Design and preparation of Ti-xFe antibacterial titanium alloys based on micro-area potential difference.

Fe was selected as an alloying element for the first time to prepare a new antibacterial titanium alloy based on micro-area potential difference (MAPD) antibacterial mechanism. The microstructure, the corrosion resistance, the mechanical properties, the antibacterial properties and the cell biocompatibility have been investigated in detail by optical microscopy, scanning electron microscopy, electrochemical testing, mechanical property test, plate count method and cell toxicity measurement. It was demonstrated that heat treatment had a significant on the compressive mechanical properties and the antibacterial properties. Ti-xFe (x = 3,5 and 9) alloys after 850 °C/3 h + 550 °C/62 h heat treatment exhibited strong antimicrobial properties with an antibacterial rate of more than 90% due to the MAPD caused by the redistribution of Fe element during the aging process. In addition, the Fe content and the heat treatment process had a significant influence on the mechanical properties of Ti-xFe alloy but had nearly no effect on the corrosion resistance. All Ti-xFe alloys showed non-toxicity to the MC3T3 cell line in comparison with cp-Ti, indicating that the microzone potential difference had no adverse effect on the corrosion resistance, cell proliferation, adhesion, and spreading. Strong antibacterial properties, good cell compatibility and good corrosion resistance demonstrated that Ti-xFe alloy might be a candidate titanium alloy for medical applications.

Titanium alloys with varying surface micro-area potential differences have antibacterial abilities and a favorable cellular response.

OBJECTIVES: Surface micro-area potential difference (MAPD) can achieve bacteriostatic performance independent of metal ion dissolution. To study the influence of MAPD on antibacterial properties and the cellular response, Ti-Ag alloys with different surface potentials were designed and prepared by changing the preparation and heat treatment processes. MATERIALS AND METHODS: Ti-Ag alloys (T4, T6, and S) were prepared by vacuum arc smelting, water quenching, and sintering. Cp-Ti was set as a control group in this work. The microstructures and surface potential distributions of the Ti-Ag alloys were analyzed by SEM and energy dispersive spectrometry. Plate counting and live/dead staining methods were used to evaluate the antibacterial properties of the alloys, and the mitochondrial function, ATP levels, and apoptosis were assessed in MC3T3-E1 cells to analyze the cellular response. RESULTS: Due to the formation of the Ti-Ag intermetallic phase in the Ti-Ag alloys, Ti-Ag (T4) without the Ti-Ag phase had the lowest MAPD, Ti-Ag (T6) with a fine Ti2Ag phase had a moderate MAPD, and Ti-Ag (S) with a Ti-Ag intermetallic phase had the highest MAPD. The primary results demonstrated that the Ti-Ag samples with different MAPDs exhibited different bacteriostatic effects, ROS expression levels, and apoptosis-related protein expression levels in cells. The alloy with a high MAPD exhibited a strong antibacterial effect. A moderate MAPD stimulated cellular antioxidant regulation (GSH/GSSG) and downregulated the expression of intracellular ROS. MAPD could also promote the transformation of the inactive mitochondria to biologically active mitochondria by increasing the ΔΨm and reducing apoptosis. CONCLUSION: The results here indicated that moderate MAPD not only had bacteriostatic effects but also promoted mitochondrial function and inhibited cell apoptosis, which provides a new strategy to improve the surface bioactivity of titanium alloys and a new idea for titanium alloy design. CLINICAL RELEVANCE: There are some limitations of the mechanism of MAPD. However, researchers will become increasingly aware of the advantages and disadvantages of MAPD and MAPD might provide an affordable solution of peri-implantitis.

Feasibility study on Ti-15Mo-7Cu with low elastic modulus and high antibacterial property.

