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Overview
Author’s Note: All compositions are given in mass percent one of the main causes for failure of
unless otherwise noted.
biomaterials. BIOMEDICAL TITANIUM
ALLOYS
Titanium alloys composed of nontoxic el- A primary requirement of biomaterials
ements are being studied in Japan for use in is a modulus equal to that of cortical Ti-Nb-Ta-Zr and Ti-Nb-Ta-Sn system
biomedical applications. The alloys being bones. Because the moduli of α- and α + alloys are common in both α + β- and β-
studied are primarily α + β- and β-type β-type titanium alloys are greater than type biomedical titanium alloys. The α +
titanium alloys. Areas of research include those of β-type titanium alloys and are β-type titanium alloys are Ti-15Sn-4Nb-
surface treatments to improve biocompat- much greater than the moduli of cortical 4Ta-0.2Pd-0.2O-0.05N and Ti-15Sn-4Nb-
ibility and methods of preventing fretting bones, β-type titanium alloys are, in gen- 2Ta-0.2Pd-0.2O-0.005N.5 These alloys
fatigue, a primary cause of failure in bio- eral, desirable for use in low-modulus exhibit high strength, high elongation,
materials. biomedical metallic materials. However, and, in particular, excellent fatigue
α + β-type titanium alloys are useful strength in a simulated body environ-
INTRODUCTION
for applications such as bone plate,
The development of titanium alloys which requires a greater modulus of elas-
for biomedical and dental applications ticity.
is currently an area of active research in 1
ALLOY DESIGN
Japan. Both α + β- and β-type biomedical
titanium alloys composed of nontoxic In developing a biomedical alloy, non- 2
alloying elements are under investiga- toxic elements must be selected as alloy- 3
tion. Among the areas being studied are ing elements. The cytotoxicity and bio-
4
surface treatments and fretting fatigue, compatibility of pure metals and some
metallic biomedical alloys as reported 5
1.8 by Steinemann and Kawahara are com-
Ti 6
1.6 ■ monly referenced in the selection pro-
Coefficient of Fibroblastic Outgrowth
0 ● ■
▲
alloying elements and the average d- remaining alloys are Ti-29Nb-13Zr-M, where
0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 orbital energy level ( Md ) of titanium M is 4.6Zr (3), 4Mo (6), 2Sn (7), 4.6Sn (8), and
Relative Growth Rate of L929 Cells with alloying elements can be calculated 6Sn (9).
a in this way. Bo is a measure of the cova-
lent bond strength between titanium and
Polarization Resistance (R/Ωm)
Biocompatibility
b lus of elasticity) must be taken into ac-
Figure 1. The biological safety of metals de-
count, the modulus of each alloy ap-
termining (a) the cytotoxicity of pure metals parent is described at the point of each
and (b) the relationship between polarization alloy in the map, and the trend of moduli Figure 3. L929 cell viability in extracts of pure
resistance and biocompatibility of pure met- with Bo and Md values will also be titanium, Ti-6Al-4V, and Ti-29Nb-13Ta-4.6Zr
als, Co-Cr, and stainless steels. defined. as evaluated by neutral red assay.
▲
▲
modulus, β-type alloys Ti-29Nb-13Ta, several kinds of cells; the α + β- and β- 200 ■■ ■ ■
■
type biomedical titanium alloys show ■■
■■
■
Ti-29Nb-13Ta-4.6Zr, Ti-16~29Nb-13Ta- ■ ■
4Mo, and Ti-29Nb-2~6Sn.7 R&D on these excellent biocompatibility (Figure 3). Ti- ■
▲▲
■
new alloys is being organized as a three- 29Nb-13Ta-4.6Zr exhibits better cell vi- ■ ■
100
year project supported by the New En- ability as compared with conventional 104 105 106 107 108
ergy and Industrial Technology Devel- Ti-6Al-4V. The cell viability of Ti-29Nb- Cycles to Failure (Nf)
opment Organization (NEDO) of the 13Ta-4.6Zr is equivalent to that of pure Figure 4. The S-N curves of aged-after-
Ministry of International Trade and In- titanium. solutionizing Ti-6Al-4V alloy in air and
dustry, Japan. The moduli of these al- There are two kinds of surface treat- PBS (-). F and FF indicate ordinary fatigue
loys are lower than those of conven- ments to improve biocompatibility.15 One and fretting fatigue, respectively.
tional biomedical titanium alloys (Fig- treatment physically forms a thin film of
ure 2), and their tensile properties are the highly biocompatible ceramics cal- when glass is sintered in vacuum, crack-
better than or equivalent to those of con- cium phosphate (CaP) or hydroxyapa- ing occurs in the coated layer.
