Optimization of annealing treatment and comprehensive properties of Cu-containing Ti6Al4V-xCu alloys

The Ti6Al4V-Cu alloy was reported to show good antibacterial properties, which was promising to reduce the hazard of the bacterial infection problem. For the purpose of preparing Ti6Al4V-Cu alloy with satisfied comprehensive properties, it’s important to study the heat treatment and the appropriate Cu content of the alloy. In this study, high Cu content Ti6Al4V-xCu (x = 4.5, 6, 7.5 wt%) alloys were prepared, and firstly the annealing heat treatments were optimized in the α+β+Ti₂Cu triple phase region to obtain satisfied tensile mechanical properties. Then the effect of Cu content on the tribological property, corrosion resistance, antibacterial activity and cytotoxicity of the Ti6Al4V-xCu alloys were systematically studied to obtain the appropriate Cu content. The results showed that the optimal annealing temperatures for Ti6Al4V-xCu (x = 4.5, 6, 7.5 wt%) alloys were 720, 740 and 760 °C, respectively, which was resulted from the proper volume fractions of α, β and Ti₂Cu phases in the microstructure. The additions of 4.5 wt% and 6 wt% Cu into the medical Ti6Al4V alloy could enhance the wear resistance and corrosion resistance of the alloy, but the addition of 7.5 wt% Cu showed an opposite effect. With the increase of the Cu content, the antibacterial property was enhanced due to the increased volume fraction of Ti₂Cu phase in the microstructure, but when the Cu content was increased to 7.5 wt%, cytotoxicity was presented. A medium Cu content of 6 wt%, with annealing temperature of 740 °C make the alloy possesses the best comprehensive properties of tensile properties, wear resistance, corrosion resistance, antibacterial property and biocompatibility, which is promising for future medical applications.     

Ti–6Al–4V–0.5B—A Modified Alloy for Implants Produced by Metal Injection Molding

Permanent implants have to fulfill a great variety of requirements related to both material and geometry. In addition, manufacturing costs play a role, which is getting steadily more and more important. Metal Injection Molding (MIM) of titanium alloy powders may contribute to the development of implants with higher functionality without increasing the price. High degree of freedom with regard to geometry, high material efficiency, and the possibility to create even porous structures are main benefits from applying this technique. Today, even long‐term implants made from Ti–6Al–4V by MIM are commercially available. However, in order to improve fatigue behavior it is beneficial to perform a minor variation of Ti–6Al–4V by adding a low amount of boron. In this paper the mechanical, biological, and corrosion properties of specimens manufactured from Ti–6Al–4V–0.5B alloy by MIM are presented. In order to exclude unknown reactions in the body environment due to the boron content, corrosion, and biological tests are performed. Tensile and fatigue tests characterize the mechanical properties. Potentiodynamic polarization and electrochemical impedance spectroscopy are done in comparison to wrought and to MIM processed Ti–6Al–4V material. For cell experiments cancellous bone cells are cultured to perform adhesion, proliferation, and viability experiments. The results presented here show that the alloy Ti–6Al–4V–0.5B satisfies all basic needs of a material for highly loaded permanent implants manufactured by MIM.     

Vancomycin–chitosan composite deposited on post porous hydroxyapatite coated Ti6Al4V implant for drug controlled release

Through the hydrogen bonds and the deprotonation, the vancomycin–chitosan composite has been originally deposited on Ti4Al4V by electrochemical technology. However, the rapid destruction of the hydrogen bonding between them by polar water molecules during immersion tests revealed 80% drug burst in a few hours. In this study, the post porous hydroxyapatite (HA) coated Ti4Al4V is prepared for the subsequent electrolytic deposition of vancomycin–chitosan composite to control the drug release. As expected, the initial burst is reduced to 55%, followed by a steady release about 20% from day 1 to day 5 and a slower release of the retained 25% after day 6, resulting in bacterial inhibition zone diameter of 30 mm which can last for more than a month in antibacterial tests, compared with the coated specimen without HA gradually loosing inhibition zone after 21 days. Besides, the cell culture indicates that the vancomycin–chitosan/HA composite coated has enhanced the proliferation, the differentiation and the mineralization of the osteoblast-like cell. In general, it is helpful for the osteointegration on permanent implants. Consistently, it effectively provides the prophylaxis and therapy of osteomyelitis according to the results of the rabbit infection animal model.     