Titanium and titanium alloy with low density, high specific strength, good biological, excellent mechanical compatibility and easy to process have been widely used in the medical materials, but their application in orthopedics and dentistry often face bacterial infection, corrosion failure and stress shielding. In this paper, Ti-15Mo-7Cu (TM-7Cu) alloy was prepared by high vacuum non-consumable electric arc melting furnace and then treated by solution and aging treatment. The microstructure, mechanical properties, antibacterial properties and cytocompatibility were studied by X-ray diffraction, microhardness tester, electrochemical working station, antibacterial test and Live/Dead staining technology. The results have shown that the heat treatment significantly influenced the phase transformation, the precipitation of Ti2Cu phase, the elastic modulus and the antibacterial ability. With the extension of the aging time, the elastic modulus slightly increased and the antibacterial rate obviously increased. TM-7Cu alloy with a low elastic modulus of 83GPa and a high antibacterial rate of > 93% was obtained. TM-7Cu alloy showed no cytotoxicity to MC3T3. It was suggested that TM-7Cu might be a highly competitive medical material.

Effect of heat treatment on the bio-corrosion properties and wear resistance of antibacterial Co-29Cr-6Mo-xCu alloys.

Co-Cr-Mo alloys have been widely used in hip implants due to their good corrosion resistance and good wear resistance. However, complaint is still raising due to infection and inflammation. The addition of Cu has been proven to be an effective way to develop a new kind of Co-based alloy with good antibacterial properties. In this paper, the effect of heat treatment on the corrosion property, the tribology property and the antibacterial property of Cu containing Co-based alloys were investigated in detail. The microstructure observation showed that the as-cast alloys mainly consisted of a dendritic matrix with carbide dispersion at grain boundaries and a fine Cu-rich phase in the matrix and at the carbide/matrix interface. The carbide precipitates and the distribution of Cu phases affected significantly the friction coefficient and wear resistance of Co-xCu alloy. Annealing at 1060 °C/24 h promoted the precipitation of carbide and in turn increased the hardness and wear resistance markedly. Heat treatments, including annealing, solid solution and ageing treatment, enhanced the corrosion resistance of Co-xCu alloy without reduction in antibacterial properties. However, the addition of Cu increased the corrosion resistance and antibacterial properties but reduced the wear resistance especially at high Cu content.

Biocorrosion properties of antibacterial Ti-10Cu sintered alloy in several simulated biological solutions.

Ti-10Cu sintered alloy has shown strong antibacterial properties against S. aureus and E. coli and good cell biocompatibility, which displays potential application in dental application. The corrosion behaviors of the alloy in five different simulated biological solutions have been investigated by electrochemical technology, surface observation, roughness measurement and immersion test. Five different simulated solutions were chosen to simulate oral condition, oral condition with F(-) ion, human body fluids with different pH values and blood system. It has been shown that Ti-10Cu alloy exhibits high corrosion rate in Saliva pH 3.5 solution and Saliva pH 6.8 + 0.2F solution but low corrosion rate in Hank's, Tyrode's and Saliva pH 6.8 solutions. The corrosion rate of Ti-10Cu alloy was in a order of Hank's, Tyrode's, Saliva pH 6.8, Saliva-pH 3.5 and Saliva pH 6.8 + 0.2F from slow to fast. All results indicated acid and F(-) containing conditions prompt the corrosion reaction of Ti-Cu alloy. It was suggested that the Cu ion release in the biological environments, especially in the acid and F(-) containing condition would lead to high antibacterial properties without any cell toxicity, displaying wide potential application of this alloy.

Biocompatibility of antibacterial Ti-Cu sintered alloy: in vivo bone response.

