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Rivkin B, Akbar F, Otto M, Beyer L, Paul B, Kosiba K, Gustmann T, Hufenbach J, Medina-Sánchez M. Remotely Controlled Electrochemical Degradation of Metallic Implants. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2024; 20:e2307742. [PMID: 38326101 DOI: 10.1002/smll.202307742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 01/22/2024] [Indexed: 02/09/2024]
Abstract
Biodegradable medical implants promise to benefit patients by eliminating risks and discomfort associated with permanent implantation or surgical removal. The time until full resorption is largely determined by the implant's material composition, geometric design, and surface properties. Implants with a fixed residence time, however, cannot account for the needs of individual patients, thereby imposing limits on personalization. Here, an active Fe-based implant system is reported whose biodegradation is controlled remotely and in situ. This is achieved by incorporating a galvanic cell within the implant. An external and wireless signal is used to activate the on-board electronic circuit that controls the corrosion current between the implant body and an integrated counter electrode. This configuration leads to the accelerated degradation of the implant and allows to harvest electrochemical energy that is naturally released by corrosion. In this study, the electrochemical properties of the Fe-30Mn-1C/Pt galvanic cell model system is first investigated and high-resolution X-ray microcomputed tomography is used to evaluate the galvanic degradation of stent structures. Subsequently, a centimeter-sized active implant prototype is assembled with conventional electronic components and the remotely controlled corrosion is tested in vitro. Furthermore, strategies toward the miniaturization and full biodegradability of this system are presented.
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Affiliation(s)
- Boris Rivkin
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
| | - Farzin Akbar
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
| | - Martin Otto
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
- Institute of Materials Science, Technische Universität Bergakademie Freiberg, 09599, Freiberg, Germany
| | - Lukas Beyer
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
- Institute of Materials Science, Technische Universität Bergakademie Freiberg, 09599, Freiberg, Germany
| | - Birgit Paul
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
| | - Konrad Kosiba
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
| | - Tobias Gustmann
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
| | - Julia Hufenbach
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
- Institute of Materials Science, Technische Universität Bergakademie Freiberg, 09599, Freiberg, Germany
| | - Mariana Medina-Sánchez
- Leibniz Institute for Solid State and Materials Research (IFW), 01069, Dresden, Germany
- Center for Molecular Bioengineering (B CUBE), Chair of Micro- and Nano Systems, Technische Universität Dresden, 01307, Dresden, Germany
- CIC nanoGUNE-BRTA, Donostia-San Sebastián, 20018, Spain
- Ikerbasque, Basque Foundation for Science, Bilbao, 48013, Spain
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Vinogradov A, Merson E, Myagkikh P, Linderov M, Brilevsky A, Merson D. Attaining High Functional Performance in Biodegradable Mg-Alloys: An Overview of Challenges and Prospects for the Mg-Zn-Ca System. MATERIALS (BASEL, SWITZERLAND) 2023; 16:1324. [PMID: 36770330 PMCID: PMC9920771 DOI: 10.3390/ma16031324] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 01/18/2023] [Accepted: 02/01/2023] [Indexed: 05/27/2023]
Abstract
This article presents a concise overview of modern achievements and existing knowledge gaps in the area of biodegradable magnesium alloys. Hundreds of Mg-based alloys have been proposed as candidates for temporary implants, and this number tends to increase day by day. Therefore, while reviewing common aspects of research in this field, we confine ourselves primarily to the popular Mg-Zn-Ca system, taken as a representative example. Over the last decades, research activities in this area have grown enormously and have produced many exciting results. Aiming at highlighting the areas where research efforts are still scarce, we review the state-of-the-art processing techniques and summarize the functional properties attained via a wide variety of processing routes devised towards achieving a desired properties profile, including the mechanical response in terms of strength, ductility, and fatigue resistance paired with biocompatibility and bio-corrosion resistance or controlled degradability. We pay keen attention to a summary of corrosion properties and mechano-chemical interactions between an aggressive environment and loaded Mg-based structures, resulting in stress corrosion cracking and premature corrosion fatigue failures. The polemic issues and challenges practitioners face in their laboratory research are identified and discussed.
