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Tribological characteristics of polyvinylpyrrolidone (PVP) as a lubrication


additive for artificial knee joint

Article in Tribology International · January 2016


DOI: 10.1016/j.triboint.2015.08.043

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Tribology International 93 (2016) 214–219

Contents lists available at ScienceDirect

Tribology International
journal homepage: www.elsevier.com/locate/triboint

Short communication

Tribological characteristics of polyvinylpyrrolidone (PVP)


as a lubrication additive for artificial knee joint
Yang Guo a, Zhixiu Hao a,b,n, Chao Wan c,nn
a
Department of Mechanical Engineering, Tsinghua University, Beijing 100084, PR China
b
State Key Laboratory of Tribology, Tsinghua University, Beijing 100084, PR China
c
Department of Engineering Mechanics, Tsinghua University, Beijing 100084, PR China

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

Article history: The effect of polyvinylpyrrolidone (PVP) on tribological properties of joint prostheses is still unclear
Received 11 June 2015 despite its good lubricity and biocompatibility. PVP solutions with five concentrations were prepared
Received in revised form with two different solvents. The viscosity, surface tension, and static contact angle of the solutions were
26 August 2015
measured as well as the friction coefficient and wear volume of artificial joint pairs. With PVP con-
Accepted 28 August 2015
centration increasing, the friction coefficient firstly decreased significantly but subsequently tapered off
Available online 7 September 2015
after a high level. The inclusion of PVP also improved the wear resistance of the pair. It implies that PVP
Keywords: could be a promising lubrication additive for artificial joints.
Polyvinylpyrrolidone & 2015 Elsevier Ltd. All rights reserved.
Lubrication
Artificial knee joint
Tribological properties

1. Introduction behaviours, such as charged polymer brushes-grafted hollow silica


nanoparticles [7], and poly(3-sulfopropyl methacrylate potassium
Total knee arthroplasty (TKA) is a usual clinical treatment for salt) brushes grafted poly(N-isopropylacrylamide) microgels [8].
knee osteoarthritis. However, the number of TKA revision is Although low friction coefficient was obtained by these lubricants,
increasing greatly every year all over the world because of the the conditions of the friction pair (i.e., steel-to-steel and PDMS-to-
longer survival of TKA patients as well as their raising activity Si in the studies) were greatly different from that in the artificial
intensity [1]. It was reported that the TKA revision rate increased joints (i.e., Ti6Al4V-to-UHMWPE). In a research of fabricating
to 16%, 26%, and 31% for five, ten, and fifteen years after the pri- artificial cartilage, mixing 15 wt% polyvinylpyrrolidone (PVP) in
mary TKA, respectively [2]. Aseptic loosening, one of the major polyvinylalcohol (PVA) hydrogel was found to decrease the friction
reasons for the revisions, is caused by wear debris. Nowadays coefficient by about 30% [6]. However, it is still unclear whether
some improvements of the tribological property of artificial joints some lubricants could improve the tribological properties of the
have been attempted by pretreating the titanium alloy using Ti6Al4V–UHMWPE friction pair.
thermal oxidation [3], modifying surface using hexadecylpho- PVP is one of biocompatible water-soluble polymers and has
sphonic acid films [4], and adding lubricants into the artificial been used as blood plasma substitutes as well as in articular car-
joints [5–8]. Compared to the first two methodologies, adding tilages [9–11]. Besides its good biocompatibility, PVP aqueous
lubricants is more convenient and easier for achieving great tri- solution also has good lubricating properties. The friction coeffi-
bological properties in the artificial joints (f.i., lower friction cient, wear scar diameter, and seizure load of PVP aqueous solu-
coefficient). Polyethylene glycol (PEG) was considered into syno- tions were measured under the four-ball tribotester condition and
vial fluid for increasing the wear resistance of UHMWPE in artifi- good lubricating properties of water were achieved by adding a
cial knee joint but no significant great result was achieved [5]. lower concentration of PVP [12]. However, the four-ball tribotester
Some other lubricants were also used for improving tribological condition is totally different with articular knee joints that consist
of Ti6Al4V balls and ultra-high molecular-weight polyethylene
(UHMWPE) liner. In addition, only a lower range of the PVP con-
n
Corresponding author at: State Key Laboratory of Tribology, Tsinghua Uni- centration (i.e., from 0 to 5 wt%) was analyzed in their study.
versity, Beijing 100084, PR China
nn Therefore, whether PVP is a promising lubricating additive in
Corresponding author.
E-mail addresses: haozx@tsinghua.edu.cn (Z. Hao), artificial joints is still unclear and needs to be determined. In this
chaowan@tsinghua.edu.cn (C. Wan). paper five different PVP concentrations from 0 to 20 wt% were