Ti-10Cu sintered alloy has shown very strong in vitro and in vivo antibacterial property and in vitro cell compatibility. In this paper, Ti-10Cu implant (Ti-Cu group) and commercial pure Ti implant (cp-Ti group) were implanted in rabbit femurs to investigate in vivo bone response to the Ti-10Cu alloy. X-ray photo, fluorescent microscopy, routine pathological examination and immunohistochemistry have been used to analyze bone growth, mineral apposition rate (MAR), bone implant contact (BIC), BMP-2 expression and TGF-ß1 expression. In both Ti-Cu and cp-Ti groups, new bone tissue was found at bone/implant interfaces 4 weeks postimplantation and completely filled the interfaces gap bone 12 weeks postimplantation. A significant MOD value in BMP-2 expression was observed at week 1 and week 4 in the Ti-Cu group with lower values of week 2 and 3 in both groups, which indicated strong positive activity. MOD value in TGF-ß1 expression decreased with the extension of implantation. However, no difference can be found in MAR, BIC and TGF-ß1 expression between the two groups at all intervals. It was deduced that Ti-Cu alloy exhibited as good bone response as cp-Ti. The good bone compatibility suggests that Ti-10Cu alloy might have potential application in orthopedic surgery and dental implant.

Immunomodulatory effect of Ti-Cu alloy by surface nanostructure synergistic with Cu2+ release.

The inflammatory response induced by implant/macrophage interaction has been considered to be one of the vital factors in determining the success of implantation. In this study, TiCuNxOy coating with an immunomodulatory strategy was proposed for the first time, using nanostructured TiCuNxOy coating synthesized on Ti-Cu alloy by oxygen and nitrogen plasma-based surface modification. It was found that TiCuNxOy coating inhibited macrophage proliferation but stimulated macrophage preferential activation and presented an elongated morphology due to the surface nanostructure. The most encouraging discovery was that TiCuNxOy coating promoted the initial pro-inflammatory response of macrophages and then accelerated the M1-to-M2 transition of macrophages via a synergistic effect of fast-to-slow Cu2+ release and surface nanostructure, which was considered to contribute to initial infection elimination and tissue healing. As expected, TiCuNxOy coating released desirable Cu2+ and generated a favorable immune response that facilitated HUVEC recruitment to the coating, and accelerated proliferation, VEGF secretion and NO production of HUVECs. On the other hand, it is satisfying that TiCuNxOy coating maintained perfect long-term antibacterial activity (≥99.9%), mainly relying on Cu2O/CuO contact sterilization. These results indicated that TiCuNxOy coating might offer novel insights into the creation of a surface with immunomodulatory effects and long-term bactericidal potential for cardiovascular applications.

A novel Ti-Au alloy with strong antibacterial properties and excellent biocompatibility for biomedical application.

In order to avoid the toxic and side effects on human body of long-term dissolution of metal ions from antibacterial titanium alloys, Au element with non-toxicity and non-side effect was selected as the alloying element to prepare a new Ti-Au alloy with strong antibacterial property. We produced Ti-Au(S) sintered alloy by powder metallurgy and Ti-Au ingot alloy by ingot metallurgy, and investigated the influence of the secondary phase on the relative antimicrobial properties and antibacterial mechanism in this work. The results indicated that the aged Ti-Au(T6) alloy and Ti-Au(S) sintered alloy exhibited strong antibacterial rate against S. aureus due to the formation of Ti3Au phases. In vitro cell culture (MC3T3 cells) experiments showed that Ti-Au alloys had good cytocompatibility and osteogenic properties. The following viewpoints of antibacterial mechanism are that the Ti3Au destroyed the ROS homeostasis of bacteria, causing oxidative stress in bacterial cells and preventing from the biofilms formation.

A high-hydrophilic Cu2O-TiO2/Ti2O3/TiO coating on Ti-5Cu alloy: Perfect antibacterial property and rapid endothelialization potential.

