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j o u r n a l o f m a t e r i a l s r e s e a r c h a n d t e c h n o l o g y 2 0 2 1 ; 1 4 : 2 3 2 2 e2 3 3 2

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Original Article

3D-printed Ti6Al4V femoral component of knee:


Improvements in wear and biological properties by
AIP TiN and TiCrN coating

JunJie Ni a, Fan Liu b, Gaolin Yang c, Gun-Hwan Lee d, Sung-Min Chung e,


In-Seop Lee a,f, Cen Chen a,*
a
College of Life Sciences and Medicine, Zhejiang Sci-Tech University, Hangzhou, 310018, PR China
b
Department of Orthodontics, School of Stomatology, China Medical University, Shenyang, 110002, PR China
c
Institute of Laser Advanced Manufacturing, Zhejiang University of Technology, Hangzhou, 310023, China
d
Department of Surface Technology, Korea Institute of Materials Science, Changwon, 641-831, Republic of Korea
e
Biomaterials R&D Center, GENOSS Co., Ltd., Suwon-si, 443-270, Republic of Korea
f
Institute of Human Materials, Suwon, 16514, Republic of Korea

article info abstract

Article history: As patients are dissatisfied with the excessive weight of Co-based knee femoral compo-
Received 21 May 2021 nents, it is an urgent need to reduce their weight without compromising the excellent
Accepted 28 July 2021 mechanical properties. In the present study, femoral components of knee with Ti6Al4V
Available online 4 August 2021 alloy (86 g) or CoeCr alloy (192 g) were printed by selective laser melting (SLM). In order to
improve the mechanical properties and biocompatibility of 3D-printed Ti6Al4V, TiN and
Keywords: TiCrN coating layers were deposited on the surface of SLM Ti6Al4V using arc ion plating
TiN (AIP) system. The surface characterizations were analyzed by scanning electron micro-
TiCrN scopy (SEM) equipped with energy dispersive spectrometer (EDS), X-ray diffraction (XRD),
Arc ion plating contact angle tensiometer, and contact profilometer. The wear property, hardness value
SLM Ti6Al4V and corrosion resistance in phosphate buffered saline (PBS) were also investigated through
Mechanical properties vickers hardness, sliding wear test, electrochemical impedance spectroscopy and poten-
Biological evaluation tiodynamic polarization. The antibacterial capability and biocompatibility were assessed
with Staphylococcus aureus and mesenchymal stem cells (MSCs) in vitro. Results illustrated
that, after coating SLM Ti6Al4V with thin TiN and TiCrN layers, the hardness, anti-wear
performance and corrosion resistance of SLM Ti6Al4V were significantly improved and
became comparable to SLM CoCr. The TiN and TiCrN coated SLM Ti6Al4V also showed
moderate antibacterial ability, and excellent biocompatibility in comparation with SLM
Ti6Al4V and SLM CoCr.
© 2021 The Author(s). Published by Elsevier B.V. This is an open access article under the CC
BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

* Corresponding author.
E-mail addresses: chencen@zstu.edu.cn, chencen313@gmail.com (C. Chen).
https://doi.org/10.1016/j.jmrt.2021.07.143
2238-7854/© 2021 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://
creativecommons.org/licenses/by-nc-nd/4.0/).
j o u r n a l o f m a t e r i a l s r e s e a r c h a n d t e c h n o l o g y 2 0 2 1 ; 1 4 : 2 3 2 2 e2 3 3 2 2323