http://dx.doi.org/10.1016/j.triboint.2015.08.043
0301-679X/& 2015 Elsevier Ltd. All rights reserved.
Y. Guo et al. / Tribology International 93 (2016) 214–219 215

tested as well as two different solvents (i.e., deionized water and


25% bovine serum solution). The test condition was designed to be
similar as the physiological conditions of the artificial joints, i.e.,
Ti6Al4V balls, UHMWPE disc, and at body temperature. The visc-
osity, surface tension, static contact angle, friction coefficient and
wear volume for the PVP solutions with different concentrations
were measured and compared. We hypothesised that PVP could be
a potential effective lubricant for artificial knee joint and the
change of the PVP concentration would have a significant influ-
ence in the lubricating properties of the PVP solutions.

2. Materials and methods

2.1. Materials

Medical grade PVP K30 (Jiaozuo Zhongwei Special Products


Pharmaceutical Inc., Henan province, China) was dissolved in
deionized water and bovine serum aqueous solution. The mole-
cular mass of PVP K30 is 40,000 g/mol [9]. The bovine serum
aqueous solution (with 25% bovine serum concentration) was
prepared by diluting bovine serum (Thermo Fisher Scientific Inc.,
MA, USA) with deionized water. In order to study the effect of PVP
on the lubricating properties of knee joint prosthesis, five PVP Fig. 1. Schematic of the experiments for the PVP solutions with five different
concentrations as well as two solvents. Ti6Al4V balls (A) were loaded on the
concentrations were selected for the above two solvents, corre-
UHMWPE discs (B), and a reciprocating stroke was performed under the PVP
sponding to 0, 5, 10, 15, and 20 wt% of PVP in the deionized water solutions (C).
as well as in the bovine serum aqueous solution. These five PVP
concentrations were selected according to some previous studies reciprocating sliding with 15 mm stroke was performed at the
about manufacturing artificial cartilages with PVP and poly(vinyl speed of 30 mm/s. It was found that the results of the friction
alcohol) (PVA) [6,13]. All the preparations of the PVP solutions coefficient became stable after a long duration (shown in Fig. 2).
were carried out at room temperature. Therefore, the reciprocating stroke was maintained for 5 min and
Both Ti6Al4V balls (surface roughness of around 60 nm) and
the friction coefficient of each PVP solution was determined by
UHMWPE discs (surface roughness of around 110 nm) were cho-
averaging the friction coefficient measurements in the last one
sen as the two components of the friction pair for simulating the
minute. The friction coefficient measuring test was performed six
practical interface in the artificial knee joints. The Ti6Al4V balls
times for each PVP solution.
(about 8 mm diameter) were purchased from Changda Inc.
Further, two PVP concentrations with the two solvents (i.e.,
(Guangdong province, China) and UHMWPE discs were provided
0 and 15 wt% in the deionized water and the bovine serum solu-
by Röchling Engineering Plastics KG (Haren, Germany).
tion) were compared in the wear test of the Ti6Al4V–UHMWPE
2.2. Tribological characterisation of PVP solutions pair. Higher compression load (5.29 N), longer stroke length
(18.5 mm), higher frequency (2 Hz), and longer test period (4 h)
The viscosities of the PVP solutions were obtained at 37 °C were selected from the ASTM F732 test standard to accelerate the
using Anton Paar Physica MCR301 (Anton Paar GmbH, Graz, Aus- wear of the samples. Then both three-dimensional morphology
tria) with shear rate from 1 to 3000/s. According to the high and volume of the wear tracks on the UHMWPE discs were mea-
evaporation rate of the droplet at 37 °C, the static contact angles of sured by a three-dimensional confocal microscope phase shift
the PVP solutions on the UHMWPE discs were measured at room MicroXAM-3D (KLA-Tencor Corporation, California, USA). The
temperature by Dataphysics OCA20 (DataPhysics Instruments volume of the wear tracks was calculated by multiplying the
GmbH, Filderstadt, Germany). The surface tensions of the solutions average cross sectional area of the wear tracks and the stroke
