In this case, we must remember that metabolic acidosis is related with the presence of an excess of acidic substances in the blood as a result of higher levels carbon dioxide in the lungs or lower levels of bicarbonate in the blood as well. Nevertheless, since titanium is a metal unlikely to be chemically modified by those weak acids such as carbonic acid in the blood, we can infer that it has no effect on the metal when used in an artificial hip replacement.