1. Introduction 2. Materials and methods

The total knee arthroplasty (TKA) is a highly efficacious and 2.1. Chemicals and materials
cost-effective procedure for patients with knee osteoarthritis.
Currently, there are more than 200,000 TKA surgery in China Phosphate buffered saline (PBS), live/dead viability/cytotox-
every year, which will increase year by year [1]. The common icity kit and phalloidin-TRITC were acquired from Thermo
artificial knee joint is composed of femoral component, tibial Fisher Scientific (Waltham, MA, USA). Mesenchymal stem
component and tibial tray. The wear between femoral cells (MSCs) from SpragueeDawley rat and MSC growth me-
component and tibial tray during patients’ activity is the dium were purchased from Cyagen Biosciences (Soochow,
major factor in the reliability and durability of artificial knee China). Penicillin, streptomycin, 40 ,6-diamidino-2-
joint [2].CoCr is the preferred material for femoral component phenylindole (DAPI) and Cell Counting Kit-8 (CCK-8) were
of knee prosthesis due to its good mechanical properties obtained from Beyotime Biotechnology (Shanghai, China).
especially in wear resistance [3,4]. However, the in vitro ex- Ti6Al4V powders were purchased from Supra Alloys Inc.
periments show that cobalt ion can affect the growth of os- (Camarillo, CA, USA), while CoCr powders were acquired from
teoblasts cells [5]. Moreover, patients have shown LPW Technology (LPW Technology Ltd, Runcorn, UK).
dissatisfaction with the excessive weight because of the high
density of Co based alloys [6]. Therefore, there is an urgent 2.2. Preparation of substrate
need to reduce the weight of knee femoral component
without sacrificing its mechanical properties. Femoral components of knee and disc-samples (20 mm
Ti6Al4V alloy is an extensively used material for light- diameter, 2 mm thickness) were fabricated with TiAl4V or
weight structure and load-bearing implants [7], due to its good CoCr powders by SLM system (EOSINT-M280, EOS GmbH,
corrosion resistant, high strength to density ratio, and excel- Munich, Germany) based on previously reported procedure
lent biocompatibility [8]. Over the last decades, additive [26]. Briefly, Ti6Al4V powder (30 mm diameter) and CoCr pow-
manufacturing (AM), such as electron beam melting (EBM) and der (15e45 mm diameter) was selected as basic materials. The
selective laser melting (SLM), has been increasingly interested models were firstly designed by CAD software, sequentially
to produce patient oriented Ti6Al4V implants with 3D com- outputted into STL data, and built layer by layer through laser
plex architectures and well-designed pores [9]. However, poor beam scanning. The SLM process parameters were as follows:
wear resistance has limited its applications [10,11]. Wear on (1) for SLM Ti6Al4V, laser power: 400 W; scanning velocity:
articulating surface often induce the metal ion release and 700 mm/s; (2) for SLM CoCr, laser power: 130 W; scanning
increase the risk of inflammation. Protective coatings can be velocity: 900 mm/s.
used to solve such problems [12,13].
Surface coating can reduce the wear of substrate materials 2.3. Deposition of TiN and TiCrN coating
to improve the stability of prosthetic implants [14]. In the
previous studies, metal nitride coatings were widely studied Prior to coating, SLM Ti6Al4V components or discs were pol-
because of their excellent mechanical properties [15,16]. It is ished using SiC sandpaper from 600 meshes to 4000 meshes
reported that the nitride coatings can apparently reduce the sequentially, then cleaned with acetone, ethanol, and distilled
release of toxic ion from Ti6Al4V [17]. Especially, TiN [13] and water. TiN and TiCrN coatings were deposited by AIP on pol-
TiCrN [18] coatings get a lot of attention owing to high hard- ished SLM Ti6Al4V according to previous study [27]. The vac-
ness and good resistance to abrasion. Also, the TiN and TiCrN uum arc sources are composed of a titanium (99.9%) target or a
coatings have been proved to improve the antibacterial ability titaniumechromium target with 25% Cr composition. SLM
and biocompatibility [19]. Ti6Al4V were mounted on a substrate holder with 10 rpm
Currently, many techniques such as magnetron sputtering speed to uniform the coating layers. After being pumped down
[20], plasma spraying [21] and vacuum-arc deposition [22] to 1  105 torr, chamber pressure was reduced to 101 torr by
have been applied to deposit metal nitride coatings. The arc introducing Ar. The deposition conditions were as follows:
ion plating (AIP) which have strong merits of high ionization working pressure: 3  103 torr; voltage: 50 V; current: 60 A;
degree is widely used for depositing TiN and TiCrN coatings time: 4 h; gas feeding rate (Ar: N2): 100: 200 (TiN); gas feeding
[23]. Although many researches have investigated the me- rate (Ar: N2): 50: 300 (TiCrN); target distance: >250 mm.
chanical properties of TiN and TiCrN coatings on wrought
Ti6Al4V [24,25], few reports have been published about the 2.4. Surface characterization
application of TiN and TiCrN coatings on 3D-printed Ti6Al4V
to improve tis mechanical properties and biological behaviors. The surface microstructure and element distribution were
In this study, CoCr and Ti6Al4V femoral components and characterized by scanning electron microscopy (SEM, Quanta
discs were fabricated by SLM. TiN and TiCrN coatings were 200; FEI Company, Philips, Netherlands) with energy disper-
synthesized on SLM Ti6Al4V through AIP techniques. The sive spectrometer (EDS). The phase composition of different
mechanical properties, corrosion resistance, antimicrobial samples was measured by an X-ray diffractometer (XRD,
capability and cyto-compatibility of TiN and TiCrN coated SLM Philips PW1700). 2q range of XRD analyses was set from 10 to
Ti6Al4V are systematically investigated to compare with SLM 80 with speed of 2 /min. Water contact angle was performed
CoCr. by a video contact angle tensiometer (DSA25, Kruss, Hamburg,
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Germany). The surface roughness was measured by using a according to GB/T 4789.2. The antibacterial rates were calcu-
contact profilometer (Dektak XT, Bruker, Berlin, Germany). lated as follows [28]:

2.5. Mechanical evaluation Antibacterial rate (%) ¼ [(CFU of control groups - CFU of
experimental groups) / CFU of control groups]  100%.
The wear properties of the coatings were analyzed by using a
pin-on-disk-type tribometer. Si3N4 ball (6.3 mm) was used as
friction counterpart to investigate dry sliding wear properties. 2.8. Cell culture
The conditions were as follows: contact load: 5 N; rotational
speed: 100 rpm/min; radius: 2 mm; time: 1200 s. Worn surfaces MSCs were thawed and cultured in MSC growth medium with
were observed with optical microscope (IX53, Olympus, 5% CO2 at 37 C. MSCs were collected and sub-cultured every
Tokyo, Japan), while worn tracks were evaluated by a 2D three days, at a density of 2  105 cells/mL. Cells of passage
profiler (SJ-301, Mitutoyo, Kanagawa, Japan). The microhard- 2e6 were used for further cell experiments.
ness of the coatings was performed with 25 g load on a HV-
1000 tester in an elapsed time of 15 s. 2.9. Indirect cytotoxicity

2.6. Electrochemical corrosion studies Cytotoxicity was evaluated through CCK-8 and live/dead kit,
where MSCs were indirectly exposed to extract solution for
The corrosion properties were determined through electro- 24 h and 48 h. To prepare extract solution for cytotoxicity test,
chemical impedance spectroscopy (EIS) and potentiodynamic SLM CoCr, SLM Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V
polarization in PBS solution. A three-electrode cell system was discs were immersed in MSC growth medium at 37 C for 72 h.
applied in electrochemical measurements by electrochemical MSCs were cultured on tissue-culture treated polystyrene
workstation (CHI600E, Shanghai Chenhua): platinum as (TCP) overnight, then the cell culture medium was replaced
counter electrode, standard calomel electrode (SCE) as the with extracted solution, respectively. The untreated MSCs
reference electrode. Prior to measurements, the samples were cultured on TCP served as TCP control. CCK-8 can be reduced
soaked in PBS solution for 60 min to establish open circuit into yellow formazan by dehydrogenase in mitochondrial.
potential (OCP). EIS measurements were accomplished by The Cell viability can be indirectly demonstrated by
applying a sinusoidal potential perturbation of 5 mV at the measuring the light absorption value at the wavelength of
OCP and a sweep from 10 mHz to 100 kHz in logarithmic 450 nm [29]. For quantitative test, CCK-8 reagent was added to
decrement. The potentiodynamic polarization curves were each sample and incubated for 1 h at 37 C. Then, MSCs
measured from 1.0 to 1.5 V with a scan rate of 5 mV/s. viability was determined at 450 nm using an enzyme-labeled
instrument (DNA Export, TECAN, Austria). The live/dead
2.7. In vitro antibacterial assessment viability/cytotoxicity kit were used for the qualitative assay.
MSCs were stained by Calcein AM (Green) and EthD-1 (Red) at
The bacteriostatic properties were investigated with Staphy- 4 C for 10 min in the dark, then observed under confocal mi-
lococcus aureus. All samples were sterilized using ultraviolet croscope (IX81-FV1000, Olympus, Tokyo, Japan).
light for 30 min in 75% ethanol and distilled water. Different
samples were placed in 12-well plates, and 1 mL of the sus- 2.10. Cell proliferation
pension of bacterial (105 CFU/mL) were added on the sample
surface. After 24-h cultivation, 200 mL suspension of each well Discs were sterilized in 75% ethanol and distilled water for
were transferred into solid medium for another 24-h incuba- 30 min each under ultraviolet light before test. MSCs were
tion. Then the number of bacteria colonies was counted cultured on TCP control, SLM CoCr, SLM Ti6Al4V, TiN and

