Investigation on the Corrosion Resistance Properties of Cobalt-Chromium-Molybdenum Alloy Artificial Human Body Components with Robust Biomimetic Superhydrophobic and Slippery Surfaces Based on Laser Texturing.

Cobalt-chromium-molybdenum alloy is used as a material for artificial human body components such as artificial hip joint and artificial denture and is often affected by electrochemical corrosion in human body fluids and saliva, which leads to inflammatory reactions and damage to the surrounding tissues as well as loosening and failure of the body components themselves. Few studies have been conducted to prepare corrosion-resistant coatings on the surface of Co28Cr6Mo. In this study, we used laser texturing to process a bionic 3D micronanocomposite structure on the surface of Co28Cr6Mo and quickly prepared a superhydrophobic and slippery surface coating with excellent corrosion resistance using polydimethylsiloxane solution and silicone oil modification. This surface had ultralow surface adhesion and good robustness of durability and abrasion resistance, reducing bacterial colonization or tissue adhesion and solving the problem of the lack of stability of the superhydrophobic surface. Microgrid grooves and layered nanoparticles were structurally responsible for the variation in wettability. The formation mechanism and composition of the prepared coatings were further analyzed. Electrochemical corrosion experiments were conducted on the surface in simulating body fluid and saliva environments, which showed the enhanced corrosion resistance of the prepared surface in the human body. These findings can further develop the surface functional modification of Co28Cr6Mo, accelerating basic and applied research studies on artificial human components.

Binding stability of peptides to Co-Cr-Mo alloy affects proliferation and differentiation of osteoblast.

Cobalt-chromium-molybdenum (CCM) alloys possess high corrosion-resistant properties as well as good mechanical properties. Hence, the alloys are employed in medical implants such as artificial knee and hip joints, coronary stents, and removable partial dentures. To improve the biocompatibility of CCM alloys, we reported that CCM-binding peptide (CBP) linked to cell-adhesive motif Arg-Gly-Asp (RGD) improved the attachment of endothelial cells on CCM alloys. However, the stability of CBP adsorption on the alloy and its effect on osteoblast compatibility are still unclear. In this study, we evaluated the stabilization of the adsorption layer of CBP-RGD on CCM alloy surface and investigated the effect of CBP-RGD peptide on the proliferation and differentiation of the osteoblasts. CBP-RGD layer exhibited higher stabilization than the RGD adsorption layer for 7 days. In addition, the proliferation of osteoblast on CBP-RGD adsorbed alloy higher than that on RGD adsorbed alloy. Moreover, the calcification of cells cultured on the CBP-RGD adsorbed alloy was significantly higher than that of the cells on RGD adsorbed alloy. These findings indicate that the CBP binding was stable during the culture of osteoblasts on the CCM alloy.

CoCrMo alloys ions release behavior by TiNbN coating: an in vitro study.

The aim of the study was to show in vitro the greater inertness to the corrosion body fluid of TiNbN coating than the CoCrMo alloy substrate. The prosthetic component under study was a femoral component of total knee prosthesis in CoCrMo alloy coated in TiNbN with Physical Vapor Deposition technique immersed in static Hank's balanced salt solution (HBS) (pH = 6) for at least 34 months at a constant temperature of 37 °C. Another uncoated prosthetic component of CoCrMo alloy with the same type and size was left in static immersion in the same solution and for the same period of time. Scanning electron microscope (SEM) analysis was performed to investigate adhesion and proliferation at 24, 48, 72 h after seeding of 104 sub-confluents osteoblast-like cells (SaOS-2) cells on scaffold. The results of the study showed a reduction in the concentration of the metal ions released from the TiNbN-coated femoral component surface compared to the uncoated surface in the HBS solution. The overall reduction of the ions for the TiNbN-coated femoral component compared to the uncoated one was 80.1 ± 2%, 62.5% ± 8% and 48% ± 10% for Co, Cr, Mo, respectively (p < 0.01). SEM analysis confirmed the healthy state of the cells, the cellular adhesion and proliferation of SaOS-2 on the TiNbN-coated specimen. Although the results observed in vitro for the TiNbN coating are encouraging, clinical studies are certainly needed to be performed in order to understand how these positive findings can be translated in vivo and to determine the clinical benefit of TiNbN coating.