were also tested at room temperature using Dataphysics DCAT21 length. The temperature during the whole friction and wear tests
(DataPhysics Instruments GmbH, Filderstadt, Germany) by the was controlled at 37 ± 1 °C for simulating the in vivo temperature
Wilhelmy plate method, where the plate was made from platinum of the joint prosthesis. The wear test was performed three times
which ensured complete wetting in the liquid. The viscosity, sur- for each PVP solution.
face tension and static contact angle for each PVP concentration
were measured 6–8 times using the corresponding PVP solution
for eliminating measuring errors. 2.3. Statistical analysis
In order to analyze the lubricating effect of the PVP solutions on
the knee joint prosthesis, the friction coefficients of all the 10 PVP Two-way analysis of variance (two-way ANOVA) was used to
solution groups (i.e., five different concentrations of PVP in two identify any significant difference in the friction coefficient values
different solvents) were tested using a universal ball-on-disc of the PVP solutions with different concentrations as well as sol-
machine UMT-3 (Center for Tribology Inc., California, USA). Both vents. A Bonferroni adjustment was chosen for all the multiple
the Ti6Al4V ball and the UHMWPE disc were ultrasonic cleaned comparisons. The viscosity, surface tension and static contact
firstly, and were mounted in the UMT-3 with the friction surface angle from the different groups were also compared using two-
immersed in the PVP solution (shown in Fig. 1). According to the way ANOVA, respectively. Student's t-test (t-test) was used to
standard test method for total joint prostheses (i.e., ASTM F732), a analyze the difference in wear volume between the PVP solutions
compression load of 2.94 N was exerted (yielding a maximum with different concentrations. Significance for all the tests was
Hertzian pressure of 29.7 MPa on the contacting surface) and a defined as P o0.05.
216 Y. Guo et al. / Tribology International 93 (2016) 214–219

Fig. 2. Typical curves of friction coefficient vs. time for different PVP solutions with Ti6Al4V balls sliding on UHMWPE discs. (a) The PVP deionized water solutions; (b) the
PVP bovine serum solutions.

3. Results aqueous solution decreased with the PVP concentration increas-


ing, whereas that in the PVP bovine serum solution increased
3.1. Viscosity greatly. The largest decrease of the surface tension in the PVP
aqueous solutions was found between 0 and 5 wt% concentrations
The viscosity values of the PVP solutions with different con- (71.970.0712 mN/m vs. 67.770.0414 mN/m). On the contrary, the
centrations are shown in Fig. 3(a). Regardless of the solvent, the surface tension of the PVP bovine serum solution increased sig-
viscosity became higher with the PVP concentration increasing. The nificantly during the PVP concentration increasing from 0 to
viscosity of the PVP bovine serum solution was similar to that of the 20 wt%.
PVP deionized water solution under the concentration of 0 and 5 wt%,
but became significantly higher when the concentration was beyond 3.3. Wettability
5 wt%. Compared with the deionized water (i.e., 0 wt% PVP), the 5 wt%
PVP aqueous solution had a viscosity with about two-fold value. Each The static contact angles of the different PVP solutions on the
5% increase of the PVP concentration led to about one time increase of UHMWPE disc are shown in Fig. 3(c). The static contact angle of
the solution viscosity. Similar trend was found in the variation of the the PVP deionized water solution on UHMWPE was significantly
bovine serum solution viscosity with the PVP concentration varying. lower than that of the PVP bovine serum solution when the con-
centration was 0 wt% (P o0.05). With the PVP concentration
3.2. Surface tension becoming higher, the contact angle of the PVP deionized water
solution had some increase while that of the PVP bovine serum
Fig. 3(b) shows the surface tensions of the PVP solutions with solution decreased a little. But no significance was found between
the different concentrations. The surface tension of the PVP the two solutions with the concentration being 5, 10, and 15 wt%.