In order to make novel antibacterial Ti-Cu alloy more suitable for cardiovascular implant application, a Cu-containing oxide coating was manufactured on Ti-Cu alloy by plasma-enhanced oxidation deposition in plasma enhanced chemical vapor deposition (PECVD) equipment to further improve the antibacterial ability and the surface bioactivity. The results of X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM) and water contact angle indicated that a sustainably high-hydrophilic Cu2O-TiO2/Ti2O3/TiO coating with nano-morphology on Ti-5Cu was successfully constructed. The corrosion performance results showed that the coating enhanced the corrosion resistance while releasing more Cu2+, compared with Ti-5Cu. Antibacterial tests confirmed the perfect antibacterial property of the coating (R ≥ 99.9 %), superior to Ti-Cu alloy (R > 90 %). More delightfully, it was observed by phalloidin-FITC and DAPI staining that the coating improved the early adhesion of HUVEC cells mainly due to strong hydrophilicity and nano-morphology. It was demonstrated that the extract of the coated sample significantly promoted proliferation (RGR = 112 %-138 % after cultivation for 1 to 3 days) and migration of HUVEC cells due to the appropriate Cu2+ release concentration. Hemolysis assay and platelet adhesion results showed that the coating had excellent blood compatibility. All results suggested that the coating on Ti-Cu alloy might be a promising surface with the perfect antibacterial ability, blood compatibility and evident promoting endothelialization ability for the cardiovascular application.

Antibacterial effect of TiAg alloy motivated by Ag-containing phases.

The precipitates in Ti-Ag alloy made an important contribution to antibacterial activity. In order to study this specific effects, Ti-Ag samples with different forms of precipitates were produced by powder metallurgy and ingot metallurgy followed by heat treatment: Ti-Ag(T4) with no precipitate, Ti-Ag(as-cast) and Ti-Ag(T6) with Ti2Ag and Ti-Ag(PM) with Ti2Ag and Ag-rich phase. Microstructure was analyzed by scanning electronic microscope (SEM), and the antibacterial effects, expression of reactive oxygen species (ROS), protein leakage and biocompatibility were investigated by plate count method, staining technology and cell test. The antibacterial ability was in the following order from low to high: Ti-Ag(T4) < Ti-Ag(as-cast) < Ti-Ag(T6) < Ti-Ag(PM). It was elucidated that Ag-containing phase was the major controlling factor of Ti-Ag antibacterial property and Ti-Ag(PM) with micro-size Ti2Ag and Ag-rich phase exhibited high antibacterial activity. It was proposed that the existence of Ag-containing phases induced high expression of ROS in bacteria, which destroyed the homeostasis of the bacteria and eventually leads to the rupture of the bacterial membrane. Cell test indicated that Ti-Ag samples had no adverse effect on cells and had good biocompatibility.

Development of a low elastic modulus and antibacterial Ti-13Nb-13Zr-5Cu titanium alloy by microstructure controlling.

In order to prepare a titanium with a low elastic modulus and good antibacterial property to meet the requirements as a biomedical material, Ti-13Nb-13Zr-5Cu (TNZ-5Cu) alloy was prepared by high vacuum consume electric arc melting furnace and then subjected to a solution treatment at 950 °C followed by a short-term aging treatment at 600 °C, for 15 min, 30 min, 1 h and 2 h, respectively. The microstructure, mechanical property, antibacterial property and biocompatibility of TNZ-5Cu were investigated in detail. The research results have shown that the solid solution treated alloy was mainly composed of ß-phase and α″-phase, while the aged alloys of ß-phase, α″-phase, α-phase and Ti2Cu. Compared with Ti-13Nb-13Zr alloy (65 GPa) and Ti-6Al-4 V alloy (111 GPa), the elastic modulus of TNZ-5Cu alloy after solution treatment was about 72 GPa and increased with the aging treatment up to 85 GPa, and the hardness was maintained at a higher level than that of Ti-13Nb-13Zr alloys (288 HV). The bacteria plate count results showed that the antibacterial ability of TNZ-5Cu alloy increased with the extension of the aging duration from <60% at 15-30 min to >90% at 1-2 h. Cell experiments showed that all TNZ-5Cu alloy had good cell compatibility. The low modulus and the antibacterial property could provide potential to avoid stress shield and device-related inflection in the clinical application.