Graphene coating on the surface of CoCrMo alloy enhances the adhesion and proliferation of bone marrow mesenchymal stem cells.

The objective was to investigate whether a graphene coating could improve the surface bioactivity of a cobalt-chromium-molybdenum-based alloy (CoCrMo). Graphene was produced by chemical vapor deposition and transferred to the surface of the CoCrMo alloy using an improved wet transfer approach. The morphology of the samples was observed, and the adhesion force and stabilization of graphene coating were analyzed by a nanoscratch test and ultrasonication test. In an in vitro study, the adhesion and proliferation of bone marrow mesenchymal stem cells (BMSCs) cultured on the samples were quantified via an Alamar Blue assay and cell counting kit-8 (CCK-8) assay. The results showed that it is feasible to apply graphene to modify the surface of a CoCrMo alloy, and the enhancement of the adhesion and proliferation of BMSCs was also shown in the present study. In conclusion, graphene exhibits considerable potential for enhancing the surface bioactivity of CoCrMo alloy.

miR-130b participates in wear particle-induced inflammation and osteolysis via FOXF2/NF-κB pathway.

OBJECTIVE: To reveal other miR-130b-mediated signaling pathway in the involvement of wear particle-induced inflammation and osteolysis. MATERIALS AND METHODS: Particle-induced osteolysis (PIO) mice model was established. Secretion levels of TNF-α, IL-1ß, IL-6, and IL-10 were measured by ELISA. miR-130b and forkhead box F2 (FOXF2) mRNA were detected by qRT-PCR. Protein levels of FOXF2, phosphorylation-p65 (p-p65), and p-IκB were observed by Western blot. Luciferase reporter assay was performed to confirm the regulation of miR-130b on FOXF2. RESULTS: Compared with normal mice, secretion levels of TNF-α, IL-1ß, and IL-6 in PIO mice were significantly up-regulated and IL-10 was significantly down-regulated; miR-130b and p-p65 expressions were up-regulated and FOXF2 expression was down-regulated. In addition, the trends of miR-130b, FOXF2, and p-p65 expressions in Co-Cr-Mo treated Raw264.7 cells were the same as that in PIO mice. After transfection with miR-130b inhibitor, secretion levels of TNF-α, IL-1ß, and IL-6 in Raw264.7 cells were significantly decreased and secretion level of IL-10 was significantly increased. We also proved FOXF2 was a target of miR-130b, and FOXF2 siRNA increased secretion levels of TNF-α, IL-1ß, and IL-6 and decreased secretion level of IL-10. Finally, we found nuclear factor-kappa B (NF-κB) inhibitor BAY 11-7082 further decreased secretion levels of TNF-α, IL-1ß, and IL-6 and increased IL-10 level. CONCLUSION: The role of miR-130b/FOXF2/NF-κB pathway in PIO was firstly revealed, which provided new targets for the treatment of periprosthetic osteolysis.

Electrochemical impedance investigation of Ni-free Co-Cr-Mo and Co-Cr-Mo-Ni dental casting alloy for partial removable dental prosthesis frameworks.

STATEMENT OF PROBLEM: The pH level of the oral environment influences corrosion in dental materials. Corrosion behaviors of Co-Cr-Mo and Co-Cr-Mo-Ni alloys in different pH environments remain undetermined. PURPOSE: The purpose of this in vitro study was to evaluate the surface properties and corrosion behaviors of Co-Cr-Mo and Co-Cr-Mo-Ni dental casting alloys in artificial saliva at pH values of 5.0 and 2.5. MATERIAL AND METHODS: Fifty specimens were divided into 2 groups according to the alloy composition. The surface compositions, hardness values, and microstructures of the alloys were measured before immersion in artificial saliva. The corrosion behaviors of the specimens in artificial saliva at pH values of 5.0 and 2.5 were studied using electrochemical impedance spectroscopy (EIS). The microstructures were examined again after a 7-day immersion test. Data were analyzed by a 1-way analysis of variance (ANOVA) test (α=.05). RESULTS: As expected, the relative levels of Co and Cr of the surface composition were higher in the Co-Cr-Mo alloy. The Co-Cr-Mo alloy had statistically higher surface hardness than the Co-Cr-Mo-Ni alloy (P<.05). In the pH 2.5 environment, both of the alloys showed decreased corrosion resistance (P<.05). The microstructure of the Co-Cr-Mo-Ni alloy corroded more than that of the Co-Cr-Mo alloy in the pH 2.5 environment. The oxide-layer corrosion resistance of the Co-Cr-Mo alloy was better than that of the Co-Cr-Mo-Ni alloy in Fusayama artificial saliva solutions at pH values of both 5.0 and 2.5 (P<.05). CONCLUSIONS: The corrosion resistance of the Co-Cr-Mo alloy was better in the oral environment, especially at a low pH value.