Fig. 3. Comparisons of the tribological characteristics of different PVP solutions in the friction pair of Ti6Al4V balls and UHMWPE discs. (a) Viscosity; (b) surface tension;
(c) static contact angle; (d) friction coefficient.
Y. Guo et al. / Tribology International 93 (2016) 214–219 217

When the concentration was 20 wt%, the contact angle of the PVP 0.060 for the bovine serum solution. The wear resistance of the
deionized water solution was significantly higher than that of the UHMWPE disc was also improved significantly under the 15 wt%
PVP bovine serum solution (P o0.05). PVP solutions compared to that under the 0 wt% PVP solutions
(Fig. 5). These measurements signify PVP contribute to the lubri-
3.4. Lubricating properties cating properties of the artificial knee joint pairs. According to
both its low toxicity [14] and good lubricating properties, moder-
Fig. 3(d) shows the friction coefficient of the PVP solutions with ate PVP concentrations (i.e., 10 wt% or 15 wt%) might be appro-
different concentrations under the Ti6Al4V ball-UHMWPE disc priate to be used as a promising lubricating additive in the artifi-
friction pair. About 50% reduction of the friction coefficient was cial knee joints.
found during the increase of the PVP concentration. The friction Further analysis of the lubrication regime in the Ti6Al4V–
coefficient of the PVP deionized water solutions changed from UHMWPE pair was developed as follows. First, the friction coef-
about 0.090 to about 0.042 and that of the PVP bovine serum
ficient is demonstrated to be higher with the viscosity increasing
solutions decreased from about 0.12 to about 0.060. However, no
under hydrodynamic lubrication regime according to the Stribeck
significant decrease was measured in the friction coefficient when
curve. But the friction coefficient in our study was found to
the PVP concentration reached up to some levels, i.e., 15 wt% for the
decrease with the increase of the solution viscosity (shown in
deionized water solution and 10 wt% for the bovine serum solution.
Fig. 6). It indicates that hydrodynamic lubrication is not formed in
the Ti6Al4V–UHMWPE pair. For determining the lubrication
3.5. Wear volume
regime, the ratio result (λ) representing relative film thickness was
The three-dimensional morphology of the wear tracks on the
UHMWPE discs is shown in Fig. 4. It was found that the wear
tracks were all obvious regardless of the solvent and PVP con-
centration. However, the comparison of the volume of the wear
tracks indicated that the wear volume under the 15 wt% PVP
concentration reduced significantly by 20% and 36% compared to
that under the 0 wt% PVP concentration with deionized water and
bovine serum solution, respectively (shown in Fig. 5).

4. Discussion

In our study both the friction coefficient and wear resistance in


the Ti6Al4V–UHMWPE friction pair were measured under PVP
solutions with different concentrations. The friction coefficient Fig. 5. Volume of the wear tracks on the UHMWPE discs after 4-h wear test.
was reduced significantly (about 50%) by increasing PVP, from (a) 0 wt% PVP in deionized water; (b) 15 wt% PVP in deionized water; (c) 0 wt% PVP
0.090 to 0.042 for the deionized water solution and from 0.12 to in bovine serum solution; (d) 15 wt% PVP in bovine serum solution. *Po 0.05.