The osteoimmunomodulatory effect of nanostructured TiFx/TiOxcoating on osteogenesis induction.

Macrophages play a central role in the host response and the integration of implant materials. The nanostructured TiFx/TiOxcoating (FOTi) on titanium surfaces has shown multiple properties, including antibacterial properties and bioactivity. However, little is known about the effects of these coatings on the regulation of macrophage activity and the subsequent immunomodulatory effects on osteogenesis. In this study, the behavior of macrophages on the FOTi samples was evaluated, and conditioned medium was collected and used to stimulate MC3T3-E1 cellsin vitro. The results showed that the FOTi samples stimulated macrophage elongation and promoted the production of proinflammatory cytokines at 24 h, while induced macrophage polarization to the anti-inflammatory M2 phenotype at 72 h. Furthermore, the immune microenvironment generated by macrophage/ FOTi samples interactions effectively promoted the osteogenic differentiation of MC3T3-E1 cells, as evidenced by improved cell adhesion, enhanced alkaline phosphatase activity and extracellular matrix mineralization, and upregulated osteogenesis-related gene expression. In summary, the FOTi samples mediated macrophage phenotype behaviors and induced beneficial immunomodulatory effects on osteogenesis, which could be a potential strategy for the surface modification of bone biomaterials.

Biocorrosion properties and blood and cell compatibility of pure iron as a biodegradable biomaterial.

Biocorrosion properties and blood- and cell compatibility of pure iron were studied in comparison with 316L stainless steel and Mg-Mn-Zn magnesium alloy to reveal the possibility of pure iron as a biodegradable biomaterial. Both electrochemical and weight loss tests showed that pure iron showed a relatively high corrosion rate at the first several days and then decreased to a low level during the following immersion due to the formation of phosphates on the surface. However, the corrosion of pure iron did not cause significant increase in pH value to the solution. In comparison with 316L and Mg-Mn-Zn alloy, the pure iron exhibited biodegradable property in a moderate corrosion rate. Pure iron possessed similar dynamic blood clotting time, prothrombin time and plasma recalcification time to 316L and Mg-Mn-Zn alloy, but a lower hemolysis ratio and a significant lower number density of adhered platelets. MTT results revealed that the extract except the one with 25% 24 h extract actually displayed toxicity to cells and the toxicity increased with the increasing of the iron ion concentration and the incubation time. It was thought there should be an iron ion concentration threshold in the effect of iron ion on the cell toxicity.

What controls the antibacterial activity of Ti-Ag alloy, Ag ion or Ti2Ag particles?

Antibacterial metal materials, including Cu- and Ag-containing alloy, have attracted much attention worldwide. As for the antibacterial mechanism of the antibacterial alloys, there are two different views: metal ions sterilization and contact sterilization. For the purpose of revealing the key control factor, Titanium-silver (Ti-Ag) alloys with different silver contents were prepared and a surface acid etching was applied to change the silver ion release and the volume fraction of Ti2Ag on the surface. The microstructure, phase composition, elemental composition, surface roughness, hydrophilicity, silver ion release and antibacterial properties of Ti-Ag alloys were studied comprehensively by X-ray diffraction (XRD), scanning electron microscopy (SEM), X-ray photoelectron spectroscopy (XPS), contact angle and roughness test, silver ion dissolution test and antibacterial test. The results have shown that the increasing of Ag content did not bring about any change to the surface roughness and hydrophilicity but enhanced the Ag ion release while the surface acid etching improved the hydrophilicity, enhanced the Ag ion release and made more Ti2Ag particles appear on the surface. The antibacterial experiments have shown that the antibacterial properties increased with the increasing of Ag content in Ti-Ag alloys and that the surface acid etching improved the antibacterial activity significantly. The calculated results and surface microstructure observation and XPS analysis demonstrated that the antibacterial activity of Ti-Ag alloys was mainly controlled by Ti2Ag particle in a contact sterilization mode. Silver ion release from Ti-Ag alloy also contributed to antibacterial activity of Ti-Ag, but the Ag ion sterilization was not the key antibacterial mechanism. Finally, the CCK-8 results showed that all Ti-Ag alloys exhibited good cell compatibility.