Microstructure and mechanical properties of in situ formed TiC-reinforced Ti–6Al–4V matrix composites

Carbon nanotubes were blended into a Ti–6Al–4V matrix to synthesize titanium carbide (TiC) in situ, via spark plasma sintering. The microstructure and mechanical properties of both the monolithic Ti–6Al–4V alloys and the TiC/Ti–6Al–4V composites were studied to evaluate the strengthening effects of TiC on the Ti–6Al–4V matrix. The morphologies obtained by scanning electronic microscopy and optical microscopy indicated that the grain size of both the Ti–6Al–4V alloy and the TiC/Ti–6Al–4V composite decreased with increasing planetary ball-milling (PBM) speed, leading to an increase in the hardness of the investigated materials. The compressive yield strength of the monolithic Ti–6Al–4V alloys and the TiC/Ti–6Al–4V composites initially increased and then decreased with increasing PBM speed. The strengthening and fracture mechanisms were studied.     

钛表面铜离子注入对细菌和细胞行为的影响

医用钛及其合金被广泛用作骨组织替换材料, 但缺乏抗菌性, 易导致细菌感染。铜具有良好的抗菌性能, 将其引入到钛表面, 可改善医用钛的抗菌性能; 然而铜含量过高对细胞具有毒性。因此, 需要调节铜的含量, 实现铜的抗菌性能和细胞相容性之间的平衡。本研究采用等离子体浸没离子注入技术对医用钛进行表面改性, 获得表面含铜量不同的样品, 并研究改性钛表面对细菌和细胞行为的影响。结果表明, 钛表面含铜量较低的样品能够促进大鼠骨髓间充质干细胞(rBMSCs)和人脐静脉内皮细胞(HUVECs)的增殖, 但对大肠杆菌和金黄色葡萄球菌没有抑制能力; 随着离子注入时间的延长, 钛表面含铜量较高的样品抗菌能力显著提高, 同时也未产生明显细胞毒性。因此, 通过控制钛表面的铜含量, 可以获得兼具良好抗菌性能和生物相容性的钛植入材料。     

Identification of failure mechanisms in retrieved fractured dental implants

Dental implants treatment complications include mechanical failures. These complications were considered minor until now but several clinical trials showed that mechanical complications are common in implantology and in implant rehabilitation. The aim of the study was to perform a detailed systematic failure analysis on Ti–6Al–4V and CP-Ti retrieved dental implants.A total number of 10 CP-Ti and 8 Ti–6Al–4V retrieved fractured dental implants and implant parts were collected and there metal composition was identified using SEM–EDX (energy dispersive X-ray spectroscopy).The identification of the implants failure mechanisms was done by comparing the fracture surfaces of retrieved fractured dental implants to fracture surfaces of implants fractured in lab conditions in room air, and also in an environment mimicking the intraoral environment, which includes artificial saliva and fluoride (exemplar testing). The analysis was done by using Scanning Electron Microscopy (SEM).The overall fracture mechanisms that were identified on the retrieved Ti–6Al–4V and of CP-Ti dental implants were identical to those found on fatigue fracture surfaces of the specimens’ fractured in lab conditions. No evidence was found for corrosion products on the metal surface, which might suggest the operation of a corrosion processes participating in the crack formation.This study clearly shows that fatigue is the main failure mechanism for Ti–6Al–4V and CP-Ti retrieved dental implants. The fractographic analysis showed that implants and their parts might be broken at relatively low cyclic load levels, of the kind that matches the load levels generated during mastication.     

Transient liquid phase diffusion bonding of continuous SiC fibre reinforced Ti–6AI–4V composite to Ti–6AI–4V alloy

Abstract

A continuous SiC fibre reinforced Ti–6Al–4V composite was diffusion bonded in transient liquid phase to Ti–6Al–4V alloy plate using Ti–Cu–Zr amorphous filler metal. Joint strength increased with bonding time up to 1·8 ks and reached the maximum value of 850 MN m^?2 which corresponded to 90% of the tensile strength of Ti–6Al–4V. The extent of deformation of Ti–6Al–4V in the vicinity of the bonding interface was small compared with that of solid diffusion bonding because of the low bonding pressure. The bonding layer had an acicular microstructure which was composed of Ti₂Cu and α titanium with dissolved zirconium. Brittle products such as (Ti, Zr )₅ Si₃ or (Ti, Zr )₅ Si₄ were formed at the interface between the SiC fibres and the filler metal. These products existed only at the end of fibres, in very small amounts, therefore joint strength was not significantly affected by the products.

