A method for the assessment of the coefficient of friction of articular cartilage and a replacement biomaterial
Introduction
Articular cartilage is located at the surface ends of diarthrodial joints (Krishnan et al., 2005), as the load-bearing material (Cilingir, 2015; Krishnan et al., 2005) at the joint interface (Krishnan et al., 2005). The key function of articular cartilage is low friction (Charnley, 1960; Cilingir, 2015). The coefficient of friction of articular cartilage has been reported at values of around 0.010 (Krishnan et al., 2004), measured in sliding against glass, with a sliding velocity 1 mm/s at 4.5 N of constant load (Krishnan et al., 2004). Interstitial fluid pressurisation is thought to aid the low friction associated with articulation of cartilage (Ateshian, 2009; Basalo et al., 2013; Krishnan et al., 2004; Lizhang et al., 2010). Lubrication mechanisms of articular cartilage are divided into boundary (McCutchen, 1962) and fluid-film, which includes hydrodynamic (Tanner, 1966), elastohydrodynamic (Murakami et al., 1998), squeeze-film (Hlavacek, 2000) and weeping (Lewis and McCutchen, 1959). Roughening and loss of the articular cartilage surface is associated with osteoarthritis (Chiang et al., 1997; Li et al., 2013), a disease expected to increase due to increasing risk factors such as obesity (Koszowska et al., 2014).
There are promising results for the use of hydrogels for the replacement of natural tissue (Li et al., 2016), including articular cartilage. Alginate hydrogels are simple to manufacture and biocompatible, closely mimicking the gel component of the extracellular matrix of cartilage (Lee and Mooney, 2013). Calcium alginate, manufactured as a hydrogel which combines alginate polyanions with calcium ions (Drury and Mooney, 2003; Wands et al., 2008) and has potential use in cartilage repair (Liao et al., 2017). The coefficient of friction of calcium alginate has not been previously addressed in the literature, whilst it is crucial to assess its tribological performance for use as a cartilage replacement biomaterial (Cilingir, 2015).
Current techniques evaluate the coefficient of friction of a replacement biomaterial against articular cartilage (Li et al., 2016), or against replacement counterparts, e.g. cobalt chromium molybdenum (Milner et al., 2018) or alumina (Yarimitsu et al., 2016). However, such measurements do not assess the interaction of the replacement biomaterial with cartilage when it is used to repair a defect in the articulating surface. In fact, such analysis of the frictional behaviour of the potential replacement biomaterial would more closely mimic the scenario of a surgical procedure, particularly that of osteochondral grafting, for the transplantation of osteochondral plugs from a non-weight-bearing region to the defect site (Hattori et al., 2007).
The aim of this study was to develop a technique for the evaluation of the coefficient of friction of articular cartilage against an articular cartilage defect repaired with a biomaterial. For this study, three tests were performed in a reciprocating sliding configuration with a plane on plane set-up. A cartilage against cartilage pin-on-plate test was performed to enable a benchmark for comparison of the biomaterial. The second friction test was of cartilage with a small biomaterial replacement, in sliding against cartilage itself, using calcium alginate as the sample biomaterial. A third friction test was performed to provide a standard baseline result of cartilage sliding against aluminium, selected for ease of component manufacture and the non-susceptibility to corrosion.
Section snippets
Articular cartilage tissue storage and handling
Bovine articular cartilage was used as it has similar material properties to those of human articular cartilage (Temple et al., 2016). Eighteen bovine humeral heads were obtained (Dissect Supplies, Kings Heath, Birmingham, UK) from animals of an age range between 18-30 months. Prior to dissection, the humeral heads were stored at − 40 °C in double heat-sealed plastic, wrapped in tissue paper and soaked with full strength Ringer's solution (Oxoid Ltd., Hampshire, UK) (Espino et al., 2014;
Coefficient of friction
A similar median coefficient of friction extracted from the entire dataset for six repeats was measured for both the cartilage against cartilage (C–C) and cartilage/hydrogel against cartilage (C-G) (0.36 and 0.38, respectively; p > 0.05) (Fig. 7). A lower overall median coefficient of friction was measured for cartilage against aluminium (C-M) (0.32; p > 0.05) (Fig. 7). For all assessments of the coefficient of friction (Fig. 7; Fig. 8; Fig. 9), the largest interquartile range (IQR) was
Discussion
This study is the first to develop a method for the assessment of the coefficient of friction of articular cartilage with the incorporation of a replacement biomaterial. Hence, the principal novel aspect of the method developed in this study, is the introduction of the artificial defect on the cartilage surface to allow for the implantation of the biomaterial. The coefficient of friction was then assessed between the biomaterial filled defect and the articular cartilage. Thus, it is worth
Conclusions
The method developed in this study can be applied for future assessments of the coefficient of friction for potential replacement biomaterials of articular cartilage. For the cartilage-cartilage, cartilage/hydrogel-cartilage and cartilage-aluminium tests, the overall median coefficient of friction from the entire data-set was of 0.36, 0.38 and 0.32, respectively; the overall median coefficient of friction obtained from the last 5 min, was of 0.35, 0.36 and 0.28, respectively, whilst the median
Ethics approval and consent to participate
Not applicable.
Consent for publication
Not applicable.
Availability of data and material
The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
Funding
The experimental equipment used in this research, within the Birmingham Centre for Cryogenic Energy Storage, was obtained with support from the Engineering and Physical Sciences Research Council, under the eight great technologies: energy storage theme (Grant number EP/L017725/1).
The Engineering and Physical Sciences Research Council (grant number EP/J500367/1), the Institution of Mechanical Engineers’ Lawrence Arthur Foster Scholarship and the Industrial Fellowship of the Royal Commission for
Authors’ contributions
HM carried out articular cartilage specimen preparation, calcium alginate hydrogel preparation, preliminary testing, final experimental work, design of the study, data analysis and drafted the manuscript. DE carried out preliminary testing, manufacturing of rig components and contributed to final experimental work and design of the study. IS carried out final experimental work, data analysis, drafted high speed data results/discussion, contributed in drafting the TE/77 method set-up and
Author statements
Humaira Mahmood: Conceptualization, Methodology, Formal analysis, Investigation, Writing – Original Draft, Writing – Review & Editing, Visualization, project administration.: David Eckold: Conceptualization, Methodology, Investigation.: Iestyn Stead: Software, Formal analysis, Investigation, Writing – Original Draft, Writing – Review & Editing, Visualization.: Duncan Shepherd: Conceptualization, Methodology, Formal analysis, Resources, Writing – Review & Editing, Supervision, Funding
Declaration of competing interest
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Acknowledgements
The authors would like to thank Lee Gauntlett and Peter Thornton for manufacturing the aluminium test rigs utilised for this study.
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