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After the interface debonding, the body protein fluid is subsequently pumped into stem-cement fretting wear interface, serving as the lubricant. On the stem surface, whether there is the influence of protein absorption on fretting wear or not is considered in this study. The biotribological properties at the stem-cement interface were investigated by SEM. The result of hysteresis loops shows that elasticity and plasticity performance of the frictional interface materials can be damaged by fretting fatigue and material energy dissipation will increase periodically. The wear quantity of cement is mainly influenced by load and displacement. The maximum wear loss of bone cement could reach 1.997 mg. Bone cement and titanium alloy wear debris, whose size distributions are widely spread from 1 to 110 m and 5 to 150 m, respectively, are shaped like tuber, tear, sheet, strip, and sphere, which will induce the osteocyte damage.

Although cemented titanium alloy is not favored currently in the Western world for its poor clinical and radiography outcomes, its lower modulus of elasticity and good biocompatibility are instrumental for its ability supporting and transforming physical load, and it is more suitable for usage in Chinese and Japanese populations due to their lower body weights and unique femoral characteristics. Through various friction tests of different cycles, loads and conditions and by examining fretting hysteresis loops, fatigue process curves and wear surfaces, the current study investigated fretting wear characteristics and wear mechanism of titanium alloy stem-bone cement interface. It was found that the combination of loads and displacement affected the wear quantity. Friction coefficient, which was in an inverse relationship to load under the same amplitude, was proportional to amplitudes under the same load. Additionally, calf serum was found to both lubricate and erode the wear interface. Moreover, cement fatigue contact areas appeared black/oxidative in dry and gruel in 25% calf serum. Fatigue scratches were detected within contact areas, and wear scars were found on cement and titanium surfaces, which were concave-shaped and ring concave/ convex-shaped, respectively. The coupling of thermoplastic effect and minimal torque damage has been proposed to be the major reason of contact damage. These data will be important for further studies analyzing metal-cement interface failure performance and solving interface friction and wear debris production issues.

Functional models of the stem-bone cement interfacial debonding failure are developed to analyze the relevant mechanism. The different locational titanium alloy stress, and the interfacial bond stress and the relative slides are evaluated to acquire a guide of the different positions of interfacial damage. The coupling effect which is original from the pressure arch and the interfacial shear hysteresis cumulative effect has influence on the interfacial debonding and damage process.