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      Biodegradable magnesium alloys for orthopaedic applications

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          ABSTRACT

          There is increasing interest in the development of bone repair materials for biomedical applications. Magnesium (Mg)-based alloys have a natural ability to biodegrade because they corrode in aqueous media; they are thus promising materials for orthopaedic device applications in that the need for a secondary surgical operation to remove the implant can be eliminated. Notably, Mg has superior biocompatibility because Mg is found in the human body in abundance. Moreover, Mg alloys have a low elastic modulus, close to that of natural bone, which limits stress shielding. However, there are still some challenges for Mg-based fracture fixation. The degradation of Mg alloys in biological fluids can be too rapid, resulting in a loss of mechanical integrity before complete healing of the bone fracture. In order to achieve an appropriate combination of bio-corrosion and mechanical performance, the microstructure needs to be tailored properly by appropriate alloy design, as well as the use of strengthening processes and manufacturing techniques. This review covers the evolution, current strategies and future perspectives of Mg-based orthopaedic implants.

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          Biodegradable metals

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            Magnesium and its alloys as orthopedic biomaterials: a review.

            As a lightweight metal with mechanical properties similar to natural bone, a natural ionic presence with significant functional roles in biological systems, and in vivo degradation via corrosion in the electrolytic environment of the body, magnesium-based implants have the potential to serve as biocompatible, osteoconductive, degradable implants for load-bearing applications. This review explores the properties, biological performance, challenges and future directions of magnesium-based biomaterials.
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              In vivo corrosion of four magnesium alloys and the associated bone response.

              Degrading metal alloys are a new class of implant materials suitable for bone surgery. The aim of this study was to investigate the degradation mechanism at the bone-implant interface of different degrading magnesium alloys in bone and to determine their effect on the surrounding bone. Sample rods of four different magnesium alloys and a degradable polymer as a control were implanted intramedullary into the femora of guinea pigs. After 6 and 18 weeks, uncalcified sections were generated for histomorphologic analysis. The bone-implant interface was characterized in uncalcified sections by scanning electron microscopy (SEM), element mapping and X-ray diffraction. Results showed that metallic implants made of magnesium alloys degrade in vivo depending on the composition of the alloying elements. While the corrosion layer of all magnesium alloys accumulated with biological calcium phosphates, the corrosion layer was in direct contact with the surrounding bone. The results further showed high mineral apposition rates and an increased bone mass around the magnesium rods, while no bone was induced in the surrounding soft tissue. From the results of this study, there is a strong rationale that in this research model, high magnesium ion concentration could lead to bone cell activation.
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                Author and article information

                Contributors
                Role: ConceptsRole: literature searchRole: statistical analysis and manuscript preparation
                Role: manuscript editing
                Role: manuscript editing
                Role: manuscript review
                Role: manuscript review
                Role: manuscript review
                Journal
                Biomater Transl
                Biomater Transl
                Biomaterials Translational
                Chinese Medical Multimedia Press Co., Ltd (Beijing, China )
                2096-112X
                28 September 2021
                2021
                : 2
                : 3
                : 214-235
                Affiliations
                [1 ]School of Metallurgy and Materials, University of Birmingham, Birmingham, UK
                [2 ]Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
                Author notes
                [* ] Corresponding author: Yu-Lung Chiu, y.chiu@ 123456bham.ac.uk .

                How to cite this article: Lu, Y.; Deshmukh, S.; Jones, I.; Chiu, Y. Biodegradable magnesium alloys for orthopaedic applications. Biomater Transl. 2021, 2(3), 214-235.

                Article
                10.12336/biomatertransl.2021.03.005
                9255811
                35836650
                28785417-0ee3-4cbc-a846-7af34f25cbe3

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 1 June 2021
                : 14 July 2021
                : 16 August 2021
                Funding
                None.
                Categories
                Review

                biodegradability,magnesium alloys,mechanical behaviour,microstructure,orthopaedic application

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