Cobalt–chromium–molybdenum
(CoCrMo) alloys are widely
used in orthopedic implants due to their excellent corrosion and wear
resistance and superior mechanical properties. However, their limited
capability to promote cell adhesion and new bone tissue formation,
poor blood compatibility, and risk of microbial infection can lead
to implant failure or reduced implant lifespan. Surface structure
modification has been used to improve the cytocompatibility and blood
compatibility of implant materials and reduce the risk of infection.
In this study, we prepared CoCrMo alloys with surface nanostructures
of various aspect ratios (AR) using laser-directed energy deposition
(L-DED) and biocorrosion. Our results showed that medium and high
AR nanostructures reduced platelet adhesion, while all of the alloys
demonstrated good blood compatibility and antibacterial properties.
Moreover, the medium and high AR nanostructures promoted cell adhesion
and spreading of both preosteoblast MC3T3 cells and human bone marrow
mesenchymal stem cells (hMSCs). Furthermore, the nanostructure promoted
the osteogenic differentiation of both cell types compared with the
flat control surface, with a substantial enhancing effect for the
medium and high ARs. Our study proposes a promising approach for developing
implant materials with improved clinical outcomes.