MST/1989     

Investigation of the effects of alkane phosphonic acid/RGD coatings on cell spreading and the interfacial strength between human osteosarcoma cells and Ti–6Al–4V

This paper presents the results of an experimental study of the effects of alkyl phosphonic acid/RGD complexes on cell spreading and the interfacial strength between human osteosarcoma (HOS) cells and Ti–6Al–4V surfaces. The initial stage of cell spreading is shown to be accelerated by the coatings in 9-day cell culture experiments. The adhesion between human osteosarcoma (HOS) cells and alkyl phosphonic acid/RGD-coated surfaces is also quantified by performing shear assay experiments on coated and uncoated Ti–6Al–4V specimens. These show that the interfacial shear strengths required to detach the HOS cells from the coated/uncoated specimens, increase from approx. 407 Pa (in the case of the uncoated samples) to 80 Pa in the case of the of alkyl phosphonic acid/RGD coated samples. The increase is attributed to the tethering effect of the of alkyl phosphonic acid/RGD complexes on the HOS cells. The implications of the results are then discussed for improving the wound healing and the osseointegration of biomedical implants fabricated from Ti–6Al–4V.     

Release of Cu2+ from a copper-filled TiO2 coating in a rabbit model for total knee arthroplasty

The aim of this study was the investigation of a copper-filled TiO₂ coating, that in vitro showed good antibacterial properties combined with good tissue tolerance in an animal model. To better understand the antibacterial mechanism of the bioactive coating the release of copper (Cu) ions over time was monitored to be able to detect possible threats as well as possible fields of application. 30 New Zealand White rabbits were divided into two groups with 15 animals per group. In group 1 (control group) Ti6Al4 V bolts were implanted into the distal femur, in group 2 the Ti6Al4 V bolts were coated with four TiO₂-coatings with integrated Cu²⁺-ions (4 × Cu–TiO₂). Blood tests were performed weekly until the animals were sacrificed 4 weeks postoperative. The maximum peak of Cu and ceruloplasmin concentration could be seen in both groups one week postoperative, whereas the Cu values in group II were significantly higher. The Cu concentration in both groups approximated the initial basic values 4 weeks postoperative. The 4 × Cu–TiO₂ coating tested in our rabbit model for total knee arthroplasty is an active coating that releases potentially antibacterial Cu²⁺ for 4 weeks with a peak 1 week postoperative. The bioactive coating could be a promising approach for a use in the field of implant related infection, orthopaedic revision and tumor surgery in the future.     

3D打印医用钛合金的抗菌性能和体外生物相容性

应用选择性激光熔融技术(SLM)制备出3D打印医用钛合金Ti-6Al-4V和Ti-6Al-4V-5Cu,用平板共培养法研究测定其抗菌性能,用CCK8细胞增殖测定法、鬼笔环肽细胞骨架染色法和Annexin-V/PI流式细胞术研究了这种合金的抗菌性能和对小鼠胚胎成骨前体细胞(MC3T3-E1)的体外生物相容性影响。结果表明,3D打印Ti-6Al-4V-5Cu合金具有较高的抗菌性能,对金黄色葡萄球菌的抗菌率达到(57.03±1.55)%。在CCK8细胞增殖毒性测定、细胞骨架鬼笔环肽染色实验和Annexin-V/PI双标记法流式分析三种研究中Ti-6Al-4V-5Cu表现的优越,具有更好的体外生物相容性。     

Antimicrobial effects of oxygen plasma modified medical grade Ti–6Al–4V alloy

Biomedical titanium alloy (Ti–6Al–4V) has good mechanical properties and cytocompatibility but post-operative implant-related bacterial infection is a big concern. Therefore, it is very important to suppress adhesion of bacteria on the implants or even kill the bacteria by proper surface modification. In this study, oxygen plasma immersion ion implantation (O-PIII) is employed to produce antibacterial effects on medical grade titanium alloy. The correlation between the surface chemistry and topography on antibacterial behavior is systematically investigated. Colony forming unit (CFU) counting is carried out to evaluate the adhesion of bacteria on the surface and enhanced green fluorescent protein (EGFP) mouse osteoblastic cells are used to study the cytocompatibility after the plasma treatment. Our results suggest that the nanostructured TiO₂ layer produced by O-PIII can significantly suppress bacterial adhesion while the original cytocompatibility can be retained. The nanoscale TiO₂ layer is promising in the prevention of implant-related bacterial infection on orthopedic implants.     

