Medical Titanium Plate
Medical titanium plate is not the same as industrial plate. Different chemistry. Tighter oxygen limits. Complete traceability. Every plate carries a heat number and an MTR that goes back to the melt. Two material families cover most surgical implants. Grade 1 commercially pure titanium is soft, ductile, and easy to form. It's the most corrosion-resistant of all titanium grades. Grade 5 ELI (Ti-6Al-4V, Extra Low Interstitial) runs about 3.5 times stronger. That's what goes into load-bearing implants - bone plates, spinal cages, trauma hardware. Whether you're machining a thin cranial mesh or a thick femoral plate, Medical Titanium Plate gives you the certified starting point you need.
Material Specifications
|
Grade |
Standard |
Tensile (min) |
Yield (min) |
Elongation |
Key Characteristic |
|
Grade 1 CP |
ASTM F67 |
240 MPa |
170 MPa |
≥24% |
Softest, most ductile, maximum formability |
|
Grade 5 ELI |
ASTM F136 |
860 MPa |
795 MPa |
≥10% |
High strength, fatigue resistant, implant standard |
|
Grade 23 |
ISO 5832-3 |
860 MPa |
795 MPa |
≥10% |
International equivalent to Grade 5 ELI |
Chemical Composition (Grade 1, ASTM F67, max limits)
|
Element |
% |
|
Oxygen |
0.18 |
|
Iron |
0.20 |
|
Carbon |
0.08 |
|
Nitrogen |
0.03 |
|
Hydrogen |
0.015 |
|
Titanium |
Balance |
Chemical Composition (Grade 5 ELI, ASTM F136, max limits)
|
Element |
% |
|
Oxygen |
0.13 |
|
Iron |
0.25 |
|
Carbon |
0.08 |
|
Nitrogen |
0.05 |
|
Hydrogen |
0.012 |
|
Aluminum |
5.5 – 6.5 |
|
Vanadium |
3.5 – 4.5 |
Grade 1 vs Grade 5 ELI – The Real Difference
Grade 1 is pure titanium. Minimum 99.5% Ti. Tensile 240 MPa. Yield 170 MPa. It bends. It welds. It doesn't corrode in body fluids. The oxide layer reforms instantly if scratched. Grade 1 has the best ductility of any commercially pure grade - you can cold work it without cracking. That's why surgeons like it for cranial plates and maxillofacial work. They can bend it by hand in the OR to fit the patient.
Grade 5 ELI (ASTM F136) is the alpha-beta alloy. 6% aluminum, 4% vanadium. ELI means lower oxygen (0.13% max) and lower iron (0.25% max) than commercial Grade 5. Tensile 860 MPa. Yield 795 MPa. The lower interstitial content gives it better fracture toughness. It lasts longer under cyclic loading. That's critical for a femur plate that sees millions of load cycles before the bone heals.
So the choice is simple. If you need to contour it during surgery, Grade 1. If it's holding weight or stress, Grade 5 ELI. When you spec Medical Titanium Plate, you're not just buying metal - you're buying the right grade for the right job.
Where Medical Titanium Plate Gets Used
Orthopedic Trauma Plates – Locking compression plates for long bone fractures. The plate bridges the fracture with fixed-angle screws. Titanium's modulus (110 GPa) sits between stainless (200 GPa) and bone (10-20 GPa). That means less stress shielding - the bone stays denser during healing. Clinical data shows titanium plates heal faster with fewer complications than stainless. The combination of high strength and lower modulus allows for thinner, more anatomically contoured plates that sit closer to the bone surface, reducing soft tissue irritation. In comminuted fractures, titanium plates provide sufficient stability for early mobilization while minimizing the risk of implant failure under cyclic loading. Most orthopedic plate manufacturers start with Medical Titanium Plate as their raw material of choice.
Spinal Implants – Anterior cervical plates. Interbody cages. Thin sections. High strength. Grade 5 ELI is standard here. The fatigue resistance matters - spines move constantly, and the implant has to last until fusion. Titanium's modulus closer to bone also reduces the risk of adjacent segment degeneration, a known issue with stiffer stainless steel or cobalt-chromium constructs. In multi-level fusion, the use of titanium plates has been correlated with lower rates of screw loosening and implant migration. For deformities like scoliosis, titanium rods and plates provide the flexibility needed for gradual correction while maintaining long-term stability.
Cranial and Maxillofacial – Skull plates. Orbital floor plates. Mandibular reconstruction. These get bent in the OR. Grade 1 is the go-to because you can shape it with pliers. No heating. No special tools. Just bend and fit. The thin sections of cranial plates - 0.5mm to 0.8mm - require a material that won't crack under repeated bending. Grade 1 handles that. In mandibular reconstruction, Grade 5 is used for load-sharing plates that must resist the forces of mastication while bridging segmental defects. These are often 2.0mm to 3.0mm thick and contoured to the patient's preoperative CT models.
Dental – CAD/CAM abutments. Subperiosteal implants. Full-arch frameworks. Grade 1 for healing abutments where you want softness. Grade 5 for permanent frameworks where strength matters. The precision of CAD/CAM milling depends on consistent material behavior. Both grades offer excellent chip formation and minimal tool wear during machining. In implant-supported bridges, Grade 5's higher stiffness reduces flexure under occlusal load, minimizing the risk of screw loosening over time. For titanium frameworks in full-arch restorations, Grade 5 provides the long-term fatigue resistance needed to withstand millions of chewing cycles.
