Wear particle-induced periprosthetic osteolysis, leading to aseptic loosening, is the primary cause of total joint arthroplasty failure. Our study aimed to design Cu-containing Co29Cr9W particles (Co29Cr9W3Cu) to investigate the potential release of Cu ions from these particles in mitigating osteoclast over-activation. Analysis of Cu, Co, and Cr ion release from Co29Cr9W3Cu particles in simulated body fluid showed that Cu addition did not significantly increase metal ion release. In vitro tests confirmed the non-toxicity of Cu-containing particles to osteoblast cells, indicating minimal impact on Co, Cr, and W ion release with 3 wt% Cu addition. Importantly, Cu-containing Co29Cr9W particles demonstrated the ability to reduce osteoclast expression, potentially via inhibition of NF-κB signaling pathway. Alloying 3 wt% Cu into Co29Cr9W particle presents a promising strategy for mitigating osteoclast over-activation in wear particle-induced osteolysis.
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