Search

Conversely to natural teeth, where periodontal ligament (PDL) and pulp works as a damper reducing the effect of the stress on surrounding structures, when natural teeth is lost and replaced or restored the biting forces are directly transmitted to the bone or affect the integrity of the adjacent bottom layers. In this study, damping capacity and dynamic Young's modulus of CoCrMo-porcelain composites for dental restorations were evaluated. Dynamic Young's modulus and damping capacity of materials were assessed by dynamic mechanical analyzes (DMA) at 1 and 10 Hz frequencies, over a temperature ranging (18-60 °C). Results show that by reinforcing dental porcelain with metallic particles, producing ceramic matrix composites (CMCs) with 20 vol% and 40 vol% of metallic particles, the damping capacity and dynamic Young's modulus are improved. A decrease on both properties of the metal matrix composites (MMCs) with increasing ceramic particles content (from 20 vol% to 40 vol% of ceramic phase) was observed for all the studied frequencies and temperatures. While damping capacity is strongly dependent on frequency, no significant difference in dynamic Young's modulus was found. Results show that besides the yet reported advantages of the bio-inspired functionally graded restorations over traditional bilaminate ones, traduced by improved veneer to substrate adhesion and by the enhanced thermal and mechanical stress distribution, these restorations can also display improved behavior as regard to a damping capacity, which may have a positive impact in the long-term performance of implant - supported prosthesis., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

The torsional friction behavior of the materials (CoCrMo alloy and ultra-high-molecular-weight polyethylene (UHMWPE)) that are used in artificial knee joint replacement (AKJR) were investigated under dynamic loading. The torsional friction torque, wear loss and scars and stress distribution were analyzed and compared. The results show the following: (1) the friction torque declines rapidly at the beginning of the experiments, and meanwhile, the maximum normal load and the torsional angle amplitude show very little effect on the steady value; (2) the wear loss decreases with the increased torsional angle amplitude but increases with the increased maximum normal load; additionally, as the cycle times increase, the wear rate decreases, and the wear is minimal; (3) unloading and secondary loading significantly reduce the friction and wear of the materials, and thus, patients should rest after prolonged exercise to reduce wear; (4) the margins of UHMWPE and CoCrMo are worn, and the wear mechanism is abrasive wear; (5) around the center of the UHMWPE, the surface is peeled off, and the wear mechanism is fatigue wear; and (6) in terms of the compressive stress and shear stress, the calculated results from a finite element model match the experimental results well.

Objective: This study aimed to determine the effects of copper content on the corrosion resistance of CoCrMoCu alloy and its in vitro antibacterial performance., Methods: CoCrMoCu specimens with different Cu contents (2%, 3%, 5%, and 7%) were prepared by vacuum melting method. CoCrMo without Cu served as control. The corrosion resistance of the specimens was measured by electrochemistry. The antibacterial effects of the specimens on Staphylococcus aureus and Escherichia coli were analyzed by coating-film method., Results: Compared with CoCrMo without Cu, the addition of 2%-5% Cu to CoCrMo improved the pitting and uniform corrosion of CoCrMo alloy and decreased the corrosion current density. The antibacterial performance of CoCrMoCu alloy increased with increased Cu content. The antibacterial rate of alloy was 99% when Cu content exceeded 5%., Conclusions: Cu addition had a statistically significant influence on the corrosion resistance and antibacterial performance of CoCrMoCu. CoCrMoCu has better corrosion resistance and antibacterial performance when Cu content is 5%.

