Bone replacement materials
10661390 ยท 2020-05-26
Assignee
Inventors
Cpc classification
B33Y10/00
PERFORMING OPERATIONS; TRANSPORTING
A61F2310/00023
HUMAN NECESSITIES
A61F2310/00017
HUMAN NECESSITIES
A61F2002/30677
HUMAN NECESSITIES
B23K26/0006
PERFORMING OPERATIONS; TRANSPORTING
A61F2002/30004
HUMAN NECESSITIES
B22F2998/00
PERFORMING OPERATIONS; TRANSPORTING
B22F3/1146
PERFORMING OPERATIONS; TRANSPORTING
B33Y80/00
PERFORMING OPERATIONS; TRANSPORTING
A61L27/54
HUMAN NECESSITIES
A61F2/30942
HUMAN NECESSITIES
A61F2002/30028
HUMAN NECESSITIES
A61L2300/404
HUMAN NECESSITIES
B22F3/105
PERFORMING OPERATIONS; TRANSPORTING
A61L27/427
HUMAN NECESSITIES
Y02P10/25
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
B22F2207/17
PERFORMING OPERATIONS; TRANSPORTING
B33Y50/00
PERFORMING OPERATIONS; TRANSPORTING
A61F2250/0014
HUMAN NECESSITIES
A61F2002/2817
HUMAN NECESSITIES
A61F2310/00293
HUMAN NECESSITIES
B23K26/70
PERFORMING OPERATIONS; TRANSPORTING
B22F10/366
PERFORMING OPERATIONS; TRANSPORTING
A61F2310/00029
HUMAN NECESSITIES
B22F2207/17
PERFORMING OPERATIONS; TRANSPORTING
A61F2002/30616
HUMAN NECESSITIES
B22F2998/00
PERFORMING OPERATIONS; TRANSPORTING
A61L2430/02
HUMAN NECESSITIES
B22F3/1109
PERFORMING OPERATIONS; TRANSPORTING
B22F10/25
PERFORMING OPERATIONS; TRANSPORTING
B33Y70/10
PERFORMING OPERATIONS; TRANSPORTING
International classification
B22F3/11
PERFORMING OPERATIONS; TRANSPORTING
B22F3/105
PERFORMING OPERATIONS; TRANSPORTING
B23K26/00
PERFORMING OPERATIONS; TRANSPORTING
A61L27/54
HUMAN NECESSITIES
B23K26/70
PERFORMING OPERATIONS; TRANSPORTING
Abstract
Particular aspects provide novel devices for bone tissue engineering, comprising a metal or metal-based composite member/material comprising an interior macroporous structure in which porosity may vary from 0-90% (v), the member comprising a surface region having a surface pore size, porosity, and composition designed to encourage cell growth and adhesion thereon, to provide a device suitable for bone tissue engineering in a recipient subject. In certain aspects, the device further comprises a gradient of pore size, porosity, and material composition extending from the surface region throughout the interior of the device, wherein the gradient transition is continuous, discontinuous or seamless and the growth of cells extending from the surface region inward is promoted.
Claims
1. A method of producing a porous metal or metal-based composite device, comprising: obtaining input data from bone imaging scans of a patient; selecting at least one of a density, a modulus of elasticity or a compression strength of a device for bone tissue engineering based on the obtained input data from the bone imaging scans of the patient; and forming the device for bone tissue engineering of a biocompatible metal or metal-based composite to have the selected at least one of the density, the modulus of elasticity, or the compression strength, wherein forming the device includes: focusing a laser onto a portion of a substrate; introducing particles of the biocompatible metal or metal-based composite into the focused laser in a laser-material interaction zone; controlling a laser energy density of the focused laser to only partially melt surfaces of the introduced particles in the laser-material interaction zone, thereby joining the particles together due to the presence of a liquid metal at the surfaces of the particles to create porosity between adjoining particles; depositing the introduced particles on the portion of the substrate and removing the focused laser from the portion of the substrate to allow the deposited particles to solidify and form a part of the device; and repeating the focusing, introducing, controlling, and depositing operations on additional portions of the substrate to form the device having an exterior surface, an interior voided core area, and a porous exterior surface region, and wherein a porosity vol% gradient increases from the exterior surface, through the porous exterior surface region, and toward the interior voided core area.
2. The method of claim 1, further comprising performing surface modifications to the porous exterior surface region to encourage cell growth and adhesion thereon.
3. The method of claim 1 wherein controlling the laser energy density of the focused laser further includes controlling the laser energy density of the focused laser to avoid completely melting the introduced particles.
4. The method of claim 1, further comprising varying an interaction time between the introduced particles and the focused laser according to a selected porosity corresponding to the portion of the substrate.
5. A method of producing a device for bone tissue engineering, comprising: fabricating, using a solid freeform fabrication technique, a member of a biocompatible metal or metal-based composite, including: focusing a laser onto a portion of a substrate; introducing particles of the biocompatible metal or metal-based composite into the focused laser in a laser-material interaction zone; only partially melting surfaces of the introduced particles with the focused laser in the laser-material interaction zone, thereby joining the particles together due to presence of a liquid metal at surfaces of the particles to create porosity between adjoining particles; depositing the introduced particles on the portion of the substrate and subsequently allowing the deposited particles to solidify to form a part of the member; and repeating the focusing, introducing, only partially melting, and depositing operations on additional portions of the substrate to form the member having an exterior surface, an interior voided core area of void fraction between 50% and 90% by volume, and a porous exterior surface region configured to encourage cell growth and adhesion thereon, wherein a porosity vol % gradient increases from the exterior surface, through the porous exterior surface region, and toward the interior voided core area.
