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Titanium Alloys For Biomedical Development and Applications: Design, Microstructure, Properties, and Application Zhentao Yu
Titanium Alloys For Biomedical Development and Applications: Design, Microstructure, Properties, and Application Zhentao Yu
Titanium Alloys For Biomedical Development and Applications: Design, Microstructure, Properties, and Application Zhentao Yu
ZHENTAO YU
Jinan University, Guangzhou, P.R. China
Elsevier
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
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instructions, or ideas contained in the material herein.
v
vi Contents
Index 227
List of contributors
vii
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Preface
ix
x Preface
The literature referred to in this book is derived mainly from the pre-
vious research results of my group from Northwest Institute for
Nonferrous Metal Research (NIN). The major contributors involved in
the compilation of this book are Professor Sen Yu (Chapters 57),
Professor Xiqun Ma (Chapters 2 and 3). Engineer, and Dr. Lei Jing
(Chapters 1 and 4). The other colleagues who participated in the survey
and collation of the published literature are Senior Engineer Yafeng
Zhang (Sections 3.5, 3.6, 7.3, and 7.4), Senior Engineer Jun Cheng
(Sections 1.6, 2.5, 2.6, and 3.1), Senior Engineer Binbin Wen (Sections
6.3, 6.4, 6.5, and 7.5), Professor Jinlong Niu (Sections 2.3 and 2.7),
Engineer Hanyuan Liu (Sections 1.2 and 1.3), Engineer Chang Wang
(Sections 1.7 and 7.1), Professor Yusheng Zhang (Section 5.5), Senior
Engineer Wangtu Huo (Section 5.5), Engineer Qi Shen (Section 7.2),
Engineer Xi Zhao (Section 2.1), and Engineer Wei Zhang (Section 5.5).
The other colleagues who participated in the survey and collation of the
published literature and who work in Xi’an Jiuzhou Biomaterials Co.,
Ltd. are Professor Jianye Han (Sections 6.4 and 6.5), Senior Engineer
Qiang HuangFu (Sections 3.5, 3.6, 7.1, and 7.3), Senior Engineer Sibo
Yuan (Section 6.5), Engineer Hui Liu (Sections 6.3 and 6.4), and
Engineer Xiaoyan Shi (Sections 6.1 and 7.1).
The study of surface bioactivity modification of novel TLM titanium
alloy materials in this book (Section 5.4) has been supported by
Professor Yong Han from Xi’an Jiaotong University. The biosafety eval-
uation of novel TLM titanium alloy materials in this book has also been
supported by Professor Yumei Zhang (Sections 4.1.6, 4.1.7, and 4.1.8)
xii Preface
and Professor Minghua Zhang (Section 4.1.9) from PLA Air Force
Military Medical University and Professor Xiaohong Li (Sections 4.1.2,
4.1.3, and 4.1.4) and Professor Kunzheng Wang (Sections 4.1.5 and 4.1.9)
from Xi’an Jiaotong University.
My colleagues and graduate students from NIN and Jinan University
assisted me in the English translation and proofreading of this book.
Professor ZengXiang Fu from Northwestern Polytechnical University
and Associate Professor Weihong Jin and Dr. Baisong Guo from Jinan
University put in a lot of effort into the English review and proofread-
ing of this book. My doctoral and master students, Lan Wang, Xiaojun
Dai, Longchao He, and Yunhao Xu from NIN and Qingyun Fu,
Mingcheng Feng, Wenqi Liang, Jiaxin Huang, and Yue Wu from Jinan
University took part in the English translation of this book.
Finally, I am grateful to the above people for their strong support
during the book editing and publishing. In addition, as a result of my
limited knowledge and writing ability, there might be some errors and
omissions in the book. I sincerely welcome criticism, guidance, and cor-
rection by readers.
