conductors [4-78]. The surface is also known to have at least two types of hydroxyl
groups attached to it [4-40]. TiO
2
is non-conducting, but electrons can tunnel
through the layer. Thin oxide layers can allow the passage of electrons, leading to
conformational changes and denaturing of proteins [4-79].
For implants located in cortical bone, the thickness of the interfacial oxide
layer remains unaffected, while it increases by a factor of 3–4 on samples located
in bone marrow [4-35]. In general, when foreign agents, such as implant-material
surface particles, are exposed to host tissue, circulating neutrophils and/or mono-
cytes are recruited from the intravascular compartment to the location of the
exposure [4-80]. Following recognition, the particles are encapsulated – literally
engulfed by the phagocyte – and lysosomal granules, along with the particles,
from a complex unit, the phagolysosome. Simultaneously, in the cytplasmic vac-
uoles, enzyme releases occurs and, as a result, degrading of several components
takes place. Upon recognition, neutrophils and monocytes experience a “respira-
tory burst” and during the period, almost 20-fold oxygen consumption by the
cells is observed [4-81]. There is convincing evidence that the consequent
increase in oxygen secretion by these cells is mainly the result of this initial res-
piratory activity [4-82]. In addition, polymorphonuclear cells have been found to
secrete superoxide anion (O
2
−
) and hydrogen peroxide (H
2
O
2
) upon activation
induced by several stimuli, including immunoglobulins and opsonized bacteria,
among others [4-83].
The interactions between solid surfaces and biological systems relatively unex-
plored [4-84]. The combination of electrochemical methods with surface analyti-
cal techniques offers an insight into the composition, thickness and structure of the
surface oxide layer. All reports using X-ray XPS techniques [4-41, 4-85–4-91]
confirmed that the oxide layer on top of Ti-6Al-4V was predominantly TiO
2
,
which contains a small amount of suboxides TiO and Ti
2
O
3
closer to the
metal/oxide interface. The presence of Al and V in the oxide layer was also noted.
Sodhi et al. [4-90] reported that Al and V were present throughout the oxide layer;
and Al in the passivated layer was greatly enhanced (26 wt.%), while V was
reduced (1 wt.%). Ask et al. [4-70] observed Al but not V at the outermost surface,
and within the oxide, both alloying elements were enriched. Sundarajan et al. [4-
86] observed oxidized Al, but not oxidized V in the layer. On the other hand,
Okazaki et al. [4-87] observed a small amount of oxidized V. Evidently the pres-
ence of V is relatively ambiguous. Moreover, Maeusli et al. [4-91] did not observe
V at the outermost surface of oxide by XPS or AES, although they detected it by
SIMS. In all reports, the oxidation state of Al was Al
3⫹
(i.e., Al
2
O
3
), whereas that
of V was reported between V
3⫹
and V
5⫹
(i.e., V
2
O
3
and V
2
O
5
) [4-85]. Al and V
might be present either as Al
2
O
3
and V
2
O
5
, respectively, or as ions at interstitial or
substitutional sites in the TiO
2
matrix [4-70].
92 Bioscience and Bioengineering of Titanium Materials
Else_BBTM-OSHIDA_ch004.qxd 9/15/2006 8:41 AM Page 92