“…The titanium metal implant surface formed a nanostructure coating that stimulated macrophage elongation, promoted the production of proinflammatory cytokines, and induced macrophages to anti-inflammatory M2 phenotypes. This promote osteogenesis differentiation, such as cell adhesion, alkaline phosphatase activity, mineralization of the extracellular matrix, and raised the osteogenesis related gene expression ( Chen et al, 2021 ; Jiang et al, 2022 ). Zhao et al (2019) showed that the plasma electrolytic oxidation porous Mg-TiO 2 covered Ti surface not only promote osteoblast adhesion, proliferation, and differentiation, but also inhibited Staphylococcus engraftment and growth.…”