In healthy natural synovial joints, the extremely low friction and minimum wear are maintained by their superior load-carrying capacity and lubricating ability. This superior lubricating performance appears to be actualized not by single lubrication mode but by synergistic combination of multimode mechanisms such as fluid film, biphasic, hydration, gel film and/or boundary lubrication. On the contrary, in most artificial joints composed of ultra-high molecular weight polyethylene against metal or ceramic-mating material, boundary and/or mixed lubrication modes prevail and thus local direct contact brings down high friction and high-wear problems. To extend the durability of artificial joint, the reduction in friction and wear by improvement in lubrication mechanism is required as an effective design solution. In this paper, at the start, the mechanism of superior lubricity for articular cartilage is examined from the viewpoints of biphasic and boundary lubrication mechanism. Subsequently, the proposal of biomimetic artificial hydrogel cartilage is put forward to improve the lubricating modes in artificial joints. The tribological behaviours in two kinds of poly(vinyl alcohol) hydrogels are compared with that of natural cartilage. The importance in lubrication mechanism in artificial hydrogel cartilage is discussed.
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