6. The method of claim 5 wherein a transition of the porosity vol % gradient is continuous or seamless.
7. The method of claim 5 wherein the member comprises at least one of titanium (Ti); aluminum (Al); iron (Fe); or vanadium (V);.
8. The method of claim 5 wherein repeating the focusing, introducing, only partially melting, and depositing operations include varying a distance between two successive laser scans according to the increasing porosity vol % gradient.
9. The method of claim 5 wherein the porous exterior surface region comprises nanoscale or microscale pores ranging from about 1 nm to about 500 nm in diameter, or from about 1 nm to about 1 m diameter.
10. The method of claim 9 wherein the porous exterior surface region comprising the nanoscale or microscale pores is positioned to be in contact with or be inserted into a bone upon implant of the device.
11. The method of claim 9 wherein the porous exterior surface region comprising the nanoscale or microscale pores is fabricated by at least one of electrochemical etching or chemical dissolution.
12. The method of claim 5 wherein the member or a portion of the porous exterior surface region thereof comprises a material composition of metal and ceramic in a continuous or seamless gradient from a position on the porous exterior surface region having a highest ceramic content, transitioning to lowest or zero ceramic content at an interior structure position composed of metal or metal-based composite.
13. The method of claim 12 wherein the ceramic comprises an inorganic salt.
14. The method of claim 13 wherein the inorganic salt comprises at least one of calcium phosphate or calcium carbonate.
15. The method of claim 5 wherein the porous exterior surface region comprises nanoscale or microscale pores ranging from 1 nm to 500 nm in diameter, or from 1 nm to 1 m.
16. The method of claim 5, further comprising a chemical or biological agent deposited in or on the member or in one or more pores thereof to operatively provide for release or controlled release of the agent within a recipient.
17. A method of producing a device for bone tissue engineering having a member of a biocompatible metal or metal-based composite, comprising: focusing a laser onto a portion of a substrate; introducing particles of the biocompatible metal or metal-based composite into the focused laser in a laser-material interaction zone, wherein the focused laser having laser energy density in the laser-material interaction zone such that the focused laser only partially melts surfaces of the introduced particles without completely melting the introduced particles, thereby joining the introduced particles together due to presence of a liquid metal at surfaces of the particles to create porosity between adjoining particles; depositing the introduced particles on the portion of the substrate and subsequently allowing the deposited particles to solidify to form a part of the member; and repeating the focusing, introducing, and depositing operations on additional portions of the substrate to form additional parts of the member according to a selected porosity profile having an exterior surface, an interior voided core area of void fraction between 50% and 90% by volume, and a porous exterior surface region, wherein a porosity vol% gradient increases from the exterior surface, through the porous exterior surface region, and toward the interior voided core area.
18. The method of claim 17, further comprising: adjusting a distance between two successive laser scans according to the selected porosity profile.
19. The method of claim 17 wherein: repeating the focusing, introducing, and depositing operations on additional portions of the substrate to form the additional parts of the member includes repeating the focusing, introducing, and depositing operations on the additional portions of the substrate to form the additional parts of the member arranged in layers; and the method further includes adjusting a deposition angle between successive layers according to the selected porosity profile to achieve a selected orientation between pores of the successive layers, thereby forming a three-dimensionally interconnected porosity in the formed member.
20. The method of claim 17, further comprising adjusting an interaction time between the introduced particles and the focused laser according to the selected porosity profile, thereby creating a selected porosity between the adjoining particles.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE INVENTION
(20) Aspects of the present invention provide methods for producing bone replacement materials with lower density, lower stiffness and enhanced cellular adhesion. In particular embodiments, the bone replacement compositions comprise materials including, but not limited to: metals (e.g. titanium (commercially pure Ti, and both and alloys), aluminum (Al), iron (Fe), vanadium (V)); metal alloys (e.g., Ti alloys with major alloying elements such as Al, V, Nb, Fe, Zr, Mo, O, Ni, Cr, Co, Ta forming alloys such as Ti6Al4V, Ti-6Al-7Nb, Ti-5Al-2.5Fe, Ti-12Mo-6Zr-2Fe, Ti-15Mo-5Zr-3Al, Ti-15Mo-3Nb-3O, Ti-13Nb-13Zr, Ti-35Nb-5Ta-7Zr, Stainless steel, CoCrMO); metal oxides (e.g., TiO.sub.2), ceramics, inorganic salts (e.g., such as different forms of calcium phosphates and calcium carbonates and their combinations); polymeric materials and/or combinations thereof may be employed. According to particular aspects, the density of the material can be decreased through production of bone replacement materials with hollow cores.
(21) Particular embodiments provide macro porous (0.1-10 cm) structures, wherein the core of the bulk material is comprised of a geometric pattern of material with voided areas to provide low density structures with a quazi-solid exteriors.
(22) Certain embodiments comprise meso-scale (0.1-10 mm) pores in the exterior walls of the bone replacement materials, wherein the pores open to the voided areas within the core of the material.
(23) Additional aspects provide methods to produce nanoscale (1-10,000 nm) pores on the internal and external surfaces of the material, wherein the material surface is altered by simultaneous electrochemical etching and/or chemical dissolution, which may be preformed simultaneously or in sequence.
(24) Further aspects provide materials facilitating enhanced cellular adhesion, wherein cell (e.g., osteoblast, fibroblast, muscle, chondrocytes) growth and adhesion occurs preferentially on nanoporous surfaces.
(25) Additional embodiments comprise positioning/storage of chemical agents within the nanoporous surfaces, wherein the agents produce effects beneficial for biological applications (e.g., antibiotics, growth factors, drugs).
