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Unsaturated phosphatidylcholine and its application in surgical adhesion.

BACKGROUND: It has been confirmed that surface-active phospholipid (SAPL), or surfactant, lines the surface of peritoneum and serves as a release and lubricating agent. The most important component in SAPL is phosphatidylcholine. A previous animal study showed that a saturated phosphatidylcholine, dipalmitoyl-phosphatidylcholine, reduced the formation of surgical adhesion. Latest studies have indicated that the dominant SAPL species at some sites outside the lung are not saturated phosphatidylcholine but, rather, are unsaturated phosphatidylcholine. METHODS: High performance liquid chromatography was used to analyse the phosphatidylcholine profile of dialysate samples obtained from peritoneal dialysis patients. Friction tests were performed on dipalmitoyl-phosphatidylcholine and selected unsaturated phosphatidylcholine. RESULTS: It was discovered that unsaturated phosphatidylcholine was the dominant SAPL species inside the peritoneal cavity. They are palmitoyl-linoleoyl-phosphatidylcholine, palmitoyl-oleoylphosphatidylcholine and stearoylarachidonoylphosphatidylcholine. Most interestingly, there was no dipalmitoyl-phosphatidylcholine detected from these dialysate samples. The coefficients of static and dynamic friction from palmitoyllinoleoyl-phosphatidylcholine and palmitoyloleoyl-phosphatidylcholine were measured and found to be lower than that of dipalmitoyl-phosphatidylcholine. CONCLUSION: The results from the current study reveal that unsaturated phosphatidylcholine is the endogenous species inside the peritoneal cavity. This discovery offers further evidence that the dominant SAPL species at non-lung sites are unsaturated phosphatidylcholine, not saturated phosphatidylcholine, strongly indicating the difference between phosphatidylcholine species distribution at lung and non-lung sites. Unsaturated phosphatidylcholine has better anti-friction and lubrication properties than dipalmitoyl-phosphatidylcholine. Unsaturated phosphatidylcholine-based SAPL pharmaceutical products should be developed and evaluated.

Chromatography, High Pressure Liquid↗

Theoretical investigation of an artificial joint with micro-pocket-covered component and biphasic cartilage on the opposite articulating surface.

This paper presents a theoretical investigation of a geometrically idealized artificial joint with micro-pocket-covered component and biphasic cartilage on the opposite articulating surface. The fluid that exudes from the biphasic cartilage fills and pressurizes the micro-pockets. In this way, a poro-elasto-hydrodynamic regime of lubrication is developed. Assuming that lower friction would result in lower adhesive wear, and neglecting the fatigue as well as the abrasive wear, the proposed bearing system hypothetically could reduce the amount of wear debris. Equations of the linear biphasic theory are applied for the confined and unconfined compression of the cartilage. The fluid pressure and the elastic deformation of the biphasic cartilage are explicitly presented. The effective and equilibrium friction coefficients are obtained for the particular configuration of this bearing system. The micro-pockets geometrical parameters (depth, radius, surface distribution and edge radius) must be established to reduce the local contact stresses, to assure low friction forces and to minimize the biphasic cartilage damage. The influence of the applied pressure, porosity of the micro-pocket-covered component, filling time, cartilage elasticity, permeability and porosity upon the micro-pockets depth is illustrated. Our results are based upon the previously published data for a biphasic cartilage.

Biomimetic Materials↗

Hydrostatic pressurization and depletion of trapped lubricant pool during creep contact of a rippled indenter against a biphasic articular cartilage layer.

This study presents an analysis of the contact of a rippled rigid impermeable indenter against a cartilage layer, which represents a first simulation of the contact of rough cartilage surfaces with lubricant entrapment. Cartilage was modeled with the biphasic theory for hydrated soft tissues, to account for fluid flow into or out of the lubricant pool. The findings of this study demonstrate that under contact creep, the trapped lubricant pool gets depleted within a time period on the order of seconds or minutes as a result of lubricant flow into the articular cartilage. Prior to depletion, hydrostatic fluid load support across the contact interface may be enhanced by the presence of the trapped lubricant pool, depending on the initial geometry of the lubricant pool. According to friction models based on the biphasic nature of the tissue, this enhancement in fluid load support produces a smaller minimum friction coefficient than would otherwise be predicted without a lubricant pool. The results of this study support the hypothesis that trapped lubricant decreases the initial friction coefficient following load application, independently of squeeze-film lubrication effects.

Animals↗

The effect of different calculation methods of flywheel parameters on the Wingate Anaerobic Test.

