set as 0 [20–25]. The sliding speed and load are
treatment to increase the reacting area for oxidative esterification shown in Table 1, and the material properties are shown in
and the fixed area with hydrogel. Its diameter is 32 mm. Stainless Table 4.
steel metal ball joint was processed to match the acetabulum, and
its diameter is 28 mm. Using the methods of chemical grafting 2.4.2. Swing and rotation finite element model of PVA/HA composite
which is shown in the Section 2.1 to prepare acetabulum grafting hydrogel
PVA/HA composite hydrogel. It was put into the cooled storage According to the size of PVA/HA composite hydrogel and
incubator with 20°C for 6–10 h, and thawed at room tempera- CoCrMo alloy ball, the swing and rotation friction finite element
ture for 2–3 h. This process was repeated for 9 times and acet- model of CoCrMo alloy ball and PVA/HA composite hydrogel was
abulum grafting PVA/HA composite hydrogel was produced established. The thickness of the PVA/HA composite hydrogel is
(Fig. 1). 2 mm, and the thickness of UHMWPE is 2 mm. The diameter of
CoCrMo alloy ball is 28 mm. Saint-Venant method is used to
simplify this model. The CoCrMo ball was divided into 14608 en-
tity unit with 8 node reducing integration (C3D8R), and PVA/HA
composite hydrogel was divided into 22560 entity unit with
8 node pore pressure integration (C3D8RP). The UHMWPE was
divided into 22560 entity unit with 8 node reducing integration
(C3D8R), and the model of CoCrMo ball and PVA/HA composite
hydrogel was established (Fig. 4). The material properties are
shown in Table 4.
The face-to-face contact effect was used to simulation analysis
of swing. The CoCrMo ball surface was set as the main plane and
PVA/HA composite hydrogel as minor plane. PVA/HA composite
Fig. 1. UHMWPE acetabulum with PVA/HA composite hydrogel. hydrogel was fixed with UHMWPE to restrain the movement of
K. Chen et al. / Wear 376-377 (2017) 329–336 331

Fig. 2. Sliding, swing and rotation friction experiment device of PVA/HA composite hydrogel.

Table 1
Experimental parameters for sliding friction testing.

Influencing factor Experimental parameters

Load/N 10, 20, 30, 40


Sliding speed/ mm/s 1, 5, 10, 20, 30, 40, 60

Table 2
Experimental parameters for swing friction testing.

Influencing factor Experimental parameters

Load/N 10, 20, 30


Swing angle/deg 5, 10, 15

Fig. 4. Swing and rotation friction FEM model.

UHMWPE on the direction of horizon, vertical and rotation. The


Table 3
Experimental parameters for rotation friction testing. pore pressure of PVA/HA composite hydrogel layer surrounding
was set as 0, and the swing angle of CoCrMo ball was set as 5°, 10°,
Influencing factor Experimental parameters 15° [20–25].
The face-to-face contact effect was used to simulation analysis
Load/N 10, 30, 50
Torsional angle/deg 5, 10, 15
of rotation. The CoCrMo ball surface was set as the main plane and
PVA/HA composite hydrogel as minor plane. PVA/HA composite
hydrogel was fixed with UHMWPE to restrain the movement of
UHMWPE on the direction of horizon, vertical and rotation. The
pore pressure of PVA/HA composite hydrogel layer surrounding
was set as 0, and the swing angle of CoCrMo ball was set as 5°, 10°,
15° [20–25].

2.5. Wear test of acetabulum with PVA/HA composite hydrogel

The wear test of acetabulum with PVA/HA composite hydrogel


was carried on hip joint simulation tester, which is shown in Fig. 5.
The experiment standard of the hip joint friction test is ISO14242.
The load, displacement and environment parameter of the hip
wear testing machine are shown in Fig. 6. CoCrMo alloy femoral
head that was used in the experiment was provided by Beijing
Fig. 3. Sliding friction FEM model. Chunlizhengda Medical Instruments Co., Ltd. The diameter is
28 mm, and the lubricating media is 25% calf serum. UHMWPE
acetabulum was set as the contrast specimen, which was carried
Table 4 out the bio-tribology test at meantime.
Material properties of PVA/HA composite hydrogel, UHMWPE and CoCrMo ball.