[Alloplastic Materials and their Propensity to Bacterial Colonisation]. / Aloplastické materiály z pohledu jejich citlivosti ke kolonizaci bakteriemi.

UNLABELLED: PURPOSE OF THE STUDY The alloplastic materials currently used for protective surface layers on implants were tested in vitro under microbiological laboratory conditions by contamination with microbial agents most frequently found in deep infection of total joint replacements. The objective was to find out how the resistance to bacterial colonisation was related to different surface finishes. MATERIAL AND METHODS Each of 14 samples of alloplastic material currently used in the manufacture of orthopaedic implants was inoculated with each of the group of microorganisms most frequently infecting joint replacements; these were Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, Enterococcus faecalis and Escherichia coli. At 24 hours of incubation, biofilms produced on sample surfaces were collected, stained with crystalline violet and assessed by spectrophotometry. The average value of biofilm absorbances (AV595) for the group of microorganism tested was taken as a basic characteristic of each material sample indicating its sensitivity to bacterial. RESULTS Of the metal materials with smooth surface finish, Vitalium (AV595, 0.368) showed the lowest affinity to microbial colonisation; next was titanium (AV595, 0.459) and steel (AV595, 0.505). A significant increase in sensitivity to bacterial colonisation was recorded in all types of surface finish of steel (AV595, 0.571) and in titanium alloy with a rough surface texture (AV595, 0.737 to 1.676); p < 0.05. Porous titanium surfaces significantly increased material affinity to colonisation. DISCUSSION Our study had certain limitations concerning in vitro evaluation of porous surfaces that have high affinity to bacterial colonisation. Porous titanium, and its hydroxyapatite layer in particular, considerably promotes osteoblast colonisation of the surface as well as implant osseointegration in the bone bed. Microorganisms therefore have no room for surface colonisation. Problematic may remain the surface parts outside contact with bone that keep their affinity to bacterial colonisation. CONCLUSIONS The material of choice for cemented implants is Vitalium which, of all metal surfaces, has the lowest sensitivity to bacterial colonisation. The materials of choice for cementless implants are titanium alloys. However, an osteoactive surface not in contact with bone remains a problem. On the one hand, its roughness and porosity are crucial to good osseointegration, on the other hand, its affinity to bacterial colonisation is high. KEY WORDS: alloplastic material, biofilm, joint replacement infection.

Technological features of metal-ceramic prosthesis frameworks manufactured from domestic alloys of precious and base metals. / Tekhnologicheskie osobennosti izgotovleniya litykh karkasov metallokeramicheskikh zubnykh protezov iz otechestvennykh splavov blagorodnykh i neblagorodnykh metallov.

The aim of the study was to examine changes in physical and mechanical properties of dental alloys depending of the initial composition at re-casting. Russianc precious alloys: Plagodent (AuPtPd) and Palladent (PdAu) and base alloys: Vitiriy-N (NiCrMo) and Vitiriy-C (CoCrMo) were used as study samples, which were divided in three groups: a primary casting from the granules; 50% of re-casting; 100% of re-casting. We investigated the yield strength in bending, coefficient of thermal expansion and hardness. Changing in the composition of the alloys has led to changes of all physical and mechanical properties.

On interlayer stability and high-cycle simulator performance of diamond-like carbon layers for articulating joint replacements.