Researchers compared different methods of calculating kinetic parameters of friction-braked cycle ergometers, and the subsequent effects on calculating power outputs in the Wingate Anaerobic Test (WAnT). Three methods of determining flywheel moment of inertia and frictional torque were investigated, requiring "run-down" tests and segmental geometry. Parameters were used to calculate corrected power outputs from 10 males in a 30-s WAnT against a load related to body mass (0.075 kg.kg-1). Wingate Indices of maximum (5 s) power, work, and fatigue index were also compared. Significant differences were found between uncorrected and corrected power outputs and between correction methods (p < .05). The same finding was evident for all Wingate Indices (p < .05). Results suggest that WAnT must be corrected to give true power outputs and that choosing an appropriate correction calculation is important. Determining flywheel moment of inertia and frictional torque using unloaded run-down tests is recommended.

Acceleration↗

Rolling resistance of articular cartilage due to interstitial fluid flow.

A mechanism which may contribute to the frictional coefficient of diarthrodial joints is the rolling resistance due to hysteretic energy loss of viscoelastic cartilage resulting from interstitial fluid flow. The hypothesis of this study is that rolling resistance contributes significantly to the measured friction coefficient of articular cartilage. Due to the difficulty of testing this hypothesis experimentally, theoretical predictions of the rolling resistance are obtained using the solution for rolling contact of biphasic cylindrical cartilage layers [Ateshian and Wang]. Over a range of rolling velocities, tissue properties and dimensions, it is found that the coefficient of rolling resistance microR varies in magnitude from 10(-6) to 10(-2); thus, it is generally negligible in comparison with experimental measurements of the cartilage friction coefficient (10(-3)-10(-1)) except, possibly, when the tissue is arthritic. Hence, the hypothesis of this study is rejected on the basis of these results.

Cartilage, Articular↗

Investigation on stick phenomena in metal-on-metal hip joints after resting periods.

Insufficient understanding of tribological behaviour in total joint arthroplasty is considered as one of the reasons for prosthesis failure. Contrary to the continuous motion input profiles of hip simulators, human locomotion contains motion interruptions. These occurring resting periods can cause stick phenomena in metal-on-metal hip joints. The aim of the present study was to investigate the tribological sensitivity of all-metal bearings to motion interruptions on in vitro test specimens and retrieved implants. Friction and wear with and without resting periods were quantified. Unlike the metal-on-polyethylene joints, the static friction of metal-on-metal joints increased up to micros = 0.3 with rest, while wear appeared to be unaffected. This effect is caused by the interlocking of firmly adhered carbon layers, which were generated from the protein-containing lubricant through tribochemical reactions. Since more than 80 per cent of the retrieved implants exhibited macroscopically visible carbon layers, the increase in friction presumably also occurs under physiological conditions, which is then transferred to the bone-implant interface. These recurrent tangential stress peaks should be considered for the design features of the cup-bone interface, in particular when larger-sized implant heads are used.

Biocompatible Materials↗

The role of the surface amorphous layer of articular cartilage in joint lubrication.

Articular cartilage is a complex soft tissue that performs multiple functions in the joint. In particular, the amorphous layer that covers the surface of articular cartilage is thought to play some role in lubrication. This study aimed to characterize the surface amorphous layer (SAL) using a variety of techniques, including environmental scanning electron microscopy, transmission electron microscopy, white light interferometry, and biochemical analysis of its composition. Friction tests were conducted to investigate the role of the SAL in lubrication. A protocol to remove successfully the SAL without damaging the underlying cartilage was developed and the material removed from healthy cartilage was found to contain approximately equal quantities of glycosaminoglycan (GAG), protein, and lipid. Cartilage-on-cartilage friction tests were conducted on fresh, healthy cartilage with and without the SAL, under both dynamic and static operating conditions. Removal of the SAL was not found to change the friction coefficient. However, subsequent staining of specimens indicated that the SAL had replenished during the test following loading. The replenished SAL was characterized and found to contain lipids and sulphated GAGs with undetectable protein. This study revealed experimental evidence of surface layer replenishment in articular cartilage. It was postulated that the surface layer regeneration mechanism was purely mechanical and associated with movement of GAGs and lipids through the cartilage matrix during deformation, since the experimental set-up did not contain any means of biochemical activation.

Animals↗

Morpho-tribo-mechanical characteristics of the articular cartilage in animals under conditions of hypokinesis.

The influence of activity upon the structure and properties of articular cartilage has been examined in two populations of fur-bearing animals. Morphological changes in cartilage of the caged animals were noted. Friction was mentioned in a vibrotribometer and it was noted that the caged animals exhibited a lower friction coefficient than the free-moving animals. In both cases the friction initially increased with age, reaching a maximum after about three years. It is concluded that prolonged hypokinesis associated with a cage-breeding regime acts like a mechanical stress factor which stimulates the development of degenerative changes in cartilage.