Material Elastic Poisson's Void Permeability


modulus ratio ratio 3. Results and discussion

14
PVA/HA composite 1.07 MPa 0.45 4.56 2.8  10 m4/Ns 3.1. Influence on PVA/HA composite hydrogel by load under different
hydrogel movement modes
UHMWPE 1258 MPa 0.2 – –
Co–Cr–Mo ball 210 GPa 0.3 – –
Fig. 7 shows the relationship between friction coefficient of
332 K. Chen et al. / Wear 376-377 (2017) 329–336

Fig. 5. Hip joint simulator.

3000
30 Swing
Load
2500 Tosion
20
2000
Load/N

Angle/°
1500 10

1000 0

500
-10
0
-20
0.0 0.2 0.4 0.6 0.8 1.0 0.0 0.2 0.4 0.6 0.8 1.0
Time/s Time/s

Fig. 6. Test condition of hip joint simulator.

0.25 increase of P, and the friction coefficient increases gradually with


the load [26]. The relationships between three movement modes
and the load are as follows:
0.20
Sliding friction: μ = 0.077P 0.28 (1)
Friction Coefficient

Sliding Sliding Fitting


0.15
Swing Swing Fitting Swing friction: μ = 0.0061P 0.79 (2)
Torsion Torsion Fitting
0.10 Rotation friction: μ = 0.014P 0.43 (3)

According to the relationship equation between friction coef-


0.05 ficient and the load, under the small load, the swing and rotation
friction coefficient of PVA/HA composite hydrogel is very small,
0.00 and the sliding friction coefficient is largest. With the increase of
10 20 30 40 50 load, the growth rate of the rotation friction coefficient is low, so
Load/N the rotation friction coefficient of PVA/HA composite hydrogel stay
in a very low level; The growth rates of sliding friction coefficient
Fig. 7. Relationship of friction coefficient and load under different movement
modes. and rotation friction coefficient are close, because the initial fric-
tion coefficient of swing is small and the swing friction coefficient
PVA/HA composite hydrogel and load under different movement of PVA/HA composite hydrogel is small with the increase of load.
modes. The sliding friction coefficient, swing friction coefficient Fig. 8 shows the relationship between friction coefficient of
and the rotation friction coefficient shows an increase trend with PVA/HA composite hydrogel and fluid load support under different
the increase of load. Besides, the sliding friction coefficient of PVA/ movement modes. With the fluid load support of PVA/HA com-
HA composite hydrogel is larger than that of swing friction coef- posite hydrogel decrease, the sliding friction coefficient, swing
ficient and rotation friction coefficient. With the increase of load, friction coefficient and rotation friction coefficients show an in-
the depth of deformation increases gradually. The deformation crease trend. As the fluid load support decreases, the growth rate
force of PVA/HA composite hydrogel which is overcame by the of sliding friction coefficient is maximum. For the fluid load sup-
friction increases. On the other hand, the contact area of CoCrMo port of PVA/HA composite hydrogel is low during swing friction,
ball and PVA/HA composite hydrogel increases, and the number of the sliding friction coefficient is relative large all the time. When
Blob (m) which is adsorbed by the PVA/HA composite hydrogel the PVA/HA composite hydrogel are in swing friction and rotation
increase with the increase of positive pressure P. Under the low friction, fluid load support is high. Therefore, swing friction coef-
sliding speed, F ∝ mvτ , and m ∝ P . Therefore, F increases with the ficient and rotation friction coefficient are low. The relationships
K. Chen et al. / Wear 376-377 (2017) 329–336 333

0.25 Rotation friction: μ = 0.291 − 0.294W f /W (6)


Sliding Sliding Fit
According to the relationship between three movement modes
0.20 Swing Swing Fit
Torsion Torsion Fit and fluid liquid support, when fluid load support decreases to 0.1,
Friction Coefficient

