Microstructures and mechanical properties of metastable Ti-30Zr-(Cr, Mo) alloys with changeable Young's modulus for spinal fixation applications

In order to develop a novel alloy with a changeable Young's modulus for spinal fixation applications, we investigated the microstructures, Young's moduli, and tensile properties of metastable Ti-30Zr-(Cr, Mo) alloys subjected to solution treatment (ST) and cold rolling (CR). All the alloys comprise a β phase and small athermal ω phase, and they exhibit low Young's moduli after ST. During CR, deformation-induced phase transformation occurs in all the alloys. The change in Young's modulus after CR is highly dependent on the type of deformation-induced phase. The increase in Young's modulus after CR is attributed to the deformation-induced ω phase on {3 3 2} mechanical twinning. Ti-30Zr-3Cr-3Mo (3Cr3Mo), which exhibits excellent tensile properties and a changeable Young's modulus, shows a smaller springback than Ti-29Nb-13Ta-4.6Zr, a β-type titanium alloy expected to be useful in spinal fixation applications. Thus, 3Cr3Mo is a potential candidate for spinal fixation applications.     

Electrochemical stability and corrosion resistance of Ti-Mo alloys for biomedical applications

Electrochemical behavior of pure Ti and Ti-Mo alloys (6-20wt.% Mo) was investigated as a function of immersion time in electrolyte simulating physiological media. Open-circuit potential values indicated that all Ti-Mo alloys studied and pure Ti undergo spontaneous passivation due to spontaneously formed oxide film passivating the metallic surface, in the chloride-containing solution. It also indicated that the addition of Mo to pure Ti up to 15wt.% seems to improve the protection characteristics of its spontaneous oxides. Electrochemical impedance spectroscopy (EIS) studies showed high impedance values for all samples, increasing with immersion time, indicating an improvement in corrosion resistance of the spontaneous oxide film. The fit obtained suggests a single passive film present on the metals' surface, improving their resistance with immersion time, presenting the highest values to Ti-15Mo alloy. Potentiodynamic polarization showed a typical valve-metal behavior, with anodic formation of barrier-type oxide films, without pitting corrosion, even in chloride-containing solution. In all cases, the passive current values were quite small, and decrease after 360h of immersion. All these electrochemical results suggest that the Ti-15Mo alloy is a promising material for orthopedic devices, since electrochemical stability is directly associated with biocompatibility and is a necessary condition for applying a material as biomaterial.     

Repositioning of cells by mechanotaxis on surfaces with micropatterned Young's modulus

Adherent cells are strongly influenced by the mechanical aspects of biomaterials, but little is known about the cellular effects of spatial variations in these properties. This work describes a novel method to produce polymeric cell culture surfaces containing micrometer-scale regions of variable stiffness. Substrates made of acrylamide or poly(dimethylsiloxane) were patterned with 100- or 10-microm resolution, respectively. Cells were cultured on fibronectin-coated acrylamide having Young's moduli of 34 kPa and 1.8 kPa, or fibronectin-coated PDMS having moduli of 2.5 MPa and 12 kPa. Over several days, NIH/3T3 cells and bovine pulmonary arterial endothelial cells accumulated preferentially on stiffer regions of substrates. The migration, not proliferation, of cells in response to mechanical patterning (mechanotaxis) was responsible for the accumulation of cells on stiffer regions. Differential remodeling of extracellular matrix protein on stiff versus compliant regions was observed by immunofluorescence staining, and may have been responsible for the observed mechanotaxis. These results suggest that mechanically patterned substrates might provide a general means to study mechanotaxis, and a new approach to patterning cells.     

Indentation versus tensile measurements of Young's modulus for soft biological tissues

In this review, we compare the reported values of Young's modulus (YM) obtained from indentation and tensile deformations of soft biological tissues. When the method of deformation is ignored, YM values for any given tissue typically span several orders of magnitude. If the method of deformation is considered, then a consistent and less ambiguous result emerges. On average, YM values for soft tissues are consistently lower when obtained by indentation deformations. We discuss the implications and potential impact of this finding.     

Bending properties of wire-reinforced bone cement for applications in spinal fixation.

