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Ceramics International
journal homepage: www.elsevier.com/locate/ceramint
Biocompatible Zirconia‐Coated 316 stainless steel with anticorrosive
behavior for biomedical application
Gobi Saravanan Kaliaraj, Vinita Vishwakarma
⁎
, A.M. Kamalan Kirubaharan
Centre for Nanoscience and Nanotechnology, Sathyabama Institute of Science and Technology, Chennai 600119, India
ARTICLE INFO
Keywords:
Bioceramics
ZrO
2
films
Pseudomonas aeruginosa
Protein adsorption
Hemocompatibility
Corrosion
ABSTRACT
Surface tailoring is an existing technology in biomedical industries to improve the performance of implant
materials. Surface tailoring with zirconia (ZrO
2
) was performed on medical-grade stainless steel (316L SS) by
electron beam physical vapor deposition (EBPVD) to enhance their properties. Monoclinic crystal phase and
uniform microstructure were found in structural analysis. Superhydrophilicity nature was found on coated and
bare 316L SS substrates, in the presence of lactic acid (LA) and hydrogen peroxide (H
2
O
2
) liquids. Pseudomonas
aeruginosa (P. aeruginosa) bacterial adhesion was drastically decreased on ZrO
2
films even at 4th day of in-
cubation. Further, superior protein adhesion as well as hemocompatible behavior were observed on ZrO
2
films.
Electrochemical impedance spectroscopy (EIS) analysis revealed higher charge transfer resistance (R
ct
) and
corrosion protection in the presence of ZrO
2
films in artificial blood plasma (ABP) containing H
2
O
2
and LA
compared to bare 316L SS substrate.
1. Introduction
Stainless steel (316L SS) has been used to manufacture various
biomedical devices such as cardiovascular stents, ankle fracture stabi-
lization devices, femoral stems, etc since the 1970s [1]. Today, implant
devices are increasingly used for various parts of the body for im-
plantation and revision surgery. Due to advanced technology develop-
ment, numerous implant materials ranging from metals, metal alloys,
ceramics, polymers and composite materials are used in different sur-
gical applications depending upon their strength and biocompatibility
behavior. Even though, a variety of implant materials exist on the
market, the usage of stainless steel by implant industries is frequently
preferred due to its ease of manufacturing, cost effectiveness, wear
resistance and hardness [2]. However, stainless steel is highly suscep-
tible to pitting corrosion by aggressive metal ions such as K
+
, Cl
-
, Na
+
,
etc., present in the biological environment which causes allergenicity
and immunogenicity [3]. Another important drawback of metal im-
plants is bacterial invasion affecting nearly 5% of orthopedic implants
especially in prosthetic joint replacement through development of a
biofilm. The biofilm formation on implant materials causes extra cel-
lular LA synthesis [4] which decreases the pH of the surrounding area
and thus, decreases antimicrobial agents [5] and immune response. In
addition, H
2
O
2
is produced by leucocytes during inflammatory response
which also causes lower pH and attacks the metal surface by surface
oxidation as well as hydroxylation [6]. In general, Pseudomonas
aeruginosa (P. aeruginosa) is a ubiquitously available pathogen which
can survive several hours on inanimate objects. Hence, contaminated
surfaces will receive high risk of health care acquired infections. In
addition, blood platelets play a major role by interacting with the im-
plant surface which determines its thrombogenic effect [7]. Since,
metallic surfaces possess higher surface free energy, they exhibit higher
thrombogenic effect [8]. Furthermore, blood proteins also play a major
role in the promotion of cell adhesion amidst connective tissue-implant
interfaces which determines the implant healing and its durability. The
ideal implant materials should not induce platelet adhesion, activation,
allergic and hypersensitive reactions. Hence, hemocompatibility is the
prerequisite parameter for longevity of the implant materials and
therefore, development of new materials is required with better cor-
rosion resistance as well as biocompatibility.
Recently, surface tailoring of metallic implants has significantly
improved the biocompatibility, corrosion resistance and other aspects
of materials performance that enhance their durability [2,9,10]. Metal
oxide or ceramics have been used increasingly in biomedicine due to
their chemical stability, corrosion resistance, non-allergenic behavior
and superior biocompatibility [7]. In the current scenario, zirconia
(ZrO
2
) based ceramics have been ubiquitously used to fabricate coat-
ings, artificial teeth, implant abutments as well as anterior and pos-
terior oral cavity fillings [11,12]. Owing to their considerable wear
resistance as well as good aesthetic color appearance, they have gained
popularity among patients and clinicians alike [13]. Zirconia (ZrO
2
), as
https://doi.org/10.1016/j.ceramint.2018.02.213
Received 9 November 2017; Received in revised form 25 February 2018; Accepted 26 February 2018
⁎
Corresponding author.
E-mail address: vinitavishwakarma@sathyabama.ac.in (V. Vishwakarma).
Ceramics International xxx (xxxx) xxx–xxx
0272-8842/ © 2018 Elsevier Ltd and Techna Group S.r.l. All rights reserved.
Please cite this article as: Kaliaraj, G.S., Ceramics International (2018), https://doi.org/10.1016/j.ceramint.2018.02.213