Frictional behavior between bone and additively manufactured Ti6Al4V implants is affected by bone density and surface texture under varying loads.

Introduction There is an increasing trend towards cementless orthopedic implants, especially for younger patients, considering their great advantages over the cemented ones, such as reduced risk of aseptic loosening, enhanced surgical efficiency, and lower rate of complications associated with cement wear and failure 1 , 2 .

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