presents
Wheeless' Textbook of Orthopaedics
www.datatrace.com
Tracking Pixel

Titanium



- See: Characteristics of Metals and Implants:

- Discussion:
    - titanium is often selected as a materalial for metal plates or femoral stem implants due to its lower modulus of
          elasticity (as compared to other alloys);
    - advantages:
          - resistance to fatigue is execellent;
          - it is easily worked, and 1/16 plates are radiolucent;
          - yield strength:
                 - metals ranked according to yeild strength (highest to lowest);
                 - cast cobalt chrome > titanium > wrought cobalt chrome, stainless steel;
          - resistance to corrosion:
                 - by itself titanium would have a high potential for oxidative corrosion;
                 - the titanium dioxide layer which coats the outer metal layer provide a major barrier to corrosion;
    - disadvantages: this metal has an extremely low modulus of elasticity & low tensile strength;
          - titanium plates and implants, therefore, have to be bulkier than stainless steel in order to provide same rigidity;


- Corrosion:
    - it is the most inert of metals;
    - resistance of titanium to corrosion in a chloride environment is excellent;
    - titanium and its alloys form oxide passivation layers more rapidly than do substances that contain chromium, such as cobalt-chromium
           alloy and stainless steel;
    - while an active metal like titanium forms its oxide passivation layer spontaneously in any environment that contains oxygen, strength
           of adhesion of the oxide layer to the underlying titanium metal is not as great as that of chromium oxide layer to its metal substrate;
           - in addition, chromium oxide passivation film is more dense than titanium oxide layer;


- Wear of Modular Titanium Stems
    - known drawbacks of using titanium as a bearing include its poor resistance to wear, notch sensitivity, and reports that it is more
           susceptible to abrasive wear by particles of debris;



Serum titanium levels in individuals undergoing intramedullary femoral nailing with a titanium implant.

The advantages of titanium alloy over stainless steel plates for IF of fractures: an experimental study in dogs.  HK Uhthoff. et al.  JBJS 1981. 63-B. p 427-434.

Aseptic loosening in THR secondary to osteolysis induced by wear debris from titanium alloy modular femoral heads. AV Lombardi Jr. et al.   JBJS Vol 71-A. 1989. p 1337-1342.

Metallic wear in failed titanium alloy total hip replacements:  A histological and quantitative analysis.  HJ Agins.  JBJS 1988. 70-A. p 347-356.








    - comparison of mechanical properties of titanium vs stainless steel
                                                        Stainless Steel                Titanium Alloy

            Hardness                                     30 Rc                          35 Rc
            Yield Strength                            790 MPa                     900 MPa
            Ultimate Tensile Strength            960 MPa                     960 MPa
            Modulus of Elasticity                  200 GPa                     110 GPA

            (from HK Uhthoff. et al.  JBJS 1981. 63-B. p 427-434.)




Original Text by Clifford R. Wheeless, III, MD.

Last updated by Clifford R. Wheeless, III, MD on Wednesday, March 19, 2008 5:01 pm