Diamond like carbon (DLC) coatings have been proven to be an excellent choice for wear reduction in many technical applications. However, for successful adaption to the orthopaedic field, layer performance, stability and adhesion in physiologically relevant setups are crucial and not consistently investigated. In vitro wear testing as well as adequate corrosion tests of interfaces and interlayers are of great importance to verify the long term stability of DLC coated load bearing implants in the human body. DLC coatings were deposited on articulating lumbar spinal disks made of CoCr28Mo6 biomedical implant alloy using a plasma-activated chemical vapor deposition (PACVD) process. As an adhesion promoting interlayer, tantalum films were deposited by magnetron sputtering. Wear tests of coated and uncoated implants were performed in physiological solution up to a maximum of 101 million articulation cycles with an amplitude of ±2° and -3/+6° in successive intervals at a preload of 1200 N. The implants were characterized by gravimetry, inductively coupled plasma optical emission spectrometry (ICP-OES) and cross section scanning electron microscopy (SEM) analysis. It is shown that DLC coated surfaces with uncontaminated tantalum interlayers perform very well and no corrosive or mechanical failure could be observed. This also holds true in tests featuring overload and third-body wear by cortical bone chips present in the bearing pairs. Regarding the interlayer tolerance towards interlayer contamination (oxygen), limits for initiation of potential failure modes were established. It was found that mechanical failure is the most critical aspect and this mode is hypothetically linked to the α-ß tantalum phase switch induced by increasing oxygen levels as observed by X-ray diffraction (XRD). It is concluded that DLC coatings are a feasible candidate for near zero wear articulations on implants, potentially even surpassing the performance of ceramic vs. ceramic.

Reactive oxygen species, electrode potential and pH affect CoCrMo alloy corrosion and semiconducting behavior in simulated inflammatory environments.

Crevice corrosion in modular taper junctions of hip or knee replacements using cobalt-chrome-molybdenum (CoCrMo) alloys remains a clinical concern. Non-mechanically-driven corrosion has been less explored compared to mechanically assisted crevice corrosion. This study hypothesized that solution chemistry within crevices, inflammation, and cathodic electrode potential shifts during fretting result in low pH and generate reactive oxygen species (ROS), affecting oxide film behavior. This study investigated how resistance and capacitance of the CoCrMo oxide film (i.e., corrosion resistance) are modified in simulated in vivo crevice environments of modular taper junctions. Six solutions were evaluated (two pH levels: 1 and 7.4 and four hydrogen peroxide (H2O2) concentrations: 0, 0.001, 0.01 and 0.1 M). Rp versus voltage and Mott-Schottky plots were created from symmetry-based electrochemical impedance spectroscopy (sbEIS). At pH 1, the semiconductor transition to p-type occurs at more anodic potentials and higher flat band potentials were found. H2O2 decreased the flat band potential and slope in the Mott-Schottky plot. Higher H2O2 in pH 7.4 solution significantly modified the oxide film, leading to increased donor density (p = 0.0004) and a 150-fold reduction in Rp in the cathodic potential range at -1 V (p = 0.0005). The most unfavorable condition (0.1 M H2O2 pH 1) resulted in a 250-fold lower resistance compared to phosphate buffered saline (PBS) pH 7.4 at -1 V (p = 0.0013). This study highlights the corrosion susceptibility of CoCrMo under adverse chemical and potential conditions, identifying increased defects in the oxide film due to ROS, hydrogen ions and electrode potential. STATEMENT OF SIGNIFICANCE: Corrosion of cobalt chrome molybdenum alloy caused by direct chemical attack in the crevice region of hip replacements, such as modular taper junctions, remains a clinical concern. The junction environment contains adverse chemical compositions, including high acidity and reactive oxygen species (ROS) due to inflammatory responses against the corrosion products. We simulate inflammatory environments with different pH levels and hydrogen peroxide, representative of ROS. We employ electrochemical impedance spectroscopy and apply stepwise voltage over the range induced by tribocorrosion processes. We relate the effect of adverse chemical components on corrosion and semiconducting behavior of the oxide film using Mott-Schottky analysis. This study shows how pH and ROS concentration compromises the oxide film potentially leading to non-mechanically induced corrosion.

Influence of Proteins and Building Direction on the Corrosion and Tribocorrosion of CoCrMo Fabricated by Laser Powder Bed Fusion.