The objective was to investigate whether a graphene coating could improve the surface bioactivity of a cobalt-chromium-molybdenum-based alloy (CoCrMo). Graphene was produced by chemical vapor deposition and transferred to the surface of the CoCrMo alloy using an improved wet transfer approach. The morphology of the samples was observed, and the adhesion force and stabilization of graphene coating were analyzed by a nanoscratch test and ultrasonication test. In an in vitro study, the adhesion and proliferation of bone marrow mesenchymal stem cells (BMSCs) cultured on the samples were quantified via an Alamar Blue assay and cell counting kit-8 (CCK-8) assay. The results showed that it is feasible to apply graphene to modify the surface of a CoCrMo alloy, and the enhancement of the adhesion and proliferation of BMSCs was also shown in the present study. In conclusion, graphene exhibits considerable potential for enhancing the surface bioactivity of CoCrMo alloy., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Orthopedic implants first started out as an all-metal hip joint replacement. However, poor design and machinability as well as unsatisfactory surface finish subjected the all-metal joint replacement to being superseded by a polyethylene bearing. Continued improvement in manufacturing techniques together with the reality that polyethylene wear debris can cause hazardous reactions in the human body has brought about the revival of metal-on-metal (MOM) hip joints in recent years. This has also led to a relatively new research area that links tribology and corrosion together. This article aims at reviewing the commonly used tribochemical methods adopted in the analysis of tribocorrosion and putting forward some of the models and environmental factors affecting the tribocorrosive behavior of CoCrMo alloys, a widely-used class of biomaterial for orthopedic implants., Competing Interests: The authors declare no conflict of interest.

A detailed investigation was performed to characterize the fretting wear and corrosion damage to the neck component of a CoCrMo stem from a metal-on-polyethylene implant retrieved after 99months. The stem was a low-carbon (0.07wt%) wrought Co-28Cr-6Mo alloy with no secondary carbide phases in the matrix (γ-phase). The original design of the neck surface contained an intentionally fabricated knurled profile with a valley-to-peak range of approximately 11μm. Roughness measurements indicated that the tip of the knurled profile was significantly damaged, especially in the distal medial region of the neck, with up to a 22% reduction in the mean peak-to-valley height (R a ) compared to the original profile. As a new finding, the channels between the peaks of the profile created an additional crevice site in the presence of stagnant body fluid within the head-neck taper junction. These channels were observed to contain the most severe corroded areas and surface oxide layers with micro-cracks. SEM/EDS, XRD and XPS evaluations identified the formation of Cr 2 O 3 as a corrosion product. Also, decobaltification was found to occur in these corroded areas. The findings of this work indicate the important role of the knurled profile in inducing additional crevice corrosion., (Copyright © 2017 Elsevier B.V. All rights reserved.)

It is well established that the total protein concentration and albumin-to-globulin ratio influence the wear of ultra-high molecular polyethylene (UHMWPE, "polyethylene") in joint prostheses. A factor on wear not yet studied, but of possible clinical relevance, is protein cleavage. Such cleavage is expected in the presence of an inflammatory response and as a result of wear processes at the articular interface. The aim of this study was to compare the tribological behavior of polyethylene articulated against an orthopedic wrought CoCrMo alloy for three lubricants: cleaved albumin, uncleaved albumin, and newborn calf serum (control). We hypothesized that the cleavage of albumin will increase the friction and wear rate of polyethylene, with a concomitant roughening of the polymer surface and the generation of larger wear debris particles. Cleavage of the bovine albumin into five fragments was performed by digestion with cyanogen bromide. In pin-on-flat (POF) wear tests of polyethylene pins made of Ticona GUR ® 1020/1050 against CoCrMo alloy discs, the cleaved albumin led to the lowest polyethylene wear and highest friction coefficients, whereas albumin led to the highest wear rates. In knee simulator tests, the albumin lubricant also led to a 2.7-fold increase in the tibial insert wear rate compared to the regular bovine serum lubricant (a wear rate for the cleaved albumin could not be obtained). The generated polyethylene wear particles were of increasing size and fibrillar shape in going from serum to albumin to cleaved albumin, although only the shape achieved statistical significance. Unlike bovine serum, cleaved albumin led to wear scars for both the POF and simulator wear tests that closely emulated the morphological features observed on explanted polyethylene tibial inserts from total knee replacements. We posit that the smaller protein fragments can more efficiently adsorb on the surfaces of both the polyethylene and the metal, thus offering protection against wear, while at the same time leading to an increase in friction, particle size, and particle elongation, as the protein fragment films interact adhesively during sliding. The results of this study have implications for pre-clinical wear testing methodology as they suggest that albumin concentration may be more pertinent than total protein concentration for wear testing polyethylene., Competing Interests: Conflicts of Interest: The authors declare no conflict of interest.

