Postsurgical
infection of orthopedic fixation materials is considered
to be the main cause of fixation failure. To address the problem,
clinical treatment often relies on long-term antibiotics, secondary
surgery, and so forth, which cause pain and suffering to patients.
Constructing a light-responsive surface structure on the implant has
attracted widespread attention for the management of postsurgical
infections because of its noninvasiveness and controllability. Nevertheless,
the application of light-responsive structures on implants is still
limited by their unsafety and instability. In this work, a black titanium
oxide layer with a multilevel structure and lattice defects was in
situ constructed on a titanium alloy through pulsed laser ablation
treatment. Under the synergistic effect of the multilevel structure
and crystal defects, the surface of the titanium alloy exhibited good
near-infrared light-responsive photothermal ability. The black titanium
oxide multilevel structure reached high antibacterial efficiencies
of about 99.37 and 99.29% against Staphylococcus aureus and Escherichia coli under 10 min
near-infrared light irradiation. Furthermore, the black titanium oxide
layer possessed similar biocompatibility compared with the titanium
alloy. This near-infrared light-responsive photothermal therapy based
on the construction of a multilevel structure and introduction of
lattice defects provides an effective strategy for clinical postsurgical
infections of orthopedic fixation.