Osteoarthritis

Tribological impact of synovial fluid alterations in osteoarthritis: Correlation analyses between cartilage friction and synovial fluid properties

Osteoarthritis CartilagePublished Mechanistic study

Authors' conclusion

The impact of SF alterations on AC friction depends on the tissue's degeneration severity.

Study context

Population
Patients undergoing knee replacement surgery; cartilage samples lubricated with patient-specific synovial fluid
Participants
12 patients
Comparison
Mild vs Advanced
Outcome
Correlations between cartilage friction and synovial fluid viscosity and biochemical composition
Methodological detailsex vivo friction tests under simulated gait conditions, Spearman correlation analyses
  • Ex vivo friction tests under simulated gait conditions
  • Spearman correlation analyses

Main finding

As reported in the abstract

Correlations of cartilage friction with synovial fluid properties
Mild
Spearman ρ, µendStance vs proteoglycan 4 concentration −0.9 (95% CI −1.0 to −0.8); P < 0.01
Mild
Spearman ρ, µendSwing vs proteoglycan 4 concentration −0.7 (95% CI −0.9 to −0.3); P = 0.01
Advanced · reported as significant positive correlation
Spearman ρ, µendSwing vs viscosity η0.01(25 °C) −0.7 (95% CI −0.9 to −0.2); P = 0.01
Advanced · reported as significant positive correlation
Spearman ρ, µendSwing vs viscosity η1000(25 °C) −0.8 (95% CI −0.9 to −0.4); P = < 0.01

Original publication

Tribological impact of synovial fluid alterations in osteoarthritis: Correlation analyses between cartilage friction and synovial fluid properties. Osteoarthritis Cartilage. Published 7 November 2025. doi:10.1016/j.joca.2025.11.002

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