In vivo evaluation of Zr-based bulk metallic glass alloy intramedullary nails in rat femora

Zr-based bulk metallic glasses (BMG) show high corrosion resistance in vitro and higher strength and lower Young’s modulus than crystalline alloys with the similar composition. This study aimed to perform an in vivo evaluation of Zr₆₅Al_7.5Ni₁₀Cu_17.5 BMG. Osteotomy of the femur was done in rats and stabilized with intramedullary nails made of Zr₆₅Al_7.5Ni₁₀Cu_17.5 BMG, Ti–6Al–4V alloy, or 316L stainless steel. Systemic and local effects of each type of nail were evaluated by measuring the levels of Cu and Ni in the blood and the surrounding soft tissue. Changes of the surface of each nail were examined by scanning electron microscopy (SEM). Healing of the osteotomy was evaluated by peripheral quantitative computed tomography and mechanical testing. No increase of Cu and Ni levels was recognized. Surface of the BMG showed no noticeable change, while Ti–6Al–4V alloy showed Ca and P deposition and 316L stainless steel showed surface irregularities and pitting by SEM observation. The stress strain index, maximum torque, torsional stiffness, and energy absorption values were larger for the BMG than those for Ti–6Al–4V alloy, although there was no significant difference. The Zr-based BMG can promote osteotomy healing as fast as Ti–6Al–4V alloy, with the possible advantage of the Zr-based BMG that bone bonding is less likely, allowing easier nail removal compared with Ti–6Al–4V alloy. The Zr-based BMG is promising for the use in osteosynthetic devices that are eventually removed.     

Improvement of wear resistance behaviour of laser metal deposited Ti6Al4V/Mo composites

Titanium and its alloys are materials found to exhibit wonderful properties such as its lightweight and, excellent mechanical properties – tensile strength and toughness even at elevated temperatures, extraordinary corrosion resistance behaviour and ability to withstand high temperatures. These unique properties have made Ti6Al4V attractive for a range of industrial applications. Some of the successful applications include medical implants and prosthesis, connecting rods for automotive, aerospace, oil and gas, sports equipment, gas turbine engines and space crafts. However, the high cost and poor wear resistance of Ti6Al4V limits its use for specific applications. This study investigates the wear resistance of the laser deposited Ti6Al4V composite and its enhancement with molybdenum. In this study, the Ti6Al4V/Mo composites were produced, the effect of influencing process parameter was investigated, and the produced Ti6Al4V‐Mo composites were further examined through various tests. The results revealed that the Ti6Al4V/Mo composite produced at varying laser powers had improved wear resistant when compared to the Ti6Al4V substrate. A direct correlation between the wear resistance and hardness was also observed.     

Antibacterial effect of 317L stainless steel contained copper in prevention of implant-related infection in vitro and in vivo

Bone and intramedullary bacterial infections are one of the most serious complications of the surgical repair of fractures. To reduce the incidence of implant-related infections, several biomaterial surface treatments with integrated antibiotics, antiseptics, or metal ions have been developed for implants. In this study, we evaluated the antibacterial activity and biocompatibility of 317L stainless steel containing 4.5% copper alloy (317L–Cu) in vitro and in vivo using an animal model. Common pathogens of implant-related infections are Staphylococcus aureus and Escherichia coli, which were injected into implant materials to study their antimicrobial potential. We compared antimicrobial potential of 317L–Cu with 317L stainless steel (317L) and titanium (Ti–6Al–4V) alloys as controls. Compared with controls, 317L–Cu materials inhibited colonization by both bacteria in vitro and in vivo. Compared with 317L and Ti–6Al–4V controls, 317L–Cu showed no significant difference in colony formation of osteoblast-like cells on metal surfaces after 72 h of incubation in vitro. Metal screws containing these materials were also made for our vivo study in a rabbit model. Tissue-implants were analyzed for infection and inflammatory changes by hematoxylin–eosin staining of implants in bone. The screw tract inflammation and infection of 317L–Cu was minimal, although some inflammatory cells gathered at acutely infected sites. In addition, after materials had been implanted for 14 days in vivo, the expression of insulin-like growth factor-1 (IGF-1) in osteoblasts around 317L–Cu screws tracts had increased compared with 317L and Ti–6Al–4V controls. Overall, 317L–Cu demonstrated strong antimicrobial activity and biocompatibility in vitro and in vivo and may be used as a biomaterial to reduce implant-related infections.     