Cobalt-chromium-molybdenum (CoCrMo) alloys are common wear-exposed biomedical alloys and are manufactured in multiple ways, increasingly using additive manufacturing processes such as laser powder bed fusion (LPBF). Here, we investigate the effect of proteins and the manufacturing process (wrought vs LPBF) and building orientation (LPBF-XY and XZ) on the corrosion, metal release, tribocorrosion, and surface oxide composition by means of electrochemical, mechanical, microscopic, diffractive, and spectroscopic methods. The study was conducted at pH 7.3 in 5 g/L NaCl and 5 mM 2-(N-morpholino) ethanesulfonic acid (MES) buffer, which was found to be necessary to avoid metal phosphate and metal-protein aggregate precipitation. The effect of 10 g/L bovine serum albumin (BSA) and 2.5 g/L fibrinogen (Fbn) was studied. BSA and Fbn strongly enhanced the release of Co, Cr, and Mo and slightly enhanced the corrosion (still in the passive domain) for all CoCrMo alloys and most for LPBF-XZ, followed by LPBF-XY and the wrought CoCrMo. BSA and Fbn, most pronounced when combined, significantly decreased the coefficient of friction due to lubrication, the wear track width and severity of the wear mechanism, and the tribocorrosion for all alloys, with no clear effect of the manufacturing type. The wear track area was significantly more oxidized than the area outside of the wear track. In the reference solution without proteins, a strong Mo oxidation in the wear track surface oxide was indicative of a pH decrease and cell separation of the anodic and cathodic areas. This effect was absent in the presence of the proteins.

Hydrogen-treated CoCrMo alloy: a novel approach to enhance biocompatibility and mitigate inflammation in orthopedic implants.

In recent decades, orthopedic implants have been widely used as materials to replace human bone tissue functions. Among these, metal implants play a crucial role. Metals with better chemical stability, such as stainless steel, titanium alloys, and cobalt-chromium-molybdenum (CoCrMo) alloy, are commonly used for long-term applications. However, good chemical stability can result in poor tissue integration between the tissue and the implant, leading to potential inflammation risks. This study creates hydrogenated CoCrMo (H-CoCrMo) surfaces, which have shown promise as anti-inflammatory orthopedic implants. Using the electrochemical cathodic hydrogen-charging method, the surface of the CoCrMo alloy was hydrogenated, resulting in improved biocompatibility, reduced free radicals, and an anti-inflammatory response. Hydrogen diffusion to a depth of approximately 106 ± 27 nm on the surface facilitated these effects. This hydrogen-rich surface demonstrated a reduction of 85.2% in free radicals, enhanced hydrophilicity as evidenced by a decrease in a contact angle from 83.5 ± 1.9° to 52.4 ± 2.2°, and an increase of 11.4% in hydroxyapatite deposition surface coverage. The cell study results revealed a suppression of osteosarcoma cell activity to 50.8 ± 2.9%. Finally, the in vivo test suggested the promotion of new bone formation and a reduced inflammatory response. These findings suggest that electrochemical hydrogen charging can effectively modify CoCrMo surfaces, offering a potential solution for improving orthopedic implant outcomes through anti-inflammatory mechanisms.

The influence of finish line curvature on the marginal gap width of ceramic copings.

STATEMENT OF PROBLEM: As a result of natural tooth anatomy or gingival recession, anterior teeth are more likely to present increased abutment finish line curvature. PURPOSE: The purpose of this study was to investigate the influence of the curvature of the finish line on the marginal gap widths of ceramic copings. MATERIAL AND METHODS: An ivorine maxillary central incisor was prepared for 3 different abutment finish line curvatures (1, 3, and 5 mm). Thirty-six copings were fabricated for each of these curvatures by using Cercon, IPS e.max, and Lava systems. The marginal gap width was measured by using a stereomicroscope, and the data were subsequently analyzed by means of a 2-way ANOVA and a 1-way ANOVA (α=.05). RESULTS: A significantly higher mean marginal gap width was found for the 5-mm curvature group (Cercon, 76.59 ±23.01 µm; IPS e.max, 106.44 ±18.48 µm; Lava, 128.34 ±20.79 µm) than for both the 3-mm curvature group (Cercon, 60.18 ±9.74 µm; IPS e.max, 81.79 ±16.20 µm; Lava, 99.19 ±15.32 µm) and the 1-mm curvature group (Cercon, 38.3 ±6.85 µm; IPS e.max, 52.22 ±10.66 µm; Lava, 69.99 ±6.77 µm). CONCLUSIONS: The greater the finish line curvature, the wider the marginal gap widths for the 3 ceramic systems.