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Affiliation(s)
- Alexei Vinogradov
- Department of Mechanical and Industrial Engineering, Norwegian University of Science and Technology, 4791 Trondheim, Norway
- Magnesium Research Center, Kumamoto University, Kumamoto 860-8555, Japan
| | - Evgeniy Merson
- Institute of Advanced Technologies, Togliatti State University, 445020 Togliatti, Russia
| | - Pavel Myagkikh
- Institute of Advanced Technologies, Togliatti State University, 445020 Togliatti, Russia
| | - Mikhail Linderov
- Institute of Advanced Technologies, Togliatti State University, 445020 Togliatti, Russia
| | - Alexandr Brilevsky
- Institute of Advanced Technologies, Togliatti State University, 445020 Togliatti, Russia
| | - Dmitry Merson
- Institute of Advanced Technologies, Togliatti State University, 445020 Togliatti, Russia
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3
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Rahimi E, Imani A, Lekka M, Andreatta F, Gonzalez-Garcia Y, Mol JMC, Asselin E, Fedrizzi L. Morphological and Surface Potential Characterization of Protein Nanobiofilm Formation on Magnesium Alloy Oxide: Their Role in Biodegradation. LANGMUIR : THE ACS JOURNAL OF SURFACES AND COLLOIDS 2022; 38:10854-10866. [PMID: 35994730 PMCID: PMC9454254 DOI: 10.1021/acs.langmuir.2c01540] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Revised: 08/15/2022] [Indexed: 06/15/2023]
Abstract
The formation of a protein nanobiofilm on the surface of degradable biomaterials such as magnesium (Mg) and its alloys influences metal ion release, cell adhesion/spreading, and biocompatibility. During the early stage of human body implantation, competition and interaction between inorganic species and protein molecules result in a complex film containing Mg oxide and a protein layer. This film affects the electrochemical properties of the metal surface, the protein conformational arrangement, and the electronic properties of the protein/Mg oxide interface. In this study, we discuss the impact of various simulated body fluids, including sodium chloride (NaCl), phosphate-buffered saline (PBS), and Hanks' solutions on protein adsorption, electrochemical interactions, and electrical surface potential (ESP) distribution at the adsorbed protein/Mg oxide interface. After 10 min of immersion in NaCl, atomic force microscopy (AFM) and scanning Kelvin probe force microscopy (SKPFM) showed a higher surface roughness related to enhanced degradation and lower ESP distribution on a Mg-based alloy than those in other solutions. Furthermore, adding bovine serum albumin (BSA) to all solutions caused a decline in the total surface roughness and ESP magnitude on the Mg alloy surface, particularly in the NaCl electrolyte. Using SKPFM surface analysis, we detected a protein nanobiofilm (∼10-20 nm) with an aggregated and/or fibrillary morphology only on the Mg surface exposed in Hanks' and PBS solutions; these surfaces had a lower ESP value than the oxide layer.
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Affiliation(s)
- Ehsan Rahimi
- Polytechnic
Department of Engineering and Architecture, University of Udine, 33100 Udine, Italy
- Department
of Materials Science and Engineering, Delft
University of Technology, Mekelweg 2, 2628 CD Delft, The Netherlands
| | - Amin Imani
- Department
of Materials Engineering, The University
of British Columbia, Vancouver, BC, V6T 1Z4, Canada
| | - Maria Lekka
- CIDETEC,
Basque Research and Technology Alliance (BRTA), Po. Miramón 196, 20014 Donostia-San Sebastián, Spain
| | - Francesco Andreatta
- Polytechnic
Department of Engineering and Architecture, University of Udine, 33100 Udine, Italy
| | - Yaiza Gonzalez-Garcia
- Department
of Materials Science and Engineering, Delft
University of Technology, Mekelweg 2, 2628 CD Delft, The Netherlands
| | - Johannes M. C. Mol
- Department
of Materials Science and Engineering, Delft
University of Technology, Mekelweg 2, 2628 CD Delft, The Netherlands
| | - Edouard Asselin
- Department
of Materials Engineering, The University
of British Columbia, Vancouver, BC, V6T 1Z4, Canada
| | - Lorenzo Fedrizzi
- Polytechnic
Department of Engineering and Architecture, University of Udine, 33100 Udine, Italy
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Luo Y, Wang J, Ong MTY, Yung PSH, Wang J, Qin L. Update on the research and development of magnesium-based biodegradable implants and their clinical translation in orthopaedics. BIOMATERIALS TRANSLATIONAL 2021; 2:188-196. [PMID: 35836649 PMCID: PMC9255812 DOI: 10.12336/biomatertransl.2021.03.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/20/2021] [Accepted: 08/12/2021] [Indexed: 11/06/2022]
Abstract
Biodegradable magnesium (Mg) or its alloys are desirable materials for development into new-generation internal fixation devices or implants with high biocompatibility, adequate mechanical modulus, and osteopromotive properties, which may overcome some of the drawbacks of the existing permanent orthopaedic implants with regard to stress-shielding of bone and beam-hardening effects on radiographic images. This review summarises the current research status of Mg-based orthopaedic implants in animals and clinical trials. First, detailed information of animal studies including bone fracture repair and anterior cruciate ligament reconstruction with the use of Mg-based orthopaedic devices is introduced. Second, the repair mechanisms of the Mg-based orthopaedic implants are also reviewed. Afterwards, reports of recent clinical cases treated using Mg-based implants in orthopaedics are summarised. Finally, the challenges and the strategies of the use of Mg-based orthopaedic implants are discussed. Taken together, the collected efforts in basic research, translational work, and clinical applications of Mg-based orthopaedic implants over the last decades greatly contribute to the development of a new generation of biodegradable metals used for the design of innovative implants for better treatment of orthopaedic conditions in patients with challenging skeletal disorders or injuries.