Zhentao Yu1,2
1
Biomedical Materials Technology Research Center,
Institute of Advanced Wear & Corrosion Resistant and Functional Materials,
Jinan University, Guangzhou, P.R. China
2
Biomaterials Research Center,
Northwest Institute for Non-Ferrous Metal Research,
Xi’an, P.R. China
C H A P T E R
1
Overview of the development
and application of biomedical
metal materials
06Cr19Ni13Mo3 (S31708) 317 # 0.080 18.020.0 11.015.0 # 2.00 3.04.0 # 1.00 # 0.030 # 0.045
022Cr19Ni13Mo3 (S31703) 317L # 0.030 18.020.0 11.015.0 # 2.00 3.04.0 # 1.00 # 0.030 # 0.045
06Cr17Ni12Mo2 (S31608) 316 # 0.080 16.018.0 10.014.0 # 2.00 2.03.0 # 1.00 # 0.030 # 0.045
022Cr17Ni12Mo2 (S31603) 316L # 0.030 16.018.0 10.014.0 # 2.00 2.03.0 # 1.00 # 0.030 # 0.045
Source: data from GB/T 12202007 Stainless Steel Bars, Standardization Administration of China.
1.1 Biomedical stainless steels 3
Source: data from GB/T 12202007 Stainless Steel Bars, Standardization Administration of China.
1.1.4 Application
According to a previous study [1], when the Ni content exceeds
12 wt.%, single-phase austenite can be obtained, and Cr can form a
that after 5 passes of TMP treatment, the grains can be remarkably refined,
and a bimodal grain microstructure composed of fine grains (3 μm) and
coarse grains (416 μm) can be formed. Such a bimodal grain microstruc-
ture provides superior mechanical properties with a tensile strength of
11971304 MPa, a yield strength of 593738 MPa, and a uniform elongation
of 54.7%61.1%.
Studies have shown that when the concentration of Cu21 is lower
than 500 mm, Cu ions can promote the proliferation of human venous
endothelial cells but have an inhibitory effect on the proliferation of
arterial smooth muscle cells. Wang et al. [10] and others have studied
the effect of the addition of Cu (14 wt.%) on the structure, corrosion,
mechanical properties, and cytotoxicity of L-605 alloy, aiming to
develop a new type of biological functional alloy. The results shown
that dendrite segregation occurs in all L-605 alloys with different Cu
contents during the casting process, and the addition of copper reduces
the corrosion resistance of the alloy, slightly reduces the microhardness
of the material, and has a limited effects on the compression perfor-
mance of the material. CCK8 results shown that L-605 Cu alloy has
good cell viability, and the addition of Cu does not cause cytotoxicity.
FIGURE 1.2 Typical medical devices of CrCo alloys. (A) Joint prostheses. (B) Stent.
TABLE 1.4 The typical plate, rod, and wire products of NiTi memory alloy.
Material types Grade PTT (Af/ C) Standard
Rod, wire NiTi01/NiTi02 2040 ASTM F206312/GB 246272009
NiTiss 4590
TN3/TNC 515
NiTiss/NiTiyy 230 to 20
NiTiCu 33 6 3
NiTiNb AsMs # 5
NiTiss AsMs , 150
Plate NiTi01/NiTi02 2040
NiTiss 4590
NiTiyy 515
Source: data from Y. Wang, Q. Cao, Z. Jia, J. Zheng, Application and development of precious metals in the field
of medicine, Rare Metal Materials and Engineering 43 (2014) 165170.
FIGURE 1.4 The clinical application of porous Ta. (A) Standardized porous Ta acetab-
ular cup. (B) Bone defect fibula prosthesis. Source: data from K. Yang, H. Tang, J. Wang, G.
Yang, N. Liu, L. Jia, et al., Research progress of standardized and additive manufacturing of per-
sonalized porous tantalum implants. Hot Working Technology 46 (2017) 58; L. Yang, F. Wang,
Application of medical 3D printing porous tantalum in orthopedics, Journal of the Third Military
Medical University 41 (2019) 18591866.
With her mother now convalescent, the year 1824 opened to find
Miss Mitford more composed in mind. She was still turning over in
her mind her friend Macready’s great commission, but as he had
bade her take plenty of time, she occupied herself with gathering
together and polishing the Lady’s Magazine articles on country life
with a view to their publication in volume form. Mr. George B.
Whittaker, of Ave Maria Lane—“papa’s godson, by-the-by”—was the
chosen publisher and we may be certain that there was much
fussing and discussion between the parties concerned before the
details were finally arranged. Mr. Whittaker was, according to his
godfather’s daughter, “a young and dashing friend of mine, this year
sheriff of London, and is, I hear, so immersed in his official dignities
as to have his head pretty much turned topsy-turvy, or rather, in
French phraseology, to have lost that useful appendage; so I should
not wonder now, if it did not come out, till I am able to get to town
and act for myself in the business, and I have not yet courage to
leave mamma.”