Tantalum-based thin film coatings for wear resistant arthroprostheses.

Cobalt-chromium-molybdenum alloys with high carbon content (HC-CoCrMo) are widely used as materials for arthroprosthesis, in particular in metal-on-metal (MoM) hip joints. In spite of their good wear and corrosion resistance, production of metallic wear particles and metal ion release will occur on a large time-scale. An enhancement of the metal ion level in the patient's blood and urine is often reported in clinical data. Hypersensitivity, inflammatory response and cell necrosis can occur as consequence. So implants on young patients and women on childbearing age are not so widespread. The aim of this research is the realization of a thin film coating in order to improve the biocompatibility of Co-based alloys and to reduce debris production, ion release and citotoxicity. The innovative process consists of a thermal treatment in molten salts, in order to obtain a tantalum enriched thin film coating. Tantalum is chosen because it is considered a biocompatible metal with high corrosion resistance and low ion release. Three HC-CoCrMo alloys, produced by different manufacturing processes, are tested as substrates. The coating is a thin film of TaC or it can be composed by a multilayer of two tantalum carbides and metallic tantalum, depending on the temperature of the treatment and on the carbon content of the substrate. The thin films as well the substrates are characterized from the structural, chemical and morphological point of view. Moreover mechanical behaviour of treated and untreated materials is analyzed by means of nanohardness, scratch and ball-on-disc wear tests. The coating increases the mechanical and tribological properties of HC-CoCrMo.

Effect of the environment on wear ranking and corrosion of biomedical CoCrMo alloys.

The corrosion behaviour and the wear ranking of biomedical high carbon (HC) and low carbon (LC) CoCrMo alloys sliding against an alumina ball in four different simulated body fluids [NaCl and phosphate buffered solutions (PBS) with and without albumin] has been analyzed by tribocorrosion and electrochemical techniques. The effects of alloy and of albumin on corrosion depend on the base electrolyte: differences between LC and HC alloy were only observed in NaCl solutions but not in PBS. Albumin increased significantly corrosion of both alloys in PBS solutions while its effect in NaCl was smaller. The wear ranking of the HC and LC alloys also depends on the environment. In the present study, HC CoCrMo alloy had lower wear resistance in NaCl and PBS + albumin than the LC alloy, while no differences between both alloys were found in the other solutions. This was attributed to surface chemical effects affecting third body behaviour.

Effects of thermal treatments on protein adsorption of Co-Cr-Mo ASTM-F75 alloys.

Post-manufacturing thermal treatments are commonly employed in the production of hip replacements to reduce shrinkage voids which can occur in cast components. Several studies have investigated the consequences of these treatments upon the alloy microstructure and tribological properties but none have determined if there are any biological ramifications. In this study the adsorption of proteins from foetal bovine serum (FBS) on three Co-Cr-Mo ASTM-F75 alloy samples with different metallurgical histories, has been studied as a function of protein concentration. Adsorption isotherms have been plotted using the surface concentration of nitrogen as a diagnostic of protein uptake as measured by X-ray photoelectron spectroscopy. The data was a good fit to the Langmuir adsorption isotherm up to the concentration at which critical protein saturation occurred. Differences in protein adsorption on each alloy have been observed. This suggests that development of the tissue/implant interface, although similar, may differ between as-cast (AC) and heat treated samples.

Effect of surface mechanical attrition treatment on the microstructure of cobalt-chromium-molybdenum biomedical alloy.

This research work describes the impact of the surface mechanical attrition treatment (SMAT) on the microstructure of cobalt-chromium-molybdenum (CoCrMo), a biomedical alloy commonly used for orthopedic applications. This surface treatment induces crystalline phases transformations characterized by X-ray diffraction (XRD) and selected area electron diffraction (SAED). The corresponding structural changes are observed from cross-section images obtained by scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The results show that the SMAT process induces the martensitic transformation of the CoCrMo alloy (from γ-fcc phase to ε-hcp phase) related to an important grain refinement due to twinning and sliding.

The effect of hypochlorous acid on the tribocorrosion of CoCrMo/Ti-6Al-4V bearing couples.