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Affiliation(s)
- Ying Luo
- School of Biomedical Engineering, Sun Yat-sen University, Guangzhou, Guangdong Province, China
| | - Jue Wang
- Hanglok-Tech Co., Ltd., Zhuhai, Guangdong Province, China
| | - Michael Tim Yun Ong
- Musculoskeletal Research Laboratory of Department of Orthopaedics & Traumatology and The Chinese University of Hong Kong Shenzhen-Hong Kong Innovation and Technology Institute (Futian), The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Patrick Shu-hang Yung
- Musculoskeletal Research Laboratory of Department of Orthopaedics & Traumatology and The Chinese University of Hong Kong Shenzhen-Hong Kong Innovation and Technology Institute (Futian), The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China
| | - Jiali Wang
- School of Biomedical Engineering, Sun Yat-sen University, Guangzhou, Guangdong Province, China,Corresponding authors: Jiali Wang, , Ling Qin,
| | - Ling Qin
- Musculoskeletal Research Laboratory of Department of Orthopaedics & Traumatology and The Chinese University of Hong Kong Shenzhen-Hong Kong Innovation and Technology Institute (Futian), The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China,Corresponding authors: Jiali Wang, , Ling Qin,
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5
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Asserghine A, Ashrafi AM, Mukherjee A, Petrlak F, Heger Z, Svec P, Richtera L, Nagy L, Souto RM, Nagy G, Adam V. In Situ Investigation of the Cytotoxic and Interfacial Characteristics of Titanium When Galvanically Coupled with Magnesium Using Scanning Electrochemical Microscopy. ACS APPLIED MATERIALS & INTERFACES 2021; 13:43587-43596. [PMID: 34473486 DOI: 10.1021/acsami.1c10584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Recently, the cytotoxic properties of galvanically coupled Ti-Mg particles have been shown in different cells. This cytotoxic effect has been attributed mainly to Mg due to its tendency to undergo activation when coupled with Ti, forming a galvanic cell consisting of an anode (Mg) and a cathode (Ti). However, the role of the Ti cathode has been ignored in explaining the cytotoxic effect of Ti-Mg particles due to its high resistance to corrosion. In this work, the role of titanium (Ti) in the cytotoxic mechanism of galvanically coupled Ti-Mg particles was examined. A model galvanic cell (MGC) was prepared to simulate the Mg-Ti particles. The electrochemical reactivity of the Ti sample and the pH change in it due to galvanic coupling with Mg were investigated using scanning electrochemical microscopy (SECM). It was observed that the Ti surface changed from passive to electrochemically active when coupled with Mg. Furthermore, after only 15 min of galvanic coupling with Mg, the pH in the electrolyte volume adjacent to the Ti surface increased to an alkaline pH value. The effects of the galvanic coupling of Ti and Mg, as well as those of the alkaline pH environment, on the viability of Hs27 fibroblast cells were investigated. It was shown that the viability of Hs27 cells significantly diminished when Mg and Ti were galvanically coupled compared to when the two metals were electrically disconnected. Thus, although Ti usually exhibited high corrosion resistance when exposed to physiological environments, an electrochemically active surface was observed when galvanically coupled with Mg, and this surface may participate in electron transfer reactions with chemical species in the neighboring environment; this participation resulted in the increased pH values above its surface and enhanced generation of reactive oxygen species. These features contributed to the development of cytotoxic effects by galvanically coupled Ti-Mg particles.
