Evidence brief
Biomaterials in Orthopaedic Surgery
Metals: stainless steel, titanium, cobalt-chrome
Polymers: UHMWPE, PMMA, PEEK
Ceramics: alumina, zirconia, hydroxyapatite
Each has specific mechanical and biological properties
Material selection based on application requirements
Material selection in orthopaedic implants balances mechanical requirements, biological compatibility, and long-term performance.
Know key properties: Stainless steel (high strength, notch-sensitive, corrodes), titanium (biocompatible, lower modulus, osseointegrates), CoCr (hard, wear-resistant, metal ion concerns). UHMWPE cross-linking. PMMA properties. Galvanic corrosion principles.
Ratner BD et al. Biomaterials Science: An Introduction to Materials in Medicine. 2nd ed. Amsterdam: Elsevier; 2004.
Level V
Expert opinion or mechanism-based reasoning