sliding friction coefficient, swing friction coefficient and rotation


0.15 friction coefficient increase to 0.183, 0.047, and 0.0294 respec-
tively. Therefore, the friction performance is influenced by the
fluid load support of PVA/HA composite hydrogel.
0.10
Fig. 9 shows the flow velocity of three movement modes with
the load of 30N. The flow velocity of PVA/HA composite hydrogel
0.05 in sliding friction, swing friction and rotation friction are
2.9  10 2 mm/s, 7.6  10 3 mm/s and 5.0  10 3 mm/s, respec-
tively. Because of the liquid flow on the contact surface of PVA/HA
0.00
0.65 0.70 0.75 0.80 0.85 composite hydrogel, the liquid loss of PVA/HA composite hydrogel
Fluild Load Support occurs on the contact surface. Besides, when PVA/HA composite
hydrogel is in the sliding friction, the flow velocity is maximum
Fig. 8. Relationship of friction coefficient and fluid load support under different
loads and movement modes. and the fluid loss is most serious, which lead to the decrease of
fluid load support and increase of the solid substrate support.
between three movement modes and the fluid load support are as Hence, the sliding friction coefficient is the largest. When PVA/HA
follows: composite hydrogel is in swing friction and rotation friction, the
flow velocity of PVA/HA composite hydrogel is 1/4 and 1/6 of that
Sliding friction: μ = 1.4 − 1.83W f /W (4)
in sliding friction. So, the fluid load support is relative stronger,
and the swing friction coefficient and rotation friction coefficient is
Swing friction: μ = 0.43 − 0.47W f /W (5)
relative small.

Fig. 9. Pore flow velocity clouds under different loads and movement modes (30 N).
334 K. Chen et al. / Wear 376-377 (2017) 329–336

Sliding Sliding Fit 0.16


0.14
Swing Swing Fit
0.14
Torsion Torsion Fit Sliding Sliding Fit
0.12 Swing Swing Fit

Friction Coefficient
Friction Coefficient

0.12
Torsion Torsion Fit
0.10 0.10

0.08
0.08
0.06
0.06 0.04

0.04 0.02

0 2 4 6 8 10 12 14 0.00
0.66 0.68 0.70 0.72 0.74 0.76 0.78 0.80 0.82
Speed/mm/s
Fluild Load Support
Fig. 10. Relationship of friction coefficient and speed under different movement
modes. Fig. 11. Relationship of friction coefficient and fluid load support under different
speeds and movement modes.

3.2. Influence on PVA/HA composite hydrogel by speed under dif-


ferent movement modes friction coefficient and rotation friction coefficient is smaller than
that of sliding friction. The relationship between fluid load support
Fig. 10 shows the relationship between friction coefficient and and friction coefficient under three movement modes is as fol-
speed under different movement modes. With the increase of lows:
speed, the sliding, swing and rotation friction coefficient of PVA/
HA composite hydrogel shows an increase of trend, the relation- Sliding friction: μ = 1.22 − 1.59W f /W (10)
ship between speed and friction coefficient under three movement
modes is as follows: Swing friction: μ = 0.46 − 0.52W f /W (11)

Sliding friction:μ = 0.07v 0.26 (7)


Rotation friction: μ = 0.44 − 0.49W f /W (12)

