D. Seligson et al., IN-VIVO STUDY OF STAINLESS-STEEL AND TI-13NB-13ZR BONE PLATES IN A SHEEP MODEL, Clinical orthopaedics and related research, (343), 1997, pp. 213-223
A sheep study was performed to compare the in vivo performance of bone
plates of 316L stainless steel and a new titanium alloy, titanium + 1
3% niobium + 13% zirconium (Ti-13Nb-13Zr), which had been subjected to
a diffusion hardening treatment to produce a blue, wear resistant sur
face, Bone plates and screws of stainless steel and diffusion hardened
Ti-13Nb-13Zr were implanted in adult sheep, in one group (with unoste
otomized femurs) for 16 weeks, and in the other (with osteotomized fem
urs) for 8 weeks, At harvest, the diffusion hardened Ti-13Nb-13Zr devi
ces had superior fixation strength, with greater screw torque out stre
ngth and fewer loose screws, In the osteotomized animals, the femurs w
ith diffusion hardened Ti-13Nb-13Zr plates had higher torsional streng
th after removal of the implants; however, the difference was not stat
istically significant. In the unosteotomized animals, the torsional st
rength of the femurs was identical for both materials. There was a sli
ghtly reduced incidence of infection (bacterial adhesion) for the shee
p with diffusion hardened Ti-13Nb-13Zr implants. In a parallel in vitr
o study, the magnetic resonance imaging compatibility of Ti-13Nb-13Zr
was significantly superior to that of stainless steel. This indicates
that diffusion hardened Ti-13Nb-13Zr may be an attractive alternative
material for osteosynthesis.