In this retrieval study, we reported the failure mechanisms of the CoCrMo-based hip implants. Systematic analyses on the clinically failed modular femoral stems from Revitan™ revision prostheses revealed a multistep fracture process. Multiple microcracks were first developed under the combined action of pitting corrosion and dynamic tensile stress on the lateral side of the CoCrMo connection taper. These microcracks then served as the initiation sites of further corrosion fatigue cracking leading to the final catastrophic failure. This crack initiation process has not been previously reported on retrieved CoCrMo components and our findings provide valuable information on the clinical performance of such implants, as well as the material selection and structural designs of future modular stems. © 2016 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 105B: 1525-1535, 2017., (© 2016 Wiley Periodicals, Inc.)

The wear behaviors of biomedical CoCrMo prosthetic alloys containing various amounts of carbon were investigated using a standard hip joint simulator in a simulated body fluid. A few chunks and punctate σ-phase precipitates were observed in the low-carbon (LC) alloy; these were responsible for the abrasion and run-in wear. Increasing the carbon content led to greater precipitation of globular M 23 C 6 -type carbides. As a result, lower wear loss was observed in the high-carbon (HC) alloy. However, the Student's t-test analysis on wear loss indicated that there was no significant difference in wear loss between the LC-LC and HC-HC combinations. Surface fatigue caused by torn-off of Mo-rich carbides was the dominant wear mechanism in the HC alloy. Further, Cr-rich carbides prevent three-body abrasion and increase the wear resistance., (Copyright © 2017 Elsevier B.V. All rights reserved.)

Several problems are associated with corrosion-wear occurring on metal-on-metal hip implants made out of cobalt-chromium based alloys. Low temperature carburizing, a process that creates a hard and corrosion resistant diffused layer in Cobalt-Chromium-Molybdenum (CoCrMo) alloys, known as S-phase, may be a possible solution towards mitigating these problems. In this work, static- and tribo-corrosion testing involving an alumina versus CoCrMo (untreated and carburized) were conducted in Ringer's solution. Electrochemical impedance spectroscopy was used to compare impedance plots attained before and after sliding so as to understand how the metal-electrolyte interface is affected by rubbing. Both untreated and carburized CoCrMo experienced extensive reduction in corrosion resistance following sliding wear damage such that one should expect a considerably deteriorated performance of both surfaces in a tribocorrosion application. The structure of the interface was relatively unaffected after sliding at the equilibrium and passive potentials. This implies that the layers making up the interface before sliding were still present after sliding. However, their properties changed - the interface's real resistance dropped while its capacitance increased. The former was linked to a weaker, damaged passive film while the latter was linked to accumulation of wear debris and corrosion products., (Copyright © 2017 Elsevier B.V. All rights reserved.)

CoCrMo alloys have been widely used in metal-on-metal (MoM) hip replacements due to their superior wear and corrosion resistance properties. However, metal ions like Co 2+ and Cr 3+ , or even Cr 6+ released from CoCrMo hip prostheses can induce macrophage apoptotic vs. necrotic mortality and damage the surrounding tissues. Simultaneously, osteolysis induced by the wear debris can be a cause of failure. Nano wear debris is more active than the bulk material, due to its small size. In this study, to accurately analyse the fresh wear debris retrieved from the hip simulator and the interaction between the particles and tribocorrosion of CoCrMo, wear debris was observed without protein digest, using a combined experimental approach involving the employment of TEM and ICP-MS. The results suggest that nanoscale wear debris generated from a hip simulator in bovine serum albumin (BSA) lubrication was Cr-rich, containing crystalline and amorphous structures; meanwhile, without any proteins, the wear particles mostly had an hcp-Co crystalline structure., (Copyright © 2017 Elsevier Ltd. All rights reserved.)

