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Materials Science in Additive Manufacturing                             LPBF of Mg and its bio-applications


            However, their elastic modulus and mechanical strength   Figure 1. The development of Mg-based implants has gone
            are much higher than natural bone, which cause the “stress   through two stages, with the 21  century as the dividing
                                                                                         st
            occlusion” effect after implantation, thus leading to the   line. Before the 21  century, Mg alloys were mainly used in
                                                                             st
                                                                                                [23]
            atrophy of natural bone tissue and even migration failure .   bone fixation devices. In 1900, Payr et al.  pioneered the
                                                        [5]
            Moreover, they might release some toxic metal ions, which   use of Mg as a bone connector for the fixation of injured
            induce inflammation. Unfortunately, the implants do   bone, and the Mg plate produced no adverse effects in
            not easily degrade, and thus, they need to be removed in   animals. In 1906, Lambotte extended the animal in vivo
            secondary surgery after implantation . In this case, this   experiment to a human clinical study, using Mg plates and
                                          [6]
                                                                                                   [24]
            could the patients will undoubtedly have to endure huge   steel nails to fix the calf fracture of patients . Still, the
            pain and shoulder extra economic burden. Therefore, it   Mg plate and steel nails formed galvanic corrosion, which
            is imperative to develop new metal scaffolds for repairing   produced a large amount of hydrogen. The implantation
            bone defect .                                      site appeared to have a gas swelling phenomenon. In
                     [7]
                                                               1938, McBride et al.  used a bone fixation device made
                                                                               [25]
              Recently, biodegradable metals such as magnesium   of Mg-Al-Mn alloy to treat multiple fractures, and no
            (Mg), zinc (Zn), and iron (Fe) alloys have become   negative effects were observed in the fracture tissue after
            a hot research topic in tissue  repair because of their   implantation. However, due to the rapid degradation rate
            mechanical strength, unique degradation properties,   of Mg alloy in the human body, the clinical research of
            and good biocompatibility [8,9] . After implantation, these   Mg alloy as a bone fixation device has stalled in the late
            biodegradable metals have the sufficient mechanical   20  century .
                                                                        [26]
                                                                 th
            strength to provide support during the healing process .
                                                        [10]
            Importantly, they can be completely degraded in vivo, and   Due to the rapid development of science and
                                                                                   st
            their degradation products will be metabolized by the   technology after the 21   century, some Mg alloy bone
                                               [11]
            human body without any toxic side effects . Compared   fixation devices have passed clinical trials and obtained
            to Zn and Fe alloys, Mg alloy has received wide attention   regional certification. In 2008, the United States
            from experts and scholars since it has the following three   established a research center to study biodegradable
            significant advantages:                            biomaterials. In 2013, Syntellix AG successfully developed
                                                               degradable Mg alloy screws, which passed clinical trials
            (i)  Mechanical compatibility. Mg alloy is a light alloy with   and obtained CE certification . In 2014, the China Food
                                                                                       [27]
               low density and high specific strength. Its density (1.8   and Drug Administration  certified the  Mg-Zn-Ca bone
               – 2.1 g/cm ) and elastic modulus (40 – 45 GPa) are   nail developed in South  Korea because of its relatively
                        3
               similar to those of human bone, indicating that they   slow degradation rate . In recent years, Mg alloys have
                                                                                 [14]
               can effectively reduce the stress shielding effect [12,13] .   gradually been used to manufacture cardiovascular and
               It  has  excellent  application  prospects  in  bone  tissue   tissue engineering scaffolds. Chaya et al.  used Mg bone
                                                                                               [28]
               defect repair.                                  plates and screws and titanium alloy plates and screws
            (ii)  Biodegradability. The standard electrode potential of   to repair bone cracks in rabbits. The results showed that
               Mg is −2.37 V. Mg alloy can completely degrade the   the degradation of Mg bone plate was beneficial to bone
               body by self-corrosion. The degradation products have   healing. Zhao et al.  used Mg screws to fix vascularized
                                                                              [29]
               no apparent side effects on the human body and can   bone grafts with femoral head necrosis and found that
               be excreted through human metabolic processes [14,15] .  released Mg ions could stimulate the generation of fresh
            (iii) Biocompatibility. Mg, which is involved in synthesizing   bone. Wang et al.  used Mg-Zn-Y-Nd alloy scaffolds to
                                                                             [30]
               a variety of proteases and nucleic acids, is one of the   treat esophageal cancer. The data showed that Mg alloy had
               essential nutritional elements for humans. Mg ion is   good biocompatibility and degradation performance and
               conducive to the dilatation of blood vessels and the   could kill the esophageal cancer cells.
               healing of bone tissue. Therefore, biodegradable Mg
               alloy  is  hailed  as  the  new-generation  medical  metal   1.3. Advantages of laser powder bed fusion (LPBF)
               materials. The comparison between Mg alloy and   for the fabrication of implants
               other bone implants is shown in Table 1.        To meet the requirements of clinical applications, bone
                                                               implants should possess not only appropriate mechanical
            1.2. Development of Mg-based implants
                                                               strength and good biocompatibility but also personalized
            Mg and its alloys, as the promising implants, are mainly   shape to match different damaged parts. The traditional
            used  in bone fixation devices,  cardiovascular  scaffolds,   preparation methods of Mg alloy components are mainly
            and tissue engineering scaffolds [20-22] . The advantages of   casting and powder metallurgy. Although the formed
            Mg implants and its clinical applications are presented in   Mg alloy components have good mechanical properties,


            Volume 1 Issue 4 (2022)                         2                      https://doi.org/10.18063/msam.v1i4.24
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