(26) Specific exemplary manifestations of this invention are provided herein as illustrations and are not intended to limit the scope of the claimed invention as various modifications will become apparent to one skilled in the art given the enabling teachings herein.
(27) Particular Exemplary Preferred Embodiments:
(28) Particular aspects provide a device for bone tissue engineering, comprising a metal or metal-based composite member/material comprising an interior macroporous structure in which porosity may vary from 0-90 vol % (or from about 3% to about 90%, about 5% to about 85%, about 10% to about 90%, about 15% to about 90%, about 20% to about 90%, about 25% to about 90%, about 30% to about 90%, about 40% to about 90%, about 50% to about 90%, about 60% to about 90%, about 75% to about 90%, about 5% to about 75%, about 5% to about 50%, about 5% to about 40%, about 5% to about 30% about 5% to about 25%), the member comprising a surface region having a surface pore size, porosity, and composition designed to encourage cell growth and adhesion thereon, to provide a device suitable for bone tissue engineering in a recipient subject. In certain embodiments, the device comprises a gradient of pore size, porosity, and material composition extending from the surface region into or throughout the interior of the device, wherein the gradient transition is continuous or seamless and the growth of cells extending from the surface region inward is promoted. In particular embodiments, the member/material comprises at least one material selected from the group consisting of: titanium (Ti); commercially pure Ti; alpha Ti alloys; beta Ti alloys; aluminum (Al); iron (Fe); vanadium (V)); Ti alloys and their intermetallics with major alloying elements including Al, V, Nb, Fe, Zr, Mo, O, Ni, Cr, Co; Ta forming alloys including Ti6Al4V, Ti-6Al-7Nb, Ti-5Al-2.5Fe, Ti-12Mo-6Zr-2Fe, Ti-15Mo-5Zr-3Al, Ti-15Mo-3Nb-3O, Ti-13Nb-13Zr, Ti-35Nb-5Ta-7Zr; Stainless steel, CoCrMO; ceramics, metal oxides including TiO.sub.2, calcium based inorganic salt including calcium phosphates, calcium carbonates, silver and silver oxides, gold, and combinations thereof. In certain aspects, the composite member/material or a portion of the surface region thereof comprises a material composition of metal and ceramic in a gradient or continuous or seamless gradient from a position on the exterior surface having a highest ceramic content, transitioning to lowest or zero ceramic content at an interior structure position composed of metal or metal-based composite. In certain embodiments, the ceramic portion comprises an inorganic salt. In particular aspects, the inorganic salt comprises a form of calcium selected from the group consisting of calcium phosphates and calcium carbonates, and combinations thereof. In particular embodiments, the surface region comprises nanoscale or microscale pores ranging from about 1 nm to about 500 nm in diameter, or from about 1 nm to about 1 m. In certain implementations, the member/material structure comprises a microporous or macroporous pattern having pore sizes in the range of about 1 m to about 5 mm. In certain embodiments, the method comprises depositing a chemical or biological agent deposited in or on the composite member/material or in one or more pores thereof to operatively provide for release or controlled release of the agent within a recipient. In certain embodiments, the chemical or biological agent is deposited in or on one or more surface structures or pores thereof. In certain aspects, the agent comprises at least one agent suitable to provide a beneficial biological or physiological effect. In particular embodiments, the at least one agent suitable to provide a beneficial biological or physiological effect comprises an antimicrobial agent. In certain embodiments, the agent comprises at least one agent selected from the group consisting of antibiotics, growth factors, and drugs. In particular embodiments, at least one of the pore size, porosity and material composition is selected to provide a device having an optimal density, elastic modulus or compression strength for a specific recipient. In certain aspects, the macroporous structure is selected to provide a device having an optimal density, elastic modulus or compression strength for a specific recipient.
(29) Additional aspects provide a device for bone tissue engineering, comprising a metal or metal-based composite member/material comprising an interior porous structure, wherein at least one of the pore size, porosity and material composition is selected to provide a device having an optimal density for a specific recipient.
(30) Additional embodiments provide a device for bone tissue engineering, comprising a metal or metal-based composite member/material comprising an interior porous structure, wherein at least one of the pore size, porosity and material composition is selected to provide a device having an optimal elastic modulus for a specific recipient.
(31) Yet additional embodiments provide a device for bone tissue engineering, comprising a metal or metal-based composite member/material comprising an interior porous structure, wherein at least one of the pore size, porosity and material composition is selected to provide a device having an optimal compression strength for a specific recipient.
(32) Further embodiments provide a method of producing a porous metal or metal-based composite device for bone tissue engineering, comprising: obtaining input from bone imaging scans of a specific patient to provide input data; entering the input data or values derived therefrom into a fabrication machine; fabricating a porous bone tissue engineering device with the fabrication machine based on the input data, wherein at least one of the density, the modulus of elasticity and the compression strength of the member/material is selected to provide a device having at least one of an optimal density, elastic modulus and compression strength for a specific recipient. In certain aspects, the device comprises surface modifications to encourage cell growth and adhesion thereon. In particular embodiments, the fabrication machine consists of or comprises a Laser Engineered Net Shaping (LENS) apparatus. In certain implementations of the method, fabrication comprises fabrication of a device comprising a porous metal or metal-based composite. Additional embodiments provide a device for bone tissue engineering formed by these methods.