Fig. 1 e Photographs of non-coated SLM CoCr, TiN and TiCrN coated SLM Ti6Al4V knee femoral components; and SLM CoCr,
SLM Ti6Al4V, TiN or TiCrN coated SLM Ti6Al4V discs.
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Fig. 2 e SEM images of as-printed SLM Ti6Al4V (a, b), TiN (c, d) and TiCrN (e, f) coatings on polished SLM Ti6Al4V.

TiCrN coated SLM Ti6Al4V with a density of 2  104 cells/mL to SLM CoCr. The TiN and TiCrN coated SLM Ti6Al4V maintained
explore the cell proliferation. The untreated MSCs cultured on a mirror surface, but displayed noticeable changes in their
TCP were used as TCP control. After 1, 3, 5 and 7 days of cul- color after the vacuum AIP. The as-deposited TiN coating
ture, cell viability was evaluated by CCK-8 at 450 nm. MSCs presented golden color, while the TiCrN coating exhibited
were also stained by phalloidin-TRITC and DAPI to observe the silver.
cellular morphology with confocal microscope. SLM disc samples in Fig. 1 were prepared for subsequent
characterizations. Typical microstructures of SLM Ti6Al4V
2.11. Statistics and the TiN, TiCrN coated substrate were examined under
SEM (Fig. 2). Unmelted Ti6Al4V particles were found on as-
All quantitative tests were obtained with triplicate or quad- printed SLM Ti6Al4V disc, but mostly disappeared by the
rant repeats, and expressed as mean ± standard deviation following polish. It is due to unmelted particles to be sintered
(SD). A one-way ANOVA followed by Tukey's test was used to on surfaces through staircase effect [30]. The top view of
the statistical analysis among different groups. P value < 0.05 coated surface indicated that the TiN and TiCrN were homo-
were considered statistically significant. geneously coated on polished SLM Ti6Al4V surface. Many
particles and droplets were observed after deposition on SLM
Ti6Al4V. The surface characteristics were consistent with
3. Results and discussion those of AIP coating technology [31], which was owing to the
deposition of melted droplets with different size on SLM
3.1. Composition and structure Ti6Al4V surface [32,33].
The cross-sectional images of SLM Ti6Al4V and obtained
The macroscopic morphologies of the SLM CoCr, TiN and coatings were shown in Fig. 3. The thickness of TiN and TiCrN
TiCrN coated SLM Ti6Al4V femoral components of knee were coatings were 1.33 ± 0.06 mm and 1.42 ± 0.08 mm, which is
showed in Fig. 1. The weight of SLM CoCr femoral component similar to other published report of AIP coatings [19]. Elements
was 192 g, while the weight of TiN and TiCrN coated SLM distribution map of SLM Ti6V4V, TiN and TiCrN coated SLM
Ti6Al4V femoral components with same size were ~44% of Ti6Al4V were analyzed by EDS. Obviously, compared with SLM
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Fig. 3 e Cross-sectional SEM images and elements distribution map of SLM Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V.