Aging↗

[Viscoelastic substances as a breaking factor of ocular rotations II: studies with carboxymethylcellulose].

PURPOSE: From a quantitative point of view, to determine if the viscous friction forces could act as possible promoters of ocular stabilization keeping the rotational movements, which would provide the necessary values to be used in the ocular system. METHODS: A mechanical model was created to measure the necessary forces to overcome the friction of an aluminum sphere partially kept in a viscous liquid. Solutions of carboxymethylcellulose from 1.0% to 6.0% (with a variation of 0.5%) were used. Another variant to be considered was the area of contact between the sphere and the viscous liquid. RESULTS: After appropriate corrections and discounts a meaningful force (over 5 gf) was found in the solutions of carboxymethylcellulose at 3.5% or more in the largest contact area (587.8 mm2), in the solutions of carboxymethylcellulose at 4.5% or more in the intermediate area (335.9 mm2), in the solutions of carboxymethylcellulose at 5.5% and 6.0% in the smallest area (167.9 mm2). CONCLUSION: Some of the viscous liquids tested are apparently able to ensure enough friction force for ocular stabilization, specially the solutions of carboxymethylcellulose at 5.5% and 6.0% which provided good results in the smallest contact area.

Carboxymethylcellulose Sodium↗

Optimisation of sprinting performance in running, cycling and speed skating.

Sprinting performances rely strongly on a fast acceleration at the start of a sprint and on the capacity to maintain a high velocity in the phase following the start. Simulations based on a model developed in which the generation of metabolic power is related to the mechanical destinations of power showed that for short-lasting sprinting events, the best pacing strategy is an all out effort, even if this strategy causes a strong reduction of the velocity at the end of the race. Even pacing strategies should only be used in exercises lasting longer than 80 to 100 seconds. Sprint runners, speed skaters and cyclists need a large rate of breakdown of energy rich phosphates in the first 4 to 5 seconds of the race (mechanical equivalent > 20 W/kg) in order to accelerate their body, and a power output of more than 10 W/kg in the phase following the start to maintain a high velocity. Maximal speed in running is mainly limited by the necessity to rotate the legs forwards and backwards relative to the hip joint. The acceleration phase, however, relies on powerful extensions of all leg joints. Through a comparison of the hindlimb design of highly specialised animal sprinters (as can be found among predators) and of long distance animal runners (as found among hoofed animals), it is illustrated that these 2 phases of a sprint rely on conflicting requirements: improvement of maximal speed would require lower moments of inertia of the legs whereas a faster acceleration would require the involvement of more muscle mass (not only of the hip and knee extensors but also of the plantar flexors). Maximal speed in cycling and speed skating is not limited by the necessity to move leg segments but rather on air friction and rolling or ice friction. Since the drag coefficients found for speed skaters and cyclists (about 0.8) are considerably higher than those of more streamlined bodies, much progress can still be expected from the reduction of air friction. Speed skaters and especially cyclists show much smaller accelerations during the start than do sprint runners. Skaters might try to improve their very first push off by developing a start technique that allows a much more horizontally directed propulsive force. The small propulsive force at the onset of a cycling sprint is due to the gearing system.(ABSTRACT TRUNCATED AT 400 WORDS)

Acceleration↗

[Noncemented total hip arthroplasty: influence of extramedullary parameters on initial implant stability and on bone-implant interface stresses].