Swing friction: μ = 0.018v 0.45 (8) During sliding friction, the fluid load support of PVA/HA com-
posite hydrogel reduces from 0.722 to 0.674, and sliding friction
Rotation friction: μ = 0.092v 0.6 (9) coefficient increases by 0.058. During swing friction, the fluid load
support of PVA/HA composite hydrogel reduces from 0.82 to 0.775,
According to the relationship between friction coefficient of and swing friction coefficient increases by 0.023. Similarly, during
PVA/HA composite hydrogel and speed, rotation friction speed rotation friction, fluid load support of PVA/HA composite hydrogel
affects the friction coefficient most severely, the sliding friction reduces from 0.786 to 0.688, which reduces by 0.1, and rotation
take the second place and the swing friction coefficient is mini- friction coefficient increases by 0.48. Therefore, the fluid load
mum. When the sliding friction speed increase from 1 mm/s to 10 support is relative high during rotation friction and sliding friction
mm/s, the sliding friction coefficient of PVA/HA composite hy- with the increase of speed under three movement modes. Hence,
drogel increases from 0.072 to 0.13. When the swing friction speed rotation friction coefficient and sliding friction coefficient is large.
increases from 4.88 mm/s to 14.64 mm/s, the friction coefficient Fig. 12 shows the flow velocity of PVA/HA composite hydrogel
increases from 0.037 to 0.06. Similarly, when rotation friction during sliding friction and swing friction under the same load.
speed increases from 0.38 mm/s to 1.14 mm/s, the rotation friction When the sliding friction speed of PVA/HA composite hydrogel is
coefficient increases from 0.052 to 0.1. Therefore, sliding velocity 5mm/s and swing friction speed is 4.88 mm/s, the flow velocities
and rotation velocity have great influence on the friction coeffi- are 1.98  10 2 mm/s and 1.05  10 2 mm/s, respectively. Due to
cient of PVA/HA composite hydrogel. Especially, during the rota- the fluid flow in the contact surface of PVA/HA composite hydro-
tion friction, as the contact area of CoCrMo ball and PVA/HA gel, the fluid loss of PVA/HA composite hydrogel is generated. The
composite hydrogel remains the same, which causes the liquid fluid velocity is relative large, and liquid loss is more serious,
continuous loss in the contact surface. The liquid phase cannot which leads to fluid load support of PVA/HA composite hydrogel
flow back to contact surface on time, and thus increase the solid decreases. Therefore, with the increase of the friction coefficient,
substrate bearing. Besides, the flow velocity increases with the the fluid velocity of PVA/HA composite hydrogel is about 1/2 of
increase of rotation friction velocity. The fluid loss is more serious, that of sliding friction. Hence, the fluid support is strong, and the
which leads to the increase of rotation friction coefficient. swing friction coefficient is less than the sliding friction coefficient.
Fig. 11 shows the relationship between friction coefficient and Fig. 13 shows the fluid velocity of PVA/HA composite hydrogel
fluid load support under different movement modes. With the during sliding friction and rotation friction under the same load.
decrease of fluid load support of PVA/HA composite hydrogel, The sliding friction speed of PVA/HA composite hydrogel is 1 mm/
sliding friction coefficient, swing friction coefficient and rotation s, and the rotation friction speed is 1.14 mm/s. The fluid velocities
friction coefficient show an increase trend. As the fluid load sup- are 3.79  10 3 mm/s and 2.72  10 3 mm/s. During rotation
port decreases, the growth rate of sliding friction coefficient is friction, the fluid velocity of PVA/HA composite hydrogel is about
maximum. Besides, the fluid load support of PVA/HA composite 1/6 of that of sliding friction. The fluid loss is small, and the fluid
hydrogel is low during sliding friction, so the sliding friction load support of PVA/HA composite hydrogel is strong. Therefore,
coefficient is relative large all the time. During swing friction and the rotation friction coefficient is less than the sliding friction
shear friction, the fluid load support is high. Therefore, swing coefficient.
K. Chen et al. / Wear 376-377 (2017) 329–336 335

Fig. 12. Pore flow velocity clouds under different speeds in sliding friction and swing friction.

Fig. 13. Pore flow velocity clouds under different speeds in sliding friction and rotation friction.

1th 10th 100th 1000th


2500
2500
100th
UHMWPE 2000 1000th
2000 UHMWPE-PVA/HA
3000th
5000th
1500
Load/N

Load/N

1500

1000 1000

500 500

0
0.0 0.5 1.0 0.0 0.5 1.0 0.0 0.5 1.0 0.0 0.5 1.0 0
Time/s
0.0 0.2 0.4 0.6 0.8 1.0
Time/s
Fig. 14. Load responses curve of acetabulum on hip joint simulator.
Fig. 15. Load response curve of acetabulum with PVA/HA composite hydrogel.

3.3. The bio-tribology damage experiment of UHMWPE acetabulum that of UHMWPE acetabulum, which shows that acetabulum with
with PVA/HA composite hydrogel the PVA/HA composite hydrogel layer has excellent load buffering
ability. Therefore, acetabulum with PVA/HA composite hydrogel
Fig. 14 shows the load response of UHMWPE acetabulum and layer has excellent mechanical characteristics.
UHMWPE acetabulum with PVA/HA composite hydrogel layer on Fig. 15 shows the load response of acetabulum with PVA/HA
the hip joint simulation test. The load support value of UHMWPE composite hydrogel layer on the hip joint simulation test. With the
acetabulum with PVA/HA composite hydrogel layer is smaller than increase of cycle times, the load response of PVA/HA composite
336 K. Chen et al. / Wear 376-377 (2017) 329–336

Acknowledgements

This research is supported by National Natural Science Foun-


dation of China (Grant No. 51641510, 51505478), Natural Science
Foundation of Jiangsu Province (Grant No. BK20160257), China
Postdoctoral Science Found (Grant No. 2015M580487) and Na-
tional Key Research and Development Program of China (Grant No.
2016YFC1101803).

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