Porous Metals for Biomedical Use Flashcards

1
Q

What makes a material porous?

A

Cells are enclosed or semi-enclosed regions of space

Porous metals: any combination of metal and air

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2
Q

What is the difference between open and closed cells?

A
  • Open cell = pores are interconnected and connect to the outside environment (sponge)
  • Closed cell = pores are isolated (foam)
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3
Q

What are lattices?

A

have regular (or at least well-controlled) structures

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4
Q

What is foam behaviour affected by?

A
  • Base material – basic properties influence those of the foam
  • Structure – properties influenced by amount of porosity, cell size and shape (open or closed), ordered / not ordered, isotropic or oriented, etc.
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5
Q

What are the reasons to used porous metals?

A
  • Evident advantages as scaffolds
  • High strength scaffolds – compare to polymers (PCL 300 MPa –Ti 100 GPa)
  • Fracture resistant – compare to ceramics
  • Porosity allows stiffness matching to bone
  • Porosity stimulates bone ingrowth
  • Increases shear strength of joint – fixation
  • Large surface area and permeability
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6
Q

What are the problems with porous metals?

A
  • Fatigue resistance reduced (due to fabrication and structure) Same as for all metal implants
  • No degradation* – permanent implants, risk of toxicity from corrosion by-products
  • Not bioactive – although suitable for coating, e.g. with organically modified apatite
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7
Q

How is a foaming metal- powder formed?

A
  • A removable, space holder material is combined with metal powder (e.g. salt)
  • Powder is shaped and processed (e.g. pressing and sintering)
  • Space holder removed thermally or by dissolving
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8
Q

What is a foaming metal – casting into mould?

A
  • Polymer foams can be surrounded by ceramic powder, then burnt out at high T
  • This leaves a mould to cast metal in
  • Finally, the mould must be removed (water jets, shaking, etc.)
  • Gives high quality, open celled foams
  • Foams of this type are sold under the name Duocel
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9
Q

What are powder bed methods?

A
  • In Additive Layer Manufacturing processes, a laser or electron beam is used to melt powder in certain areas only
  • An additional layer of powder is added and the process repeated
  • After processing, unmelted powder removed and recycled
  • 3D structures, including regular lattices, can be built up
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10
Q

What equipment / manufacturers are used?

A

Manufacturers include Renishaw, Aconity3D, Arcam (shown)
• Heat source is an electron beam or laser
• Techniques sometimes called Electron Beam Melting (EBM)= for lattices, Selective Laser Melting (SLM), etc
• Often used for Ti, Stainless steel

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11
Q

What are the biomaterial applications?

A
• Spinal fixation 
• Fracture plates 
• Wires, pins and screws 
•Artificial ligament anchors 
• Cranio-facial and maxillofacial implants 
• Dental implants 
• Joint replacements 
Where high strength is needed, a dense core may be used
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12
Q

What metals are often used?

A

• Normally stainless steel or titanium alloys (titanium has a lower modulus),
sometimes Co-Cr or tantalum.
Suggestions that NiTi shape memory alloy may have desirable mechanical properties
• Often applied as a surface layer or coating, sometimes as bulk porous material for a large part of an implant

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13
Q

What is minimum pore size likely to be based on?

A
  • Cell size
  • Migration requirements
  • Transport
  • Enhanced new bone formation
  • Growth of capillaries
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14
Q

What are the commercially available materials?

A
  • Tritanium (Stryker)
  • Regenerex (Biomet)
  • Stiktite (Smith and Nephew)
  • Geo Structures
  • Trabecular Metal (Zimmer)
  • Hedrocel (Implex Corp)
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15
Q

How does titanium foam formed via gas ecpansion?

A
  • Powders pressed together (wires can be used to give an anisotropic material) under argon
  • Heated in vacuum – gas trapped expands the structure
  • Pores gradually interconnect, leading to a mostly open structure (~70% of pores open, ~30% closed)
  • Peptide Amphiphile nanofibre gels have been infiltrated into these foams – to make them bioactive
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16
Q

What is titanium via space holder method?

A
  • Sintering powder with a removable phase is often used for Ti – particularly for spinal fusion devices
  • Cell culture tests find that cells will grow throughout if perfusion is used
17
Q

What is magnetic stimulation?

A

Further utility of metal implants has been proposed for sintered fibre arrays
• If a magnetic field is imposed, the mesh will deform
• This will load surrounding tissue – stimulate bone growth

18
Q

What is Mg foam?

A

• Mg alloys (e.g. Mg-2Y-1Zn) can break down in body environment*
• But dissolution rate is fast and hydrogen evolved; change alloy composition or use coatings / surface treatments to control rate
27 days 91 days
• These alloys can be made into foams (by replication)

19
Q

What is layer manufacturing of foams?

A
  • Ti-6Al-4V foams based on scans of trabecular bone
  • Surface treatments used to get best osseointegration in studies
  • But no reason why real bone shapes in metal should work best
20
Q

What is the future for porous metal implants?

A
  • “Design” of required properties is getting better
  • Also, the idea of using different materials / structures for different parts is more common
  • New metallic materials may become available
  • Individual tailorability of additive processes is attractive; but will this be affordable for all?
  • Many good ideas, but rigorous testing needed before they become real
21
Q

What are the suggested ranges of pore size?

A
>100 µm, 
325 µm, 
200-500 µm, 
500-1500 µm 
Porosity can be 50-85%, with some evidence that larger pores are needed for higher porosity
22
Q

What is tritanium (Stryker)?

A

vapour deposition of titanium on a polymer foam, acetabular components
Also used in Additively manufactured form; Tritanium PL Posterior Lumbar Cage – vertebral fusion device, FDA 510(k) clearance

23
Q

What is Regenerex (Biomet)?

A

Porous Ti, acetabular and orthopaedic augments, FDA Approved

24
Q

What is Stikit (Smith and Newphew)?

A

Porous Ti coating

25
Q

What are geo stuctures (interpore cross int.)?

A

Porous Ti, vertebrae replacement, FDA 510(k) clearance

26
Q

What is Trabecular Metal (Zimmer)?

A

Vapour deposition of Tantalum, used in hip, knee replacements, spinal fusio

27
Q

What is Hebrocel (implez corp)?

A

Porous Ta, Joint replacement coating, soft tissue attachment, Preclinical trials
(bought up by zimmer)

28
Q

What are layer manufacturing for lattices?

A
  • The sheer range of lattice designs makes systematic investigation difficult
  • But they can show appropriate mechanical behaviour and biocompatibility
  • This process is being widely researched for biomedical applications
  • Examination of different lattice structures, to get desired properties – very high degree of tailorability