(33) Yet additional aspects provide a method of producing a device for bone tissue engineering, comprising: selecting a solid freeform fabrication technique; and fabricating, using the fabrication technique, a metal or metal-based composite member/material comprising an interior macroporous structure in which porosity may vary from 0-90 vol % (or from about 3% to about 90%, about 5% to about 85%, about 10% to about 90%, about 15% to about 90%, about 20% to about 90%, about 25% to about 90%, about 30% to about 90%, about 40% to about 90%, about 50% to about 90%, about 60% to about 90%, about 75% to about 90%, about 5% to about 75%, about 5% to about 50%, about 5% to about 40%, about 5% to about 30% about 5% to about 25%), wherein the member/material comprises a surface region having at lease one of a surface pore size, porosity, and composition designed to encourage cell growth and adhesion thereon, to provide a device suitable for bone tissue engineering in a recipient subject. In certain embodiments, the method comprises making a gradient of pore size, porosity, and material composition extending from the surface region into or throughout the interior of the device, wherein the gradient transition is continuous or seamless and suitable to operatively promote the growth of cells extending from the surface region inward. In certain aspects, the member/material comprises at least one material selected from the group consisting of: titanium (Ti); commercially pure Ti; alpha Ti alloys; beta Ti alloys; aluminum (Al); iron (Fe); vanadium (V)); Ti alloys and their intermetallics with major alloying elements including Al, V, Nb, Fe, Zr, Mo, O, Ni, Cr, Co; Ta forming alloys including Ti6Al4V, Ti-6Al-7Nb, Ti-5Al-2.5Fe, Ti-12Mo-6Zr-2Fe, Ti-15Mo-5Zr-3Al, Ti-15Mo-3Nb-3O, Ti-13Nb-13Zr, Ti-35Nb-5Ta-7Zr; Stainless steel, CoCrMO; ceramics, metal oxides including TiO.sub.2, calcium based inorganic salt including calcium phosphates, calcium carbonates, silver and silver oxides, gold, and combinations thereof. In certain embodiments, the freeform fabrication technique consists of or comprises Laser Engineered Net Shaping (LENS). In particular embodiments, the surface region comprises nanoscale or microscale pores ranging from about 1 nm to about 500 nm in diameter, or from about 1 nm to about 1 m diameter, suitable to operatively facilitate cell growth and/or adhesion thereon. In particular aspects, the surface region comprising the nanoscale or microscale pores is positioned to be operatively in contact with or be inserted into a bone upon implant of the member/material. In particular embodiments, the surface region comprising the nanoscale or microscale pores is fabricated by electrochemical etching and/or chemical dissolution, which may be preformed simultaneously or in sequence. In certain implementations, the composite member/material or a portion of the surface region thereof comprises a material composition of metal and ceramic in a gradient or continuous or seamless gradient from a position on the exterior surface having a highest ceramic content, transitioning to lowest or zero ceramic content at an interior structure position composed of metal or metal-based composite. In certain aspects, the ceramic portion comprises an inorganic salt. In particular embodiments, the inorganic salt comprises a form of calcium selected from the group consisting of calcium phosphates and calcium carbonates, and combinations thereof. In particular embodiments, the member/material structure comprises a microporous or macroporous pattern having pore sizes in the range of about 1 m to about 5 mm. In certain embodiments, the method comprises depositing a chemical or biological agent in or on the composite member/material or in one or more pores thereof to operatively provide for release or controlled release of the agent within a recipient. In certain aspects, the chemical or biological agent is deposited in or on one or more surface structures or pores thereof. In particular implementations, the agent comprises at least one agent suitable to provide a beneficial biological or physiological effect. In certain aspects, the at least one agent suitable to provide a beneficial biological or physiological effect comprises an antimicrobial agent. In particular embodiments, the agent comprises at least one agent selected from the group consisting of antibiotics, growth factors, and drugs.
Example 1
Laser Engineered Net Shaping (LENS) and Developing Macro-Porous Structures
(34) Unlike many existing rapid prototyping (RP) methods, the LENS technology uses metal powders to create functional parts that can be used in numerous applications. A schematic representation of an exemplary LENS process for providing the inventive implants is depicted in
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Example 2
Cell Growth on LENS Fabricated Macro-Porous Structures
(40) Cell-materials interactions were studied between cp-Ti powder processed LENS parts and OPC1 human osteoblast cells (Winn '99). Cells were plated at a density of 10.sup.5/cm.sup.2 in 100 mm tissue culture plates and cultured in McCoy's 5A medium (with L-glutamine, without phenol red and sodium bicarbonate). 5% fetal calf serum (FCS) and 5% bovine calf serum (BCS), 2.2 gm/liter sodium carbonate, 100 mg/liter streptomycin, 8 g/ml Fungizone (Gibco Labortories, Grand Island, N.Y.) were added in the media. LENS processed cp-Ti samples were autoclaved at 121 C. for 45 minutes.
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Example 3
Processing of Nano-Porous TiO.SUB.2 .on Ti and Cell-Materials Interaction
(42) For nano-porous TiO.sub.2 materials, commercially pure (99.8% pure) titanium foils of 0.5 mm thickness from Supra Alloys (CA, USA) were used, which was cut into circular pieces of 12 mm diameter. Circular discs were abraded in silicon carbide paper successive grades from 600 to 1200 grit and then cleaned with distilled water in ultrasonic bath. Final polishing was performed in 1 m alumina powder suspension. Polished titanium foils were ultrasonically rinsed in distilled water followed by isopropyl alcohol prior to anodization. For anodization, a two-electrode electrochemical anodization cell, with a platinum cathode and Ti anode, was used to fabricate the TiO.sub.2 nanotube at a constant dc voltage of 20V. Electrolyte solution was made by dissolving sodium fluoride, citric acid, 1(M) sulfuric acid in a ratio so that the final electrolyte components had F.sup.: 0.1 mol/L, SO.sub.4.sup.2:1.0 mol/L and citric acid: 0.2 mol/L. The electrolyte pH was adjusted to 4.5 using a NaOH solution. The samples were anodized for three different time periods of 2 h, 4 h and 10 h. All experiments were performed at room temperature.