Fig. 4. The three-dimensional morphology of the wear tracks on the UHMWPE discs after 4-h wear test. (a) 0 wt% PVP in deionized water; (b) 15 wt% PVP in deionized
water; (c) 0 wt% PVP in bovine serum solution; (d) 15 wt% PVP in bovine serum solution.
218 Y. Guo et al. / Tribology International 93 (2016) 214–219

same as the real movement in the artificial joints although the


selected movement has met the test standard of total joint pros-
theses (i.e., ASTM F732). Some friction tests of the PVP solutions
will be performed under the physiological loading conditions of
sliding and rolling in the future. Second, whether high PVP con-
centrations have serious toxicity for the tissues around artificial
joints should be justified. The PVP solutions with different con-
centrations might have different osmotic pressure, and its effect
needs to be analyzed. Third, the time of the wear test in the paper
is a few short compared to the service life of artificial joints in
human body. The wear test with longer time would be developed
where the morphology of wear debris should be characterized as
Fig. 6. Friction coefficient vs. viscosity of PVP solution with different kinds of well as its biological influence.
solvent.

further calculated [15], which was defined as 5. Conclusions


Hmin
λ= It is known that PVP is a good lubricant with outstanding
R a2ball + R a2disc
biocompatibility. However, whether PVP provides a lubricating
where Hmin is the minimal lubrication film thickness, Raball is the role in artificial joints is still unclear. In this paper we investigated
surface roughness of the Ti6Al4V ball, and Radisc is that of the the viscosity, surface tension, and static contact angle of different
UHMWPE disc. Hmin is determined from the previous paper [16] as PVP solutions with five concentrations and two solvents. Both the
friction coefficient and wear volume of the friction pair were
⎛ η μ ⎞0.65 ⎛ F ⎞−0.21 measured in the friction/wear tests where the physiological con-
Hmin = 7.43 1 − 0.85e−0.31 R ⎜ 0 ⎟
( ) ⎜ ⎟
⎝ E‵R ⎠ ⎝ E‵R2 ⎠ ditions were simulated by Ti6Al4V balls, UHMWPE disc, and body
temperature. It was found that the friction coefficient decreased
where R is the radius of the Ti6Al4V ball, η0 is dynamic viscosity of the
significantly with PVP concentration increasing, but subsequently
PVP solution, μ is mean surface velocity μ = ( μball + μdisc )/2 = 15 mm/ s ),
2
tapered off after a high concentration (i.e., 10 wt% for the PVP
2 1 − v ball 1 − v2
and F is the load. The parameter E‵ is defined as ( + disc )
bovine serum solution and 15 wt% for the PVP deionized water
E ball Edisc
where Eball , vball and vdisc , are the Young's modulus and Poisson's solution). The wear resistance of the UHMWPE disc was also
ratio of the Ti6Al4V ball and UHMWPE disc, respectively. It is con- improved significantly by the inclusion of PVP. According to the
cluded that the ratio λ is less than 1, between 1 and 3, and more good lubricating property and biocompatibility of the PVP in the
than 3 when the pair is under boundary lubrication, mixed lubri- artificial joint pairs, it seems that PVP could be considered as a
cation and fluid film lubrication, respectively [15]. The λ values were potential lubricating additive for the artificial joints in the future.
calculated to be less than 1 for all the PVP solutions in this study,
indicating the similar conclusion that boundary lubrication regime
is formed in the friction pairs. Acknowledgement
As it formed boundary lubrication, it is suggested that mole-
cules adhered to the friction surface might be the main factor for Financial supports from the project of National Natural Science
reducing the friction coefficient. The variation of the friction Foundation of China (51275267) are gratefully acknowledged.
coefficient with the PVP solutions changing could support the
hypothesis of the lubrication mechanism. First, the friction coef-
ficient would remain constant since the PVP concentration reaches References
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