Titanium levels in rats implanted with Ti6Al4V treated samples in the absence of wear

The effect of implantation time and implant nitriding on titanium ion concentration in several tissues of rats carrying Ti6Al4V implants was studied by means of inductively coupled plasma-mass spectroscopy (ICP-MS). Histological studies were also performed in order to check for tissue degeneration due to the Ti6Al4V implantation. The animals were divided into four groups: one received Ti6Al4V implants, the second received nitrided Ti6Al4V implants, the third group received nitrided and descaled Ti6Al4V implants and the last one was the control group. Half the animals of the implanted groups received the Ti6Al4V implant for 30 days, while the other half received the implant for 120 days. Spleen, muscle, kidney, lung, brain and bone samples were retrieved from these rats as well as the control group. Ion concentration measures did not show significant differences between control and implanted rats for the studied period of time, although histological studies showed minor differences, especially on liver tissue samples.     

A histomorphometric comparison of the muscular tissue reaction to stainless steel,pure titanium and titanium alloy implant materials

Thein vivo tissue reaction to titanium and titanium-based alloys using quantitative histomorphometry was investigated. According to the guidelines for biomaterials testing suggested by ISO, 2 mm × 6 mm cylindrical specimens of chemically pure (CP) Ti, TiO₂, electrolytically coated Ti, Ti6Al4V, TiO₂-coated Ti6Al4V, TiN physical vapour deposition-coated Ti6Al4V and Ti5Al2.5Fe were implanted in the paravertebral muscles of rats, for 1–52 weeks, 316L stainless steel being used as a control implant material. After PMMA embedding, electrochemical dissolution of the implants, microtome sectioning and Masson's trichrome staining, the tissue reaction was assayed using a semi-automatic method based on the digitization of both the encapsulating membrane contours and the different cell types located within it. All materials induced a close tissue reaction. There was no statistical difference between the tested materials regarding the time-evolution of the inflammatory cells. However, when comparing CP Ti with 316L, a significant difference was found in the fibrocyte kinetics: in the short term, fibrocyte densities were lower for 316L, while beyond 12 weeks, they exhibited higher values than CP Ti. To a lesser extent, a similar observation was made when comparing CP Ti with Ti5Al12.5Fe. No statistical difference was found in the comparison of CP Ti with Ti6Al4V. The membrane thickness was identical for all tested materials and appeared not to be time-dependent.     

Increased functions of osteoblasts on nanophase metals

In a recent study, researchers demonstrated that metal surfaces utilizing low-micron to nanophase topography fostered increased adhesion of osteoblasts, the cells that create the matrix of bone. In this study, Ti, Ti6Al4V, and CoCrMo alloys were investigated, and these alloys were identical to current orthopedic implant alloys except for surface topography. The objective of this in vitro research was to determine whether these same nanophase metal surfaces not only foster osteoblast adhesion but also increase osteoblast metabolic activities leading to calcium deposition. Light microscopy and Energy Dispersion Spectroscopy (EDS) were used to verify the presence of calcium and phosphorous deposition by osteoblasts cultured on the metal substrates. Results indicated that both calcium and phosphorous were deposited on several of the metal substrates. More importantly, compared to conventional metals, results provided the first evidence that more calcium and phosphorous was deposited by osteoblasts cultured on respective nanophase metals (Ti, Ti6Al4V, and CoCrMo). Nanophase CoCrMo had the most calcium and phosphorous minerals deposited by osteoblasts compared to any other metal substrate. Thus, the results of this study continue to provide evidence for the use of nanophase metals for the design of the next generation of more successful orthopedic implants.     

