The practice of using metals and alloys to repair or replace human body parts is now well established. This paper will briefly review the successes and, in reality, the remarkably few failures of the traditional materials-mainly titanium alloys, cobalt-chrome alloys, amalgams and stainless steels. The paper will then concentrate on the problems likely to be encountered before new advanced, but not necessarily corrosion resistant, materials can be successfully used for in-vivo purposes. Two of the most important parameters in determining the suitability of a material for biomedical applications are its biocompatibility and corrosion resistance. With regard to these two parameters pure titanium appears to be almost the perfect biomaterial. Unfortunately, many surgical and dental applications require materials with specific mechanical properties, such as high strength or ductility, which pure titanium is unable to provide. Hence materials such as the Ti6A14V alloy and 316L stainless steels are used despite their poorer corrosion resistance, occasionally with undesirable consequences. Furthermore, there is a desire to make use of a number of advanced materials, such as: memory-shaped alloys, porous materials and composites, low precious metal amalgams and rare earth magnets. Unfortunately, nearly all of these materials have inadequate corrosion resistances to be used directly in-vivo without some form of protection. However, it is obvious that most of the traditional techniques for reducing corrosion rates, such as controlling the environment and cathodic protection, cannot be applied to biomaterials, even coatings are of only limited use since many orthopaedic and dental devices are subjected to wearing and abrasion processes. As a result it has traditionally been considered that the only successful method of reducing corrosion within the human body is to fabricate the implants from a corrosion resistant alloy. However, although this approach may eventually be successful in some areas, for example it may be possible to use alloying additions to design a highly corrosion resistant memory-shape alloy; it is highly unlikely that such an approach will be successful with respect to rare earth magnets. One challenge therefore appears to be to design biocompatible coatings that can resist both the chemical and mechanical environments, which are often poorly defined for both orthopaedic and dental applications, without degrading the very property that is required in the advance material. Potential examples of these applications are hydroxyapatite (HA) coatings on porous titanium, titanium or titanium nitride films on Ni-Ti memory-shaped alloys and very high chromium ferritic stainless steel claddings on rare earth magnets.
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