Fretting corrosion of medical devices is of growing concern, yet, the interactions between tribological and electrochemical parameters are not fully understood. Fretting corrosion of CoCr alloy was simulated, and the components of damage were monitored as a function of displacement and contact pressure. Free corrosion potential (E corr ), intermittent linear polarisation resistance and cathodic potentiostatic methods were used to characterise the system. Interferometry was used to estimate material loss post rubbing. The fretting regime influenced the total material lost and the dominant degradation mechanism. At high contact pressures and low displacements, pure corrosion was dominant with wear and its synergies becoming more important as the contact pressure and displacement decreased and increased, respectively. In some cases, an antagonistic effect from the corrosion-enhanced wear contributor was observed suggesting that film formation and removal may be present. The relationship between slip mechanism and the contributors to tribocorrosion degradation is presented.

In hip arthroplasty the implants' articulating surfaces can be made of a cobalt-chromium-molybdenum (CoCrMo) alloy. The use of these metal-on-metal (MoM) pairings can lead to the release of wear products such as metallic particles and dissociated metal species, raising concerns regarding their safety amongst orthopedic surgeons and the public. MoM-wear particles are reported to be heterogeneous in their physicochemical properties, are capable of inducing adverse effects on a cellular level and are thought to be involved in relevant clinical problems like aseptic osteolysis. Yet, it remains elusive how MoM-wear affects bone forming cells and their progenitors: bone marrow residing mesenchymal stromal cells (MSCs). This study introduces an assessment of the in vivo exposure to particulate and dissociated Co and Cr and evaluates the effects of MoM-wear on MSCs. The exposure to MoM-wear products in vivo and in vitro leads to a decrease in MSCs' osteogenic matrix mineralization and alkaline phosphatase activity on a cellular and systemic level. In conclusion, MoM-wear products are released in the periprosthetic region and elevate bone marrow Co and Cr concentrations towards levels that impair osteogenic differentiation of MSCs. Therefore, the ongoing use of CoCrMo alloys for articulating surfaces in joint replacement implants needs critical reconsideration., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

The present study was initiated with the aim to assess the in vivo electrochemical corrosion behaviour of CoCrMo biomedical alloys in human synovial fluids in an attempt to identify possible patient or pathology specific effects. For this, electrochemical measurements (open circuit potential OCP, polarization resistance Rp, potentiodynamic polarization curves, electrochemical impedance spectroscopy EIS) were carried out on fluids extracted from patients with different articular pathologies and prosthesis revisions. Those electrochemical measurements could be carried out with outstanding precision and signal stability. The results show that the corrosion behaviour of CoCrMo alloy in synovial fluids not only depends on material reactivity but also on the specific reactions of synovial fluid components, most likely involving reactive oxygen species. In some patients the latter were found to determine the whole cathodic and anodic electrochemical response. Depending on patients, corrosion rates varied significantly between 50 and 750 mg dm(-2)year(-1)., (Copyright © 2015 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved.)

Abstract: In this study structural and magnetic character of the expanded austenite phase (γN) layer formed on a medical grade CoCrMo alloy by a low-pressure Radio-Frequency plasma nitriding process was investigated. The formation of the expanded austenite phase is facilitated at a substrate temperature near 400°C for 1, 2, 4, 6 and 20h under a gas mixture of 60% N2–40% H2. The magnetic state of the γN layers was determined by a surface sensitive technique, magneto-optic Kerr effect (MOKE), and with a scanning probe microscope in magnetic force mode (MFM). Strong evidence for the ferromagnetic nature of the γN-(Co,Cr,Mo) phase is provided by the observation of stripe domain structures and the hysteresis loops. The ferromagnetic state for the γN phase observed here is mainly linked to large lattice expansions (~10%) due to high N contents (~30at.%). As an interstitial impurity, nitrogen dilates the host lattice i.e. the Co–Co (or Fe–Fe) distance is increased, which strongly influences the magnetic interactions. An analogy between the magnetic properties of the expanded phases, γN-(Fe,Cr,Ni) and γN-(Co,Cr,Mo), formed in austenitic stainless steel alloys and the CoCrMo alloy of this study is made, and it is suggested that the ferromagnetic states for the γN-(Co,Cr,Mo) and γN-(Fe,Cr,Ni) phases may be correlated with the volume dependence of the magnetic properties of fcc-Co/Co4N and fcc-Fe/Fe4N, respectively. [Copyright &y& Elsevier]