PMMA beam specimens were tested in four-point bending to determine if the bending strength of acrylic bone cement, as used in posterior spinal fusion, could be improved by metal-wire reinforcement. The result showed that the load-carrying capacities of 1- and 0.5-mm diam stainless-steel-wire-reinforced PMMA specimens in bending were significantly higher than similar unreinforced normal PMMA samples. On an average, steel reinforcement comprising approximately 1% of the cross-sectional area of the PMMA specimens caused a 15% increase in bending strength. Even after the cement fractured, the reinforcing wires still sustained an appreciable amount of bending moment, thus preventing catastrophic failure of cement alone.     

Thresholds for visual detection of Young's modulus contrast in simulated ultrasound image movies

Elasticity imaging (EI) is being developed to allow the evaluation of the mechanical properties of soft tissue, but these properties are already assessed in routine ultrasound breast examination using a method that involves the subjective interpretation of tissue motion seen in real-time B-mode image movies during palpation. We refer to this method as relative motion assessment (RMA). The purpose of this study was to begin a process of learning about the usefulness and limitations of RMA relative to the emerging method of elasticity imaging. Perception experiments were performed to measure Young's modulus contrast thresholds for positive contrast lesions under controlled conditions that could subsequently be repeated to evaluate elasticity imaging for the same task. Observer ability to grade relative lesion contrast using RMA was also assessed. Simulated sequences of B-scans of tissue moving in response to an applied force were generated and used in a two-alternative forced-choice (2-AFC) experiment to measure contrast thresholds for the detection of disc-shaped elastic lesions by RMA in the absence of ultrasound echo contrast. Results were obtained for four observers at a lesion area of about 77 speckle cells and for five observers at lesion areas of about 42 and 139 speckle cells. Young's modulus contrast thresholds were found to decrease with increasing lesion size and were well within the range of contrast values that have been measured for breast tumours in vitro. It was also found that observers were quite skilled at using RMA to grade the relative strain contrast of lesions. The nonlinear relationship between the object contrast (Young's modulus contrast) and the image contrast (strain contrast) prevented observers from detecting very small lesions with 100% accuracy, no matter how high the object contrast. A preliminary comparison of the results for RMA with published thresholds for elastography indicated that elastography is likely to offer great benefit in reducing modulus contrast thresholds, but further study is required to confirm this.     

The bone tissue compatibility of a new Ti-Nb-Sn alloy with a low Young's modulus

A Ti-Nb-Sn alloy was developed as a new β-type titanium alloy which had a low Young's modulus and high strength. The Young's modulus of the Ti-Nb-Sn alloy was reduced to about 45 GPa by cold rolling, much closer to human cortical bone (10-30 GPa) than that of Ti-6Al-4V alloy (110 GPa) and other β-type titanium alloys developed for biomedical applications. The tensile strength of the Ti-Nb-Sn alloy was increased to a level greater than that of Ti-6Al-4V alloy by heat treatment after severe cold rolling. In this study the cytotoxicity of Ti-25Nb-11Sn alloy was evaluated in direct contact cell culture tests using metal disks and the bone tissue compatibility - examined using metal rods inserted into the medullary canal of rabbit femurs. The remarkable findings were that: (1) there were no significant differences in the relative growth ratio and relative absorbance ratio between cells grown with the Ti-Nb-Sn alloy, Ti-6Al-4V alloy and CP-Ti in direct contact cell culture tests; (2) there were no significant differences in the load at failure between the Ti-Nb-Sn alloy and Ti-6Al-4V alloy in pull-out metal rods tests; (3) there were no significant differences in new bone formation around metal rods between the Ti-Nb-Sn alloy and Ti-6Al-4V alloy in histological evaluations. The new Ti-Nb-Sn alloy with an elasticity closer to that of human bone is thus considered to be bioinert while also having a high degree of bone compatibility similar to that of Ti-6Al-4V alloy.     

Nanostructured Ti-based multi-component alloys with potential for biomedical applications

A group of Ti₆₀Cu₁₄Ni₁₂Sn₄M₁₀ (M=Nb, Ta, Mo) alloys was prepared using arc melting and copper mold casting. The as-prepared alloys have a composite microstructure containing a micrometer-sized dendritic β-Ti(M) phase dispersed in a nanocrystalline matrix. These new alloys exhibit a low Young's modulus in the range of 59–103 GPa, and a high yield strength of 1037–1755 MPa, together with large plastic strains. The combination of high strength and low elastic modulus offers potential advantages in biomedical applications.     