ventional alloys. Among these alloys, tite (HAP) on the surface of the alloys. Sodium-titanate hydrated gel is
Ti-29Nb-13Ta-4.6Zr is the most promis- The plasma-spray method is most often formed on the surface of biomedical tita-
ing for medical applications. used for this treatment,16 although other nium alloys when the alloys are im-
Powder-metallurgy is convenient for methods (e.g., ion plating, radio-fre- mersed in an NaOH solution. Upon heat-
fabricating these alloys due to the pres- quency magnetron spattering deposi- ing, the sodium-titanate hydrated gel is
ence of the high-melting, high-density tion, or dynamic-ion mixing) are cur- changed into sodium titanate. HAP is
elements niobium and tantalum.8 Some rently being used for HAP coatings.17,18 then formed by the reaction between
of the powder-metallurgy Ti-Nb-Ta-Zr The second treatment creates a biocom- body fluid and sodium titanate.20
system alloys have adequate mechani- patible layer mainly by chemical reac- Calcium can be formed on the surface
cal properties for biomedical use. tions without physically making a HAP of the alloys by dipping the alloys into a
Another type of alloys, Ti-Zr and Ti- thin film on the surface of the alloy. solution containing Ca2+. HAP precipi-
Zr-Nb with high zirconium content (e.g., A surface-coating method using CaP tation on the alloy surface is accelerated
Ti-25~75 Zr and Ti-45~50Zr-0~5Nb, in invert glass was developed in the NEDO in body fluid by the calcium-containing
at.%), are also being investigated for both project to create biocompatible ceramics oxide film.21 A calcium-ion implanted
medical and dental applications.9,10 Origi- on the alloys.19 In this method, the pow- surface composed of calcium titanate
nally developed for biomedical applica- der of CaP invert glass (CaO-P2O5-TiO 2- and calcium oxide can also be formed on
tions, α + β-type Ti-6Al-7Nb is being Na2O) is coated and heated on the sur- the surface, with calcium hydroxide ex-
investigated for dental applications. The face of a titanium alloy between 1,073 K isting on the outer surface of the cal-
study on the castability and mechanical and 1,123 K. Only β-TCP:Ca3 (PO4 )2 , cium-ion implanted surface. The pre-
properties of Ti-6Al-7Nb using different which exhibits excellent biocompatibility cipitation of CaP is accelerated when the
investment materials shows that cen- with hard tissue, is formed on the sur- calcium-ion planted surface is immersed
trifugal casting using magnesia-based face. Based on x-ray analysis data for the into body fluid.22
investment materials provides good base glass (CaO-30P2 O5-5TiO2-5Na 2O) N-ion implantation on the surface of
properties.11 Ti-40Zr, Ti-5Al-13Ta, and and the coated layer on Ti-29Nb-13Ta- biomedical titanium alloys to improve
(in at.%) Ti-43.1Zr-10.2Al-3.6V are also 4.6Zr, only β-TCP can be detected from wear resistance is also being investi-
candidate for dental applications.12,13 the coated layer. A sound-coated layer is gated.23
The fracture characteristics of pure- formed when glass is sintered in air;
FRETTING FATIGUE
Fretting-fatigue characteristics repre-
Table I. The Bo and Md Map
sent another important consideration.
1. Ti-4.5Sn-11.5Mo-6Zr (Beta III) Fretting-fatigue and ordinary-fatigue
2. Ti-3Al-8V-4Zr-4Mo-6Cr (Beta C) results on biomedical Ti-6Al-4V in air
3. Ti-3Al-8V-8Mo-2Fe (8-8-2-3)
and simulated body environment: phos-
4. Ti-3Al-13V-11Cr (13-11-3)
5. Ti-15Mo-5Zr-3Al 2.84 phate-buffered saline (PBS) (-) solution
6. Ti-8Mn (8Mn) are shown in Figure 4.24
7. Ti-6Al-6Mo-2Sn-4Zr (6-2-4-6) 2.82 ● Fretting-fatigue strength is affected by
8. Ti-5Al-2Sn-2Zr-4Mo-4Cr (Ti-17) ●a the friction coefficient between speci-
5 ▲ ●1
9. Ti-6Al-4V (6-4) e ● men and pad, the contacted area rough-
Bond Order, Bo
2.80
10. Ti-6Al-6V-2Sn (6-6-2) ▲
● 2 3 ■ ▲ ▲▲● ✕ Ti ness, and sliding distance. In biomedical
11. Ti-2.25Al-11Sn-5Zr-1Mo-0.2Si (IMI-679) ●● 6 d Ti-6V-4Al, fretting-fatigue strength is less
2.78 4 ● ● ●▲ f ●
12. Ti-6Al-0.5Mo-5Zr-0.2Si (IMI-685) ● ■ than ordinary-fatigue strength in both
13. Ti-6Al-2Mo-2Sn-4Zr (6-2-4-2) 8 ■ ●●
▲ ■ 97 ■■●● ●●● 11 air and PBS (-) solution; the ordinary-
14. Ti-5Al-6Sn-2Zr-1Mo-0.2Si (IMI-829) 2.76 g ●●●● ● ●12
■■■ ● fatigue strength of the alloy shows no
15. Ti-5Al-2.5Sn (A-110) 10 ■ ● 14 13
2.74 16 ●●15 ● difference in air and in PBS (-) solution.
16. Ti-8Al-1V-1Mo (8-1-1)
a. Ti-Mo The fretting-fatigue strength of biomedi-
b. Ti-Fe 2.72 cal Ti-6V-4Al, however, is smaller at in-
c. Ti-Cr 2.25 2.30 2.35 2.40 2.45 2.50 termediate stress amplitude and greater
d. Ti-Mn d-electron Energy Level, Md at high- and low-stress amplitude.
e. Ti-V
f. Ti-Co References
g. Ti-Ni 1. S.G. Steinemann, “Corrosion of Surgical Implants—in
Vivo and in Vitro Tests,”Evaluation of Biomaterials, ed. G.D.