2.Metallic biomaterials Flashcards

1
Q

physical properties of metals

A
  • heat and eletrical conductivity
  • ductile and malleable
  • high density
  • high melting point
  • excellent mechanical properties
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2
Q

chemical properties

A

high reactivity
resist to corrosion (metal alloys used in the body e.g., stainless steel, titanium and Cr-Co)
high wear resistance

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3
Q

forces experienced by metallic biomaterials during application

A

tension
compression
shearing
torsion
bending

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4
Q

[mechanical properties of metals and alloys] yield strength

A

the stress at which plastic
strain occurs (“elastic to plastic transition”)

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5
Q

[mechanical properties of metals and alloys] Breaking strength

A

point where the material
breaks

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6
Q

ductility [mechanical properties of metals and alloys]

A

the value of plastic strain required to break the material

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7
Q

Resilience [mechanical properties of metals and alloys]

A

elastic energy that can be stored in a unit volume of stressed material

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8
Q

Toughness [mechanical properties of metals and alloys]

A

energy required to deform a unit volume of material to its breaking point

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9
Q

[mechanical properties of metals and alloys] Ultimate tensile strength

A

maximum nominal stress versus nominal strain plot

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10
Q

Aseptic loosening

A

failure of joint prostheses (~10–20 years postsurgery) often associated to osteolysis (bone resorption) and inflammatory cellular response within the joint.

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11
Q

What are the key requirements that metals should exhibit for such applications?

A
  • Biocompatibility, nontoxicity, not allergenicity;
  • Corrosion resistance;
  • Adequate mechanical properties;
  • Wear resistance.
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12
Q

Lanzutti and co-workers analyzed the failure of a metallic hip prosthesis in a
patient. In your opinion, what are the most common causes of implant
failure?

A

The most probably cause(s) of the failure can be attributed to:
a) Poor integration and bonding with the adjacent tissue.
b) Stress shielding effect.
c) Corrosion mediated failure.
d) Manufacturing and quality control issues

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13
Q

Why metals corrode in the presence of biological fluids?

A
  • Metal atoms react spontaneously with oxygen, hydrogen protons and ionic salts
    over timeàmetal oxides;
  • ~96% of the body weight consists of oxygen, carbon, hydrogen, and nitrogen
    (building blocks of water and proteins);
    Release of metal ions from the materials into the surrounding tissue, which
    can concentrate locally or diffuse systemically (biocompatibility)
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14
Q

Impact of corrosion for:
* Patient

A

Localized pain
Inflammation
Accumulation of metallic ions in the body

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15
Q

Impact of corrosion for:
Implant

A

Fracture and failure
Loss of function

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16
Q

Why most of the metals are used in combination with other metals or
nonmetal elements?

A

Increase the strength
Confer higher corrosion resistance
Improve specific properties
Alloys: mixture of two or more metals or nonmetal elements

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17
Q

Alloys

A

Alloys: mixture of two or more metals or nonmetal elements

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18
Q

Polarization resistance

A

resistance of the specimen to oxidation during the application of an external
potential.

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19
Q

How to minimize corrosion of metallic biomaterials?

A
  • Addition of metal elements with high stability – high resistance to
    corrosion, such as Zr, Ti, Nb, Ta, Pt, Ag, and Au;
  • Surface finishing
  • Avoid to use dissimilar metals in the same implant
20
Q

Major application of stainless steel

A

surgical instrumentation
Screws, rods, and plates for bone fixation and in spinal fusion devices

21
Q

CoCrMo alloys caracteristics

A
  • Higher resistance to fatigue or fracture than stainless steel or titanium;
  • Good resistance to corrosion
  • Higher Mo content to compensate the reduction on Cr and maintain the
    corrosion resistance
  • High resistance
  • Cr=high resistance to corrosion;
    Co=high mechanical properties
22
Q

