Table 1.
Classification | Materials | Benefits | Limitations | Applications |
---|---|---|---|---|
Non-biodegradable metallic materials | 316L SS | High tensile strength, toughness, and acceptable biocompatibility. | Low wear and corrosion resistance, high elastic modulus, localized corrosion with pitting, crevices and stress corrosion cracking. | Acetabular cup, bone plates, bone screws, pins, rods, hip nails, wires, total hip replacements, etc. |
Co–Cr alloys | Good corrosion, fatigue and wear resistance, and high mechanical strength. | High elastic modulus, toxicity due to release of Co, Cr, and Ni ions. | Short term implants, bone plates and wires, orthodontic wire, femoral stems, total joint replacements, etc. | |
Ti alloys | Very good biocompatibility, tensile strength and corrosion resistance, lightweight, and MRI compatible. | Expensive, poor wear resistance and fatigue strength. | Joint replacements, dental implants, cardiovascular implants, prosthetic heart valves, fracture fixation plates, fasteners, nails, rods, screws, and wires. | |
Biodegradable metallic materials | Mg-based alloys | Good biocompatibility, ability to stimulate new bone formation, biodegradable in a physiological environment, density and elastic modulus close to those of natural bone, and MRI compatible. | High degradation rate, unwanted pH increase in surrounding tissues, inadequate mechanical strength for load-bearing implants, premature loss of mechanical integrity before sufficient bone tissue healing, high H2 gas evolution; Degradation via Mg + 2H2O → Mg(OH)2 + H2. | Bone screws, bone plates, bone pins, cardiovascular stents etc. |
Fe-based alloys | High tensile strength and formability, fair biocompatibility, MRI compatible (austenitic phase), and no H2 gas production during degradation. | Very low degradation rate, high elastic modulus; Degradation via 2Fe + 2H2O + O2 → 2Fe(OH)2. |
Temporary cardiovascular and orthopedic implants | |
Zn-based alloys | Intermediate corrosion rate (falling between corrosion rates of Mg and Fe), fair biocompatibility, no H2 gas evaluation and non-toxic corrosion products, good processability, low melting point, and less reactivity in molten state. | Low mechanical strength, age hardening; Degradation via 2Zn + 2H2O + O2 → 2Zn(OH)2. |
Stents (cardiovascular and coronary stents), orthopedic fixation (sutures, screw, pins and plates). |