[Biodeterioration and corrosion of metallic implants and prostheses]
- PMID:8114635
[Biodeterioration and corrosion of metallic implants and prostheses]
Abstract
The use of surgical implants and prosthetic devices to replace the original function of different components of the human biological system is a well established tradition in the history of medicine. Currently, one of the most prevalent points of view in dealing with this subject, is that of biocompatibility of materials of construction and methods of fabrication of these devices, in order to avoid negative impacts on the patient due to failure of implants through degradation mechanisms such as corrosion. This article presents a current general review of the relationship between biocompatibility and deterioration of metallic implants and prosthetic devices, emphasizing the specific forms that corrosion adopts in biological media. The historical perspective shows the consolidation of a tendency towards a more systematic study of these phenomena in recent years, as opposed to trial and error practices that used to be common before the third decade of this century. The understanding of interactions between implants and biological tissue, thus led to some of the most promising current techniques, such as the use of powder metallurgy components to optimize skeletal fixation of implants by means of interstitial bone growth into porous metallic surfaces. The review of metals and alloys currently used for the fabrication of implants shows the amplitude of available technological alternatives, as well as the multiple criteria required to make a good selection for each specific case. Applications and pros and cons of stainless steel, Cr, Ni, Co and Ti alloys, and tantalum are briefly discussed. The introduction to basic concepts of corrosion, serves as a basis for the description of the typical forms that these phenomena adopt in biological media, including pitting, crevice corrosion, fatigue-corrosion, stress corrosion, fretting corrosion, galvanic corrosion, and intergranular corrosion. This review shows that the study of interactions between biological media and metallic implants has become a well established and specific field of science. As a result of this conclusion, an interdisciplinary treatment of the subject of biodeterioration of metallic implants and prosthetic devices is proposed. In practical terms, this proposal can be understood as the integration of an expert in materials science and engineering to the medical team. Thus, quality and reliability of the implant, as well as maximization of its useful life, would be achieved through the implementation of technical specifications, accepted standards, and pertinent testing as recommended by the above mentioned expert, who will be the person of the team more able to grasp the novelties that the dynamic field of biomaterials constantly offers.
Similar articles
- Biomaterial optimization in total disc arthroplasty.Hallab N, Link HD, McAfee PC.Hallab N, et al.Spine (Phila Pa 1976). 2003 Oct 15;28(20):S139-52. doi: 10.1097/01.BRS.0000092214.87225.80.Spine (Phila Pa 1976). 2003.PMID:14560185
- Is galvanic corrosion between titanium alloy and stainless steel spinal implants a clinical concern?Serhan H, Slivka M, Albert T, Kwak SD.Serhan H, et al.Spine J. 2004 Jul-Aug;4(4):379-87. doi: 10.1016/j.spinee.2003.12.004.Spine J. 2004.PMID:15246296
- Difference in metallic wear distribution released from commercially pure titanium compared with stainless steel plates.Krischak GD, Gebhard F, Mohr W, Krivan V, Ignatius A, Beck A, Wachter NJ, Reuter P, Arand M, Kinzl L, Claes LE.Krischak GD, et al.Arch Orthop Trauma Surg. 2004 Mar;124(2):104-13. doi: 10.1007/s00402-003-0614-9. Epub 2004 Jan 16.Arch Orthop Trauma Surg. 2004.PMID:14727127
- Podiatric metallurgy and the effects of implanted metals on living tissues.Jacobs AM, Oloff LM.Jacobs AM, et al.Clin Podiatry. 1985 Jan;2(1):121-41.Clin Podiatry. 1985.PMID:3893811Review.
- The issue of corrosion in dental implants: a review.Olmedo DG, Tasat DR, Duffó G, Guglielmotti MB, Cabrini RL.Olmedo DG, et al.Acta Odontol Latinoam. 2009;22(1):3-9.Acta Odontol Latinoam. 2009.PMID:19601489Review.
Cited by
- Extracellular Matrix Bioscaffolds as Immunomodulatory Biomaterials<sup/>Dziki JL, Huleihel L, Scarritt ME, Badylak SF.Dziki JL, et al.Tissue Eng Part A. 2017 Oct;23(19-20):1152-1159. doi: 10.1089/ten.TEA.2016.0538. Epub 2017 May 19.Tissue Eng Part A. 2017.PMID:28457179Free PMC article.Review.
Publication types
MeSH terms
Substances
Related information
LinkOut - more resources
Research Materials
Miscellaneous