Magnesium (Mg)-based alloys have become an important category of materials that is attracting more and more attention due to their high potential use as orthopedic temporary implants. These alloys are a viable alternative to nondegradable metals implants in orthopedics. In this paper, a detailed overview covering alloy development and manufacturing techniques is described. Further, important attributes for Mg-based alloys involved in orthopedic implants fabrication, physiological and toxicological effects of each alloying element, mechanical properties, osteogenesis, and angiogenesis of Mg are presented. A section detailing the main biocompatible Mg-based alloys, with examples of mechanical properties, degradation behavior, and cytotoxicity tests related to in vitro experiments, is also provided. Special attention is given to animal testing, and the clinical translation is also reviewed, focusing on the main clinical cases that were conducted under human use approval.

Use of magnesium implants is a new trend in orthopedic research because it has several important properties that recommend it as an excellent resorbable biomaterial for implants. In this study, the corrosion rate and behavior of magnesium alloys during the biodegradation process were determined by in vitro assays, evolution of hydrogen release, and weight loss, and further by in vivo assays (implantation in rabbits’ bone and muscle tissue). In these tests, we also used imaging assessments and histological examination of different tissue types near explants. In our study, we analyzed the Mg-1Ca alloy and all the hypotheses regarding the toxic effects found in in vitro studies from the literature and those from this in vitro study were rejected by the data obtained by the in vivo study. Thus, the Mg-1Ca alloy represents a promising solution for orthopedic surgery at the present time, being able to find applicability in the small bones: hand or foot.

Calcium phosphates (CPs) used as biomaterials have been intensively studied in recent years. In most studies, the determination of the chemical composition is mandatory. Due to the versatility and possibilities of performing qualitative and quantitative compositional analyses, energy dispersive spectrometry (EDS) is a widely used technique in this regard. The range of calcium phosphates is very diverse, the first method of approximating the type of compound being EDS microanalysis, by assessing the atomic Ca/P ratio. The value of this ratio can be influenced by several factors correlated with instrumental parameters and analysed samples. This article highlights the influence of the electron beam acceleration voltage (1 kV–30 kV) and of the particle size of calcium phosphate powders on the EDS analysis results. The characterised powders were obtained from bovine bones heat-treated at 1200 °C for 2 h, which have been ground and granulometrically sorted by mechanical vibration. The granulometric sorting generated three types of samples, with particle sizes < 20 μm, < 40 μm and < 100 μm, respectively. These were morphologically and dimensionally analysed by scanning electron microscopy (SEM) and compositionally by EDS, after the spectrometer was calibrated with a standard reference material (SRM) from NIST (National Institute of Standards and Technology). The results showed that the adjusting of acceleration voltage and of the powder particle size significantly influences the spectrum profile and the results of EDS analyses, which can lead to an erroneous primary identification of the analysed calcium phosphate type.

Lately Hydroxyapatite has gained a lot of research interest and intense focus due to its structural as well as compositional similarity to the components of human bone mineral. The conversion of calcium-rich precursors to hydroxyapatite could lead to the development of a new sustainable alternative with a valuable environmental and socio-economically impact. Still, current approaches faces lots of challenges in terms of synthesis parameters compatible to a reproducible route for calcium phosphates (hydroxyapatite included) synthesis. The optimization of Rathje synthesis route and characterization of biogenic derived calcium phosphates from dolomitic marble and Mytilus galloprovincialis seashells, constitutes the main goals of this study. The synthesized materials were characterized using FTIR, SEM coupled with EDS, and X-ray diffraction at all synthesis stages. Precursors were also subjected to thermal analysis and differential scanning calorimetry for thermal transformations investigations and dissociation temperature setting. This study suggests that acid quantity and magnetic stirring are the key-factors for Ca/P molar ratio adjustment, hence for the amount of naturally-derived hydroxyapatite. This research also contributes to the development of new strategies for further optimization of the conversion procedure and removal of residual components

Trauma orthopaedic surgery was the first domain to use degradable metallic implants made of magnesium alloys since the early 20th century. Unfortunately, the major limitation that consists of rapid degradation and subsequent implant failure, which occur in physiological environments with a pH between 7.4 and 7.6, prevents its widespread application. The biggest challenge in corrosion assay is the choice of the testing medium in order to reproduce more closely in vivo conditions. The current study was focused on two Mg-Zn-Ag alloys (Mg7Zn1Ag and Mg6Zn3Ag) and the Mg1Ca alloy. Dulbecco’s Modified Eagle Medium (DMEM) and Kokubo’s simulated body fluid solution (SBF) were selected as testing mediums and we follow the corrosion evaluation by the corrosion rate and mass loss. Also, the corrosion behaviour was interpreted in correlation with the microstructural features and alloying elements of the experimental magnesium-based alloys revealed by optical microscopy (OM), X-ray diffraction (XRD), and scanning electron microscopy (SEM) coupled with energy dispersive spectroscopy (EDX). The experimental results highlight the more corrosive nature of the SBF environment and that a higher percentage of silver (2.5 wt.%) exhibited a better corrosion resistance. We consider that the magnesium alloy Mg6Zn3Ag showed valuable biodegradation characteristics to be considered as raw materials for manufacturing small trauma implants.