Abstract

• A TiO 2 /CuO/Cu 2 O composite coating with nanostructure was deposited on Ti-Cu alloy by alkali-heat treatment. • TiO 2 /CuO/Cu 2 O coating exhibited strong antibacterial ability against S. aureus . • TiO 2 /CuO/Cu 2 O coating promoted initial adhesion and spreading of MC3T3-E1 cells, as well as osteogenic differentiation. Bacteria-associated infection and poor osseointegration are two main reasons for orthopedic implant failure. Ti-Cu alloy exhibited excellent antibacterial property, but still presented unsatisfied osteogenic activities. Therefore, Ti-Cu alloy was surface modified by an alkali-heat treatment in this paper to improve the osteogenic ability without reduction in antibacterial ability. A TiO 2 /CuO/Cu 2 O composite coating with nanostructure was deposited on Ti-Cu alloy. The coating showed increased roughness and great hydrophilicity. Antibacterial tests indicated that the modified Ti-Cu alloy exhibited stronger antibacterial ability against Staphylococcus aureus ( S. aureus ) than Ti-Cu alloy. Meanwhile, cell experiments demonstrated that the composite coating promoted initial adhesion and spreading of MC3T3-E1 cells, enhanced alkaline phosphatase (ALP) activities as well as extracellular matrix (ECM) mineralization, and significantly upregulated osteogenesis-related gene expressions. It was suggested that the nano-structured TiO 2 /CuO/Cu 2 O coating on Ti-Cu alloy might provide a potential strategy for orthopedic implant failure.

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