Based on outer raceway control theory and considering the effects of elastic deformation, centrifugal force, and gyroscopic moment between the rolling elements and raceways, a geometric and force analysis of angular contact ball bearings is conducted. A five-degree-of-freedom theoretical model capable of accounting for the combined action of radial force and moment is established. The accuracy of the model is verified through numerical calculations and experimental results from existing literature. Upon validation of the theoretical model, a modified Archard model is employed to develop a wear volume model for the bearing raceways. The influence of both single and combined loads on sliding wear in the bearing raceways is systematically analyzed.