The Paton Welding Journal, 2023, №01



2023 №01 (04)

DOI of Article 10.37434/tpwj2023.01.05

2023 №01 (06)

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The Paton Welding Journal, 2023, #1, 31-38 pages

Methods to prevent the stress shielding effect in implant-body system (Review)

A.V. Moltasov¹, S.G. Voinaroych¹, M.M. Dyman¹, S.M. Kalyuzhnyi¹, S.V. Burburska²

¹E.O. Paton Electric Welding Institute of the NAS of Ukraine. 11 Kazymyr Malevych Str., 03150, Kyiv, Ukraine. E-mail: office@paton.kiev.ua
²OSTEONIKA Limited Liability Company. 98 Striiska Str., 79026, Lviv, Ukraine. E-mail: ito3dlab@gmail.com

Abstract
Statistical data of many national registers and medical societies show that aseptic instability of the hip joint prosthesis is one of the main obstacles in the path to application of orthopedic implants. One of the causes for aseptic instability is manifestation of stress shielding effect, which is due to mismatch of the moduli of elasticity of the implant and bone tissue. Methods are considered, which allow lowering the modulus of elasticity of the metal implant, bringing it closer to the respective modulus of elasticity of bone tissue. It is found that reaching the posed goal by replacement of the traditional metals, which are used for implant manufacture, by alloys with much lower modulus of elasticity, is a task, which has not been solved technologically in their mass production. The currently most common methods of lowering the modulus of elasticity of orthopedic implants were analyzed, and their advantages and short-comings are indicated. The most serious problem in mass application of advanced additive technologies in implant manufacture is their labour- and material consumption. It is found that application of surface modification technologies, in particular plasma methods of porous coating deposition is the most affordable and effective method of lowering the modulus of elasticity of the implant surface, contacting the bone, with a high probability of reduction of the stress shielding effect manifestation. 53 Ref., 8 Fig.
Keywords: orthopedic implant, titanium alloys, modulus of elasticity, porous coatings, surface modification

Received: 02.01.2023
Accepted: 28.02.2023

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