摘要
人工关节置换术是骨关节疾病治疗的重要手段,但关节假体的长期磨损损耗及磨屑诱导的假体周围骨溶解会造成人工关节无菌松动甚至早期失效。研究人工关节滑动与固定组合界面的磨损行为是探索磨屑形成机制的基础,也是探明人工关节松动失效机理、提升关节耐磨性的重要依据。该文利用Web of Science和中国国家知识网络数据库的资源,对人工关节磨损行为研究的相关文献进行综述。探讨人工关节在滑动界面和固定界面产生的磨损行为及主导磨损机理;分析假体结构、材料成分、润滑介质和磨屑等对人工关节磨损行为的影响机制,总结人工关节优化改进方案;详细阐述人工关节体外磨损试验研究的方法与技术;概述人工关节组合界面磨损表征参量的提取方法以及磨损智能检测的发展现状;总结人工关节磨损行为的研究热点,指出多信息融合和智能化监测的发展方向,以期为人工关节磨损行为的基础与试验研究提供参考。
[Significance]Artificial joint replacement is an important technology for treating bone and joint disorders.However,the long-term wear loss of joint prosthesis and periprosthetic osteolysis induced by wear debris causes aseptic loosening,leading to early failure of the prosthesis.Investigating the wear behaviors of artificial joint combination interfaces,including sliding and immobile interfaces,forms the foundation for exploring the formation mechanism of wear debris,studying loosening and failure mechanisms,and improving the abrasion performance of artificial joints.Such an investigation represents a fundamental approach to elucidate the mechanisms behind wear debris formation,explore the factors contributing to loosening and failure,and enhance the abrasion resistance of artificial joints.The literatures on the wear behaviors of artificial joints has been meticulously reviewed and summarized using resources from the Web of Science and China's national knowledge network databases.The primary aim of this study is to provide references for research on the wear behaviors of artificial joint combination interfaces.[Progress]Sliding and fretting wear of artificial joints were studied.Sliding wear was produced on the sliding interface between artificial joint prosthesis pairs,and a large amount of wear particles were generated,which were the main cause of prosthesis loosening and failure.Fretting wear occurred at the fixed interface between the prosthesis and bone,leading to the early loosening of artificial joints.Adhesive,abrasive,and fatigue wear were the three main wear mechanisms of artificial joints.The wear of artificial joints was caused by several factors,such as prosthesis structure,material,lubrication,wear debris,operation,and patient.Summarizing the factors influencing the wear behaviors of artificial joints revealed that the design of prosthesis structures and surface modification technologies will be crucial for optimizing and enhancing artificial joints.However,these influencing factors were interrela
作者
彭业萍
孔德宇
庄溶润
王松
曹广忠
PENG Yeping;KONG Deyu;ZHUANG Rongrun;WANG Song;CAO Guangzhong(Guangdong Key Laboratory of Electromagnetic Control and Intelligent Robots,College of Mechatronics and Control Engineering,Shenzhen University,Shenzhen 518060,China;Biomechanics and Biotechnology Lab,Research Institute of Tsinghua University in Shenzhen,Shenzhen 518057,China)
出处
《清华大学学报（自然科学版）》
EI
CAS
CSCD
北大核心
2024年第3期409-420,共12页
Journal of Tsinghua University(Science and Technology)
基金
深圳市国际科技合作项目(GJHZ20220913143005009)
国家自然科学基金青年基金项目(51905351)。
关键词
人工关节
组合界面
滑动磨损
微动磨损
磨损监测
artificial joint
combination interfaces
sliding wear
fretting wear
wear monitoring