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(44) Nanotubes are formed by two simultaneous processes(1) electrochemical etch and (2) chemical dissolution. During electrochemical etching, an initial oxide layer forms due to interaction of OH.sup./O.sup.2 ions with the Ti-metal ions on the surface. In presence of F.sup. ions, oxide layers dissolve partially and nanometer sized pits are formed. At the bottom of the pits both chemical dissolution and electrochemical etching takes place forming a thin barrier layer, which in turn increases the electric-field intensity resulting further pore growth. On the surface of the oxide, chemical dissolution removes the top of the shallow pore column, which makes the unanodized metallic region available for electrochemical etching and chemical dissolution. The channels formed in these regions separate pores from each other, giving birth to nanotubes (Cai '05).
(45) To understand cell-materials interactions on anodized surfaces, in vitro biocompatibility assessments were performed. Samples were evaluated for their biological properties using the osteoblast precursor cell line (OPC1) for 3, 7 and 11 days (Winn '99). Cells were plated at a density of 10.sup.5/cm.sup.2 in 100 mm tissue culture plates and were cultured in McCoy's 5A medium (with L-glutamine, without phenol red and sodium bicarbonate). 5% fetal calf serum (FCS) and 5% bovine calf serum (BCS), 2.2 gm/liter sodium carbonate, 100 mg/liter streptomycin, 8 g/ml Fungizone (Gibco Labortories, Grand Island, N.Y.) were added in the media. Anodized nano-porous TiO.sub.2 samples were autoclaved at 121 C. for 45 minutes. Cells were seeded from the cultured plate on to the top of the autoclaved samples in other plates. The cell-seeded samples were maintained at 37 C. under an atmosphere of 5% CO.sub.2 and 95% air. Culture media were changed every two days for all the plates. All OPC1 cells originated from the same cell line passage and all plates were kept under identical conditions. Cells were cultured for 3, 7 and 11 days to study the cell-materials interaction under SEM. Anodized cell cultured samples were placed in 0.1 M phosphate buffered saline (PBS) and rinsed quickly. Samples were subsequently fixed with 2% paraformaldehyde/2% glutaraldehyde in 0.1 M cacodylate for overnight at 4 C. Following a rinse in 0.1 M PBS, each sample was fixed in 2% osmium tetroxide (OsO4) for two hours at room temperature. The fixed sample was then rinsed three times in 0.1M cacodylate and dehydrated in an ethanol (EtOH) series for 10 minutes each and 100% ethanol three times for 10 minute. Samples were critical point dried using acetone and hexamethyl disilazane (HMDS). Dried samples were mounted in aluminum stubs, gold coated (Technis Hummer, San Jose, Calif.) and observed in SEM.
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(47) To further understand the influence of nano-porous structure on cell attachment and growth, anodized surfaces were patterned using a HNA solution (a mixture of hydrofluoric acid, nitric acid and acetic acid) and small circular areas with TiO.sub.2 nano-pores were created, stripping the rest of the TiO.sub.2 from the surface.
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(49) Literature Cited and Incorporated Herein by Reference:
(50) Akasheh F., J. D. Fraser, S. Bose and A. Bandyopadhyay, Piezoelectric Micromachined Ultrasonic Transducers (pMUTs): Modeling the Influence of Structural Parameters on Device Performance, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control, 52 [3], pp. 455-68 (2005). Ardill J., What is orthopaedics? PhD Thesis. The Department of Orthopaedic Surgery, The Queen's University of Belfast, 1995. Berndt C C, Haddad G N, Farmer A J D, Gross K A. Thermal spraying for bioceramic applications, Mater Forum; n14: 1990, p 161-173. Bobyn J D, Glassman A H, Goto H, Krygier J J, Miller J E, Brooks C E. The effect of stem stiffness on femoral bone resorption after canine porous-coated total hip arthroplasty. Clin Orthop Relat Res 1990:196-213. Brossa F, Cigada A, Chiesa R, Paracchini L, Consonni C., Adhesion properties of plasma sprayed hydroxyapatite coatings for orthopaedic prostheses, Biomed Mater Eng, n3:1993, p 127-136. Cai Q., M. Paulose, O. M. Varghese, C. A. Grimes, J. Mater. Res., 20, 230-236 (2005). Cohen J., Metal implantsHistorical background and biological response to implantation, Rubin L. R (ed), Biomaterials in reconstructive Surgery, St. Louis, Mo., 46-61 (1979). Dowson D., Bio-tribology of natural and replacement synovial joints. In: Mow V. C, Ratcliffe A and Woo S L-Y, editors, Biomechanics of diarthrodial joints, vol II. Chap 29. New York: Springer, 305-345 (1992). Gefen, A., Computational simulations of stress shielding and bone resorption around existing and computer-designed orthopaedic screws Med. Biol. Eng. Comput., 2002, 40, 311-322. Hattiangadi A. and Amit Bandyopadhyay, Effects of Designed Tubular Porosity on Compressive Strengths of Honeycomb Ceramics, Journal of Materials Science, 39 (14): 4575-4586 (2004). Hoeppner D. W. and V. Chandrasekaran, Fretting in orthopaedic implants: a review, Wear, 173, 189-197 (1994). Lee C. M., W. F. Ho, C. P. Ju, and J. H. Chern Lin, Structure and properties of Titanium-25Niobium-xIron alloys, J. Mater. Sci.: Materials in Medicine, 13, 695-700 (2002). LOWERY, G. L., and MCDONOUGH, R. F. (1998): The significance of hardware failure in anterior cervical plate fixation. Patients with 2- to 7-year follow-up, Spine, 23, pp. 181-187. Mow V. C., Soslowsky L. J., Friction, lubrication, and wear of dirthridial joints. In: Basic orthopaedic biomechanics. New York: Raven Press Ltd., 1991:245-92. Otani T, Whiteside L A. Failure of cementless fixation of the femoral component in total hip arthroplasty. Orthop Clin North Am 1992; 