Evidence map›Paper›PMID 39711273›Full record

ReviewAdvanced healthcare materials2025

Rethinking Biomedical Titanium Alloy Design: A Review of Challenges from Biological and Manufacturing Perspectives.

Daisy Rabbitt, Victor M Villapún, Luke N Carter, Kenny Man, Morgan Lowther, Paraic O'Kelly, Alexander J Knowles, Alessandro Mottura, Yuanbo T Tang, Lorenzo Luerti and 2 more

Abstract readReview
In one paragraph

Review in Advanced healthcare materials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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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

12 authors.

Daisy RabbittSchool of Chemical Engineering, University of Birmingham, Birmingham, B15 2TT, UK.ORCID 0000-0002-2727-0700
Victor M VillapúnSchool of Chemical Engineering, University of Birmingham, Birmingham, B15 2TT, UK.
Luke N CarterSchool of Chemical Engineering, University of Birmingham, Birmingham, B15 2TT, UK.
Kenny ManDepartment of Oral and Maxillofacial Surgery & Special Dental Care, University Medical Center Utrecht, Utrecht, 3508 GA, The Netherlands.
Morgan LowtherPaihau-Robinson Research Institute, Victoria University of Wellington, Wellington, 5010, New Zealand.
Paraic O'KellyCenter for the Accelerated Maturation of Materials, Department of Materials Science and Engineering, The Ohio State University, 1305 Kinnear Road, Columbus, OH, 43212, USA.
Alexander J KnowlesSchool of Metallurgy and Materials, University of Birmingham, Birmingham, B15 2TT, UK.
Alessandro MotturaSchool of Metallurgy and Materials, University of Birmingham, Birmingham, B15 2TT, UK.
Yuanbo T TangSchool of Metallurgy and Materials, University of Birmingham, Birmingham, B15 2TT, UK.
Lorenzo LuertiAlloyed Ltd, Unit 15, Oxford Industrial Park, Yarnton, OX5 1QU, UK.
Roger C ReedSchool of Metallurgy and Materials, University of Birmingham, Birmingham, B15 2TT, UK.
Sophie C CoxSchool of Chemical Engineering, University of Birmingham, Birmingham, B15 2TT, UK.ORCID 0000-0003-4746-0322

Funding

Royal Academy of Engineering Research Fellowship RF∖201819∖18∖158UK Research and Innovation MR/T017783/1UKRI Future Leaders Fellowship MR/ T019174/1
6 · The paper itself

Abstract

Current biomedical titanium alloys have been repurposed from other industries, which has contributed to several biologically driven implant failure mechanisms. This review highlights the added value that may be gained by building an appreciation of implant biological responses at the onset of alloy design. Specifically, the fundamental mechanisms associated with immune response, angiogenesis, osseointegration and the potential threat of infection are discussed, including how elemental selection can modulate these pivotal systems. With a view to expedite inclusion of these interactions in alloy design criteria, methods to analyze these performance characteristics are also summarized. While machine learning techniques are being increasingly used to unearth complex relationships between alloying elements and material properties, much is still unknown about the correlation between composition and some bio-related properties. To bridge this gap, high-throughput methods are also reviewed to validate biological response along with cutting edge manufacturing approaches that may support rapid discovery. Taken together, this review encourages the alloy development community to rethink their approach to enable a new generation of biomedical implants intrinsically designed for a life in the body, including functionality to tackle biological challenges thereby offering improved patient outcomes.

Indexed as

AlloysBiocompatible MaterialsProstheses and ImplantsTitaniumAnimalsHumansOsseointegrationAlloysBiocompatible MaterialsTitaniumalloy designbiomedical alloyimplantstitanium

Identifiers

PMID39711273
PMCPMC11804846

What OpenQuestion holds

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Registered trials

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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.