Had Mr. Whittaker known what was in store for him he would
probably have lost his head; but neither author nor publisher had the
faintest notion that the modest volume, then projecting, was to be the
forerunner of a series destined to take the world by storm and to be
the one effort—apart from dramatic and sonneteering successes,
which were to fade into obscurity—by which alone the name of Mary
Russell Mitford was to be remembered.
Its modest title— Our Village—was the author’s own choice, and it
was to consist of essays and characters and stories, chiefly of
country life, in the manner of the Sketch Book, but without
sentimentality or pathos—two things abhorred by the author—and to
be published with or without its author’s name, as it might please the
publisher. “At all events,” wrote Miss Mitford to Sir William, “the
author has no wish to be incognita; so I tell you as a secret to be
told.”
“When you see Our Village,” she continued, “(which if my sheriff
be not bestraught, I hope may happen soon), you will see that my
notions of prose style are nicer than these galloping letters would
give you to understand.”
The excitement of preparing for the press revived her old interest
in life and stirred her once again to indulge in that free and
blithesome correspondence which had been so unceremoniously
dropped when her domestic troubles seemed so overpowering. Her
introduction to Macready had been followed by an introduction to his
sister whom, as usual, Miss Mitford found to be all that was
charming. In her impulsive fashion she quickly divined the characters
of both and wrote of her impressions to her confidant, Sir William.
“They are very fascinating people, of the most polished and delightful
manners, and with no fault but the jealousy and unreasonableness
which seem to me the natural growth of the green-room. I can tell
you just exactly what Mr. Macready would have said of me and
Julian. He would have spoken of me as a meritorious and amiable
person, of the play as a first-rate performance, and of the treatment
as ‘infamous!’ ‘scandalous!’ ‘unheard-of!’—would have heaped every
phrase of polite abuse which the language contains on the Covent
Garden manager; and then would have concluded as follows:—‘But
it is Miss Mitford’s own fault—entirely her own fault. She is, with all
her talent, the weakest and most feeble-minded woman that ever
lived. If she had put matters into my hands—if she had withdrawn
The Foscari—if she had threatened the managers with a lawsuit—if
she had published her case—if she had suffered me to manage for
her; she would have been the queen of the theatre. Now, you will
see her the slave of Charles Kemble. She is the weakest woman that
ever trode the earth.’ This is exactly what he would have said; the
way in which he talks of me to every one, and most of all to myself.
‘Is Mr. Macready a great actor?’ you ask. I think that I should answer,
‘He might have been a very great one.’ Whether he be now I doubt.
A very clever actor he certainly is; but he has vitiated his taste by his
love of strong effects, and been spoilt in town and country; and I
don’t know that I do call him a very great actor ... I have a physical
pleasure in the sound of Mr. Macready’s voice, whether talking, or
reading, or acting (except when he rants). It seems to me very
exquisite music, with something instrumental and vibrating in the
sound, like certain notes of the violoncello. He is grace itself; and he
has a great deal of real sensibility, mixed with some trickery.”
Miss Mitford’s Cottage at Three Mile Cross, as it is to-day (1913), with the sign of
the Swan Inn on the one hand, and Brownlow’s shop on the other.
Was Our Village its author’s announcement to all and sundry, that
come what might, whether of want, drudgery, or disillusionment, she
could still carry her head high, look the world in the face— and
smile? Probably it was. A strong case can be made out for the view
that, apart altogether from her love of rurality, Our Village was a
deliberate glorification of the simple life which had been forced upon
her, a deliberate pronouncement that Home was still Home, though it
had been transferred from the magnificence of Bertram House with
its retinue of servants, to an extremely humble cottage set between a
village “general” on the one side and a village inn upon the other.
With all the success which now seemed to crowd upon our author,
the year was not without its anxieties for, shortly after her mother’s
recovery, her father was taken suddenly ill and, as was his wont on
such occasions, required a great deal of attention. He made a fairly
speedy recovery, however, and in July we read of him and Mrs.
