In vitro and in vivo performance of bioactive Ti6Al4V/TiC/HA implants fabricated by a rapid microwave sintering technique

Microwave-assisted synthesis of composites based on titanium and hydroxyapatite for dental implantation

Titanium (Ti) and its alloys are widely used in clinical practice. As they are not bioactive, hydroxyapatite (HA) is commonly used to modify them. This study offered a review of microwave-assisted synthesis of composites based on Ti and HA for dental implantation by exploring their interaction mechanisms with microwave and features of two main techniques, namely microwave coating and sintering, along with current challenges and potential solutions in the field. It was shown that microwave coating enables rapid deposition of HA, but suffers from problems such as uneven coating thickness, poor integrity and unstable composition of the products. They can be solved by creating interlayers, combining the spin coating technique, etc. Unlike microwave coating, microwave sintering can effectively modify the mechanical properties of the composites, despite the shortcomings of excessive elastic moduli and potential HA decomposition. These issues are expected to be addressed by adding alloying elements and employing appropriate materials as space holders and ion-doped HA for sintering.

Effect of HA Content on Microstructure and Properties of Ti-27Nb-17Ta-8Zr/HA Composite

In this paper, Ti-27Nb-17Ta-8Zr/HA series composite materials were prepared by spark plasma sintering (SPS) technology. The medical titanium alloy (Ti-27Nb-17Ta-8Zr) with good mechanical properties, wear resistance, and corrosion resistance was combined with the hydroxyapatite (HA) bioactive ceramic with high biological activity and bone-binding ability. Moreover, the density, microstructure evolution, metal/ceramic reaction, mechanical behavior, in vitro bioactivity, and influencing mechanisms of composite materials with different HA contents were studied. The research results indicate that all biological composite materials are composed of β-Ti solution, α-Ti, and ceramic phases (T_i2O, CaTiO₃, CaO, Ti_xP_y). With the increase of HA content, the compressive strength and yield strength of the composite material show a trend of first increasing, then decreasing, and then slowly increasing. After soaking in SBF artificial simulated body fluid for 5 days, the deposition of elements such as Ca and P on the surface significantly increased, while elements such as Ti, Nb, Ta, and Zr were evenly distributed in the matrix, demonstrating good in vitro mineralization ability and facilitating the attachment and growth of osteoblasts.

Enhanced Biotribological and Anticorrosion Properties and Bioactivity of Ti6Al4V Alloys with Laser Texturing

The poor biotribological properties and bioinertness of Ti6Al4V have restricted its application in biomedical materials. In this study, microgrooves of different widths were prepared on the surface of a Ti6Al4V alloy by laser treatment. The tribological properties under dry lubrication and simulated body fluid (SBF) lubrication conditions, the electrochemical corrosion properties in SBF solution, and the bone marrow mesenchymal stem cell (BMSC) behavior on the surfaces were systematically tested. The corresponding mechanisms were discussed. The results showed that Ti6Al4V with a microgroove width of 45 μm (Ti64-45) exhibited excellent wear resistance with decreasing wear rates of 89.79 and 85.43% under dry friction and SBF lubrication compared to the Ti64 sample, which might be due to the increase of surface microhardness. Moreover, the excellent anticorrosion performance of Ti64-45 was attributed to the grain refinement on the titanium alloy surface with a lower volume fraction ratio of β phase to α phase. In addition, the microgrooves with a width of 45 μm are more conducive to BMSC proliferation and adhesion, related to promoting cell signal transduction due to cell extrusion. These studies imply that the microgroove structures are potential for application in the medical field.

Physical and Mechanical Properties of Tilapia Scale Hydroxyapatite-Filled High-Density Polyethylene Composites

The effects of filler loading and silane coupling agent on the properties of hydroxyapatite (HAp)-filled high density polyethylene (HDPE) composites have been studied. The (HAp) powder was successfully produced from tilapia scales using the spray drying process utilized to prepare the HDPE/HAp composites. The FTIR peaks for the untreated HDPE/30HAp composite corresponded to the functional groups of HDPE (C-CH₃) and –CH₂ and HAp (PO₄⁻³ and O-H). The FTIR spectrum for the silane-treated composite showed that the C=O and silanol groups were eliminated, which strongly confirms the chemical interaction between the HAp fillers and the HDPE matrix. The developed composites demonstrated enhanced mechanical performance, and in particular the treated HDPE/30HAp-S composite exhibited superior tensile strength, Young’s modulus and flexural modulus of 28.26 MPa, 1272 MPa and 796 MPa, respectively. In vitro cytotoxicity analysis showed that the developed composites were non-toxic and have great potential to be used for biomedical application.

Bone fixation techniques for managing joint disorders and injuries: A review study

The majority of surgical procedures treating joint disorders require a technique to realize a firm implant-to-tissue and/or a tissue-to-tissue fixation. Fixation methods have direct effects on survival, performance and integration of orthopedic implants This review paper gives an overview of novel fixation techniques that have been evaluated and optimized for orthopaedic joint implants and could be alternatives for traditional implant fixation techniques or inspirations for future design of joint implantation procedures.