In this study, mechanical and thermal properties of CoCrMo-porcelain composites for dental restorations have been evaluated. These metal-ceramic composites were produced by powder metallurgy and hot pressing techniques from the mixtures of metal and ceramic powders with different volume fractions. Young's moduli and the coefficient of thermal expansion of materials were evaluated by dynamic mechanical analysis (DMA) and dilatometry (DIL) tests, respectively. The strength in flexion and shear was measured with a universal test machine and hardness with a respective tester. The microstructures and fracture surfaces were inspected by the means of optical microscopy and Scanning Electron Microscopy/Energy Dispersive Spectroscopy (SEM/EDS). Shear strength, Flexural strength and Young' moduli of ceramic and metal-matrix composites were found to increase with higher metal particles content. The DMA tests performed at different frequencies showed no frequency-dependent features of the materials studied, indicating no viscoelastic behavior. The fracture surfaces analysis suggests the load-transfer mechanism be possibly responsible for this behavior, as the differences in CTE are low enough to cause significant thermal stresses in these materials. The results might be included in a materials properties database for further use for design and optimization of dental restorations., (© 2013 Published by Elsevier Ltd.)

The demand for total hip replacement (THR) surgery is increasing in the younger population due to faster rehabilitation and more complete restoration of function. Up to 2009, metal-on-metal (MoM) hip joint bearings were a popular choice due to their design flexibility, post-operative stability and relatively low wear rates. The main wear mechanisms that occur along the bearing surface of MoM joints are tribochemical reactions that deposit a mixture of wear debris, metal ions and organic matrix of decomposed proteins known as a tribolayer. No in-depth electrochemical studies have been reported on the structure and characteristics of this tribolayer or about the parameters involved in its formation. In this study, we conducted an electrochemical investigation of different surfaces (bulk-like: control, nano-crystalline: new implant and tribolayer surface: retrieved implant) made out of two commonly used hip CoCrMo alloys (high-carbon and low-carbon). As per ASTM standard, cyclic polarization tests and electrochemical impedance spectroscopy tests were conducted. The results obtained from electrochemical parameters for different surfaces clearly indicated a reduction in corrosion for the tribolayer surface (Icorr: 0.76μA/cm(2)). Further, polarization resistance (Rp:2.39±0.60MΩ/cm(2)) and capacitance (Cdl:15.20±0.75μF/cm(2)) indicated variation in corrosion kinetics for the tribolayer surface, that attributed to its structure and stability in a simulated body environment., (© 2013 Elsevier Ltd. All rights reserved.)

CoCrMo alloys are passive and biocompatible materials widely used as joint replacements due to their good mechanical properties and corrosion resistance. Electrochemical behaviour of thermal treated CoCrMo alloys with different carbon content in their bulk alloy composition has been analysed. Both the amount of carbides in the CoCrMo alloys and the chemical composition of the simulated body fluid affect the electrochemical properties of these biomedical alloys, thus passive dissolution rate was influenced by the mentioned parameters. Lower percentage of carbon in the chemical composition of the bulk alloy and thermal treatments favour the homogenization of the surface (less amount of carbides), thus increasing the availability of Cr to form the oxide film and improving the corrosion resistance of the alloy., (© 2013.)

Surface treatments using bio-technology are valuable and fascinating in the sense that such treatments are natural and yield good biocompatibility. Calcium oxalate whiskers for biomedical applications were successfully synthesized on the CoCrMo alloy surfaces implanted in Aloe leaves which consist of many active bio-chemical elements. The effect of surface wettability and surface morphology on the formation of whiskers was investigated using four differently treated CoCrMo surfaces: (i) smoothly polished surface, (ii) electrochemical etched surface, (ii) textured surface with dimples, and (iv) parallel orientated-grooved surface. Results showed that the formed whiskers had a length ranging between 100 μm and 600 μm, and a diameter in the range of 2 μm to 5 μm. Electrochemically etched surfaces had better wettability and were favorably for growing whiskers. Surface morphology with (i) dimple textures or (ii) parallel grooves facilitated the effective control of the size and amount of the grown whiskers., (Copyright © 2013 Elsevier B.V. All rights reserved.)