Table 2.
Classification | Materials | Advantages | Disadvantages | Applications | References |
---|---|---|---|---|---|
Biodegradable metallic materials | Mg-based alloys |
Biocompatible Biodegradable Bioresorbable Similar density and Young’s modulus of bone (E = 10–30 GPa) Less stress-shielding effect Light weight |
Hydrogen evolution during degradation Less resistance to corrosion |
Bone screws, bone plates, bone pins, etc | Chandra and Pandey (2020) |
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 orthopaedic implants | Seitz et al. (2015) | |
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 by 2Zn + 2H2O + O2 | Wound closure devices (biodegradable staples, surgical tacks, plugs, microclips, and rivets), orthopaedic fixation devices (fixative plates, screws, and porous scaffolds), cardiovascular stents, and bone implants | Dambatta et al. (2015) | |
Non-biodegradable metallic materials | 316L Stainless steel |
Easily available and low cost Excellent fabrication properties Accepted biocompatibility and toughness |
High modulus Poor corrosion resistance Poor wear resistance Allergic reaction in surrounding tissue Stress-shielding effect |
Bone plates, bone screws and pins, wires, etc | Bowen et al. (2016) |
Co–Cr alloys |
Superior in terms of resistance to corrosion, fatigue and wear High strength Long-term biocompatibility |
Expensive Quite difficult to machine Stress-shielding effect High modulus Biological toxicity due to Co, Cr and Ni ions release |
Shorter term implants—bone plates and wires, total hip replacements (THR)—stem or hard-on-hard bearing system | Bowen et al. (2016) | |
Ti alloys |
Excellent resistance to corrosion Lower modulus Stronger than stainless steels Light weight Biocompatible |
Poor wear resistance Poor bending ductility Expensive |
Fracture fixation plates, fasteners, nails, rods, screws and wires, femoral hip stems, total joint replacement (TJR) arthroplasty-hips and knees | Venezuela and Dargusch (2019) |