PURPOSE OF THE STUDY: After total hip replacement, the initial stability of the cementless femoral stem is a prerequisite for ensuring bone ingrowth and therefore long term fixation of the stem. For custom made implants, long term success of the replacement has been associated with reconstruction of the offset, antero/retro version of the neck orientation and its varus/valgus orientation angle. The goals of this study were to analyze the effects of the extra-medullary parameters on the stability of a noncemented stem after a total hip replacement, and to evaluate the change of stress transfer. MATERIAL AND METHODS: The geometry of a femur was reconstructed from CT-scanner data to obtain a three-dimensional model with distribution of bone density. The intra-medullary shape of the stem was based on the CT-scanner. Seven extra-medullary stem designs were compared: 1) Anatomical case based on the reconstruction of the femoral head position from the CT data; 2) Retroverted case of - 15 degrees with respect to the anatomical reconstruction; 3) Anteverted case with an excessive anteversion angle of + 15 degrees with respect to the anatomical case; 4) Medial case: shortened femoral neck length (- 10 mm) inducing a medial shift of the femoral head offset; 5) Lateral case: elongated femoral neck length (+ 10 mm) inducing lateral shift of the femoral head offset 6) Varus case with CCD angle 127 degrees; 7) Valgus case with CCD angle 143 degrees. The plasma sprayed stem surface was modeled with a frictional contact between bone and implant (friction coefficient: 0.6). The loading condition corresponding to the single limb stance phase during the gait cycle was used for all cases. Applied loads included major muscular forces (gluteus maximus, gluteus medius, psoas). RESULTS: Micromotions (debonding and slipping) of the stems relative to the femur and interfacial stresses (pressure and friction) were different according to the extra-medullary parameters. However, the locations of peak stresses and micromotions were not modified. The highest micromotions and stresses corresponded to the lateral situation and to the anteverted case (micro-slipping and pressure were increased up to 35 p.100). High peak pressure was observed for all designs, ranging from anatomical case (34 MPa) to anteverted case (44 MPa). The peak stresses and micromotions were minimal for the anatomical case. The maximal micro-debonding was not significantly modified by the extra-medullary design of the femoral stem. DISCUSSION: The extra-medullary stem design has been shown to affect the primary stability of implant and the stress transfer after THR. Most interfacial regions present small micro-slipping which normally allows the occurrence of bone ingrowth. The anatomical design presents the lowest micromotions and the lowest interfacial stresses. The worst cases correspond to the anteverted and lateralized cases. Probably, the anteverted situation involves higher torsion torque, which in turn may induce high torsion shear micromotions and higher stress at the interface. Moreover, the lever arm of the weight bearing force on the femoral head is augmented for the augmented neck length situation. This increases the bending moment, and therefore may increase the stresses as well as the stem shear micromotions. In summary, the present results could be taken as biomechanical arguments for the requirement of anatomical reconstruction of not only the intra-medullary shape but also the extra-medullary parameters (reconstruction of the normal hip biomechanics).

Arthroplasty, Replacement, Hip↗

Electrophoretic mobility of human red blood cells coated with poly(ethylene glycol).

Poly(ethylene glycol), abbreviated as PEG, was covalently attached to the surface of human red blood cells (RBC) and the effects of such coating on the regions near the cell's glycocalyx were explored by means of cell electrophoresis. RBC electrophoretic mobilities were measured, in polymer-free buffers of various ionic strengths, as functions of PEG molecular mass (3.35, 18.5, 35.0, 35.9 kDa), geometry, (linear or 8-arm branched) and polymer/RBC ratio during attachment. The results indicate marked decreases of the mobility (up to 85%) which were affected by polymer molecular mass and geometry. Since PEG is neutral and its covalent attachment only removes positively-charged amino groups on the cell membrane, such decreases of mobility likely reflect structural changes near and within the RBC glycocalyx. Experimental results were analyzed using an extended "hairy sphere" model to consider friction and thickness of the polymer layer. Calculated polymer layer thickness increased with molecular mass for linear PEGs and was less extended for a branched PEG of similar molecular mass. Friction within the polymer layer increased with polymer/RBC ratio and for the linear PEGs was inversely related to molecular mass; friction was greatest for the branched PEG. Our results are consistent with the effects of attached PEGs on RBC aggregation and surface antigenic site masking, and suggest the usefulness of electrophoretic mobility techniques for studies of bound neutral polymers.

Electrophoretic Mobility Shift Assay↗

Mechanical constraints on Nordic ski performance.

Skiers, coaches, and sports scientists must work within mechanical constraints to improve performance. If Nordic skiing is to be improved by mechanical means, it will be achieved by affecting one or more of the major constraints: gravity, mass, friction, aerodynamic or hydrodynamic lift and drag, and centripetal force. For example, the skier who assumes a tucked position, drafts a competitor, and wears a drag-reducing hood and body suit is reducing aerodynamic constraints. Sliding friction may also be reduced by using specially prepared skis and by selecting skis appropriate for the snow characteristics of the race course. Skin friction hydrodynamic drag may also be affected by ski selection and by special base preparations. Gravity and mass constraints are diminished by using lightweight components, by carrying them in the least costly way, and by minimizing swing weight. The toppling effect of centripetal forces is addressed by leaning into turns. All of these examples address mechanical constraints in a way that reduces physical power requirements, and thus decrease the metabolic power required to ski at a given speed, as well as increasing the maximal speed attainable.

Biomechanical Phenomena↗

[Detection of metals in human tissues by spectrum analysis].

