Evidence map›Paper›PMID 36278144›Full record

ReviewMaterials today. Bio2022

Antibacterial Ti-Cu implants: A critical review on mechanisms of action.

Pezhman Mahmoudi, Mohammad Reza Akbarpour, Hengame Babaei Lakeh, Fengjuan Jing, Mohammad Reza Hadidi, Behnam Akhavan

Open access · goldAbstract readReview
In one paragraph

Review in Materials today. Bio, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 100 citations in OpenAlex.

  1. Article
  2. Total elbow arthroplasty-a historical review.JSES reviews, reports, and techniques · 2026
    Review
  3. Review
  4. Review
  5. Surface Oxide Film and Antibacterial Activity of Zirconium-Based Bulk Metallic Glasses.Langmuir : the ACS journal of surfaces and colloids · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Engineering copper and copper-based materials for a post-antibiotic era.Frontiers in bioengineering and biotechnology · 2025
    Review
  15. Design and preparation of Ti-xFe antibacterial titanium alloys based on micro-area potential difference.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 4 countries.

Pezhman MahmoudiDepartment of Materials Science and Engineering, Sharif University of Technology, Tehran, 11365-9466, Iran.
Mohammad Reza AkbarpourDepartment of Materials Engineering, University of Maragheh, Maragheh, P.O. Box 55136-553, Iran.
Hengame Babaei LakehIslamic Azad University of Medical Science, Tehran, Iran.
Fengjuan JingKey Laboratory of Advanced Technologies of Materials, Ministry of Education of China, School of Materials Science and Engineering, Southwest Jiaotong University, Chengdu, 610031, China.
Mohammad Reza HadidiSchool of Mechanical and Aerospace Engineering, Oklahoma State University, Stillwater, OK, 74078, USA.
Behnam AkhavanSchool of Engineering, University of Newcastle, Callaghan, NSW, 2308, Australia.
Hunter Medical Research Institute · AUIslamic Azad University Medical Branch of Tehran · IROklahoma State University · USSharif University of Technology · IRSouthwest Jiaotong University · CNUniversity of Maragheh · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Titanium (Ti) has been widely used for manufacturing of bone implants because of its mechanical properties, biological compatibility, and favorable corrosion resistance in biological environments. However, Ti implants are prone to infection (peri-implantitis) by bacteria which in extreme cases necessitate painful and costly revision surgeries. An emerging, viable solution for this problem is to use copper (Cu) as an antibacterial agent in the alloying system of Ti. The addition of copper provides excellent antibacterial activities, but the underpinning mechanisms are still obscure. This review sheds light on such mechanisms and reviews how incorporation of Cu can render Ti-Cu implants with antibacterial activity. The review first discusses the fundamentals of interactions between bacteria and implanted surfaces followed by an overview of the most common engineering strategies utilized to endow an implant with antibacterial activity. The underlying mechanisms for antibacterial activity of Ti-Cu implants are then discussed in detail. Special attention is paid to contact killing mechanisms because the misinterpretation of this mechanism is the root of discrepancies in the literature.

Indexed as

Antibacterial mechanismsAnti-infectionAntimicrobialBiomaterialsContact killingIon releasingTi–Cu implants

Identifiers

PMID36278144
PMCPMC9579810
OpenAlexW4302774685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.