Shi Biying, Li Yu Ru, Xu Jiaqi, Zou Jiawei, Zhou Zili, Jia Qi, Jiang Heng Bo, Liu Kai
The CONVERSATIONALIST Club & Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan 250117, Shandong, China.
Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul 03722, Republic of Korea.
Heliyon. 2024 Jan 11;10(4):e24348. doi: 10.1016/j.heliyon.2024.e24348. eCollection 2024 Feb 29.
Magnesium and its alloys are considered excellent materials for biodegradable implants because of their good biocompatibility and biodegradability as well as their mechanical properties. However, the rapid degradation rate severely limits their clinical applications. Plasma electrolytic oxidation (PEO), also known as micro-arc oxidation (MAO), is an effective surface modification technique. However, there are many pores and cracks on the coating surface under conventional PEO process. The corrosive products tend to penetrate deeply into the substrate, reducing its corrosion resistance and the biocompatibility, which makes PEO-coated Mg difficult to meet the long-term needs of implants. Hence, it is necessary to modify the PEO coating. This review discusses the formation mechanism and the influential parameters of PEO coatings on Mg. This is followed by a review of the latest research of the pretreatment and typical amelioration of PEO coating on biodegradable Mg alloys in the past 5 years, including calcium phosphate (Ca-P) coating, layered double hydroxide (LDH)-PEO coating, ZrO incorporated-PEO coating, antibacterial ingredients-PEO coating, drug-PEO coating, polymer-PEO composite coating, Plasma electrolytic fluorination (PEF) coating and self-healing coating. Meanwhile, the improvements of morphology, corrosion resistance, wear resistance, biocompatibility, antibacterial abilities, and drug loading abilities and the preparation methods of the modified PEO coatings are deeply discussed as well. Finally, the challenges and prospects of PEO coatings are discussed in detail for the purpose of promoting the clinical application of biodegradable Mg alloys.
镁及其合金因其良好的生物相容性、生物降解性以及机械性能,被认为是用于可生物降解植入物的优异材料。然而,其快速的降解速率严重限制了它们的临床应用。等离子体电解氧化(PEO),也称为微弧氧化(MAO),是一种有效的表面改性技术。然而,在传统的PEO工艺下,涂层表面存在许多孔隙和裂纹。腐蚀产物容易深入渗透到基底中,降低其耐腐蚀性和生物相容性,这使得PEO涂层的镁难以满足植入物的长期需求。因此,有必要对PEO涂层进行改性。本文综述了镁上PEO涂层的形成机理和影响参数。接着回顾了过去5年中可生物降解镁合金上PEO涂层的预处理和典型改进的最新研究,包括磷酸钙(Ca-P)涂层、层状双氢氧化物(LDH)-PEO涂层、掺ZrO的PEO涂层、抗菌成分-PEO涂层、药物-PEO涂层、聚合物-PEO复合涂层、等离子体电解氟化(PEF)涂层和自修复涂层。同时,也深入讨论了改性PEO涂层在形貌、耐腐蚀性、耐磨性、生物相容性、抗菌能力和药物负载能力方面的改善以及制备方法。最后,详细讨论了PEO涂层的挑战和前景,以促进可生物降解镁合金的临床应用。