Potentialities of spectrography experts were demonstrated to be helpful to the employees of patient-care facilities (expertise and research institutions) in solving a variety of burning issues by joint effort. Tissue samplings, hairs and daily urine were comparatively analyzed, by the example of using the low-friction hip arthroplasty by comochrome friction Protasu-21WF, for the content of microelements (ME) belonging to the hip endoprosthesis. We found that MEs (Co, Cr, Mo) are mostly discharged during the first year of endoprosthesis utilization, after which, a regular reduction of concentrations was noted. No exceeding norms were registered in any cases, which denotes a minimal wear of the friction pair.

Alloys↗

[An investigation on dental bio-tribological characteristics of prosthesis made of titanium material].

OBJECTIVE: This study aimed at investigating bio-tribological property of titanium opposite to teeth as a base of clinical application. METHODS: Under a modified fretting machine, wear tests on human natural teeth were carried out in artificial saliva conditions against to pure titanium. The dynamic frictional process and wear mechanisms were investigated by means of Nene-2, MVK-H12, TALYSURF6, OM, LSM, SEM, EDX. RESULTS: The coefficient of friction exhibited a variation pattern of longs. The wear mechanism of natural tooth was detected as micro-cut and denaturation of dental texture and the wear depth of Ti/teeth was 20.33 + 2.86 microm, the wear depth of Ti/Ti being 38.00 + 5.88 microm (P < 0.05). CONCLUSIONS: The natural tooth has a good tribological behavior, matching the friction behavior of pure titanium. Over occlusal force during masticate process and para-function should be avoided. When we chose dental materials, wear resistance should be taken into account.

Dental Materials↗

The statics of cervical traction.

The statics of a sliding body was used to study the distribution of forces during the application of cervical traction in supine patients. This theoretical analysis was completed using a dynamometer to determine the static friction between bed surface and patient head. Therefore, we measured the head weight in 12 inpatients and the minimum force that causes impending motion of the head on the bed surface. The static friction coefficient was calculated from the ratio of the two quantities. The forces acting on the cervical spine were determined by inserting the former data into a specifically designed algorithm that forecasted a progressively increasing traction angle. The coefficient of static friction was 0.62, whereas the maximum available force acting on the cervical spine was obtained with a 35 degrees traction inclination. In contrast, the forces dissipated by the plane progressively decreased with larger angles.

Aged↗

Effect of plasma treatment on tribological properties of synthetic ligaments.

The objective of this study was to determine the optimal experimental conditions for plasma treatment of polyester ligaments. Two different surface modification techniques were used: tetrafluoroethylene and methane. Gas flow rate, pressure, power, and treatment period giving a thin film with low friction coefficient and low surface energy was determined. Control and plasma treated surfaces were characterized by X-ray photoelectron spectroscopy to investigate the functionalization of the treated surfaces in detail. The surface tension of control and plasma treated surfaces were determined from contact angle measurements to understand the adhesion and reactivity of films with aqueous medium. The results showed a decrease in friction coefficient from 0.45 to 0.28 and from 0.45 to 0.26 for thin films deposited respectively by tetrafluoroethylene (TFE) and methane (CH4) plasma. Contact angles increased from 63 degrees to 120 degrees for TFE plasma and from 63 degrees to 93 degrees for CH4 plasma. Large contact angles mean a weak affinity between molecules in water/material phase, so that the power to attract cells to the surface of the material is too weak. The results showed that optimal film, i.e., low static friction coefficient and large contact angle, can be obtained by a CH4 plasma treatment at high power RF. For TFE plasma treatments, a low power RF is needed to obtain a thin film with a stable chemical structure.

Adhesiveness↗

Viscoelastic properties of single poly(ethylene glycol) molecules.

The viscoelastic properties of single poly(ethylene glycol) (PEG) molecules were measured by analysis of thermally and magnetically driven oscillations of an atomic force microscope (AFM) cantilever/molecule system. The molecular and monomer stiffness and friction of the PEG polymer were derived using a simple harmonic oscillator (SHO) model. Excellent agreement between the values of these two parameters obtained by the two approaches indicates the validity of the SHO model under the experimental regimes and the excellent reproducibility of the techniques. A sharp minimum in the monomeric friction is seen at around 180 pN applied force which we propose is due to a force induced change in the shape of the energy landscape describing the conformational transition of PEG from a helical to a planar state, which in turn affects the timescale of the transition and therefore modifies the measured internal friction. A knowledge of the viscoelastic response of PEG monomers is particularly important since PEG is widely used as a linker molecule for tethering groups of interest to the AFM tip in force spectroscopy experiments, and we show here that care must be exercised because of the force-dependent viscoelastic properties of these linkers.

Biophysics↗