Design strategy for biodegradable Fe-based alloys for medical applications

The aim of this article is to describe a design strategy for the development of new biodegradable Fe-based alloys offering a performance considered appropriate for temporary implant applications, in terms of both an enhanced degradation rate compared to pure iron, and suitable strength and ductility. The design strategy is based on electrochemical, microstructural and toxicological considerations. The influence of alloying elements on the electrochemical modification of the Fe matrix and the controlled formation of noble intermetallic phases is deployed. Such intermetallic phases are responsible for both an increased degradation rate and enhanced strength. Manganese and palladium have been shown to be suitable alloying additions for this design strategy: Mn lowers the standard electrode potential, while Pd forms noble (Fe,Mn)Pd intermetallics that act as cathodic sites. We discuss the efficiency and the potential of the design approach, and evaluate the resulting characteristics of the new alloys using metal-physical experiments including electrochemical measurements, phase identification analysis and electron microscopy studies. The newly developed Fe–Mn–Pd alloys reveal a degradation resistance that is one order of magnitude lower than observed for pure iron. Additionally, the mechanical performance is shown to be adjustable not only by the choice of alloying elements but also by heat treatment procedures; high strength values >1400 MPa at ductility levels >10% can be achieved. Thus, the new alloys offer an attractive combination of electrochemical and mechanical characteristics considered suitable for biodegradable medical applications.     

Development of new metallic alloys for biomedical applications

New low modulus β-type titanium alloys for biomedical applications are still currently being developed. Strong and enduring β-type titanium alloy with a low Young’s modulus are being investigated. A low modulus has been proved to be effective in inhibiting bone atrophy, leading to good bone remodeling in a bone fracture model in the rabbit tibia. Very recently β-type titanium alloys with a self-tunable modulus have been proposed for the construction of removable implants. Nickel-free low modulus β-type titanium alloys showing shape memory and super elastic behavior are also currently being developed. Nickel-free stainless steel and cobalt–chromium alloys for biomedical applications are receiving attention as well. Newly developed zirconium-based alloys for biomedical applications are proving very interesting. Magnesium-based or iron-based biodegradable biomaterials are under development. Further, tantalum, and niobium and its alloys are being investigated for biomedical applications. The development of new metallic alloys for biomedical applications is described in this paper.     

Design of new titanium alloys for orthopaedic applications

Parallel to the biofunctionalisation of existing materials, innovation in biomaterials engineering has led to the specific design of titanium alloys for medical applications. Studies of the biological behaviour of metallic elements have shown that the composition and structure of the material should be carefully tailored to minimise adverse body reactions and to enhance implant longevity, respectively. Consequently, interest has focused on a new family of titanium alloys: Ti−6Mo−3Fe−5Ta, Ti−4Mo−2Fe−5Ta and Ti−6Mo−3Fe−5Zr−5Hf alloys. The non-toxicity of the specially designed titanium alloys compared with osteoblastic cells has been ascertained using MTT and RN tests. In addition, phase transformations upon thermal processing have been investigated, with comparison with a well-defined β titanium alloy. Optimum thermal processing windows (above 550°C) have been designed to generate a stable and nanostructured α phase from the isothermal ω phase that precipitates in a low temperature range (150–350°C). The generation of such nano-structured microstructures should provide a promising opportunity to investigate tissue-biomaterial interactions at the scale of biomolecules such as proteins.     

Characteristics of porous nickel-titanium alloys for medical applications

We investigate the behavior of NiTi porous alloys, possessing the property of shape memory, by using different characterization methods XPS, Auger, DSC and SEM. The study mainly focuses on the determination of porosity, surface characteristics and the phase transformation. In the case of porous material the biomechanical compatibility is closely related to the internal structure and porosity distribution. To describe appropriately the influence of the properties of NiTi on the memory shape, two types of materials provided by different sources has been analyzed. Despite the fact that both materials present different pores size, they exhibit an open and interconnected porosity. Our measurements show that the temperature of the inception of the martensite-austenite phase transition occurs at 60 degrees C, which is by 20 degrees C greater than the body temperature. Moreover, we show that the surface characteristics can be greatly influenced by heat treatment. Furthermore, we observe that the R-phase occurs only for one of the used materials after its heat treatment. The correlation between the composition and the other characteristics measured has been found.     

