[Biodeterioration and corrosion of metallic implants and prostheses]. 1993

G D López
Instituto de Desarrollo y Diseño (INGAR), Santa Fe, Argentina.

The use of surgical implants and prosthetic devices to replace the original function of different components of the human biological system is a well established tradition in the history of medicine. Currently, one of the most prevalent points of view in dealing with this subject, is that of biocompatibility of materials of construction and methods of fabrication of these devices, in order to avoid negative impacts on the patient due to failure of implants through degradation mechanisms such as corrosion. This article presents a current general review of the relationship between biocompatibility and deterioration of metallic implants and prosthetic devices, emphasizing the specific forms that corrosion adopts in biological media. The historical perspective shows the consolidation of a tendency towards a more systematic study of these phenomena in recent years, as opposed to trial and error practices that used to be common before the third decade of this century. The understanding of interactions between implants and biological tissue, thus led to some of the most promising current techniques, such as the use of powder metallurgy components to optimize skeletal fixation of implants by means of interstitial bone growth into porous metallic surfaces. The review of metals and alloys currently used for the fabrication of implants shows the amplitude of available technological alternatives, as well as the multiple criteria required to make a good selection for each specific case. Applications and pros and cons of stainless steel, Cr, Ni, Co and Ti alloys, and tantalum are briefly discussed. The introduction to basic concepts of corrosion, serves as a basis for the description of the typical forms that these phenomena adopt in biological media, including pitting, crevice corrosion, fatigue-corrosion, stress corrosion, fretting corrosion, galvanic corrosion, and intergranular corrosion. This review shows that the study of interactions between biological media and metallic implants has become a well established and specific field of science. As a result of this conclusion, an interdisciplinary treatment of the subject of biodeterioration of metallic implants and prosthetic devices is proposed. In practical terms, this proposal can be understood as the integration of an expert in materials science and engineering to the medical team. Thus, quality and reliability of the implant, as well as maximization of its useful life, would be achieved through the implementation of technical specifications, accepted standards, and pertinent testing as recommended by the above mentioned expert, who will be the person of the team more able to grasp the novelties that the dynamic field of biomaterials constantly offers.

UI MeSH Term Description Entries
D008670 Metals Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed) Metal
D011475 Prosthesis Failure Malfunction of implantation shunts, valves, etc., and prosthesis loosening, migration, and breaking. Prosthesis Loosening,Prosthesis Durability,Prosthesis Migration,Prosthesis Survival,Durabilities, Prosthesis,Durability, Prosthesis,Failure, Prosthesis,Failures, Prosthesis,Loosening, Prosthesis,Loosenings, Prosthesis,Migration, Prosthesis,Migrations, Prosthesis,Prosthesis Durabilities,Prosthesis Failures,Prosthesis Loosenings,Prosthesis Migrations,Prosthesis Survivals,Survival, Prosthesis,Survivals, Prosthesis
D002858 Chromium Alloys Specific alloys not less than 85% chromium and nickel or cobalt, with traces of either nickel or cobalt, molybdenum, and other substances. They are used in partial dentures, orthopedic implants, etc. Chromium-Cobalt Alloys,Chromium-Nickel Alloys,Cobalt-Chromium Alloys,Nickel-Chromium Alloys,Alloys, Chromium,Alloys, Chromium-Cobalt,Alloys, Chromium-Nickel,Alloys, Cobalt-Chromium,Alloys, Nickel-Chromium,Chromium Cobalt Alloys,Chromium Nickel Alloys,Cobalt Chromium Alloys,Nickel Chromium Alloys
D003035 Cobalt A trace element that is a component of vitamin B12. It has the atomic symbol Co, atomic number 27, and atomic weight 58.93. It is used in nuclear weapons, alloys, and pigments. Deficiency in animals leads to anemia; its excess in humans can lead to erythrocytosis. Cobalt-59,Cobalt 59
D003343 Corrosion The gradual destruction of a metal or alloy due to oxidation or action of a chemical agent. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Corrosions
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001672 Biocompatible Materials Synthetic or natural materials, other than DRUGS, that are used to replace or repair any body TISSUES or bodily function. Biomaterials,Bioartificial Materials,Hemocompatible Materials,Bioartificial Material,Biocompatible Material,Biomaterial,Hemocompatible Material,Material, Bioartificial,Material, Biocompatible,Material, Hemocompatible
D001673 Biodegradation, Environmental Elimination of ENVIRONMENTAL POLLUTANTS; PESTICIDES and other waste using living organisms, usually involving intervention of environmental or sanitation engineers. Bioremediation,Phytoremediation,Natural Attenuation, Pollution,Environmental Biodegradation,Pollution Natural Attenuation
D013193 Stainless Steel Stainless steel. A steel containing Ni, Cr, or both. It does not tarnish on exposure and is used in corrosive environments. (Grant & Hack's Chemical Dictionary, 5th ed) Stainless Steels,Steel, Stainless,Steels, Stainless
D014025 Titanium A dark-gray, metallic element of widespread distribution but occurring in small amounts with atomic number, 22, atomic weight, 47.867 and symbol, Ti; specific gravity, 4.5; used for fixation of fractures.

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