Mitford taking exercise in a “pretty little pony-chaise” the acquisition
of which the daughter proudly records—it was a sign, however slight,
of amended fortunes. Late in the year, Dr. Mitford had a relapse and
became seriously ill, and even when convalescent was left so weak
that he was a source of considerable anxiety to his wife and
daughter. This illness must have convinced Miss Mitford that it would
be futile to count upon her father as a bread-winner, and that
conviction seems to have spurred her to work even harder than
before. The Cromwell and Charles play still simmered in her mind,
while there were a “thousand and one articles for annuals” to be
written, together with the working-up of a new tragedy to be called
Inez de Castro. Not satisfied with all that, she wrote in the July to
William Harness, asking whether he could influence Campbell, then
editing the New Monthly Magazine, to engage for a series—“Letters
from the Country,” or something of that sort—“altogether different, of
course, from Our Village in the scenery and the dramatis personae,
but still something that might admit of description and character, and
occasional story, without the formality of a fresh introduction to every
article. If you liked my little volume well enough to recommend me
conscientiously, and are enough in that prescient editor’s good
graces to secure such an admission, I should like the thing
exceedingly.”
Talfourd wrote urging her to a novel, but this she wisely declined,
and commenced to work, in great haste on still another tragedy
which had been suggested by a re-reading of Gibbon’s Decline and
Fall of the Roman Empire. It was no new project, for she had written
of it “in strict confidence” to Sir William Elford more than a year
before, but it had been left to lie fallow until an opportunity arose for
its execution. When the suggestion was made to Macready he at
once saw the possibilities in the theme and promised to give the play
his best consideration, although he made the significant suggestion
that not only should the author’s name be kept a dead secret, but
that the play should be produced under a man’s name because the
newspapers of the day were so unfair to female writers.
Luckily the haste with which she had started on Rienzi soon
subsided, and it was not ready until 1826 when Macready took it and
the Cromwellian play with him on an American tour, promising to do
nothing with either unless they could be produced in a manner
satisfactory to the author. The original intention had been to produce
Rienzi at Covent Garden that year, but the idea was abandoned.
In the meantime preparations were well advanced for a second
series of Our Village, “my bookseller having sent to me for two
volumes more.” Eventually the series extended to five volumes, the
publication of which ranged over the years 1824 and 1832. Of these
volumes there appeared, from time to time, a number of most
eulogistic reviews, particularly noticeable among them being those of
“Christopher North” in the Noctes Ambrosianae of Blackwood’s
Magazine. In reviewing the third volume he wrote:—“The young
gentlemen of England should be ashamed o’ theirsells fo’ lettin’ her
name be Mitford. They should marry her whether she wull or no, for
she would mak baith a useful and agreeable wife. That’s the best
creetishism on her warks”—a criticism as amusing as it was true.
CHAPTER XVIII
In the previous chapter we mentioned that Rienzi was not ready until
1826 and that its production at Covent Garden during that year was
postponed because of a disagreement between Macready and
Young. As a matter of fact the play was finished to the mutual
satisfaction of its author, and her friends Talfourd and Harness, early
in 1825, but when submitted to Macready he would only accept it on
condition that certain rather drastic alterations were made. In this he
was perfectly justified for, be it remembered, he was not only an
actor of high rank but a critic of remarkable ability—a combination of
scholar and actor which caused him to be consulted on every point
connected with the drama and whose judgment was rarely wrong.
Upon hearing his decision Miss Mitford appears to have lost her
composure—we will charitably remind ourselves that she had put
much labour and thought into this play—and to have rushed off to
consult the two friends who, having read the play, had already
pronounced it ready for presentation. Upon hearing Macready’s
suggestions Harness was considerably piqued, the more so as in
addition to his clerical duties, he was, at this time, enjoying a
considerable reputation as a dramatic critic, his writings in the
magazines being eagerly looked for and as eagerly read when they
appeared. There is no doubt that he, backed up by Talfourd,
counselled Miss Mitford not to adopt Macready’s suggestions, but
Macready was not the man to brook interference from outsiders and
told Miss Mitford that not only must she alter the play in accordance
with his views, but without delay if she required him to produce it.
This naturally placed the author in an awkward position for she knew,