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Affiliation(s)
- Abdelilah Asserghine
- Department of General and Physical Chemistry, Faculty of Sciences, University of Pecs, Ifjussg u. 6, Pecs 7624, Hungary
- Laboratoire Interfaces et Systemes Electrochimiques (LISE), Sorbonne Universite, CNRS, 4 Place Jussieu, Paris F-75005, France
| | - Amir M Ashrafi
- Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1665/1, Brno 613 00, Czech Republic
- Central European Institute of Technology, Brno University of Technology, Purkynova 123, Brno CZ-612 00, Czech Republic
| | - Atripan Mukherjee
- Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1665/1, Brno 613 00, Czech Republic
- Central European Institute of Technology, Brno University of Technology, Purkynova 123, Brno CZ-612 00, Czech Republic
| | - Frantisek Petrlak
- Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1665/1, Brno 613 00, Czech Republic
| | - Zbynek Heger
- Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1665/1, Brno 613 00, Czech Republic
- Central European Institute of Technology, Brno University of Technology, Purkynova 123, Brno CZ-612 00, Czech Republic
| | - Pavel Svec
- Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1665/1, Brno 613 00, Czech Republic
| | - Lukas Richtera
- Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1665/1, Brno 613 00, Czech Republic
- Central European Institute of Technology, Brno University of Technology, Purkynova 123, Brno CZ-612 00, Czech Republic
| | - Livia Nagy
- Department of General and Physical Chemistry, Faculty of Sciences, University of Pecs, Ifjussg u. 6, Pecs 7624, Hungary
- Janos Szentagothai Research Center, University of Pecs, Ifjusag u. 20, Pecs 7624, Hungary
| | - Ricardo M Souto
- Institute of Material Science and Nanotechnology, University of La Laguna, P.O. Box 456, La Laguna E-38200, Tenerife, Canary Islands, Spain
| | - Geza Nagy
- Department of General and Physical Chemistry, Faculty of Sciences, University of Pecs, Ifjussg u. 6, Pecs 7624, Hungary
- Janos Szentagothai Research Center, University of Pecs, Ifjusag u. 20, Pecs 7624, Hungary
| | - Vojtech Adam
- Department of Chemistry and Biochemistry, Mendel University in Brno, Zemedelska 1665/1, Brno 613 00, Czech Republic
- Central European Institute of Technology, Brno University of Technology, Purkynova 123, Brno CZ-612 00, Czech Republic
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6
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Stürznickel J, Delsmann MM, Jungesblut OD, Stücker R, Knorr C, Rolvien T, Kertai M, Rupprecht M. Safety and performance of biodegradable magnesium-based implants in children and adolescents. Injury 2021; 52:2265-2271. [PMID: 33775413 DOI: 10.1016/j.injury.2021.03.037] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 03/15/2021] [Indexed: 02/02/2023]
Abstract
AIMS Biodegradable magnesium-based alloy implants represent a promising option in orthopedic surgery, as the clinical outcomes have been reported to be comparable to those of titanium implants and no surgical interventions are required for removal. To date, little is known about the results of the use of these implants in children and adolescents. Therefore, the aim of the present study was to analyze the safety and performance of these implants in children and adolescents. PATIENTS AND METHODS Eighty-nine patients treated with magnesium-based implants for fracture stabilization, osteotomy and osteochondral refixation were analyzed; 38 were treated by osteosynthesis; 18, osteotomy; and 33, osteochondral refixation. The mean follow-up duration was 8.2 months (range, 1.5-30 months). Clinical and radiographical follow-up examinations were performed at 4-8 weeks and 3-6 months, respectively, to evaluate implant performance and osseous consolidation. RESULTS Clinical outcomes were rated as good to very good in all patients. Radiolucent zones were apparent after surgery in all patients but were noted to decrease in size during the follow-up period. Revision surgery was necessary in 1 of 89 patients who had a highly unstable osteochondritis dissecans lesion of the knee. None of the magnesium-based implants required surgical removal. CONCLUSION Magnesium-based implants in children and adolescents results in good clinical outcomes when used for fracture stabilization, osteotomy and osteochondral defect refixation. Future studies are needed to further analyze the significance of the transient appearance and temporal development of radiolucent zones in the growing skeleton as well as the long-term performance of these implants.