Ti6Al4AV, the TiN coating had higher content of N atoms;


while TiCrN coated SLM Ti6Al4V had higher content of Cr
atoms on out lateral. The EDS confirmed successful deposition
of TiN and TiCrN coatings on SLM Ti6Al4V surface.
The XRD patterns of coated and as-printed SLM Ti6Al4V
were shown in Fig. 4. Typical peaks belonging to SLM Ti6Al4V
were displayed with many phases mainly of (101) and (002).The
TiN coated SLM Ti6Al4V had TiN phase with strong (111) grains
which is normally appeared from coatings deposited by AIP
[23]. While, a preferred orientation (200) and relative weak peak
(111) appeared as for TiCrN coated SLM Ti6Al4V. Many studies
have shown that adding Cr element will change the crystal
phase [18]. In addition, peaks belong to SLM Ti6Al4V were also
observed for coated samples because X-ray can penetrate the
thin coating layers and reach the substrates.
The contact angle and surface roughness of SLM Ti6Al4V,
TiN and TiCrN coated SLM Ti6Al4V were shown in Table 1. The
contact angle of SLM Ti6Al4V substrate (65.57 ± 2.21 )
Fig. 4 e XRD profile of the SLM Ti6Al4V, TiN and TiCrN
increased when coated with TiN (70.70 ± 1.55 ) and TiCrN
coated SLM Ti6Al4V.
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rate of SLM CoCr, SLM Ti6Al4V, TiN and TiCrN coated SLM
Table 1 e The roughness and contact angle of SLM
Ti6Al4V. The SLM Ti6Al4V discs (wear rate ¼ 1980  106 mm3/
Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V. Values
represented the mean ± SD (n ¼ 3). Nm) had the lowest wear resistance. The wear resistance
substantially improved after deposited with TiN (wear
Sample Ra (mm) Contact angle ( )
rate ¼ 535  106 mm3/Nm) and TiCrN (wear
SLM Ti6Al4V 4.35 ± 0.02 65.57 ± 2.21 rate ¼ 34  106 mm3/Nm) coatings (P < 0.05). It is worth noting
TiN Coating 1.39 ± 0.07 70.70 ± 1.55
that the TiCrN coated SLM Ti6Al4V showed better resistant to
TiCrN Coating 1.11 ± 0.06 76.20 ± 2.89
wear than SLM CoCr (wear rate ¼ 505  106 mm3/Nm)
(76.20 ± 2.89 ). As-printed SLM Ti6Al4V had the highest (P < 0.05), which may contribute to the addition of Cr element.
roughness of 4.35 ± 0.02 mm, but decreased to the average Fig. 5D displayed the surface hardness of SLM CoCr, SLM
surface roughness of 1.39 ± 0.07 mm, 1.11 ± 0.06 mm after pol- Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V. After AIP
ished and coated with TiN, TiCrN, respectively. deposition, measurable improvement of surface hardness
had achieved for TiN (2100 HV) and TiCrN (2200 HV) coated
3.2. Mechanical and wear properties SLM Ti6Al4V, which was much higher than uncoated SLM
Ti6Al4V (400 HV) and SLM CoCr (417 HV) (P < 0.05). Although
The wear properties were examined by optical microscope the weight of TiN and TiCrN coated SLM Ti6Al4V femoral
and 2D profiles in Fig. 5A and B. Wear resistance were components was ~50% lower than SLM CoCr, they presented
explored through wear track. The track width and depth of the comparable mechanical properties to CoCr-based
as-polished SLM Ti6Al4V was widest and deepest. After components.
deposited with TiN and TiCrN coatings, the grooves dimin- Even though, the mechanical properties of 3D-printed
ished. The groove of TiCrN coated SLM Ti6Al4V was even Ti6Al4V were significantly improved by applying thin TiN and
small than non-coated SLM CoCr. Fig. 5C displayed the wear TiCrN coating layers, the wear resistance and coating

Fig. 5 e Mechanical properties of SLM CoCr, SLM Ti6Al4V, TiN and TiCrN coated Ti6Al4V: (A) optical microscope images of
worn surfaces, (B) the profiles of wear tracks, (C) wear rate, and (D) surface hardness. Values represented the mean ± SD
(n ¼ 3). *, P < 0.05 compared with SLM CoCr. #, P < 0.05 compared with SLM Ti6Al4V.
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Fig. 6 e Electrochemical behaviors in PBS solution: (A) Nyquist plots and (B) polarization curves. In Fig A, (a) SLM CoCr, (b)
SLM Ti6Al4V, (c) TiN coating, (d) TiCrN coating, (e) equivalent circuit for SLM CoCr and SLM Ti6Al4V, and (f) equivalent circuit
for TiN and TiCrN coatings. In Fig B, (a) SLM CoCr, (b) SLM Ti6Al4V, (c) TiN coating, and (d) TiCrN coating.

