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      Biodegradable Orthopedic Magnesium-Calcium (MgCa) Alloys, Processing, and Corrosion Performance

      review-article
      Author(s): , *
      Publication date (Electronic):
      Journal: Materials
      Publisher: MDPI
      Keywords: magnesium, biomaterial, implant, manufacturing, surface integrity, corrosion

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          Abstract

          Magnesium-Calcium (Mg-Ca) alloy has received considerable attention as an emerging biodegradable implant material in orthopedic fixation applications. The biodegradable Mg-Ca alloys avoid stress shielding and secondary surgery inherent with permanent metallic implant materials. They also provide sufficient mechanical strength in load carrying applications as opposed to biopolymers. However, the key issue facing a biodegradable Mg-Ca implant is the fast corrosion in the human body environment. The ability to adjust degradation rate of Mg-Ca alloys is critical for the successful development of biodegradable orthopedic implants. This paper focuses on the functions and requirements of bone implants and critical issues of current implant biomaterials. Microstructures and mechanical properties of Mg-Ca alloys, and the unique properties of novel magnesium-calcium implant materials have been reviewed. Various manufacturing techniques to process Mg-Ca based alloys have been analyzed regarding their impacts on implant performance. Corrosion performance of Mg-Ca alloys processed by different manufacturing techniques was compared. In addition, the societal and economical impacts of developing biodegradable orthopedic implants have been emphasized.

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          In vivo corrosion of four magnesium alloys and the associated bone response.

          F Witte, V Kaese, H. Haferkamp … (2005)
          Degrading metal alloys are a new class of implant materials suitable for bone surgery. The aim of this study was to investigate the degradation mechanism at the bone-implant interface of different degrading magnesium alloys in bone and to determine their effect on the surrounding bone. Sample rods of four different magnesium alloys and a degradable polymer as a control were implanted intramedullary into the femora of guinea pigs. After 6 and 18 weeks, uncalcified sections were generated for histomorphologic analysis. The bone-implant interface was characterized in uncalcified sections by scanning electron microscopy (SEM), element mapping and X-ray diffraction. Results showed that metallic implants made of magnesium alloys degrade in vivo depending on the composition of the alloying elements. While the corrosion layer of all magnesium alloys accumulated with biological calcium phosphates, the corrosion layer was in direct contact with the surrounding bone. The results further showed high mineral apposition rates and an increased bone mass around the magnesium rods, while no bone was induced in the surrounding soft tissue. From the results of this study, there is a strong rationale that in this research model, high magnesium ion concentration could lead to bone cell activation.
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            The development of binary Mg-Ca alloys for use as biodegradable materials within bone.

            Zijian Li, Xunan Gu, Siquan Lou … (2008)
            Binary Mg-Ca alloys with various Ca contents were fabricated under different working conditions. X-ray diffraction (XRD) analysis and optical microscopy observations showed that Mg-xCa (x=1-3 wt%) alloys were composed of two phases, alpha (Mg) and Mg2Ca. The results of tensile tests and in vitro corrosion tests indicated that the mechanical properties could be adjusted by controlling the Ca content and processing treatment. The yield strength (YS), ultimate tensile strength (UTS) and elongation decreased with increasing Ca content. The UTS and elongation of as-cast Mg-1Ca alloy (71.38+/-3.01 MPa and 1.87+/-0.14%) were largely improved after hot rolling (166.7+/-3.01 MPa and 3+/-0.78%) and hot extrusion (239.63+/-7.21 MPa and 10.63+/-0.64%). The in vitro corrosion test in simulated body fluid (SBF) indicated that the microstructure and working history of Mg-xCa alloys strongly affected their corrosion behaviors. An increasing content of Mg2Ca phase led to a higher corrosion rate whereas hot rolling and hot extrusion could reduce it. The cytotoxicity evaluation using L-929 cells revealed that Mg-1Ca alloy did not induce toxicity to cells, and the viability of cells for Mg-1Ca alloy extraction medium was better than that of control. Moreover, Mg-1Ca alloy pins, with commercial pure Ti pins as control, were implanted into the left and right rabbit femoral shafts, respectively, and observed for 1, 2 and 3 months. High activity of osteoblast and osteocytes were observed around the Mg-1Ca alloy pins as shown by hematoxylin and eosin stained tissue sections. Radiographic examination revealed that the Mg-1Ca alloy pins gradually degraded in vivo within 90 days and the newly formed bone was clearly seen at month 3. Both the in vitro and in vivo corrosion suggested that a mixture of Mg(OH)2 and hydroxyapatite formed on the surface of Mg-1Ca alloy with the extension of immersion/implantation time. In addition, no significant difference (p>0.05) of serum magnesium was detected at different degradation stages. All these results revealed that Mg-1Ca alloy had the acceptable biocompatibility as a new kind of biodegradable implant material. Based on the above results, a solid alloy/liquid solution interface model was also proposed to interpret the biocorrosion process and the associated hydroxyapatite mineralization.
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              Biomaterials in orthopaedics.

              M. Navarro, A Michiardi, O Castaño … (2008)
              At present, strong requirements in orthopaedics are still to be met, both in bone and joint substitution and in the repair and regeneration of bone defects. In this framework, tremendous advances in the biomaterials field have been made in the last 50 years where materials intended for biomedical purposes have evolved through three different generations, namely first generation (bioinert materials), second generation (bioactive and biodegradable materials) and third generation (materials designed to stimulate specific responses at the molecular level). In this review, the evolution of different metals, ceramics and polymers most commonly used in orthopaedic applications is discussed, as well as the different approaches used to fulfil the challenges faced by this medical field.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Materials (Basel)
                Journal ID (iso-abbrev): Materials (Basel)
                Journal ID (publisher-id): materials
                Title: Materials
                Publisher: MDPI
                ISSN (Electronic): 1996-1944
                Publication date (Electronic): 09 January 2012
                Publication date Collection: January 2012
                Volume: 5
                Issue: 1
                Pages: 135-155
                Affiliations
                Department of Mechanical Engineering, The University of Alabama, Tuscaloosa, AL 35487, USA; E-Mail: msalahshoorpirsoltan@ 123456crimson.ua.edu
                Author notes
                [* ]Author to whom correspondence should be addressed; E-Mail: yguo@ 123456eng.ua.edu ; Tel.: +1-205-348-2615; Fax: +1-205-348-6419.
                Article
                Publisher ID: materials-05-00135
                DOI: 10.3390/ma5010135
                PMC ID: 5448945
                PubMed ID: 28817036
                SO-VID: 5d9b91b3-240e-4c2a-882c-a4ebea1ab3d3
                Copyright © © 2012 by the authors;
                License:

                licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/3.0/).

                History
                Date received : 07 September 2011
                Date revision received : 21 November 2011
                Date accepted : 02 December 2011
                Categories
                Subject: Review

                Keywords: magnesium,biomaterial,implant,manufacturing,surface integrity,corrosion
                Data availability:
                Keywords: magnesium, biomaterial, implant, manufacturing, surface integrity, corrosion

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