Review Article

The Needs of Current Implant Technology in Orthopaedic Prosthesis Biomaterials Application to Reduce Prosthesis Failure Rate

Table 1

Some metallic biomaterials that are currently used or being studied for orthopaedic implants.

MaterialsElastic modulus (GPa)Yield strength (MPa)Ultimate strength (MPa)Corrosive resistanceAdvantagesDrawbacks

Stainless steel [6]200215 MPa505 MPaCorrosive resistance due to high Cr contentFormation of a film of chromium oxide on the surface of the steel at a molecular level, which is passive, adhesive, tenacious, and self-healingLarge amount of wear debris, poor wear resistance, worse corrosion resistance, and dangerous allergic reaction appears in a high number of patients

Titanium and titanium alloy (Ti-6Al-4V) [6, 7]110–119850–900960–970Stable oxide layer (Titania–TiO2) on the titanium surface (2 nm thick)High mechanical strength, superior biocompatibility, corrosion and wear resistance, rapid osseointegration, enhanced osteoblast adhesion, and complete inertness to body environmentPotential toxicity to vanadium

Cobalt-chrome (Co-Cr-Mo) alloys [6]220–230275–1585600–1785Excellent, even in Cl environmentsHighly resistant to corrosion even in chloride environment due to spontaneous formation of passive oxide layer within the human body environmentThe corrosion products of Co-Cr-Mo are more toxic than those of stainless steel 316 L (Ni, Cr, and Co)

Unalloyed tantalum [8, 9]186138–345207–517Highly corrosive resistanceHigh yield and ultimate strength, good bone-bondingLong term data not yet available

Porous tantalum [8, 9]2.5–3.935–5150–110Highly corrosive resistanceYoung’s modulus similar to subchondral bone with ten times yield and ultimate strength, usually used as coating of trabecular metal, good biocompatibility of tantalum, and titaniumLong term data not yet available