23:335-46. PILLIAR, R. M., CAMERON, H. U., BINNINGTON, A. G., SZIVEK, J., and MACNAB, I. (1979): Bone ingrowth and stress shielding with a porous surface coated fracture fixation plate, J. Biomed. Mater. Res., 13, pp. 799-810. Pillar R. M., H. U. Cameron and I. Macnab, Porous Surface Layered Prosthetic Devices, Biomedical Engg. J., 1975, p. 126. Ryan G., A. Pandit and D. P. Apatsidis, Fabrication methods of porous metals for use in orthopaedic applications, Biomaterials, Volume 27, Issue 13, pages 2651-70 (2006). Schumacher H. R., In: Schumacher H R, Klippel J H, Robinson D R, editors. Primer on the Rheumatic Diseases, 9th edn. At-lanta, G A: The Arthritis Foundation, 1988. Tomita, N., and Kutsuna, T. (1987): Experimental studies on the use of a cushioned plate for internal fixation, Int. Orthop., 11, pp. 135-139. Robertson D M, Pierre L, Chahal R. Preliminary observations of bone ingrowth into porous materials. J Biomed Mater Res 1976; 10: 335-44. Wang K., The use of titanium for medical applications in the USA, Mater. Sci. and Eng., A213, 134-137 (1996). Weber J N, White E W. Carbon-metal graded composites for permanent osseous attachment of non-porous metals. Mater Res Bull 1972; 7(9):1005-16. Winn S. R., G. Randolph, H. Uludag, S. C. Wong, G. A. Hair and J. O. Hollinger, J. Bone and Mineral Res. 14, (1999).
Example 4
Laser Processed Porous Ti for Biomedical Applications
(51) Example Overview
(52) Musculoskeletal disorders are recognized as among the most significant human health problems that exist today, costing society an estimated $254 billion every year, and afflicting one out of seven Americans. In spite of enormous magnitude of this problem, there is still a lack of bone replacement material that is appropriate for restoring lost structure and function, particularly for load bearing applications. Traditionally, researchers have used available materials that were developed for aerospace or automotive applications, instead of developing new materials tailored specifically for biomedical needs. A typical example is total hip replacements (THR) in which a dense metal is used that had significantly higher density, stiffness and strength than natural bone, which is a porous material. Typical lifetime of a THR is between seven to twelve years and this lifetime has remained almost constant over the past fifty years, even thought significant research and development has gone towards understanding the problem. There are three factors motivating improvements in hip joint prostheses. First, demand for implant will continue to increase due to demographic changes. U. S. Census estimates the total number of people of age 65 and above will increase from 4.9 million to 39.7 million between 2000 and 2010 (1) leading to tremendous increase in the demand for implants and the number of THR has increased from 50,000 worldwide in 1981 to 6000,000 in the US alone in 2001 (1). Second, over the last decade, the age range has been broadened to include older patients who have greater incidence of co-morbidities. Finally, THR are now routinely performed on younger patients, whose implants would be exposed to greater mechanical stresses over time.
(53) The need for adequate mechanical and functional properties coupled with manufacturing flexibility for wide range of metallic implant materials necessitates the use of novel design approaches to fabricate functional implants. Applicants demonstrate herein that application of inventive design concepts in combination with laser processing can significantly increase the processing flexibility of complex shaped metallic implants with three dimensionally interconnected, designed and functionally graded porosities down to 70 vol %, to suit various biomedical applications. Porous Ti samples with biomechanical compatibility were successfully fabricated in the porosity range from 25 to 70 vol % by controlling Laser Engineered Net Shaping (LENS) process parameters. Young's modulus and compressive strength of these porous Ti samples having the porosity in the range of 35-42% are close to those of human cortical bone.
(54) A summary of the physical and mechanical properties of various implant materials in comparison to natural bone is shown in TABLE 1:
(55) TABLE-US-00001 TABLE 1 Mechanical properties of various biomaterials used in THR (adapted from [27, 42, 45-47]). Compressive Elastic Density Strength Modulus Toughness, Material (g/cc) (MPa) (GPa) MPa .Math. m.sup.1/2 Comments Natural Bone 1.8-2.1 130-180 3-20 3-6 Ti & Ti alloys 4.4-4.5 590-1117 55-117 55-115 High strength CoCrMo alloys 8.3-9.2 450-1896 200-253 100 and elastic Stainless Steels 7.9-81 170-310 189-205 50-200 modulus Magnesium 3.1 65-100 41-45 15-40 compared to nature bone leading to stress- shielding. High density 0.94-0.96 25 1-2 *** Relatively low polyethylene (HDPE) strength and Ultrahigh molecular 0.41-0.49 28 1 20 modulus limits weight polyethylene the use of (UHMWPE) polymers for Polytetrafluoroethylene 2.1-2.3 11.7 0.4 *** load bearing (PTFE) applications. Polymethylmethacrylate 1.16 144 4.5 1.5 (PMMA) Zirconia 6.1 2000 220 9 (MNm.sup.3/2) Inherent Alumina 3.98 4000-5000 380-420 3-5 brittleness and Bioglass 2.7 1000 75 *** low fracture Hydroxyapatite (HAP) 3.1 600 73-117 0.7 toughness. AW Glass-Ceramic *** 1080 118 1.9-2
(56) The composition of metallic implant materials is significantly different from that of natural bone. However, the necessary toughness and fatigue resistance for load-bearing implants can only be realized in metals. As a result, use of metallic materials for implants in load-bearing application is unavoidable. Among various metallic biomaterials, Ti and its alloys have been recognized as desirable materials, for bone implants, because of their excellent corrosion resistance, biocompatibility, mechanical properties and high strength-to-weight ratio (2-6).