Surface modifications of magnesium alloys for biomedical applications

In recent years, research on magnesium (Mg) alloys had increased significantly for hard tissue replacement and stent application due to their outstanding advantages. Firstly, Mg alloys have mechanical properties similar to bone which avoid stress shielding. Secondly, they are biocompatible essential to the human metabolism as a factor for many enzymes. In addition, main degradation product Mg is an essential trace element for human enzymes. The most important reason is they are perfectly biodegradable in the body fluid. However, extremely high degradation rate, resulting in too rapid loss of mechanical strength in chloride containing environments limits their applications. Engineered artificial biomaterials with appropriate mechanical properties, surface chemistry, and surface topography are in a great demand. As the interaction between the cells and tissues with biomaterials at the tissue–implant interface is a surface phenomenon; surface properties play a major role in determining both the biological response to implants and the material response to the physiological condition. Therefore, the ability to modify the surface properties while preserve the bulk properties is important, and surface modification to form a hard, biocompatible and corrosion resistant modified layer have always been an interesting topic in biomaterials field. In this article, attempts are made to give an overview of the current research and development status of surface modification technologies of Mg alloys for biomedical materials research. Further, the advantages/disadvantages of the different methods and with regard to the most promising method for Mg alloys are discussed. Finally, the scientific challenges are proposed based on own research and the work of other scientists.     

High modulus nanopowder reinforced dimethacrylate matrix composites for dental cement applications

Results from the study of a novel, high modulus nanopowder filled resin composite are presented. This composite is developed to serve (1) as a high stiffness support to all-ceramic crowns and (2) as a means of joining independently fabricated crown core and veneer layers. Nanosized Al(2)O(3) (average particle size 47 nm) reinforcement provides stiffness across joins. Two systems are examined: Al(2)O(3) with 50:50 bis-GMA:TEGDMA monomers (ALBT) and Al(2)O(3) with pure TEGDMA (ALT). To obtain higher filler levels, surfactant is used to aid mixing and increase maximum weight percent of nanopowder filler from 72 to 80. The loading level of Al(2)O(3) has significant effects on composite properties. The elastic modulus for cured ALBT systems increases from 4.6 GPa (0 wt % filler) to 29.2 GPa (80 wt % filler). The elastic modulus for cured ALT systems increases from 3.0 GPa (0 wt % filler) to 22.9 GPa (80 wt % filler). Similarly, ALBT hardness increases from 200 MPa (0% filler) to 949 MPa (80 wt % filler), and ALT hardness increases from 93 MPa (0% filler) to 760 MPa (80 wt % filler). Our results indicate that with a generally monodispersed nanosized high modulus filler relatively high elastic modulus resin based composite cements are possible.     

Polyetheretherketone as a biomaterial for spinal applications

Threaded lumbar interbody spinal fusion devices (TIBFD) made from titanium have been reported to be 90% effective for single-level lumbar interbody fusion, although radiographic determination of fusion has been intensely debated in the literature. Using blinded radiographic, biomechanic, histologic, and statistical measures, we evaluated a radiolucent polyetheretherketone (PEEK)-threaded interbody fusion device packed with autograft or rhBMP-2 on an absorbable collagen sponge in 13 sheep at 6 months. Radiographic fusion, increased spinal level biomechanical stiffness, and histologic fusion were demonstrated for the PEEK cages filled with autograft or rhBMP-2 on a collagen sponge. No device degradation or wear debris was observed. Only mild chronic inflammation consisting of a few macrophages was observed in peri-implant tissues. Based on these results, the polymeric biomaterial PEEK may be a useful biomaterial for interbody fusion cages due to the polymer's increased radiolucency and decreased stiffness.     

