A multi-directional wear apparatus was developed to simulate the kinematic motion of diarthrodial joints. A comprehensive evaluation including biotribological and biomechanical characterization of articular surfaces was performed with concomitant translational and oscillating rotational motion similar to that experienced in vivo. Various system parameters were evaluated in the designed experiments including normal load magnitude (high/low), surface quality (defect/no defect), and wear pattern (with/without rotation). Biomechanical characterization was achieved through stress relaxation and dynamic cyclical testing. Quasi-linear viscoelastic theory was used to curve-fit the stress relaxation data, while the dynamic data was used to determine the dynamic properties through Fast Fourier Transform analysis and verify the assumptions posed with the QLV theory.Overall tissue compression was significantly dependent on load magnitude (pstatic was significantly dependent on surface quality (pinitial was significantly dependent on both surface quality (pComparisons of the curve-fit parameters showed a significant decrease in pre- vs post-wear elastic response, A, and viscous response, c. In addition, the short term relaxation response, τ1, showed a significant decrease between no defect (0.801 ± 0.13 sec) and a defect (0.679 ± 0.16 sec). lGlpost-wear/lGlpre-wear tan δ , was generally greater while lGl was less for those specimens experiencing rotation Qualitatively, SEM photographs revealed the mechanical degradation of the tissue surface due to wear. Surfaces with a defect had increased wear debris, which ultimately contributes to third body wear. Surfaces without a defect had preferentially aligned abrasions, while those surfaces outside the wear path showed no signs of wear.Significant correlation was detected between the μstatic and μinitial for both the nonliner viscous response, B (p2 (p<0.013 and p<0.062). Thus, the comprehensive evaluation of biomechanical and biotribological characteristics suggests the new wear regime and standardization of analysis techniques will aid in the development of functional articular repair and clinical repair techniques.

Afin d’améliorer l’efficacité des traitements des pathologies articulaires, en tenant compte de leur complexité et de leur ampleur, des études récentes ont mis en évidence le rôle des assemblages lipidiques associés à la structure discontinue du fluide synovial dans le contrôle du fonctionnement tribologique articulaire. Ceci à conduit à la mise au point d’un modèle tribologique ex vivo (thèse AM Sfarghiu, 2006), proposant un « motif élémentaire » de la biolubrification articulaire, constitué de l’empilement d’interfaces phospholipidiques et de couches aqueuses. En utilisant ce modèle, l’objectif de ce travail a été d’étudier l’évolution des interfaces phospholipidiques du fluide synovial en présence de pathologies. Pour ce faire, une méthodologie nano-bio-tribologique alliant des analyses biochimiques, physicochimiques, nano-mécaniques et tribologiques a été utilisée. Les résultats de ces analyses montrent : l’influence de la faible rugosité des surfaces frottantes caractérisant les stades précoces des pathologies et celle des propriétés des interfaces phospholipidiques (liées à la variation de leur composition) sur la résistance mécanique, l’évolution au cours du frottement et la dégradation in situ des assemblages lipidiques des fluides synoviaux pathologiques. Le comportement des assemblages lipidiques est accentué par l’action des enzymes associées aux pathologies. Par conséquent, le fonctionnement articulaire dépend de la résistance mécanique des interfaces phospholipidiques et pour obtenir des coefficients de frottement très bas, l’accommodation de vitesse doit s’effectuer au niveau des couches d’hydratation qui entourent les ions présents dans la couche aqueuse. Ces résultats permettront de comprendre à court terme l’évolution des interfaces phospholipidiques dans les pathologies articulaires et, à plus long terme le bon enchaînement cause/conséquence responsable d’une pathologie articulaire afin de développer des traitements plus efficaces, ciblés et non prothétiques. / In order to improve the effectiveness of joint diseases’ treatments, given their complexity and magnitude, recent studies have highlighted the role of lipid assemblies associated with the discontinuous structure of the synovial fluid (SF) in the tribological performance of joint operation. Thus, an ex vivo tribological model (AM Sfarghiu, PhD thesis, 2006) providing a "basic pattern" for joint biolubrification was developed. It consists of the stack of phospholipidic interfaces and aqueous layers. Using this model, the objective of this work was to study the evolution of phospholipidic interfaces of SF within pathological state. Therefore, a nano-bio-tribological methodology combining biochemical, physicochemical, nano-mechanical and tribological analysis was used. The results of these analyses show: the influence of even small rubbing surfaces’ roughness characteristics of early stage illness and that of phospholipidic interfaces’ properties (related to their composition change) on the mechanical strength, changes in friction and in situ degradation of lipidic assemblies of pathological SF. The tribological operation is highlighted by enzymes’ associated with diseases. Thus, joint operation depends on the mechanical strength of phospholipidic interfaces and to obtain very low friction coefficients, velocity accommodation must be done at the level of hydration layers surrounding ions in the aqueous solution. These results would therefore allow better understanding of the evolution of phospholipidic interfaces in joint diseases and of the proper cause/consequence sequence responsible for a joint disease in order to develop more effective, targeted and non prosthetic treatments.