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This article provides a brief overview of the metallic materials used as implants in orthopedics, the alloying system and a complex of the physical-mechanical properties for metallic materials certified for medical use, as well as the advantages and drawbacks of using metallic materials as implants. Approaches to improve the quality of an implant made of metallic materials are noted.

The evolution of microstructure, phase composition and physico-mechanical properties of the biocompatible Ti-39Nb-7Zr alloy (wt.%) after severe plastic deformation by rotary forging (RF) was studied using various methods including light optical microscopy, scanning and transmission electron microscopies, X-ray diffraction, microindentation, tensile testing and investigation of thermophysical properties during continuous heating. The hot-rolled Ti-39Nb-7Zr with initial single β-phase structure is subjected to multi-pass RF at 450 °C with an accumulated degree of true deformation of 1.2, resulting in the formation of a fibrous β-grain structure with imperfect 500 nm subgrains characterized by an increased dislocation density. Additionally, nano-sized α-precipitates formed in the body and along the β-grain boundaries. These structural changes resulted in an increase in microhardness from 215 HV to 280 HV and contact modulus of elasticity from 70 GPa to 76 GPa. The combination of strength and ductility of Ti-39Nb-7Zr after RF approaches that of the widely used Ti-6Al-4V ELI alloy in medicine, however, Ti-39Nb-7Zr does not contain elements with limited biocompatibility and has a modulus of elasticity 1.5 times lower than Ti-6Al-4V ELI. The temperature dependences of physical properties (elastic modulus, heat capacity, thermal diffusivity) of the Ti-39Nb-7Zr alloy after RF are considered and sufficient thermal stability of the alloy up to 450 °C is demonstrated. [ABSTRACT FROM AUTHOR]

Many current-generation biomedical implants are fabricated from the Ti-6Al-4V alloy because it has many attractive properties, such as low density and biocompatibility. However, the elastic modulus of this alloy is much larger than that of the surrounding bone, leading to bone resorption and, eventually, implant failure. In the present study, we synthesized and performed a detailed analysis of a novel low elastic modulus Ti-based alloy (Ti-28Nb-5Zr-2Ta-2Sn (TNZTS alloy)) using a variety of methods, including scanning electron microscopy, transmission electron microscopy, X-ray diffraction, and tensile test. Additionally, the in vitro biocompatibility of the TNZTS alloy was evaluated using SCP-1, SaOs-2, and THP-1 cell lines and primary human osteoblasts. Compared to Ti-6Al-4V, the elastic modulus of TNZTS alloy was significantly lower, while measures of its in vitro biocompatibility are comparable. O2 plasma treatment of the surface of the alloy significantly increased its hydrophilicity and, hence, its in vitro biocompatibility. TNZTS alloy specimens did not induce the release of cytokines by macrophages, indicating that such scaffolds would not trigger inflammatory responses. The present results suggest that the TNZTS alloy may have potential as an alternative to Ti-6Al-4V. [ABSTRACT FROM AUTHOR]