TAILIEUCHUNG - Metals for Biomedical Applications

In modern history, metals have been used as implants since more than 100 years ago when Lane first introduced metal plate for bone fracture fixation in 1895 (Lane, 1895). In the early development, metal implants faced corrosion and insufficient strength problems (Lambotte, 1909, Sherman, 1912). Shortly after the introduction of the 18-8 stainless steel in 1920s, which has had far-superior corrosion resistance to anything in that time, it immediately attracted the interest of the clinicians. Thereafter, metal implants experienced vast development and clinical use. | 17 Metals for Biomedical Applications Hendra Hermawan Dadan Ramdan and Joy R. P. Djuansjah Faculty of Biomedical Engineering and Health Science Universiti Teknologi Malaysia Malaysia 1. Introduction In modern history metals have been used as implants since more than 100 years ago when Lane first introduced metal plate for bone fracture fixation in 1895 Lane 1895 . In the early development metal implants faced corrosion and insufficient strength problems Lambotte 1909 Sherman 1912 . Shortly after the introduction of the 18-8 stainless steel in 1920s which has had far-superior corrosion resistance to anything in that time it immediately attracted the interest of the clinicians. Thereafter metal implants experienced vast development and clinical use. Type of metal used in biomedical depends on specific implant applications. 316L type stainless steel 316L SS is still the most used alloy in all implants division ranging from cardiovascular to otorhinology. However when the implant requires high wear resistance such as artificial joints CoCrMo alloys is better served. Table 1 summarized the type of metals generally used for different implants division. Division Example of implants Type of metal Cardiovascular Stent Artificial valve 316L SS CoCrMo Ti Ti6Al4V Orthopaedic Bone fixation plate screw pin Artificial joints 316L SS Ti Ti6Al4V CoCrMo Ti6Al4V Ti6Al7Nb Dentistry Orthodontic wire Filling 316L SS CoCrMo TiNi TiMo AgSn Cu amalgam Au Craniofacial Plate and screw 316l SS CoCrMo Ti Ti6Al4V Otorhinology Artificial eardrum 316L SS Table 1. Implants division and type of metals used Metallic biomaterials are exploited due to their inertness and structural functions they do not possess biofunctionalities like blood compatibility bone conductivity and bioactivity. Hence surface modifications are required. Improving their bone conductivity has been done by coating with bioactive ceramics like hydroxyapatite Habibovic 2002 or blood compatibility by coating with biopolymers .

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