(57) The first major problem concerning these metallic implants in orthopedic surgery is the mismatch of Young's modulus between bone (10-30 GPa) and metallic materials (110 GPa for Ti). Due to this mechanical property mismatch, bone is insufficiently loaded and becomes stress shielded, leading to bone resorption. The mismatch of Young's moduli has been identified as a major reason for implant loosening following stress shielding of bone (7-9). Many investigators have shown that the stress-shielding retards bone remodeling and healing, which results in increased porosity in surrounding bone (10, 11).
(58) The second problem with metallic implants lies in the interfacial bond between the tissue and the implant, and weak interfacial bond due to stiffer replacement materials reduces the lifetime of the implant. An ideal implant should have the same chemistry as natural bone, have similar mechanical properties, and should bond well with human tissue.
(59) An alternative to overcome stress-shielding and weak interfacial bond between the tissue and the implant, is the use of porous materials. Use of porous materials in implants can reduce the stiffness mismatches and achieve stable long-term fixation due to full bone ingrowth. The rough surface morphology of porous implant promotes bone ingrowth into the pores and provides not only anchorage for biological fixation but also a system which enables stresses to be transferred from the implant to the bone (12) leading to long-term stability (13, 14). To achieve tissue ingrowth and to attain better mechanical interlock between implants and bone, metallic implants formed with porous surface coatings have been developed. Also, mechanical properties of porous materials can be altered and optimized by controlling porosity, pore size and shape as well as pore distribution to suit the natural bone. A number of approaches to the fabrication of porous-surface implants have been reported, including Ti powder or fibers sintering, plasma spray coating, and the void-metal composite method (13, 15-22). However, porous surface implants suffer with loss of physical properties (e.g., fatigue strength) due to stress concentrations at the porous interface, and changes in microstructure and surface contamination from the high-temperature sintering process (15, 23, 24).
(60) Commercially pure Ti (15, 25) has been used to create fully porous implants, using particles ranging in size from 50 mm to 1 mm. Wen et al. have successfully fabricated Ti foams with a porosity of 78% using a powder metallurgical process (26). These foams have unique open-cellular structure and achieve low Young's modulus (5.3 GPa), but the compressive strength is not sufficient for the human cortical bone. Moreover, the limitation of the powder sintering approach is that pore size and shape are dictated by the powder size and shape and are difficult to control. Sintered metal powders are often very brittle and are prone to crack propagation at low stresses. Under fatigue conditions, cracks are likely to initiate at the sintered necks of individual powder particles. Also, the pore size, volume fraction, morphology and distribution throughout the sample thickness and the inter particle neck size have a major impact on the mechanical properties. Current techniques that use foaming agents, either in solid state sintering processes or in molten metal techniques have inherent limitations such as contamination, presence of impurity phases, limited and predetermined part geometries, limited control over the size, shape, and distribution of the porosity. A recent review (27) on fabrication methods of porous metals indicate that there is a significant demand for fabrication methods which can ensure uniform pore size, shape and distribution, and high levels of purity for metals in biomedical applications.
(61) Complex shaped implants can not be fabricated using these traditional methods and the properties of the samples made are mechanically inadequate. The need for adequate mechanical and functional properties coupled with manufacturing flexibility for wide range of metallic implant materials, necessitates the use of novel design approaches to fabricate functional implants. The design approach should be able to fabricate functional implants with designed macro and micro porous structures to achieve desired mechanical and functional performance. This complex design approach to build functional implants can be implemented using layered manufacturing processes, generally known as solid freeform fabrication. Over the past few years, direct fabrication of metallic components using the solid freeform fabrication route has been shown to be a viable and promising near-net shape manufacturing technology. One such rapidly developing process is the Laser Engineered Net Shaping (LENS) process, which uses metal powders to create functional parts that can be used in very demanding applications. This solid freeform approach to fabricate parts in layer-by-layer fashion allows the user to produce parts with features that cannot be readily reproduced by other manufacturing methods. Moreover, this technique has advantage of fabricating parts directly from a CAD file and allows us to control the shape, size and internal architecture of porous structures. Appropriate combination of processing parameters usually result in solidification rates of 10.sup.3 to 10.sup.5 K/sec in LENS processing leading to formation of fine-grained chemically homogeneous microstructures with good mechanical properties. Much of the previous work using LENS has been focused on alloy development (28-31), gradient structures (32-35), net shape manufacturing (36, 37), coatings (38-40), etc. Applicants have used this technique to fabricate porous implants with maximum functionality and with mechanical properties matching those of natural bone.