METHOD

The articles were selected using the Scopus search engine. Key words referring to traditional fixation methods have been excluded to find potential innovative fixation techniques. In order to review the recent anchorage systems, only articles that been published during the period of 2010-2020 have been included.

RESULTS

A total of 57 studies were analyzed. The result revealed that three main fixation principles are being employed: using mechanical interlockings, employing adhesives, and performing tissue-bonding strategies.

CONCLUSION

The development of fixation techniques demonstrates a transformation from the general anchoring tools like K-wires toward application-specific designs. Several new methods have been designed and evaluated, which highlight encouraging results as described in this review. It seems that mechanical fixations provide the strongest anchorage. Employing (bio)-adhesives as fixation tool could revolutionize the field of orthopedic surgery. However, the adhesives must be improved and optimized to meet the requirements of an anchorage system. Long-term fixation might be formed by tissue ingrowth approaches which showed promising results. In most cases further clinical studies are required to explore their outputs in clinical applications.

Fabrication of Hydroxyapatite/Tantalum Composites by Pressureless Sintering in Different Atmosphere

The effect of sintering atmosphere (air and Ar) and temperature (1100, 1200, 1300 °C) on the microstructure, mechanical properties, and bioactivity of hydroxyapatite/tantalum (HA/Ta) composites were systematically investigated by pressureless sintering of the mixture of HA and Ta powders. It shows that the sintering atmosphere greatly impacts the phase composition and microstructure of the HA/Ta composites. The higher diffusion of atoms promotes shrinkage and causes deeper reaction fusion between the HA matrix and Ta, which improved the interfacial binding of the HA/Ta composites. The refined grain structure and improved interfacial binding obtained within the Ar atmosphere compared to the air atmosphere benefit the mechanical properties. The maximum bending strength and shrinkage observed for the composites sintered at 1300 °C in the Ar atmosphere are 27.24 MPa and 6.65%, respectively. The cell counting kit-8 (CCK-8) method was used to investigate the in vitro cytocompatibility of HA/Ta composites. The results revealed that the HA/Ta composites sintered with different conditions have no cytotoxicity. The simulated body fluid (SBF) soaking results showed that all of the studied composites possess desirable bioactivity, as demonstrated by their ability to form calcium-deficient carbonate apatite layer on the surfaces. For composites sintered at 1300 °C, the surface apatite layer coverage of the composites obtained in the Ar atmosphere was increased by 139.7% than the ones obtained in air, which confirmed an enhanced bioactive mineralization ability. The results indicated that the HA/Ta composites sintered at 1300 °C in Ar possess desirable mechanical properties and bioactivity. This work opens up the new possibility for preparing HA-based composites and is of great value in biomedical applications.

Titanium-based composite scaffolds reinforced with hydroxyapatite-zirconia: Production, mechanical and in-vitro characterization

In this study, titanium (Ti)-based composite scaffolds reinforced with hydroxyapatite-zirconia (HA-ZrO₂) were successfully produced with powder metallurgy and atmosphere-controlled sintering processes. The scaffolds structures were theoretically selected as 40% and 60% porosity, and fabricated with approximately 1.47 and 4.02 std dev values, respectively. The porosity of the scaffolds was verified by Archimedes' measurements. The scaffolds were characterized by DTA, SEM/EDS, XRD analyses. The mechanical behaviors of the scaffolds were evaluated by compression and hardness tests. Besides, the electrochemical corrosion behaviors of the structures were compared with potentiodynamic scanning (PDS) measurements in simulated body fluids (SBF) at 37 ± 1 °C. It has been observed that all scaffolds have a bimodal porous structure as they contain varying proportions of micropores as well as macropores in desired dimensions. Biocompatible phases such as Ti_xP_y, Ca₃(PO₄)₂ and CaTiO₃, respectively, were found in the microstructure after sintering. In compression tests, 40% porous Ti had the highest strength with 37.98 MPa, interestingly, the lowest strength was seen in Ti/HA-ZrO₂ scaffold with 60% porosity with 3.80 MPa. Young's modulus values of all scaffolds vary between 1.67 - 7.20 GPa, due to the bimodal pore structure and composition effect. However, in-vitro corrosion resistance of scaffolds decreased with HA reinforcement, while increased with ZrO₂ additive to HA.

The study on calcium polyphosphate/poly-amino acid composite for supportive bone substitute materials in vitro

A poly-amino acid/calcium polyphosphate composite with high mechanical strength, excellent stability and biological activity was prepared and studied for bone-repaired.