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Affiliation(s)
- Julian Stürznickel
- Department of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Maximilian M Delsmann
- Department of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Oliver D Jungesblut
- Department of Pediatric Orthopaedics, Children's Hospital Hamburg-Altona, Hamburg, Germany; Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Ralf Stücker
- Department of Pediatric Orthopaedics, Children's Hospital Hamburg-Altona, Hamburg, Germany; Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Christian Knorr
- Department of Pediatric Surgery, Klinik St. Hedwig, University Medical Center Regensburg, Regensburg, Germany
| | - Tim Rolvien
- Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Michael Kertai
- Department of Pediatric Surgery, Klinik St. Hedwig, University Medical Center Regensburg, Regensburg, Germany.
| | - Martin Rupprecht
- Department of Pediatric Orthopaedics, Children's Hospital Hamburg-Altona, Hamburg, Germany; Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
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Abstract
Multifunctional materials based on a combination of permanent and degradable metals open new perspectives for medical implants combining osseoconductivity and drug-delivery functions which can significantly decrease the number of implants’ revision. In this work, hybrid magnesium-titanium materials were produced via sintering, and the properties of the permanent titanium component before and after the degradation of the temporary magnesium part were evaluated. The changes of chemical composition and mechanical parameters were determined. Loading of hydrogen into the titanium part at room temperature was observed, which deteriorated the mechanical characteristics but could also simultaneously improve the biocompatibility of the permanent titanium implant. The control of degradation of the magnesium part and the modification of the titanium part are required for the development of partly degradable hybrid implants.
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Gradient Microstructure Induced by Surface Mechanical Attrition Treatment (SMAT) in Magnesium Studied Using Positron Annihilation Spectroscopy and Complementary Methods. MATERIALS 2020; 13:ma13184002. [PMID: 32917049 PMCID: PMC7558138 DOI: 10.3390/ma13184002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 09/03/2020] [Accepted: 09/07/2020] [Indexed: 11/16/2022]
Abstract
Surface mechanical attrition treatment (SMAT) was used to generate a gradient microstructure in commercial grade magnesium. Positron annihilation lifetime spectroscopy and variable energy positron beam measurements, as well as microhardness tests, electron backscatter diffraction, X-ray diffraction, and electrochemical corrosion tests, were used to investigate the created subsurface microstructure and its properties. It was found that SMAT causes an increase in dislocation density and grain refinement which results in increased hardness of the subsurface zone. The mean positron lifetime values indicate trapping of positrons in vacancies associated with dislocations and dislocation jogs. The increase of the SMAT duration and the vibration amplitude influences the depth profile of the mean positron lifetime, which reflects the defect concentration profile. Electrochemical measurements revealed that the structure induced by SMAT increases the susceptibility of magnesium to anodic oxidation, leading to the enhanced formation of hydroxide coverage at the surface and, as a consequence, to the decrease in corrosion current. No significant effect of the treatment on the residual stress was found.
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Sun Y, Wu H, Wang W, Zan R, Peng H, Zhang S, Zhang X. Translational status of biomedical Mg devices in China. Bioact Mater 2019; 4:358-365. [PMID: 31909297 PMCID: PMC6939060 DOI: 10.1016/j.bioactmat.2019.11.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 10/29/2019] [Accepted: 11/06/2019] [Indexed: 12/14/2022] Open
Abstract
Magnesium (Mg) and its alloys as temporary medical implants with biodegradable and properly mechanical properties have been investigated for a long time. There are already three kinds of biodegradable Mg implants which are approved by Conformite Europeene (CE) or Korea Food and Drug Administration (KFDA), but not China Food and Drug Administration (CFDA, now it is National Medical Products Administration, NMPA). As we know, Chinese researchers, surgeons, and entrepreneurs have tried a lot to research and develop biodegradable Mg implants which might become other new approved implants for clinical applications. So in this review, we present the representative Mg implants of three categories, orthopedic implants, surgical implants, and intervention implants and provide an overview of current achievement in China from academic publications and Chinese patents. We would like to provide a systematic way to translate Mg and its alloy implants from experiment designs to clinical products.