Effect of ultrasonic micro-arc oxidation on the antibacterial properties and cell biocompatibility of Ti-Cu alloy for biomedical application.

In order to improve antibacterial properties and cell biocompatibility of Ti-Cu alloy, an ultrasonic micro-arc oxidation (UMAO) has been applied to Ti-Cu alloy. The corrosion resistance, antibacterial activity and cell compatibility of Ti-Cu alloy before and after UMAO were studied in detail by means of electrochemical test, plate count method and CCK-8 test scanning electron microscopy (SEM) technology to evaluate the application possibilities of UMAO as a surface bio-modification method for Ti-Cu alloy. The surface microstructure characterisation showed that a typical porous coating with a pore diameter of 3-8 µm and a thickness of 5-15 µm was formed on the surface of the Ti-Cu alloy, which significantly improved the surface roughness and hydrophilicity. The plate count method demonstrated that UMAO coatings on Ti-Cu alloy showed strong antibacterial activity (≥99%) against Staphylococcus aureus (S. aureus) even after being immersed in a physiological saline for up to 20 days, indicating that UMAO-treated Ti-Cu alloy had very strong long-term antibacterial properties. It is believed that the strong long-term antimicrobial properties of Ti-Cu-UMAO samples were mainly due to the formation of Cu2O and CuO in UMAO coatings. The results of cell compatibility evaluation showed that UMAO treatment did not bring about cytotoxicity but improved the early adhesion of MC3T3 cell.

Phosphating treatment and corrosion properties of Mg-Mn-Zn alloy for biomedical application.

A phosphating treatment was applied to Mg-Mn-Zn alloy in order to improve the corrosion resistance. Surface morphology and phase constitute were observed and identified by SEM, EDS, SAXS, XRD and XPS. SEM observation showed that a rough and crystalline reaction layer was formed on the surface of Mg alloy. With the increasing of phosphating time, the layer became thicker and denser. It has been showed that the reaction layer was mainly composed of brushite (CaHPO4 x 2H2O). Small amount of Zn2+ was also detected by XPS and EDS. The corrosion resistance of the phosphated samples was measured by the electrochemical polarization and the immersion test in comparison with the bare alloy. The results manifested that the corrosion resistance of Mg alloy was improved by the phosphating treatment, and the corrosion resistance increased with the increase of the phosphating time within 50 min. Immersion tests showed that the phosphate layer could protect magnesium alloy from fast corrosion. The brushite layer has been transformed into hydroxyapatite (HA) during the immersion in the simulated body fluid (SBF) solution, which suggested the brushite layer could provide good biocompatibility.

In vivo antibacterial property of Ti-Cu sintered alloy implant.

In-vivo antibacterial property of Ti10Cu sintered alloy was investigated in comparison with pure titanium (cp-Ti) by implanting the alloys with S. aureus suspension in the muscles of rabbits. The general appearance, the white blood cell (WBC) number, the bacteria number were checked and the pathological examination were analyzed. It has been shown that serious inflammation at day 4 and fester at day 14 were observed after implantation in cp-Ti group while only mild infection was observed at day 4 in the case of Ti10Cu implants. Bacterial incubation results have also shown that lots of S. aureus were found in cp-Ti group at all intervals while only several bacteria at day 1 and day 4 and no bacteria after 7 days postimplantation can be found in Ti10Cu group. All these results demonstrate the strong in vivo antibacterial property of Ti10Cu alloy. The strong antibacterial property suggests that Ti10Cu alloy might have potential application in orthopedic surgery and dental implant to reduce the implant-related infection or inflammation.

