Ti based biomaterials, the ultimate choice for orthopaedic implants – A review
TL;DR: In this paper, the influence of alloy chemistry, thermomechanical processing and surface condition on these properties is discussed and various surface modification techniques to achieve superior biocompatibility, higher wear and corrosion resistance.
About: This article is published in Progress in Materials Science.The article was published on 2009-05-01. It has received 4113 citations till now. The article focuses on the topics: Biomaterial.
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TL;DR: In this paper, the complexity and variety of fundamental phenomena in this material system with a focus on phase transformations and mechanical behaviour are discussed. And the challenges that lie ahead in achieving these goals are delineated.
1,797 citations
TL;DR: In this article, the most critical challenges for metallic implant biomaterials are summarized, with emphasis on the most promising approaches and strategies, and the properties that affect biocompatibility and mechanical integrity are discussed in detail.
Abstract: Human tissue is structured mainly of self-assembled polymers (proteins) and ceramics (bone minerals), with metals present as trace elements with molecular scale functions. However, metals and their alloys have played a predominant role as structural biomaterials in reconstructive surgery, especially orthopedics, with more recent uses in non-osseous tissues, such as blood vessels. With the successful routine use of a large variety of metal implants clinically, issues associated with long-term maintenance of implant integrity have also emerged. This review focuses on metallic implant biomaterials, identifying and discussing critical issues in their clinical applications, including the systemic toxicity of released metal ions due to corrosion, fatigue failure of structural components due to repeated loading, and wearing of joint replacements due to movement. This is followed by detailed reviews on specific metallic biomaterials made from stainless steels, alloys of cobalt, titanium and magnesium, as well as shape memory alloys of nickel–titanium, silver, tantalum and zirconium. For each, the properties that affect biocompatibility and mechanical integrity (especially corrosion fatigue) are discussed in detail. Finally, the most critical challenges for metallic implant biomaterials are summarized, with emphasis on the most promising approaches and strategies.
1,575 citations
TL;DR: Various attempts to improve upon these properties like different processing routes, surface modifications have been inculcated in the paper to provide an insight into the extent of research and effort that has been put into developing a highly superior titanium orthopaedic implant.
711 citations
TL;DR: Efforts have been made to reveal the latest scenario of bulk and porous Ti-based materials for biomedical applications, emphasizing their current status, future opportunities and obstacles for expanded applications.
Abstract: Ti-based alloys are finding ever-increasing applications in biomaterials due to their excellent mechanical, physical and biological performance. Nowdays, low modulus β-type Ti-based alloys are still being developed. Meanwhile, porous Ti-based alloys are being developed as an alternative orthopedic implant material, as they can provide good biological fixation through bone tissue ingrowth into the porous network. This paper focuses on recent developments of biomedical Ti-based alloys. It can be divided into four main sections. The first section focuses on the fundamental requirements titanium biomaterial should fulfill and its market and application prospects. This section is followed by discussing basic phases, alloying elements and mechanical properties of low modulus β-type Ti-based alloys. Thermal treatment, grain size, texture and properties in Ti-based alloys and their limitations are dicussed in the third section. Finally, the fourth section reviews the influence of microstructural configurations on mechanical properties of porous Ti-based alloys and all known methods for fabricating porous Ti-based alloys. This section also reviews prospects and challenges of porous Ti-based alloys, emphasizing their current status, future opportunities and obstacles for expanded applications. Overall, efforts have been made to reveal the latest scenario of bulk and porous Ti-based materials for biomedical applications.
696 citations
Cites background or methods from "Ti based biomaterials, the ultimate..."
...[61] have shown that the cell viability of Ti-29Nb-13Ta-4....
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...The elastic modulus and compressive strength of human cortical bone and cancellus bone are approximately 4–30 GPa [61] and 20–193 MPa [62], 0....
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...07)O[61] β ST/WQ + aging 530 – β phase with average grain...
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...The Ti-Nb-based alloys are attracting more researchers to study due to their low modulus, good biocompatibility and shape memory effect [61]....
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...Surface modification techniques such as physical deposition methods like ion implantation and plasma spray coating, and thermo chemical surface treatments such as nitriding, carburization and boriding have been used to improve the surface hardness of Ti-based alloys [61]....
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TL;DR: A universal biomineralization route, called polydopamine‐assisted hydroxyapatite formation (pHAF), that can be applied to virtually any type and morphology of scaffold materials is demonstrated and can be an innovative foundation for future tissue engineering.