Microstructure and mechanical properties of TiC/Ti–6Al–4V composites processed by in situ casting route

Abstract

TiC/Ti–6Al–4V composites containing various volume fractions of TiC were produced by induction skull melting and common casting utilising in situ reaction between titanium and carbon powder. The microstructure and room tensile properties of as cast and heat treated TiC/Ti–6Al–4V composites were investigated. Bar-like or small globular eutectic TiC were found in 5 vol.-%TiC/Ti–6Al–4V composite, whereas the equiaxed or dendritic primary TiC particles were found to be the main reinforcements in 10 and 15 vol.-%TiC/Ti–6Al–4V composites. The as cast TiC/Ti–6Al–4V composites have shown higher strength but lower ductility than those of monolithic Ti–6Al–4V alloy. The shape and fracture of TiC particles can strongly influence the fracture and failure of the composites, and so the ultimate tensile strengths and elongations of as cast composites reduce with the increase in volume fraction of TiC. TiC particles appear to be spheroidised, and titanium precipitation can be found within large TiC particles after heat treatment at 1050°C for 8 h, which can promote the resistance to fracture of composites. Therefore, the elongations of the composites increase significantly, and the ultimate tensile strengths also have marginal increase especially for the 10 and 15 vol.-%TiC/Ti–6Al–4V composites after heat treatment.     

Effect of in situ synthesized TiB whisker on microstructure and mechanical properties of carbon–carbon composite and TiBw/Ti–6Al–4V composite joint

Carbon–carbon composite (C–C composite) and TiB whiskers reinforced Ti–6Al–4V composite (TiB_w/Ti–6Al–4V composite) were brazed by Cu–Ni + TiB₂ composite filler. TiB₂ powders have reacted with Ti which diffused from TiB_w/Ti–6Al–4V composite, leading to formation of TiB whiskers in the brazing layer. The effects of TiB₂ addition, brazing temperature, and holding time on microstructure and shear strength of the brazed joints were investigated. The results indicate that in situ synthesized TiB whiskers uniformly distributed in the joints, which not only provided reinforcing effects, but also lowered residual thermal stress of the joints. As for each brazing temperature or holding time, the joint shear strength brazed with Cu–Ni alloy was lower than that of the joints brazed with Cu–Ni + TiB₂ alloy powder. The maximum shear strengths of the joints brazed with Cu–Ni + TiB₂ alloy powder was 18.5 MPa with the brazing temperature of 1223 K for 10 min, which was 56% higher than that of the joints brazed with Cu–Ni alloy powder.     

Porous titanium implant materials and their potential in orthopedic surgery

In orthopedic surgery bony defects remains a challenge. In generally autologous or heterologous bony transplants can be used. Main problem is the limited amount of bone and donor site morbidity. Nowadays excellent implants and scaffolds at low costs are necessary in respect to the financial problems in our health care system and the strong financial limitations in clinical medicine. Recently a biomimetic approach, in which a porous synthetic bone substitute with properties similar to these of trabecular bone has been developed (VITOFOAM?). Aim of our study was to investigate whether cp‐Ti or Ti6Al4V or stainless steel (316L) porous metal implants achieve material properties comparable to bone. Materials and Methods Three cp‐Ti, Ti6Al4V and stainless steel (316L) porous metal specimen each with a pore size of 150 to 600 μm have been tested in respect to determine the Young’s Modulus E (GPa), Compression Strength (MPa) and Porosity (%) under axial compression. Results Young’s Modulus of the cp‐ Ti samples was in the range of 1.2 to 2.8 GPa, for Ti6Al4V 2.3 to 4.1 GPa could be achieved. Compression Strength for cp‐ Ti and Ti6Al4V ranged from 30 to 65 MPa with porosity values ranged from 71 to 80 %. Discussion The highly porous nature of VITOFOAM? combined with the good biocompatibility of cp‐ Ti or Ti6Al4V and the mechanical properties make these materials ideal bone scaffolds. Trabecular bone shows pore sizes of 300–1500 μm, Young’s Modulus of 0.2–2 GPa and Compression Strength from 5–50 MPa. Porosity of spongious bone ranges from 30 to 95 %. These values are comparable to the values achieved with VITOFOAM?. Porous titanium foam with its osteoconductive properties may therefore be an ideal and cheap alternative. Implant costs can be lowered to 50 % for implants e.g. for intercorporal interbody fusion in spinal surgery. Actually further research is done to show the possibility in spinal surgery or loading technologies with Tricalciumphosphat, Hydroxylapatit, Antibiotics or Cytostatics.