Mechanically assisted corrosion (MAC) of metallic orthopedic alloys is a consequence of the use of modular devices where opposing metal surfaces are tightly mated and loaded at the taper junction. MAC processes are affected by material surface characteristics and local solution chemistry. During inflammation, active immune cells may generate reactive oxygen species (such as hypochlorous acid [HOCl]) adjacent to surfaces undergoing micromotion, which may affect the tribocorrosion behavior of an implanted device. This study investigated the fretting current response of CoCrMo/Ti-6Al-4 V couples in a pin-on-disk apparatus utilizing HOCl solutions as a proxy for a severe inflammatory environment. Testing in 1 and 5 mM HOCl solutions were shown to generate a threefold and fivefold increase (p < 0.01), respectively, in fretting currents over pH 7.4 phosphate-buffered saline control conditions. Fretting currents were shown to be dependent on the energy dissipated during fretting and the concentration of HOCl where the currents within a single HOCl concentration were linearly dependent of energy dissipated, but different HOCl levels shifted (increased and then decreased) fretting currents with concentration. Fretting currents, governed by regrowth of an abraded oxide film, were affected by the oxidative power of the solution, which caused positive shifts in open circuit potential and likely resulted in a thicker oxide for 1 mM and 5 mM and fell with 30 mM. Small amounts of HOCl release within a joint may result in increased release of tribocorrosion products such as oxide particles.

An assessment of biomedical CoCrMo alloy fabricated by direct metal laser sintering technique for implant applications.

CoCrMo alloys have been used for several decades in implantable devices due to their favourable mechanical properties, low wear rate in addition to good biocompatibility and high corrosion resistance. These alloys are conventionally produced via casting and/or forging route, however additive manufacturing techniques being recently employed in their fabrication. In this work, CoCrMo samples were produced by direct metal laser sintering additive manufacturing process. The microstructure and surface composition were examined employing scanning electron microscopy, X-ray diffraction and X-ray photoelectron spectroscopy (XPS). The corrosion resistance was measured in 0.14 M sodium chloride solution and in phosphate buffered solution (PBS) both with and without addition of albumin at pH 7.4 and 37 °C. For this, potentiodynamic tests in addition to electrochemical impedance spectroscopy were employed. The studied CoCrMo alloy exhibits a good corrosion resistance in solutions tested being the highest in PBS solution without albumin addition. The XPS analysis showed that the passive film composition and its thickness are not modified by the adsorbed layer. Microstructural analysis revealed occurrence of strain-induced martensitic transformation.

Favorable modulation of osteoblast cellular activity on Zr-modified Co-Cr-Mo alloy: The significant impact of zirconium on cell-substrate interactions.

Cobalt-chromium-molybdenum alloys exhibit good mechanical properties (yield strength: ~530 MPa, ultimate tensile strength: ~1114 MPa, elongation-to-failure: ~47.3%, and modulus: ~227 GPa) and corrosion resistance. In recent years, from the perspective of osseointegration, they are considered to be lower in rank in comparison to the widely used titanium alloys. We elucidate here the significant and favorable modulation of cellular activity of Zr-modified Co-Cr-Mo alloys. The average grain size of Co-Cr-Mo alloy samples with and without Zr was 104 ± 27 and ~53 ± 11 µm, respectively. The determining role of small addition of Zr (0.04 wt. %) to the Co-Cr-Mo alloys in favorable modulation of cellular activity was accomplished by combining cellular biology and materials science and engineering. Experiments on the influence of Zr addition to Co-Cr-Mo alloys clearly demonstrated that the cell adhesion, spread and cell-substrate interactions were enhanced in the presence of Zr. The spread/growth rate of cells was ~120% on the Co-Cr-Mo alloy and 190% per day on the Co-Cr-Mo-Zr alloy. While the % area covered by the cells increased from ~5.1 to ~33.6% on Co-Cr-Mo alloy and ~19.2 to ~47.8% on Co-Cr-Mo-Zr alloy after 2 and 24 hr of incubation. Similarly, the cell density increased from ~1354 to ~3424 cells/cm2 on Co-Cr-Mo alloy and ~3583 to ~7804 cells/cm2 on Co-Cr-Mo-Zr alloy after 2 and 24 hr of incubation. Additionally, stronger vinculin focal adhesion contact and signals associated with actin stress fibers together with extracellular matrix protein, fibronectin, were noted.