Abstract: Bone tissue is a complex biocomposite material with a variety of organic (e.g., proteins, cells) and inorganic (e.g., hydroxyapatite crystals) components hierarchically organized with nano/microscale precision. Based on the understanding of such hierarchical organization of bone tissue and its unique mechanical properties, efforts are being made to mimic these organic–inorganic hybrid biocomposites. A key factor for the successful designing of complex, hybrid biomaterials is the facilitation and control of adhesion at the interfaces, as many current synthetic biomaterials are inert, lacking interfacial bioactivity. In this regard, researchers have focused on controlling the interface by surface modifications, but the development of a simple, unified way to biofunctionalize diverse organic and inorganic materials remains a critical challenge. Here, a universal biomineralization route, called polydopamine-assisted hydroxyapatite formation (pHAF), that can be applied to virtually any type and morphology of scaffold materials is demonstrated. Inspired by the adhesion mechanism of mussels, the pHAF method can readily integrate hydroxyapatites on ceramics, noble metals, semiconductors, and synthetic polymers, irrespective of their size and morphology (e.g., porosity and shape). Surface-anchored catecholamine moieties in polydopamine enriches the interface with calcium ions, facilitating the formation of hydroxyapatite crystals that are aligned to the c-axes, parallel to the polydopamine layer as observed in natural hydroxyapatites in mineralized tissues. This universal surface biomineralization can be an innovative foundation for future tissue engineering.
672 citations
References
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TL;DR: In this article, the main metallic biomaterials are stainless steels, Co-based alloys, and titanium and its alloys and they are used for replacing failed hard tissue.
Abstract: Metallic biomaterials are mainly used for replacing failed hard tissue. The main metallic biomaterials are stainless steels, Co-based alloys, and titanium and its alloys. Recently, titanium alloys are getting much attention for biomaterials. The various kinds of new high strength α+β and low-modulus β-type titanium alloys composed of nontoxic elements, such as Nb, Ta, Zr, etc., are developed for biomedical applications because of the toxicity of alloying elements and lack of mechanical biocompatibility of conventional titanium alloys, such as Ti-6Al-4V. Recent research and development in other metallic alloys, such as stainless steels and Co-based alloys, also will be discussed.
1,215 citations
TL;DR: The aim of this paper is to review and analyze the current knowledge on ageing process and on its effect on the long term performance of implants in order to distinguish between scientific facts and speculation.
1,024 citations
TL;DR: The present chemical surface modification is expected to allow the use the bioactive Ti and its alloys as artificial bones even under load-bearing conditions.
Abstract: A simple chemical method was established for inducing bioactivity of Ti and its alloys. When pure Ti, Ti-6A1-4V, Ti-6A1-2Nb-Ta, and Ti-15Mo-5Zr-3A1 substrates were treated with 10M NaOH aqueous solution and subsequently heat-treated at 600 degrees C, a thin sodium titanate layer was formed on their surfaces. Thus, treated substrates formed a dense and uniform bonelike apatite layer on their surfaces in simulated body fluid (SBF) with ion concentrations nearly equal to those of human blood plasma. This indicates that the alkali- and heat-treated metals bond to living bone through the bonelike apatite layer formed on their surfaces in the body. The apatite formation on the surfaces of Ti and its alloys was assumed to be induced by a hydrated titania which was formed by an ion exchange of the alkali ion in the alkali titanate layer and the hydronium ion in SBF. The resultant surface structure changed gradually from the outermost apatite layer to the inner Ti and its alloys through a hydrated titania and titanium oxide layers. This provides not only the strong bonding of the apatite layer to the substrates but also a uniform gradient of stress transfer from bone to the implants. The present chemical surface modification is therefore expected to allow the use the bioactive Ti and its alloys as artificial bones even under load-bearing conditions.
960 citations
TL;DR: High-fired calcium aluminate samples in the form of quarter-inch diameter cylindrical pellets containing interconnecting porous networks were implanted in vivo into canine femurs for 4, 11, and 22-week periods, showing the ceramic samples to be bound lightly by natural bone and gave no detectable signs of tissue incompatibility.
Abstract: The feasibility of the use of porous ceramic materials in the permanent repair of skeletal defects was studied from the standpoint of physiological compatibility and in growth of natural bone. High-fired calcium aluminate samples in the form of quarter-inch diameter cylindrical pellets containing interconnecting porous networks were implanted in vivo into canine femurs for 4-, 11-, and 22-week periods. The implants had 65% porosity with pore size falling within one of five distinct ranges from less than 45 μ to about 200 μ in diameter.
Thin sections were prepared by grinding (poly) methyl methacrylate-mounted cross sections of the femurs containing the implanted ceramic samples and adjacent soft tissues. Tissue-prosthetic compatibility was determined using standard histological thin section procedures, electron microbeam probe examinations, autoradiographic techniques, microfadiographic techniques, microchemistry techniques, and ultra-violet fluorescent techniques. Optical microscopic evaluations of each section showed the ceramic samples to be bound lightly by natural bone and gave no detectable signs of tissue incompatibility. Minimum pore size for significant ingrowth of natural bone was indicated to be between 75 and 100 μ.
955 citations
TL;DR: An overview of titanium alloy use for medical devices, their current status, future opportunities and obstacles for expanded application is provided in this article, which is divided into three main sections, the first discussing recent efforts focused on commercial purity titanium.
913 citations