Relationships between density and Young's modulus with microporosity and physico-chemical properties of Wistar rat cortical bone from growth to senescence

The aim of this study is to assess density and elastic properties of Wistar rat cortical bone from growth to senescence and to correlate them with morphological and physico-chemical properties of bone. During growth (from 1 to 9 months), bone density and Young's modulus were found to increase from 1659+/-85 to 2083+/-13 kg m(-3) and from 8+/-0.8 to 19.6+/-0.7 GPa respectively. Bone microporosity was found to decrease from 8.1+/-0.7% to 3.3+/-0.7%. Physico-chemical investigations exhibited a mineralization of bone matrix and a maturation of apatite crystals, as protein content decreased from 21.4+/-0.2% to 17.6+/-0.6% and apatite crystal size and carbonate content increased (c-axis length: from 151 to 173 A and CO(3)W%: from 4.1+/-0.3% to 6.1+/-0.2%). At adult age, all properties stabilized. During senescence, a slow decrease of mechanical properties was first observed (from 12 to 18 months, rho=2089+/-14 to 2042+/-30 kg m(-3) and E(3)=19.8 +/-1.3 to 14.8+/-1.5 GPa), followed by a stabilization. Physico-chemical properties stabilized while microporosity increased slightly (from 3.3% to 4%) but not significantly (p>0.05). A multiple regression analysis showed that morphological and physico-chemical properties had significant effects on density regression model. Microporosity had a greater effect on Young's modulus regression model than physico-chemical properties. This study showed that bone structure, mineralization and apatite maturation should be considered to improve the understanding of bone mechanical behaviour.     

Nanomechanical properties of surface-modified titanium alloys for biomedical applications

The mechanical properties of the oxide layers developed at elevated temperature on three vanadium-free titanium alloys of interest for biomedical applications were investigated by means of the nanoindentation technique. The as-received alloys (Ti-13Nb-13Zr, Ti-15Zr-4Nb and Ti-7Nb-6Al) and their oxide scales formed by reaction with air at 750 degrees C for several oxidation times were analysed comparatively. In particular, the hardness and the Young's modulus exhibit larger values for the thermally oxidized alloys than for the untreated specimens. However, the Ti-7Nb-6Al alloy shows a different tendency to that of the TiNbZr alloys, which seems to be related to a different oxide layer growth as a function of the oxidation time.     

Wear resistance of experimental titanium alloys for dental applications

The present study evaluated microstructure, microhardness and wear resistance of experimental titanium alloys containing zirconium and tantalum. Alloys were melted in arc melting furnace according to the following compositions: Ti-5Zr, Ti-5Ta and Ti-5Ta-5Zr (%wt). Hemispheres and disks were obtained from wax patterns that were invested and cast by plasma. Microstructures were evaluated using optical microscopy and X-ray diffraction (XRD) analysis and also Vickers microhardness was measured. Hemispherical samples and disks were used for 2-body wear tests, performed by repeated grinding of the samples. Wear resistance was assessed as height loss after 40,000 cycles. The data were compared using ANOVA and post-hoc Tukey test. Ti-5Zr presented a Widmanst?tten structure and the identified phases were α and α' while Ti-5Ta and Ti-5Ta-5Zr presented α, β, α' and α" phases, but the former presented a lamellar structure, and the other, acicular. The microhardness of Ti-5Zr was significantly greater than other materials and cp Ti presented wear resistance significantly lower than experimental alloys. It was concluded that wear resistance was improved when adding Ta and Zr to titanium and Zr increased microhardness of Ti-5Zr alloy.     

Cytocompatibility and electrochemical properties of Ti-Au alloys for biomedical applications

The purpose of this study was to develop Ti-Au alloys with a higher resistant to corrosion, better biocompatibility, and better mechanical properties than the commercially pure titanium and its alloys. Ti-Au alloys were designed with a gold content that ranged from 0 to 5.0 at % in steps of 1.0 at %. Properties of the alloys including chemical composition, microstructure, phase, hardness, electrochemical properties, and the cytotoxicity were investigated. Only the alpha phase existed in the Ti-Au alloys. The addition of gold to the titanium decreased the alpha to beta transformation temperature. The acicular alpha phase became thinner and the hardness value increased with increasing gold content. In the electrochemical tests, Ti-Au alloys had a higher resistant to corrosion than had pure titanium and did not exhibit pitting corrosion in artificial saliva. The cytotoxicities of the Ti-Au alloys were similar to that of pure titanium. Therefore, Ti-Au alloys could be used as biomaterials in the medical and dental fields.