Fabrication of Boronized Ti6Al4V/HA Composites by Microwave Sintering in Mixed Gases

The effect of atmosphere on the fabrication of boronized Ti6Al4V/hydroxyapatite (HA) composites was investigated by microwave sintering of the mixture of Ti6Al4V alloy, HA, and TiB₂ powders at 1050 °C for 30 min in the mixed gases of Ar + N₂, Ar + CO, and Ar + H₂, respectively. The presence of N₂, CO, and H₂ in the atmosphere caused formations of TiN, TiC, and TiH₂ in the composites, respectively, together with evident microstructural changes that determined the mechanical properties (compressive strength, compressive modulus, and Vickers microhardness) and wettabilities of the composites after sintering. It was found that the composite exhibited the best mechanical performance with compressive strength of 148.59 MPa, compressive modulus of 13.9 GPa, and Vickers microhardness of 300.39 HV by microwave sintering in the mixed gas of Ar + H₂, followed by those obtained in the mixed gases of Ar + N₂ and Ar + CO. All of the composites possessed desirable wettabilities, irrespective of the sintering atmosphere, as demonstrated by their very low water contact angles (≤31.9°). The results indicated that it is critical to control the extents of nitration and carbonization for maintaining the performance of the composites, especially the mechanical properties, whereas there is no strict requirement for the same objective using the mixed gas of Ar + H₂ in which qualified composites could be obtained for implant applications.

Structural performance of poultry eggshell derived hydroxyapatite based high density polyethylene bio-composites

In this research, hydroxyapatite (HAp) was synthesized from chicken eggshell waste by hydrothermal method for the development of bio-composite material suitable for biomedical implant. However, since environmental influences on natural materials are unique for different geographical locations in the world, the use of agro wastes from these locations need to be investigated. This work provides the detail results of the potentials of eggshell as HAp source. High-density polyethylene (HDPE)/HAp composites were developed by random dispersion of Hap (10, 20, 30 and 40 wt.%) in HDPE matrix, and were designated as HAC10, HAC20, HAC30, and HAC40. The HAp-filled HDPE composites were developed by a hot compression moulding process. The samples were subjected to tensile, flexural, impact, fracture toughness and wear tests according to ASTM standards in order to establish their structural performance as an implant material. Furthermore, the samples were also tested for hydrophilicity using tap water and simulated body fluid (SBF). X-ray diffraction analysis showed strong peaks of hydroxyapatite phase which established that the influence of the selected processing conditions on the poultry eggshell as a natural source for the biomedical application was suitable for the synthesis of high-quality hydroxyapatite. The mechanical properties of the developed composites were enhanced to the level of the required properties expected of an implant material compared to the control sample except for impact strength. Water absorption characteristics of the developed composite samples also displayed expected behaviour in SBF solution than in tap water thereby promoting the material as a good implant material. From the results, the sample with 40 wt.% HAp possess the highest values in the mechanical properties examined while sample from 20 wt.% had the best fracture toughness. The results revealed that these waste eggshells could be successfully converted into useful biocompatible HAp particles needed for the enhancement of the mechanical properties of polymer composites to meet the structural challenges of bio-composites.

An update on the Application of Nanotechnology in Bone Tissue Engineering

Background:

Natural bone is a complex and hierarchical structure. Bone possesses an extracellular matrix that has a precise nano-sized environment to encourage osteoblasts to lay down bone by directing them through physical and chemical cues. For bone tissue regeneration, it is crucial for the scaffolds to mimic the native bone structure. Nanomaterials, with features on the nanoscale have shown the ability to provide the appropriate matrix environment to guide cell adhesion, migration and differentiation.

Methods:

This review summarises the new developments in bone tissue engineering using nanobiomaterials. The design and selection of fabrication methods and biomaterial types for bone tissue engineering will be reviewed. The interactions of cells with different nanostructured scaffolds will be discussed including nanocomposites, nanofibres and nanoparticles.

Results:

Several composite nanomaterials have been able to mimic the architecture of natural bone. Bioceramics biomaterials have shown to be very useful biomaterials for bone tissue engineering as they have osteoconductive and osteoinductive properties. Nanofibrous scaffolds have the ability to provide the appropriate matrix environment as they can mimic the extracellular matrix structure of bone. Nanoparticles have been used to deliver bioactive molecules and label and track stem cells.

Conclusion:

Future studies to improve the application of nanomaterials for bone tissue engineering are needed.

Gene expression of human osteoblasts cells on chemically treated surfaces of Ti-6Al-4V-ELI

Surface modifications of titanium alloys are useful methods to enhance the biological stability of intraosseous implants and to promote a well succeeded osseointegration in the early stages of implantation. This work aims to investigate the influence of chemically modified surfaces of Ti-6Al-4V-ELI (extra-low interstitial) on the gene expression of human osteoblastic (HOb) cells. The surface treatments by acid etching or acid etching plus alkaline treatment were carried out to modify the topography, effective area, contact angle and chemical composition of the samples. The surface morphology was investigated using: scanning electron microscopy (SEM) and confocal laser-scanning microscope (CLSM). Roughness measurements and effective surface area were obtained using the CLSM. Surface composition was analysed by energy dispersive X-ray spectroscopy (EDX) and by X-Ray Diffraction (XRD). The expression levels of some bone related genes (ALPL, COL1A1, COL3A1, SPP1, RUNX2, and SPARC) were analysed using real-time Reverse Transcription Polymerase Chain Reaction (real-time RT-PCR). The results showed that all the chemical modifications studied in this work influenced the surface morphology, wettability, roughness, effective area and gene expression of human osteoblasts. Acid phosphoric combined to alkaline treatment presented a more accelerated gene expression after 7days while the only phosphoric etching or chloride etching combined to alkaline treatment presented more effective responses after 15days.