A risk-based decision making framework to analyze the properties of cobalt–chromium alloys

In this study, the properties of cobalt–chromium alloys are systematically prioritized to aid in the minimization of orthopedic implant failures and risks in biomedical applications. Within the model, six main groups (including a total of 31 properties) are defined: economic aspects, design and production properties, mechanical properties, physical properties, chemical properties and biological properties. A risk-based fuzzy decision making framework is proposed for prioritization. First, a risk-management decision matrix is created by employing interval type-2 fuzzy failure modes and effects analysis. Afterward, the properties of cobalt–chromium alloys are analyzed by utilizing interval type-2 fuzzy measurement of alternatives and ranking according to compromise solution. In the last phase, a prediction model is devised with an adaptive network fuzzy inference system to save computational time and effort and to enable the incorporation of new scientific results into the biomaterial evaluation process. The results of the current study demonstrate that compatibility, osseointegration, corrosion resistance, fatigue resistance and time-dependent deformation are the top five properties contributing to potential orthopedic implant failures and risks. Furthermore, the developed model produces very satisfactory results with acceptable deviations. Consequently, this study presents a new and reliable guide for the unbiased evaluation of cobalt–chromium alloys.