Often hard implants undergo detachment from the host tissue due to inadequate biocompatibility and poor osteointegration. Changing surface chemistry and physical topography of the surface influences biocompatibility. At present, the understanding of biocompatibility of both virgin and modified surfaces of bioimplant materials is limited and a great deal of research is being dedicated to this aspect. In view of this, the current review casts new light on research related to the surface modification of biomaterials, especially materials for prosthetic applications. A brief overview of the major surface modification techniques has been presented, followed by an in-depth discussion on laser surface modifications that have been explored so far along with those that hold tremendous potential for bioimplant applications.

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Laser surface melting (LSM) of Ti-6Al-4V is performed in argon to improve its properties, such as microstructure, corrosion, and wear for biomedical applications. Corrosion behavior is investigated by conducting electrochemical polarization experiments in simulated body fluid (Ringer's solution) at 37 C. Wear properties are evaluated in Ringer's solution using pin-on-disc apparatus at a slow speed. Untreated Ti-6Al-4V contains alpha+beta phase. After laser surface melting, it transforms to acicular alpha embedded in the prior beta matrix. Grain growth in the range of 65-89 microm with increase in laser power from 800 to 1500 W due to increase in associated temperature is observed. The hardness of as-laserprocessed Ti-6Al-4V alloy is more (275-297 HV) than that of the untreated alloy (254 HV). Passivation currents are significantly reduced to < 4.3 microA/cm2 after laser treatment compared to untreated Ti-6Al-4V (approximately 12 microA/cm2). The wear resistance of laser-treated Ti-6Al-4V in simulated body fluid is enhanced compared to that of the untreated one. It is the highest for the one that is processed at a laser power of 800 W. Typical micro-cutting features of abrasive wear is the prominent mechanism of wear in both untreated and as-laser-treated Ti-6Al-4V. Fragmentation of wear debris assisted by microcracking was responsible for mass loss during the wear of untreated Ti-6Al-4V in Ringer's solution.

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