Titanium and its alloys

A

*Light weight, excellent corrosion resistance, and enhanced biocompatibility
* Excellent mechanical properties
* Density of Ti«stainless steel<cobalt chromium alloy
* good resistance to corrosion
* low wear resistance
* high chemical reactivity at high temperatures in the presence of oxygen

23
Q

Vandium can be

A

carcinogenic

24
Q

Aluminium can cause

A

nerological side effects
and
genetoxicity

25
Which problems/consideration should we take into account when considering porous metallic biomaterials?
- decreased moduli - bone fixation via bone ingrowth - resistance to corrosion and fatigue - entrapped powder
26
Titanium alloys limitations
* Relatively poor wear resistance in an articulating situation, compared to cobalt alloys: * Due to their high reactivity in the presence of oxygen during the hightemperature processing an inert atmosphere or vacuum is required; * High cost – high reactivity and poor machinability;
27
Titanium alloys mojor applications
* Dental implants * total joint replacements * Good performance at interfacing with the biological system * Bone ingrowth into porous titanium surfaces, known as biological fixation, is a primary means by which orthopedic implants affix to bone directly
28
Shape memory alloys
Titanium–nickel alloys (Nitinol) Relatively stable cyclic performance (stable memory), good workability, and good resistance to corrosion and fatigue
29
Shape-memory alloys deformation
Plastically deformed at a low temperature (martensitic phase) Return back to their original predeformed shape when exposed to a high temperature (austenite phase)
30
Definition of biodegradable metals
“Corrode gradually in vivo, with an appropriate host response elicited by released corrosion products, which can pass through or be metabolized or assimilated by cells and/or tissue, and then dissolve completely upon fulfilling the mission to assist with tissue healing with no implant residues.”
31
Absorbable
biodegradation products are metabolized or assimilated by cells/tissue
32
Biodegradable
The material/device itseld undergoes biodegradation process
33
Which base metals can be used for biodegradable implants?
Ferro Zinco Magnesio
34
Characteristics of using magnesium as a base material for biodegradable implants
low density young modulus similar to the bone fast degradation => mechanical integraty (????) corrosion produces H2(g)
35
Wolff’s Law
living bones will remodel in adaptation to the external loads they experience
36
How the level of internal strain experienced within the bone affects biological processes?
Net mineral loss Mineral homeostasis Net mineral gain Damage formation.
37
stress-shielding
Stress shielding is the reduction in bone density (osteopenia) as a result of removal of typical stress from the bone by an implant (for instance, the femoral component of a hip prosthesis). This is because by Wolff's law, bone in a healthy person or animal remodels in response to the loads it is placed under.
38
Pros of Iron (Fe) based metallic biomaterials
* good corrosion resistance and fatigue resistance in short term applications * low cost * easy to be machined
39
Cons of Iron (Fe) based metallic biomaterials
* corrosion in long term applications * high modulus => The higher the modulus, the stiffer the material (+ rígido) *stress shielding effect
40
Applications of Iron (Fe) based metallic biomaterials
instruments temporary devices permanent implants (stem of hip prostetics)
41
Pros of Cobalt (Co) based metallic biomaterials
* long term corrosion resistance * best fatigue and wear resistance * biocompatibility
42
Cons of Cobalt (Co) based metallic biomaterials
* difficult to machine = expensive to process * high modulus * stress-shielding effect * Co allergy
43
Application of Cobalt (Co) based metallic biomaterials
Permanent joint implants
44
Pros of Titanium (Ti) based metallic biomaterials
* light * greatest corrosion resistance * best biocompatibility * free of metal-related allergy * low young's mudulus (indicates a material that undergoes large (elastic) deformation under a relatively low load. Such materials stretch easily. )
45
Cons of Titanium (Ti) based metallic biomaterials
* lower shear strength * low wear resistance * still have. though to a lesser degree, stress-shielding effect
46
Applications of Titanium (Ti) based metallic biomaterials
* permanent implant * stem of hip prostheses * dental screws * temporary device
47
How is it possible to reduce the stress-shielding effect?
* Biomaterial selection * Implant design * Topology optimization