Porous metal structures have emerged as a promising solution in repairing and replacing damaged bone in biomedical applications. With the advent of additive manufacturing technology, fabrication of porous scaffold architecture of different unit cell types with desired parameters can replicate the biomechanical properties of the natural bone, thereby overcoming the issues, such as stress shielding effect, to avoid implant failure. The purpose of this research was to investigate the influence of cube and gyroid unit cell types, with pore size ranging from 300 to 600 µm, on porosity and mechanical behavior of titanium alloy (Ti6Al4V) scaffolds. Scaffold samples were modeled and analyzed using finite element analysis (FEA) following the ISO standard (ISO 13314). Selective laser melting (SLM) process was used to manufacture five samples of each type. Morphological characterization of samples was performed through micro CT Scan system and the samples were later subjected to compression testing to assess the mechanical behavior of scaffolds. Numerical and experimental analysis of samples show porosity greater than 50% for all types, which is in agreement with desired porosity range of natural bone. Mechanical properties of samples depict that values of elastic modulus and yield strength decreases with increase in porosity, with elastic modulus reduced up to 3 GPa and yield strength decreased to 7 MPa. However, while comparing with natural bone properties, only cube and gyroid structure with pore size 300 µm falls under the category of giving similar properties to that of natural bone. Analysis of porous scaffolds show promising results for application in orthopedic implants. Application of optimum scaffold structures to implants can reduce the premature failure of implants and increase the reliability of prosthetics.

Powder mixed-electro discharge machining (PM-EDM) is a new emerging trend in research on electro-thermal process that can simultaneously shape and deposit a coating on the surface of the workpiece. PM-EDM is a hybridized form of EDM in which metallic powders are amalgamated in dielectric liquid to enhance both the machined surface condition and machining performance. Migration of materials on the cutting surface occurs by melting and chemical reactions during the operation from both the electrodes and metallic powders. 316L stainless steel, Ti-based alloys, Co-Mo-Cr-based alloys, magnesium and magnesium-based alloys are commonly utilized in manufacturing biomedical devices. These biomaterials, however, release toxic particles due to corrosion, wear, tear, and tiredness of the joint replacements through repeated loads and relative movements. Surfaces of bio-implants made from these biomaterials are therefore protected using bioactive and biocompatible coating. Several methods of deposition are used for coating purposes which have both advantage and drawback. This study proposes that the PM-EDM coating enhances the biomaterials’ mechanical characteristics, surface morphology, and topography. Through reflecting critical and analytical concerns, this review focuses extensively on the current progress of the PM-EDM process. Moreover, following various research initiatives, this paper outlines the critical challenges and future research scopes.

Surface treatment remained a key solution to numerous problems of synthetic hard tissues. The basic methods of implant surface modification include various physical and chemical deposition techniques. However, most of these techniques have several drawbacks such as excessive cost and surface cracks and require very high sintering temperature. Additive mixed-electric discharge machining (AM-EDM) is an emerging technology which simultaneously acts as a machining and surface modification technique. Aside from the mere molds, dies, and tool fabrication, AM-EDM is materializing to finishing of automobiles and aerospace, nuclear, and biomedical components, through the concept of material migrations. The mechanism of material transfer by AM-EDM resembles electrophoretic deposition, whereby the additives in the AM-EDM dielectric fluids are melted and migrate to the machined surface, forming a mirror-like finishing characterized by extremely hard, nanostructured, and nanoporous layers. These layers promote the bone in-growth and strengthen the cell adhesion. Implant shaping and surface treatment through AM-EDM are becoming a key research focus in recent years. This paper reports and summarizes the current advancement of AM-EDM as a potential tool for orthopedic and dental implant fabrication. Towards the end of this paper, the current challenges and future research trends are highlighted.

Powder mixed-EDM is a newly emerging proposed manufacturing process which can simultaneously shape and coat the surface of conductive materials. Transformation of machined surface is occurred through melting and chemical reactions of the added powders, tools materials and dielectric fluid due to elevated temperature generation during the operation. Though the biomaterials such as titanium alloy, magnesium, 316 L SS and Co-Cr alloy attribute to higher mechanical strength, corrosion and wear resistance, and enough biocompatibility, these are limited to apply directly because of releasing the toxic elements and having inferior biological responses. Surfaces of bio-implants made from these biomaterials are therefore protected using bioactive and biocompatible coating. Hydroxyapatite is a bioceramic that possesses bone like element composition and excellent biocompatibility. The PM-EDM process with hydroxyapatite can enhance not only adhesion strength and roughness but also biocompatibility of the treated surface. It is proposed in this paper that carbide and oxide coating formation can improve the microhardness, bonding strength and roughness of surface of the substrates. This study comprehensively reports the current status of adhesion and surface coarseness of bio-ceramics based coating through PM-EDM process. A comparative critical analysis of employing bio-ceramic powder using various deposition techniques is presented in this review.

AISI 316L stainless steel (SS) is one of the extensively used biomaterials to produce implants and medical devices. It provides a low-cost solution with ample mechanical properties, corrosion resistance, and biocompatibility compared to its counterpart materials. However, the implants made of this material are subjected to a short life span in human physiological conditions leading to the leaching of metal ions, thus limiting its use as a biomaterial. In this research, the addition of boron, titanium, and niobium with varying concentrations in the SS matrix has been explored. This paper explores the impact of material composition on modified SS alloy’s physical and mechanical properties. The study’s outcomes specify that the microhardness increases for all the alloy compositions, with a maximum increase of 64.68% for the 2 wt.% niobium added SS alloy. On the other hand, the tensile strength decreased to 297.40 MPa for the alloy containing 0.25 wt.% boron and 2 wt.% titanium additions compared to a tensile strength of 572.50 MPa for pure SS. The compression strength increased from 776 MPa for pure SS to 1408 MPa for the alloy containing niobium and titanium additions in equal concentrations.

Together, 316L steel, magnesium-alloy, Ni-Ti, titanium-alloy, and cobalt-alloy are commonly employed biomaterials for biomedical applications due to their excellent mechanical characteristics and resistance to corrosion, even though at times they can be incompatible with the body. This is attributed to their poor biofunction, whereby they tend to release contaminants from their attenuated surfaces. Coating of the surface is therefore required to mitigate the release of contaminants. The coating of biomaterials can be achieved through either physical or chemical deposition techniques. However, a newly developed manufacturing process, known as powder mixed-electro discharge machining (PM-EDM), is enabling these biomaterials to be concurrently machined and coated. Thermoelectrical processes allow the migration and removal of the materials from the machined surface caused by melting and chemical reactions during the machining. Hydroxyapatite powder (HAp), yielding Ca, P, and O, is widely used to form biocompatible coatings. The HAp added-EDM process has been reported to significantly improve the coating properties, corrosion, and wear resistance, and biofunctions of biomaterials. This article extensively explores the current development of bio-coatings and the wear and corrosion characteristics of biomaterials through the HAp mixed-EDM process, including the importance of these for biomaterial performance. This review presents a comparative analysis of machined surface properties using the existing deposition methods and the EDM technique employing HAp. The dominance of the process factors over the performance is discussed thoroughly. This study also discusses challenges and areas for future research.