Paradigm shift in orthopedic implants from metals to polymers

Abstract

The creation of highly biocompatible advanced materials for use in orthopedics has long been a goal. Because of this need, orthopedic implants have progressed from metals to polymeric composites. Ancient orthopedic implants were mostly metals, but in the present age, advanced new materials in orthopedic surgery and prostheses have broadened the available options. Alternative forms of treatment are becoming increasingly possible with the upgrade of mechanical properties and improved quality of materials. The mechanical performance of advanced material is rationalized including tensile and flexural strength, elastic modulus, and wear resistance to assess their suitability for orthopedic applications. In recent eras, the novelty in research includes the use of reinforced polymer-based composite due to mechanical strength and stress shielding close to real human bone. Also, a comparative analysis of natural and synthetic reinforcement in composites proves that the former is biocompatible, eco-friendly, and economically cost-effective. The bioactivity of composites can be improved by surface modification with bio-coating to promote enhanced biomedical performance. This literature review contains data on different types of materials for prosthetic devices. It outlines mechanical and biological factors favoring material selection, particularly epoxy, for improved physiological functions of the human body, along with economic considerations influencing orthopedic surgery.

Graphical abstract