In this work, collagen type I was covalently grafted on the surface of plasma sprayed
titania coatings to improve their biocompatibility. The plasma sprayed titania coatings were
pretreated by sodium hydroxide to induce the formation of hydroxyl groups which can covalently
graft collagen, rendering the collagen having good stability. The dependence of collagen grafting on
the sodium hydroxide treatment conditions (concentration, time and temperature) was investigated
by measuring the amount of collagen grafted on the titania surface. The biocompatibility of the
titania coatings with grafted collagen was evaluated by in vitro cell culture. The results showed that
the amount of collagen grafted on the titania coatings increased with the concentration of the
sodium hydroxide and the treating temperature, while that on the coating is slightly dependent on
the treatment time in sodium hydroxide. In vitro cell culture test proved the positive effects of
collagen on the biocompatibility of the plasma sprayed titania coating.