Articles | Volume 10, issue 6
https://doi.org/10.5194/jbji-10-581-2025
https://doi.org/10.5194/jbji-10-581-2025
Original full-length article
 | 
09 Dec 2025
Original full-length article |  | 09 Dec 2025

Evaluation of bacterial adherence and biofilm development on an anodized stainless-steel surface for the prevention of osteosynthesis-associated infections

Marina Medel-Plaza, María Angeles Arenas, John J. Aguilera-Correa, Amber De Bleeckere, Aranzazu Mediero, Ignacio García, Juan J. De Damborenea, Jaime Esteban, Tom Coenye, and Ana Conde

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Cited articles

Aguilera-Correa, J.-J., Mediero, A., Conesa-Buendía, F.-M., Conde, A., Arenas, M.-Á., de-Damborenea, J.-J., and Esteban, J.: Microbiological and Cellular Evaluation of a Fluorine-Phosphorus-Doped Titanium Alloy, a Novel Antibacterial and Osteostimulatory Biomaterial with Potential Applications in Orthopedic Surgery, Appl. Environ. Microbiol., 85, e02271-18, https://doi.org/10.1128/AEM.02271-18, 2019. 
Amirtharaj Mosas, K. K., Chandrasekar, A. R., Dasan, A., Pakseresht, A., and Galusek, D.: Recent Advancements in Materials and Coatings for Biomedical Implants, Gels, 8, 323, https://doi.org/10.3390/gels8050323, 2022. 
Arteaga-Hernandez, L. A., Cuao-Moreu, C. A., Gonzalez-Rivera, C. E., Alvarez-Vera, M., Ortega-Saenz, J. A., and Hernandez-Rodriguez, M. A. L.: Study of boriding surface treatment in the tribological behavior of an AISI 316L stainless steel, Wear, 477, 203825, https://doi.org/10.1016/j.wear.2021.203825, 2021. 
Banerjee, A., Kang, C.-Y., An, M., Koff, B. B., Sunder, S., Kumar, A., Tenuta, L. M. A., and Stockbridge, R. B.: Fluoride export is required for the competitive fitness of pathogenic microorganisms in dental biofilm models, mBio, 15, e00184-24, https://doi.org/10.1128/mbio.00184-24, 2024. 
Begg, S. L.: The role of metal ions in the virulence and viability of bacterial pathogens, Biochemical Society Transactions, 47, 77–87, https://doi.org/10.1042/BST20180275, 2019. 
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Short summary
We have developed and evaluated an anodized stainless-steel surface treatment that significantly reduced bacterial adherence and biofilm formation by pathogens linked to orthopedic implant infections. Using laboratory conditions that mimic the human joint environment, our findings suggest that this surface treatment could enhance implant safety by preventing infection-related complications.
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