hardness are still lower than those on wrought Ti6Al4V higher than the published study reported by Thampi [18],
[34e36]. Such differences mainly relate to the better wear which may induced by relative small surface roughness.
resistance and hardness of the wrought substrate than that of Potentiodynamic polarization test was further performed
SLM substrate according to published study reported by Lyu to evaluate the corrosion behavior of TiN and TiCrN coatings.
[37]. Future research should focus on the improving the me- Fig. 6B showed the polarization curves of different samples
chanical properties by modulating AIP parameters. and the related corrosion potential (Ecorr) and current density
(Icorr) were presented in Table 2. Ecorr indicates the driving
3.3. Corrosion analysis force of the corrosion process. SLM CoCr had the highest Ecorr
among all samples. Compared with uncoated SLM Ti6Al4V,
Electrochemical impedance spectroscopy (EIS) and potentio- the higher Ecorr of TiN or TiCrN indicated that the corrosion
dynamic polarization were used to test the bio-corrosion process become more noble by the nitride coatings. The Icorr
resistance of coated and uncoated samples. PBS solution can directly reflect the corrosion rate under Ecorr [38]. The Icorr
were used to imitate the physiological environment. SLM CoCr, values were 0.90 mA/cm2 for SLM CoCr,1.42 mA/cm2 for un-
SLM Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V were soaked coated SLM Ti6Al4V, 1.20 mA/cm2 for the TiN coating, and
in PBS solution for 60 min to achieve a consistent OCP value. 1.04 mA/cm2 for the TiCrN coating, respectively. Compared
Fig. 6A demonstrated Nyquist plots of different samples. with SLM Ti6Al4V, the Icorr of TiN and TiCrN coated SLM
The diameter of semi-circles of TiN and TiCrN coated SLM Ti6Al4V were lower, which means better corrosion resis-
Ti6Al4V were larger than that of uncoated SLM Ti6Al4V, which tance. Although the AIP technical brought vast improvement
indicated that they had higher corrosion protection. SLM CoCr of the corrosion resistance, the corrosion resistance of SLM
illustrated largest semi-circles compared to other samples. CoCr was still the best. The lower corrosion resistance of TiN
The electrical equivalent circuit for EIS plots were presented in and TiCrN coated SLM Ti6Al4V than SLM CoCr are probably
Fig. 6A (e) (for coated samples) and (f) (for uncoated samples), due to some small defects on the thin coating, which will
which demonstrated the electrochemical characteristics of lead to the exposure of substrate. Increasing the uniformity
surface. The charge transfer resistance (Rct) results calculated of the coating will be a considerable choice to improve the
from Fig. 6A (e) and (f) were compared in Table 2. An increase corrosion resistance of TiN and TiCrN coated SLM Ti6Al4V
in Rct value indicated a higher corrosion resistance. The Rct [39].
value of TiCrN (3.60  106 U/cm2) and TiN (6.61  105 U/cm2)
coated SLM Ti6Al4V were much higher than that of SLM 3.4. Antibacterial assay
Ti6Al4V (3.95  104 U/cm2), but slightly lower than SLM CoCr
(6.51  106 U/cm2). The Rct value of TiN and TiCrN coating are S. aureus takes part in more than half of implant infections
[40]. The antibacterial capability was investigated through
plate counting method in Fig. 7. The number of S. aureus on
TiCrN coating was the smallest among all experiment
groups (P < 0.05). The bacteriostatic properties with
Table 2 e Electrochemical parameters of SLM CoCr, SLM different samples were ranked as follows:
Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V immersed in TiCrN > TiN > SLM Ti6Al4V > SLM CoCr. It is reported that
PBS solution. nitride coatings could limit the metabolism and prolifera-
Sample Rct/(U/cm2) Ecorr (V) Icorr (mA/cm2) tion of bacteria [19]. Thus, TiN and TiCrN coated SLM
SLM CoCr 6.51  106
0.215 0.90 Ti6Al4V have participated in a physical obstruction to avoid
SLM Ti6Al4V 3.95  104 0.507 1.42 bacteria adhering on SLM Ti6Al4V surface. What is more,
TiN Coating 6.61  105 0.342 1.20 the relative smooth surface of TiN and TiCrN could also
TiCrN Coating 3.60  106 0.272 1.04 limit the bacterial adhesion.
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Fig. 7 e (A) Re-cultivated S. aureus colonies on agar plates of diff erent surface, and (B) antibacterial rates of diff erent surface
after being incubated for 24 h. Values represented the mean ± SD (n ¼ 3 or 4). *, P < 0.05 compared with SLM CoCr. #, P < 0.05
compared with SLM Ti6Al4V.

