Archaeological evidences clearly indicates that
surgical procedure were performed in several ancient civilizations.
progress in surgery, however, was slow and mixed liberally
superstition until the latter pan of the nineteenth century Scientist
Pasteur's and Liter's antiseptic surgical techniques, developed around
1883. and shortly therefore Roentgen's discovery of X-rays in 1895.
added a new dimension to Orthopaedic surgery. The great step forward
in technique outstripped the stale of the material art.
In the beginning of the twentieth century, surgical
technique were developed for the fixation of the bone fracture with
the platc and screw combination. Shermen type bone plate were
fabricated from the best available alloy at the time . Vanadium Steel.
By the 1920s, use of Vanadium Steel Shermen plates became
questionable, because of poor tissue compatibility. At the time
however, no other alloy was available with high strength and good
corrosion resistance properties.
Scientist shortly after the introduction of the
18-8 Stainless Steel, clinical experiments were conducted to utilizc
the material for manufacture of surgical implants. This material had
far- superior corrosion resistance to any thing that had been
available up set that time and immediately attracted the interest of
the Orthopaedic surgeons, Bone plate- Screw and other fixation
appliances were fabricated and used as surgical implants, although the
material performed better than anything else available it still showed
some susceptibility to attack in the saline environment of the human
body. In 1926 when Scientist Strauscs patentcd the 18-8 SMO stainless
steel containing 2 to 4% molybdenum and a reduced carbon content of
0.08%. a material was created which promised improved resistance to
acid and chloride containing environments. Result of research in 1930s
were so encouraging that as a result the American Orthopaedic
Committee of National Research Council assigned a research project to
C.R Murray and C.G- Fink at Columbia University in 1941. The object of
the project was to rapidly determine the most desirable metal or alloy
for the internal fixation of fracture. Thc study resulted in
recommendation of Type 316 stainless steel in 1943. Subsequent
research at several medical centers across the nation prompted the
American College of Surgeon at its 1946 meeting to endorse Type 316
and 316 L stainless steel for use in surgical implants.
During the 1960s the ASTM F-4 Sub-Committee was
formed to standardizec materials used in surgical implant manufacture
Currently available high-quality stainless steel arc now recommended
for this application. The desirable properties of low carbon and
vacuum or electrolyte remclted material have been recognized and
standards covering these material have been published. Table
summarizes the chemical requirement of these ASTM standards. Note that
the alloy chemistry is identical to ASTM material standards so that
both 316 and 316L grades may fit the specifications.