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International Journal of Bioprinting                                     Design of dual-unit porous scaffold




            availability of suitable bone grafts and poor performance   cancellous bone involved buffer and nutrients transport.
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            compatibility across different bone sites restrict its   Thus, the scaffolds with gradient structure can be designed
            application.  Allogeneic bone transplantation presents   by adjusting the porosity along the diameter.  Wang et al.
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                     3,4
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            an alternative option but carries inherent risks of immune   designed gradient scaffolds using TPMS and found that the
            rejection and infection that can lead to implantation   gradient porous scaffolds had better mechanical properties
            failure.  Consequently, researchers have focused on   and biocompatibility than the uniform ones. In a previous
                 5
            exploring natural bone substitutes. In recent years, TC4   study, we designed variable gradient porous scaffolds,
            (Ti6Al4V) alloy has gained widespread use as a biomedical   which exhibited better mechanical properties than the
            implant in the field of biomedicine owing to its exceptional   uniform gradient ones.
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            corrosion resistance, high specific strength, and favorable   Previous studies have shown that the gradient structure
            biocompatibility.  However, the elevated elastic modulus
                         6–8
            of titanium alloy can induce “stress shielding,” resulting   can better meet the requirements of orthopedic implants,
            in implant loosening or slippage and compromising the   and the different units exhibit different mechanical
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            effectiveness  of  bone  implantation.   Therefore,  reducing   properties and permeability.  Wang et al.  prepared the
                                         9
            the elastic modulus in bone implants is a crucial part of the   TC4  porous  scaffold  with  TPMS  structure  by  selective
            ongoing research.                                  laser  melting  (SLM)  and found  that  the  primitive  (P)
                                                               structure exhibits better mechanical properties compared
               The medical porous scaffold is viewed as an ideal   with other TPMS units. Ma et al.  and Yánez et al.  found
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            material for  orthopedic  applications, given  its  great   that gyroid (G) unit has better permeability, which can
            potential in the field of orthopedic implants. 10–12  On the   promote cell growth. Therefore, it can be deduced that the
            one hand, the existence of porous structure can decrease   gradient porous scaffold designed by combining the two
            the elastic modulus of the scaffold, thus reducing the “stress   units can give full play to the performance advantages of
            shielding” problem  caused  by obvious  different  elastic   different units. However, due to the different structure of
            modulus between bone and metal material.  On the other   various units, the scaffolds with a combination of different
                                              13
            hand, the porous structure has a good permeability, which   units can form an interface mutation, which can affect the
            is conducive to the transport of nutrients.  By adjusting   performance of the scaffolds. If the interface is controlled
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            the pore size and porosity, porous scaffolds with low elastic   by the mathematical model to form a continuous transition
            modulus,  equivalent  to  that  of  human  bone,  and  good   interface, the advantages of the two-unit structures
            permeability can be obtained. 15,16                can be maximized. Furthermore, the performance of
               Numerous studies working on the design of medical   the composite structure scaffold can be enhanced by
            porous scaffolds have been conducted. 17–19  In the realm   adjusting the porosity, element size, and internal structure
            of structure units design, computer-aided design (CAD)   radius through parametric control. This approach allows
            method,  micro-computed tomography (micro-CT)      for the optimization of the scaffold’s characteristics to
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            method,  Voronoi method, 22,23   etc. have gradually been   achieve superior performance in biomedical applications.
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            developed. However, the porous scaffolds designed by the   However, to the best of our knowledge, the study on multi-
            above methods are often presented with limitations, such   unit continuous transition connection of different units
            as stress concentration, low strength, and uncontrollable   has never been reported.
            performance. 24,25  Given their smooth surfaces, highly   Therefore, a novel gradient porous scaffold with dual-
            interconnected porous structures, large specific surface   unit continuous transition was designed and successfully
            area,  and  mathematically  controllable  geometric  fabricated using SLM technology, as illustrated in Figure
            properties, 26–28  triply period minimal surfaces  (TPMS)   1. The structures and mechanical properties of the
            are known as an excellent solution for the preparation of   porous scaffolds were comprehensively investigated using
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            porous scaffolds in recent years. Zhao  et  al. employed   scanning electron microscope (SEM), micro-CT scanning,
            TPMS to fabricate a body-centered cubic (BCC) lattice   compression testing, and ANSYS finite element simulation.
            structure and conducted compression experiments on   This work presents a new concept for the design of medical
            both TPMS-based and CAD-based BCC lattice structures.   porous scaffolds.
            The experimental findings revealed that compared with
            the CAD-based lattice structure, the TPMS-based lattice   2. Materials and methods
            structure exhibited superior mechanical properties,
            despite having the same porosity. It has been reported   2.1. Design of the porous scaffolds
            that a new, real human bone-inspired porous scaffold   The  function  expressions  of the  three TPMS  units, i.e.,
            with a gradient structure was developed, with the external   primitive (P), diamond (D), and gyroid (G), are shown
            dense bone primarily bearing the load and the internal   in Table 1,  where a is the constant coefficient related to
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            Volume 10 Issue 1 (2024)                       370                          https://doi.org/10.36922/ijb.1263
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