Anti-bacterium influenced corrosion effect of antibacterial Ti-3Cu alloy in Staphylococcus aureus suspension for biomedical application.

Titanium and titanium alloys have been widely used as dental and orthopedic materials. The infection and the bacterium influenced corrosion both are concerned problems. Ti-3Cu alloy exhibits strong antibacterial properties against E. coli and S. aureus. The strong antibacterial properties of Ti-3Cu provides with a potential new method to reduce the bacterium influenced corrosion. S. aureus suspension was selected to simulate a serious bacterial condition. The corrosion behavior of Ti-3Cu alloy in S. aureus suspension was investigated by an electrochemical testing and an immersion test in comparison with pure titanium. Electrochemical results showed that Ti-3Cu exhibited a much better anti-corrosion property than cp-Ti in S. aureus suspension. Surface observation demonstrated that no corrosion pit was observed on Ti-3Cu alloy after 30 days immersion in the suspension while lots of corrosion pits were found on cp-Ti. The biofilm formation on the surface was observed by scanning electronic microscopy (SEM) in different periods. It has been revealed that S. aureus could grow and gather on the surface of cp-Ti to form biofilm after 18 h immersion, but only several bacteria were found on Ti-3Cu alloy even after 24 h immersion, displaying that Ti-3Cu alloy exhibits very strong anti-adhesion properties against S. aureus. It was concluded that Ti-3Cu performs a super anti-corrosion property due to the strong anti-adhesion property, in which Ti2Cu precipitate plays a critical role.

Antibacterial activities and biocompatibilities of Ti-Ag alloys prepared by spark plasma sintering and acid etching.

In this work, Ti-Ag sintered alloys (Ti-Ag) with different Ag contents were prepared by a spark plasma sintering (SPS) technique, which is a new, efficient and convenient method of powder metallurgy. The Ti-Ag samples were then treated with a mixture of 40 wt% hydrofluoric acid (HF) and nitric acid (HNO3). The surface features, ion release, antibacterial activities and biocompatibilities of the acid-etched Ti-Ag (Ti-Ag(AE)) samples were systematically characterized. The surface characterization results revealed the formation of micropits and particles with high Ag contents. Antibacterial experiments demonstrated that the antibacterial ratios of the Ti-Ag samples increased significantly after the acid etching treatment, and the particles with high Ag contents are thought to play a key role in the antibacterial mechanism. Biocompatibility experiments indicated that the cell proliferation, cell morphology, and osteoblastic differentiation did not significantly differ between the pure titanium (cp-Ti) and Ti-Ag(AE) samples. The Ti-Ag(AE) samples with 3 wt% and 5 wt% Ag not only possessed sustained antibacterial activities for at least 30 days but also did not have impaired biocompatibility.

In vivo corrosion behavior of Mg-Mn-Zn alloy for bone implant application.

Magnesium alloy has been implanted in rats to investigate the in vivo degradation behavior of magnesium for bone implant application. After 9 weeks postoperation, 100% implants were fixed and no inflammation was observed. Histological analysis showed new bone was formed around magnesium implant and no difference was found in the histological microstructure of the new bone and the cortical bone. A degradation or reaction layer, which was mainly composed of Ca, P, O, and Mg, was formed on the surface of magnesium alloy implants. High Ca content in the degradation layer displayed that magnesium could promote the deposition of Ca. Residual area calculation has showed that 10-17% magnesium alloy implant has been degraded in vivo. Compared with that of the controlled rats, no increase in serum magnesium and no disorder of kidney were observed after 15 weeks postoperation. After 18 weeks postoperation, 100% magnesium implants were fixed and no inflammation was observed. About 54% magnesium implant has degraded in vivo. Element analysis showed that Zn and Mn in Mg-Mn-Zn alloy distributed homogeneously in the residual magnesium implant, the degradation layer, and the surrounding bone tissue after 18 weeks implantation, indicating that Zn and Mn elements were easily absorbed by bioenvironment.