The demand for orthopedic implants is increasing, driven by a rising number of young patients seeking an active lifestyle post-surgery. This has led to changes in manufacturing requirements. Joint arthroplasty operations are on the rise globally, and recovery times are being reduced by customized endoprostheses that promote better integration. Implants are primarily made from metals and ceramics such as titanium, hydroxyapatite, zirconium, and tantalum. Manufacturing processes, including additive manufacturing and thermal plasma spraying, continue to evolve. These advancements enable the production of tailored porous implants with uniform surface coatings. Coatings made of biocompatible materials are crucial to prevent degradation and enhance biocompatibility, and their composition, porosity, and roughness are actively explored through biocompatibility testing. This review article focuses on the additive manufacturing of orthopedic implants and thermal plasma spraying of biocompatible coatings, discussing their challenges and benefits based on the authors’ experience with selective laser melting and microplasma spraying of metal-ceramic coatings.

Background: Bone elasticity is one of the most important biomechanical parameters of the skeleton. It varies markedly with age, anatomical zone, bone type (cortical or trabecular) and bone marrow status. Methods: This review presents the result of a systematic review and analysis of 495 experimental and analytical papers on the elastic properties of bone tissue. The bone characteristics of hip, shoulder, skull, vertebrae as a function of the factors of age (young and old), sex (male and female), presence/absence of bone marrow and different test methods are examined. The Bayesian neural network (BNN) was used to estimate the uncertainty in some skeletal parameters (age, sex, and body mass index) in predicting bone elastic modulus. Results: It was found that the modulus of elasticity of cortical bone in young people is in the range of 10–30 GPa (depending on the type of bone), and with increasing age, this slightly decreases to 10–25 GPa, while trabecular tissue varies from 0.2 to 5 GPa and reacts more acutely to osteoporosis. Bone marrow, according to several studies, is able to partially increase stiffness under impact loading, but its contribution is minimal under slow deformations. Conclusions: BNN confirmed high variability, supplementing the predictions with confidence intervals and allowed the formation of equations for the calculation of bone tissue elastic modulus for the subsequent selection of the recommended elastic modulus of the finished implant, taking into account the biomechanical characteristics of bone tissue depending on age (young and old), sex (men and women) and anatomical zones of the human skeleton.

This study investigates the in vitro biocompatibility, corrosion resistance, and adhesion strength of a gas abrasive-treated Ti6Al4V alloy, alongside microplasma-sprayed titanium and tantalum coatings. Employing a novel approach in selecting microplasma spray parameters, this study successfully engineers coatings with tailored porosity, roughness, and over 20% porosity with pore sizes up to 200 μm, aiming to enhance bone in-growth and implant integration. This study introduces an innovative methodology for quantifying surface roughness using laser electron microscopy and scanning electron microscopy, facilitating detailed morphological analysis of both the substrate and coatings. Extensive evaluations, including tests for in vitro biocompatibility, corrosion resistance, and adhesive strength, revealed that all three materials are biocompatible, with tantalum coatings exhibiting superior cell proliferation and osteogenic differentiation, as well as the highest corrosion resistance. Titanium coatings followed closely, demonstrating favorable osteogenic properties and enhanced roughness, which is crucial for cell behavior and attachment. These coatings also displayed superior tensile adhesive strengths (27.6 ± 0.9 MPa for Ti and 28.0 ± 4.9 MPa for Ta), surpassing the ISO 13179-1 standard and indicating a robust bond with the substrate. Our findings offer significant advancements in biomaterials for medical implants, introducing microplasma spraying as a versatile tool for customizing implant coatings, particularly emphasizing the superior performance of tantalum coatings in terms of biocompatibility, osteogenic potential, and corrosion resistance. This suggests that tantalum coatings are a promising alternative for enhancing the performance of metal implants, especially in applications demanding high biocompatibility and corrosion resistance.

This study aims to achieve in situ-formed pure Ti and Ti6Al4V coatings on 316L stainless steel through hot pressing and examine their wear and corrosion properties thoroughly in two simulated body fluids: physiological serum (0.9% NaCl) and Hanks’ solution. The sintering and diffusion bonding process was conducted at 1050 °C under a uniaxial pressure of 40 MPa for 30 min in a vacuum environment of 10⁻⁴ mbar. Following sintering, in situ-formed pure Ti and Ti6Al4V coatings, approximately 1000 µm thick, were produced on 316L substrates approximately 3000 µm in thickness. The mean hardness of 316L substrates, pure Ti, and Ti6Al4V coatings are around 165 HV, 170 HV, and 420 HV, respectively. The interface of the stainless steel substrate and the pure Ti and Ti6Al4V coatings exhibited no microstructural defects, while the interface exhibited significantly higher hardness values (ranging from 600 to 700 HV). The coatings improved corrosion resistance in both electrolytes compared to the 316L substrate. Wet wear tests revealed reduced friction coefficients in 0.9% NaCl relative to Hanks’ solution, highlighting the chemical interactions between the material surface and the electrolyte type and the significance of tribocorrosion in biocoatings.

The reconstruction of segmental bone defects requires patient-specific scaffolds that combine mechanical safety, biological functionality, and rapid manufacturing. We converted CT-derived mandibular geometry into a functionally graded Ti-6Al-4V lattice and optimised porosity, screw layout, and strut thickness through a cyber-physical loop that joins high-fidelity FEM, millisecond ANN, and a BN for uncertainty quantification. Fifteen candidate scaffolds were fabricated by direct metal laser sintering and hot isostatic pressing and were mechanically tested. FEM predicted stress and stiffness with 98% accuracy; the ANN reproduced these outputs with 94% fidelity while evaluating 10,000 designs in real time, and the BN limited failure probability to <3% under worst-case loads. The selected 55–65% porosity design reduced titanium use by 15%, shortened development time by 25% and raised multi-objective optimisation efficiency by 20% relative to a solid-plate baseline, while resisting a 600 N bite with a peak von Mises stress of 225 MPa and micromotion < 150 µm. Integrating physics-based simulation, AI speed, and probabilistic rigour yields a validated, additively manufactured scaffold that meets surgical timelines and biomechanical requirements, offering a transferable blueprint for functional scaffolds in bone and joint surgery.

This study investigates the microplasma deposition of molten tantalum (Ta) onto a rotating Grade 5 Ti Extra-Low Interstitial (ELI) alloy, producing multilayer film coatings with a porous microstructure. Optimal parameters for microplasma spraying Ta were experimentally determined to improve the surface properties of elbow joint implants. The physical and mechanical properties of the Grade 5 Ti ELI substrate and the Ta-based coating were analyzed. Moreover, mathematical modeling was utilized to determine the optimal parameters for the plasma coating process, including key factors such as spray distance, current, and rotational speed, which were systematically applied across three experimental series. A Ta coating thickness of 250 μm was achieved at 35 A current, 410 mm spray distance, and 7 rpm rotation speed under optimized deposition conditions. The results showed a microhardness increase on the Ta-coated surface, peaking above HV1000 with an average of HV742, while the Ti substrate averaged HV325. Additionally, the XRD patterns revealed the presence of metallic Ta alongside Ta oxides, such as Ta₂O and Ta₂O₅, in the Ta coatings.