(62) The inventive design philosophy to fabricate complex shaped implants with designed and functionally graded porosity, to suit natural bone, using LENS is schematically shown in
(63) Approach B (
(64) Experimental:
(65) Schematic representation of the LENS process is shown in
(66) Commercially pure (CP) titanium powder (Advanced Specialty Metals, Inc. NH) with particle size between 50-150 m was used in this Example. Porous samples were fabricated on a substrate of rolled Ti plates with 3 mm thickness. The specimens and the substrates used in this study were loosely bonded in order to remove the specimens easily. This is achieved by using high powder feeding rate or low laser power during initial 2-3 layers. A LENS unit with 500 W Nd-YAG laser system was used to fabricate the porous Ti samples. The samples were fabricated in a controlled atmosphere with O.sub.2 content less than 10 ppm to limit oxidation of the titanium during processing. The main process parameters varied were laser power, scan speed, powder feed rate and hatch distance (distance between two successive metal roads or laser scans). Initial optimization studies showed that a laser power in the range of 400-450 W would result complete melting of Ti powder leading to dense deposit on the substrate. Therefore, laser powers of 250 and 300 W were chosen to partially melt the metal powder during deposition process to create porous structures. By changing the scan speed, at constant laser power and powder feed rate, the interaction time between the powder particles and the laser beam is varied resulting in variation in the porosity of the structures. For particular combination of laser power and powder feed rate, slower scan speeds would lead to more interaction time between the material and laser beam leading to high amount of melting and denser deposits. In this work scan speeds of 5, 10, 15 and 18 mm/s were used to fabricate structures with varying porosity. Similarly, by changing the powder feed rate to the beam-material interaction zone the energy density on the material was varied. Low energy density at high feed rates would partially melt the metal particles leading to interparticle residual porosity. Applicants have used powder feed rates of 18, 23, 28 and 38 g/min in our work. Also, the distance between two successive metal roads or laser scans was varied between 0.762 to 9.52 mm to tailor the pore size and distribution as shown in
(67) TABLE-US-00002 TABLE 2 Processing parameters used to fabricate porous Ti samples. Parameter Approach A Approach C Laser Power, W 250, 300 250, 300 Scan Speed, mm/s 5, 10, 15 18 Powder Feed Rate, g/min 18, 23 28, 38 Hatch Distance, mm 0.762, 1.27 1.27 Z-increment, mm 0.127-0.508 0.177-0.228
(68) The Z-increment was also varied to suit the layer build height for each processing parameter combination. This will ensure a constant standoff distance between the substrate and laser head. Cylindrical samples of 12 mm and 6 mm diameter were fabricated for microstructural and mechanical property evaluation, respectively. The density of the samples was determined by measuring the physical dimensions and mass of the samples. The microstructures of the samples were examined using both optical microscopy and scanning electron microscopy (SEM) to evaluate the pore interconnectivity. Quantitative image analysis was carried out on 10-12 optical microstructures to determine the average pore size and its distribution. The diameter of isolated pores (diameter of a circle having same area as the irregular pore) was calculated as:
(69)
(70) Three samples from each density of as-processed samples were compression tested in screw driven universal testing machine at a strain rate of 10.sup.3 s.sup.1. The compression platens were coated with polytetrafluoroethylene (PTFE) lubricant to reduce friction between the cylindrical compression specimens and the tools, which were nominally 9 mm in length and 6 mm in diameter. The modulus of porous Ti samples was determined from the linear region of the nominal stress-strain response. The compressive strength values of samples were determined from the first peak in the stress-strain curve. Vickers microhardness measurements (Leco, M-400G3) were also made on the as-fabricated porous Ti samples using 100 g load for 15 s and average value of 10 measurements on each sample was reported.
(71) Results and Discussion:
(72) Porous Ti samples fabricated using different design procedures are shown in
(73) The density of porous Ti samples was measured from the weight and apparent volume of the sample. Influence of various processing parameters and design approach on the density of LENS processed porous Ti samples is shown in
(74) A microstructural study was carried out on transverse and longitudinal sections of porous samples to evaluate the pore interconnectivity, pore size and shape. The pores were found to be irregular in shape in all the samples processed under various processing parameters, as shown in
(75)
(76) Typical matrix microstructure of laser processed CP Ti samples is shown in
(77) The compression strength and Young's modulus of porous Ti samples are shown in
(78) Based on linear rule of mixtures [48]:
E=E.sub.p+(1)E.sub.mEquation 1
Based on Mori-Tanaka theory [49], assuming spherical void shapes, and neglecting the effect of changing Poisson's ratio, it gives the following approximate expression for elasticity modulus as a function of porosity:
(79)
Nielsen's relationship [50]:
(80)
where: E=Young's modulus of porous material.
(81) E.sub.m=Young's modulus of pore free/fully dense material (116 GPa for Ti).
(82) =Volume fraction of porosity.
(83) =Geometry factor based on pore shape. (In the present work geometry factor (0.2) was taken as the roundness of the pores computed as:
(84)
(85) Estimated modulus values using above three equations are shown in
(86) Based on present experimental results, it can be concluded that the properties of porous metallic biomaterials can be tailored to suit the natural human bone properties, by using different design approaches in combination with appropriate laser process parameters. LENS process can be used to fabricate actual implants with designed porosities and can be extended to other metallic biomaterials.
(87) Conclusions:
(88) Applicants herein disclose and describe that by using proposed novel design concepts coupled with solid freeform fabrication method metallic implants with three dimensionally interconnected porosities down to 70 vol % can be successfully fabricated. It is shown that the porosities and mechanical properties of laser processed CP Ti structures with interconnected porosity and/or novel internal architecture can be tailored by changing the LENS process parameters. Young's modulus and compressive strength of porous Ti samples having the porosity in the range of 35-42 vol % are close to those of human cortical bone.
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