Formation and Bioactivity of Composite Structure with Sr-HA Phase and H₂Ti₅O₁₁·H₂O Nanorods on Ti Surface via Ultrasonic-Assisted Micro-Arc Oxidation and Heat Treatment

To address the biological inertness of pure titanium implants, a composite coating with a strontium-doped hydroxyapatite (Sr-HA) phase and H₂Ti₅O₁₁·H₂O nanorods was engineered via ultrasonic-assisted micro-arc oxidation (UMAO) with hydrothermal treatment (HT). The ultrasonic field was applied to modulate the MAO discharge behavior, enhancing ion transport and coating formation. Structural characterization revealed that UMAO-HT coatings exhibited a lower anatase/rutile ratio and higher Sr-HA crystallinity, as compared to MAO-HT. In vitro simulated body immersion studies showed that UMAO-HT induced rapid apatite formation within 24 h, with a better apatite-inducing ability than the conventional MAO-HT. Density functional theory (DFT) simulations demonstrated that Sr substitution in HA lowered the (001) surface work function, enhancing Ca²⁺ adsorption energy and promoting apatite phase nucleation. This work reported the synergistic effects of ultrasonic-induced microstructure optimization and Sr-HA higher bioactivity, providing a mechanistic framework for designing next-generation bioactive coatings with enhanced osseointegration potential.