3.5. MSC biocompatibility CoCr, SLM Ti6Al4V, TiN and TiCrN coated samples for 24 h
and 48 h by CCK-8. The MSCs grew well in the extract so-
The biocompatibility of TiN and TiCrN coated SLM Ti6Al4V lutions of all samples (>70%, ISO: 10993-5:2009(9)). It is
determines whether they can be applied to the human body. noteworthy that the percentages of MSCs viability in the
The indirect cytotoxicity of TiN or TiCrN coated SLM Ti6Al4V extract solution of TiN or TiCrN coated SLM Ti6Al4V even
was measured with MSCs firstly. Fig. 8A depicted the reached 91.6% and 106.2% after 48 h, respectively. The cell
viability of MSCs cultured in the extracted solution of SLM viability showed no statistically differences after 24 h and

Fig. 8 e Indirect cytotoxicity of MSC in extracted solutions of SLM CoCr, SLM Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V for
24 and 48 h. (A) Survival percentage relative to TCP control. Values represented the mean ± SD (n ¼ 3 or 4). * P < 0.05
compared with TCP control. # P < 0.05 compared with SLM CoCr. (B) Staining of MSCs with Calcein-AM and EthD-1. Scale bar:
200 mm.
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Fig. 9 e MSC proliferation on SLM Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V for 1, 3, 5 and 7 days. (A) CCK-8 results at
OD450. Values represented the mean ± SD (n ¼ 3 or 4). *, P < 0.05 compared with TCP control. #, P < 0.05 compared with SLM
CoCr. (B) Phalloidin-TRITC and DAPI staining. Scale bar: 200 mm.

48 h incubation of all samples (P > 0.05). Calcein-AM (green) CoCr, SLM Ti6Al4V, TiN and TiCrN coated SLM Ti6Al4V for 1,
and EthD-1 (red) staining can directly reflect the survival of 3, 5 and 7 days to evaluate t their influence on MSC
MSCs. As shown in Fig. 8B, nearly all MSC cells were alive, proliferation.
and almost no dead cells were observed after 24 h and 48 h. Fig. 9A showed the cell viability of MSCs on represen-
The staining results revealed that the TiN and TiCrN coated tative samples. It revealed an increase in the cell viability
SLM Ti6Al4V showed good cytocompatibility. Thus, as the with incubation time for all sample groups. After 1-, 3-, 5-
coating materials for knee femoral components, TiN and and 7-day culture, the cell viability of TiN, TiCrN coated
TiCrN coating layers could be applied to human body SLM Ti6Al4V were slightly lower compared with TCP con-
without serious toxicity. trol but had no statistically differences (P > 0.05). MSCs on
Having proved that TiN and TiCrN coating had no cyto- TiCrN showed slightly higher cell activity than on TiN
toxicity to MSCs, MSCs were cultured on TCP control, SLM (P > 0.05). At Day 5, the cell viability of SLM CoCr was
j o u r n a l o f m a t e r i a l s r e s e a r c h a n d t e c h n o l o g y 2 0 2 1 ; 1 4 : 2 3 2 2 e2 3 3 2 2331

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We declare that we have no financial and personal relation- [14] Grips VKW, Barshilia HC, Selvi Kalavati VE, Rajam KS.
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personal interest of any nature or kind in any product, service prepared by reactive direct current magnetron sputtering.
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and/or company that could be construed as influencing the
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