Cardiovascular – Stent platforms. Valve components. Grade 1's corrosion resistance in blood is hard to beat. The oxide layer minimizes clotting and encourages endothelial growth. For cardiovascular devices, surface quality is critical - any surface defect can become a site for thrombosis. The consistent surface finish of medical grade plate reduces the need for post-machining polishing in some applications. Titanium's non-ferromagnetic property also makes it suitable for devices that must be MRI compatible, unlike some stainless steel alloys.
Veterinary – Equine and canine fracture repair. Same requirements as human. Grade 5 ELI for large animal load-bearing. The size of veterinary implants can be significant - a horse tibial plate may be 300mm long, requiring large plate stock that still meets medical grade specifications. The fatigue resistance of Grade 5 is particularly important in race horses, where the implant must withstand high-speed running loads. In canine pelvic fractures, Grade 1 plates are sometimes used for their easier contouring around complex pelvic geometry. Veterinary OEMs increasingly rely on Medical Titanium Plate for consistent quality across species.
Why Medical Grade Isn't the Same as Commercial
Commercial Grade 1 is available everywhere. But medical Grade 1 (ASTM F67) has tighter oxygen and iron specs. The oxide layer forms more reliably on the implant surface. Oxygen and iron affect grain boundary stability - even in titanium, impurities matter over time. In long-term implant applications, even small variations in grain boundary chemistry can influence corrosion resistance and fatigue performance. Medical grade standards are designed to minimize these risks.
Grade 5 ELI is not commercial Grade 5 (ASTM B265). ELI oxygen is 0.13% max versus 0.20%. Iron is 0.25% max versus 0.30%. That difference in purity directly affects fracture toughness. Fatigue cracks start at inclusions. Fewer inclusions means longer implant life. For a plate that cycles millions of times, that's a safety margin, not a theoretical advantage. The fracture toughness (KIC) of ELI is consistently higher - typically 75-80 MPa√m compared to 60-70 MPa√m for commercial Grade 5. That translates to a larger critical crack size before failure, which is a key safety factor in implant design.
Titanium's lower modulus also means less bone resorption around the implant. That stress shielding effect is well documented. The closer the implant modulus matches bone, the more load the bone carries, the stronger it stays. That's why titanium outperforms cobalt-chrome and stainless in long-term bone contact. Over a 10-year period, bone density adjacent to titanium implants is 15-20% higher than adjacent to cobalt-chrome implants of the same geometry. This is one reason why Medical Titanium Plate remains the benchmark material for permanent implant applications.
Additive Manufacturing and Medical Plate
Both Grade 1 and Grade 5 ELI are used in 3D printing for patient-specific implants. Grade 1 prints cleanly for thin structures like cranial meshes. Grade 5 ELI is used in EBM and SLM for custom acetabular cups, interbody cages, and patient-matched mandibles. Medical grade chemistry means predictable print behavior and consistent mechanical properties. In craniofacial work, CT data goes directly to print - no tooling, no stock plate shaping. The implant fits the patient exactly.
The layer-by-layer nature of additive manufacturing creates a surface texture that can promote bone ingrowth without additional coating, reducing manufacturing steps and cost. For large acetabular defects in revision hip surgery, EBM titanium implants have shown excellent fixation rates even in severely compromised bone. The ability to use Medical Titanium Plate as a certified raw material simplifies regulatory approval for 3D-printed devices, as the material traceability and testing already meet implant requirements.
Mechanical Performance Notes
Grade 5 ELI density is 4.43 g/cm³. That's about half the weight of steel and 40% lighter than cobalt-chrome. For large implants like tibial plates, that weight difference affects patient comfort. The fatigue resistance of ELI also allows smaller screw diameters for the same pull-out strength - you preserve more bone during placement. A typical 3.5mm titanium screw in Grade 5 provides equivalent pull-out strength to a 4.5mm stainless screw, allowing smaller plates and less bone removal.
Grade 1's low strength is an advantage in some cases. Pediatric cranial plates get contoured as the child grows. A higher strength alloy would resist that shaping and could microfracture. Grade 1 bends and stays. In maxillofacial trauma, Grade 1 plates are often preferred because they can be contoured directly over the fracture site without preoperative planning, an important consideration in emergency surgery.
Choosing Between Grades
Cranial - Grade 1. It's easier to contour, cheaper, and strong enough for skull loads. The forces on the skull are low - a cranial plate only needs to hold a bone flap in position, not resist weight-bearing or muscle forces.
Long bones - Grade 5 ELI. The loads are too high for pure titanium. Femur loads during walking can reach 4-5 times body weight. Grade 5's higher strength and fatigue resistance are essential for these applications.
Spine - Grade 5 ELI. Fatigue life is the priority. Spine implants cycle through flexion and extension tens of millions of times over a patient's lifetime. The high-cycle fatigue resistance of ELI makes it the clear choice.
Dental posterior - Grade 5 ELI for occlusal forces. Molar occlusion forces can exceed 700N in some patients. Grade 5 provides the strength margin needed for long-term success.
FAQ

01.Grade 1 or Grade 5 for bone plates?
02.Documentation?
03.Lead time?
04.Sample plate?
05.Can I get anodized plate for color identification?
Yes. Blue, gold, purple, green, pink available. Useful for thickness identification in manufacturing and OR settings.
Surgical implants don't take "equivalent" material. They take medical grade. ASTM F67 or ASTM F136. Clean chemistry. Full traceability. Right surface. Medical Titanium Plate delivers that.
For bone plates. For spinal cages. For dental frameworks. For cranial reconstruction. The material the industry trusts.
Contact us
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Email: shawn@mt-titanium.com
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