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Affiliation(s)
- Yu Sun
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China
| | - Hongliu Wu
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China
| | - Wenhui Wang
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China
| | - Rui Zan
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China
| | - Hongzhou Peng
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China
| | - Shaoxiang Zhang
- Suzhou Origin Medical Technology Co. Ltd., Suzhou, 215513, China
| | - Xiaonong Zhang
- State Key Laboratory of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai, 200240, China
- Suzhou Origin Medical Technology Co. Ltd., Suzhou, 215513, China
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10
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Crevice corrosion - A newly observed mechanism of degradation in biomedical magnesium. Acta Biomater 2019; 98:152-159. [PMID: 31201866 DOI: 10.1016/j.actbio.2019.06.013] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2018] [Revised: 06/04/2019] [Accepted: 06/10/2019] [Indexed: 02/06/2023]
Abstract
Crevice-induced corrosion is not desirable to occur in metallic magnesium (Mg) during many industrial applications. However, orthopedic implants made of Mg alloys have been demonstrated to degrade faster between the joining surface of bone plates and screws after implantation, suggesting the crevice corrosion may occur in the physiological environment. In this paper, a resin device is designed to parallel high purity magnesium (HP-Mg) plates with closely spaced slits. After a standard corrosion test in the phosphate-buffered saline (PBS) solution, the paralleled HP-Mg samples embedded in the custom-made resin device corrode faster than those without the resin device. The corrosion morphology of Mg with the resin device exhibits features of crevice corrosion with many deep holes and river-like texture. Moreover, implantation of the bone plate and screws in vivo demonstrates similar corrosion morphology as that of the in vitro test, suggesting the occurrence of crevice-enhanced corrosion in the bone-bone plate interface, as well as the contact area between the bone plate and the screws. STATEMENT OF SIGNIFICANCE: Understanding the corrosion behavior of Mg and Mg alloys after implantation is one of the main challenges for developing desirable biodegradable Mg alloys or effective methods to adjust the corrosion rate of Mg-based implants. In this paper, we attempted to understand the corrosion behaviors of HP-Mg at the joining surface between HP-Mg plates or HP-Mg screws and bone tissues after implantation. We designed an in vitro setup to mimic the crevice environment of the in vivo joining surface and found that the crevices existing on the HP-Mg would significantly accelerate the corrosion rate and change the corrosion morphology of HP-Mg plates. The in vivo implantation also showed similar corrosion morphology caused by crevice corrosion, which appeared at the joining surface between HP-Mg plates or HP-Mg screws and bone tissues. Then, we proposed a new corrosion mechanism of Mg-based alloys inside the crevice. The findings of this study can help us broaden our cognition on the corrosion behavior of Mg and Mg alloy-based orthopedic implants.
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11
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Zimmermann T, Ferrandez-Montero A, Lieblich M, Ferrari B, González-Carrasco JL, Müller WD, Schwitalla AD. In vitro degradation of a biodegradable polylactic acid/magnesium composite as potential bone augmentation material in the presence of titanium and PEEK dental implants. Dent Mater 2018; 34:1492-1500. [PMID: 29941350 DOI: 10.1016/j.dental.2018.06.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2018] [Revised: 05/08/2018] [Accepted: 06/07/2018] [Indexed: 12/24/2022]
Abstract
OBJECTIVE The aim of this study was to assess the degradation behavior by measuring the H2 release of a biodegradable composite consisting of a polylactic acid matrix reinforced with 30% wt. spherical magnesium microparticles (PLA/Mg) as potential bone augmentation material in combination with dental implants of either titanium or polyetheretherketone (PEEK) in order to evaluate the potential influence of the titanium dental implants on the corrosion behavior of the Mg particles within the PLA matrix. METHODS Three PEEK dental implants and three titanium dental implants were put into a central perforation of six PLA/Mg-discs. These samples were incubated at 37°C for 30days in McCoy's 5A modified medium and the H2 release was evaluated. RESULTS Between day 7 and day 16 the average H2 release per cm2 of the surface of the PLA/Mg-samples in combination with the titanium implants was significantly higher than that of the sample group combined with the implants of PEEK (3.1±0.4ml vs. 2.8±0.4ml). This significant difference disappeared afterwards, whereas the H2 release was highest at day 30 and amounted 3.5±0.7ml/cm2 for the group with the titanium implants and 3.2±0.8ml/cm2 for the group with the PEEK implants. SIGNIFICANCE Regarding the similar values of the degradation depending H2 release of the two implant material groups, the co-implantation of a PLA/Mg composite is not only possible with new metal-free implant materials such as PEEK, but also with conventional implants of titanium.
