Hierarchical Ag-Doped Hydroxyapatite Coatings on TiO2 Nanotubes Formed on Ti-407 Alloy: Antibacterial Evaluation Against Escherichia coli

Postoperative infections in orthopedic implants remain a major complication, particularly in open fractures, where early bacterial colonization and the limited bioactivity of titanium alloys hinder osseointegration. This study reports a hierarchical coating synthesized in situ on Ti-407 alloy, integrating bioactive and antibacterial functions. TiO₂ nanotube arrays were formed by anodization and subsequently functionalized by sequential electrodeposition of Ag nanoparticles and doped hydroxyapatite (HA) (Ca, P, Mg, Zn). SEM/EDS confirmed uniform coatings with a Ca/P ratio near stoichiometric HA (1.61). Agar diffusion assays against <i>E. coli</i> ATCC® 25922™ revealed well-defined inhibition zones, confirming the antibacterial efficacy of the coatings. These findings highlight the potential of hierarchical coatings to enhance bone integration while reducing infection risk in orthopedic implants.