Studies on the Biotribological and Biological Behavior of Thermally Oxidized Ti6Al4V for Use in Artificial Cervical Disk

The artificial cervical disk was simplified and considered as a ball-on-socket model with the material configuration of ultra-high molecular weight polyethylene and Ti6Al4V (PE-on-TC4). In order to improve the wear resistance, an optimized thermal oxidation (TO) coating was applied on TC4 component. The long-term wear behavior of the model was assessed in vitro using a wear simulator under 10 million cycles (MC) testing intervals. The biological behavior was investigated by bone marrow-derived mesenchymal stem cells (BMSCs) cell attachment and cell viability/proliferation assays, respectively. The total average wear rate for PE/TC4 pair was found to be 0.81 mg/MC, whereas the same was about 0.96 mg/MC for PE/TO pair. The wear rate of the metal has been neglected in comparison with that of the mating polymer. PE component was found to suffer severe damage characterized by scratches, fatigue cracks and arc-shaped wear grooves on the edge zone of ball. The dominant wear mechanism was abrasion for metal component while the dominant failure mechanism was a mix of plowing, fatigue and plastic deformation for polymer component. TO coating improved the cell attachment property of TC4, and the cell viability results were also quite good. TO coating protected TC4 from being plowed and avoided the release of toxic metal ions. However, this intensified the wear of PE component. Considering the biotribological and biological behavior in totality, TO coating could still be promising when applied in articulation surfaces.