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Affiliation(s)
- Tycho Zimmermann
- Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Dental Materials and Biomaterial Research, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Str. 4-6, 14197 Berlin, Germany
| | - Ana Ferrandez-Montero
- Centro Nacional de Investigaciones Metalurgicas, CSIC, Avda. Gregorio del Amo 8, 28040, Madrid, Spain
| | - Marcela Lieblich
- Centro Nacional de Investigaciones Metalurgicas, CSIC, Avda. Gregorio del Amo 8, 28040, Madrid, Spain
| | - Begoña Ferrari
- Instituto de Cerámica y Vidrio, CSIC, Campus de Cantoblanco, c/ Kelsen 5, 28049, Madrid, Spain
| | | | - Wolf-Dieter Müller
- Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Dental Materials and Biomaterial Research, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Str. 4-6, 14197 Berlin, Germany.
| | - Andreas Dominik Schwitalla
- Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Dental Materials and Biomaterial Research, Department of Prosthodontics, Geriatric Dentistry and Craniomandibular Disorders, Aßmannshauser Str. 4-6, 14197 Berlin, Germany
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Grün NG, Holweg PL, Donohue N, Klestil T, Weinberg AM. Resorbable implants in pediatric fracture treatment. Innov Surg Sci 2018; 3:119-125. [PMID: 31579775 PMCID: PMC6604569 DOI: 10.1515/iss-2018-0006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Accepted: 05/08/2018] [Indexed: 01/07/2023] Open
Abstract
Pediatric osteosynthesis has developed over the last 20 years, thereby reducing medical and economic burden, including long and expensive hospitalization. Currently, conventional and rigid alloying systems such as titanium are used for stabilization of bone fractures in children. In many cases, implants must be removed, as otherwise growth would be impeded. Biodegradable implant materials exhibit beneficial properties and would make a second removal surgery unnecessary. In the following article, we will give an overview of implant materials that are currently used in pediatric traumatology with a focus on Mg-based implants. Furthermore, we will discuss current scientific knowledge on resorbable implants, including results from pre-clinics and clinics.
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Affiliation(s)
- Nicole Gabriele Grün
- Department of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria
| | - Patrick Lukas Holweg
- Department of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria
| | - Nicholas Donohue
- Department of Orthopedics and Traumatology, Medical University of Graz, Graz, Austria
| | - Thomas Klestil
- LK Baden-Mödling-Hainburg, Department of Orthopedic Surgery and Traumatology, Waltersdorferstraße 75, A-2500 Baden, Austria
- Danube University Krems, Faculty of Health and Medicine, Department for Health Sciences and Biomedicine, Center for Medical Specialisations, Dr. Karl-Dorrek-Str. 30, A-3500 Krems, Austria
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Numerical Modelling of Effects of Biphasic Layers of Corrosion Products to the Degradation of Magnesium Metal In Vitro. MATERIALS 2017; 11:ma11010001. [PMID: 29267244 PMCID: PMC5793499 DOI: 10.3390/ma11010001] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 12/06/2017] [Accepted: 12/14/2017] [Indexed: 01/22/2023]
Abstract
Magnesium (Mg) is becoming increasingly popular for orthopaedic implant materials. Its mechanical properties are closer to bone than other implant materials, allowing for more natural healing under stresses experienced during recovery. Being biodegradable, it also eliminates the requirement of further surgery to remove the hardware. However, Mg rapidly corrodes in clinically relevant aqueous environments, compromising its use. This problem can be addressed by alloying the Mg, but challenges remain at optimising the properties of the material for clinical use. In this paper, we present a mathematical model to provide a systematic means of quantitatively predicting Mg corrosion in aqueous environments, providing a means of informing standardisation of in vitro investigation of Mg alloy corrosion to determine implant design parameters. The model describes corrosion through reactions with water, to produce magnesium hydroxide Mg(OH) 2 , and subsequently with carbon dioxide to form magnesium carbonate MgCO 3 . The corrosion products produce distinct protective layers around the magnesium block that are modelled as porous media. The resulting model of advection-diffusion equations with multiple moving boundaries was solved numerically using asymptotic expansions to deal with singular cases. The model has few free parameters, and it is shown that these can be tuned to predict a full range of corrosion rates, reflecting differences between pure magnesium or magnesium alloys. Data from practicable in vitro experiments can be used to calibrate the model's free parameters, from which model simulations using in vivo relevant geometries provide a cheap first step in optimising Mg-based implant materials.
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