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International Journal of Bioprinting                                 Structural design of D-surface scaffolds




            analysis was measured from the testing  data (Figure   when implanted in the rabbit femur defects compared to
            12a–c). The results demonstrated that the implantation of   the other samples, and the defect size was greatly reduced
            PRP-loaded scaffolds effectively promoted the generation   four weeks after implantation.
            of  new bone  with  decreased  defect  size (Figure  12a).    Therefore, the current work offers insights into
            From the side view, the defect length was decreased from   the structural design of minimal surface and material
            0.39 to 0.37, 0.35, and 0.28 cm at 1, 2, and 4 weeks after   bioactivity for bone scaffolds, fostering the development of
            implantation, respectively. From the top view, the defect area
            was 11, 9.47, 8.32, and 6.99 mm  at 0, 1, 2, and 4 weeks after   bone implants through a bionics perspective.
                                     2
            implantation, indicating enhanced bone repair. Moreover, 4   Acknowledgments
            weeks after implantation, the femur containing the PBAT/
            PLA+PRP scaffolds was collected. It was observed that PRP-  None.
            loaded scaffolds stimulated the formation of evident calluses
            surrounding the defect sites. The scaffolds were not detected   Funding
            since the polymeric materials were radiolucent in contrast   This  work  was  financially  supported  by  the  National
            with the femur bone. Specifically, some new-generated bone
            tissues were observed in the porous scaffolds, suggesting   Natural Science Foundation of China (No. 52175216), the
            effective new bone formation. Both clinical CT and micro-  Fundamental Research Funds for the Central Universities
            CT demonstrated that PRP exhibited a positive effect on the   (DUT23YG220),  the  “1+X”  program  for  Clinical
            formation of new bones. 35,36                      Competency Enhancement–Interdisciplinary Innovation
                                                               Project, the Second Hospital of Dalian Medical University
            4. Conclusion                                      (No. 2022JCXKYB21), and the Dalian Medical University
                                                               Interdisciplinary Research Cooperation Project Team
            In this paper, biodegradable PBAT/PLA tissue engineering   Funding (JCHZ2023011).
            scaffolds with biomimetic structures and bioactive PRP-
            loading were successfully fabricated by FFF 3D printing   Conflict of interest
            technology. The key properties including the mechanical
            and biological performance were explored.          The authors declare no conflicts of interest.
               For the structural design, the graded D-surface   Author contributions
            structure was proposed and generated by Rhino software,
            including a gradient thickness from top to bottom and   Conceptualization: Yiping Zhao, Shanglian Ju
            from center to outer edge. The mechanical performance of   Formal analysis: Fei Wang, Jiawei Hu
            the 3D-printed scaffolds demonstrated that both the two   Investigation: Yiping Zhao, Shanglian Ju, Jiawei Hu, Kun
            kinds of graded samples exhibit better load-carrying and   Guo, Lin Sang, Tang Liu, Yuxin Lin
            energy absorption capacity than the uniform structures   Methodology: Tang Liu, Yuxin Liu
            with  the  same  relative  density.  The  interconnected  and   Writing – original draft: Tang Liu, Lin Sang
            continuous surface structures endowed the D-surface   Writing – review & editing:  Yiping  Zhao, Kun  Guo,
            scaffolds with  robust and stable  support, making them   Xiaohong Shu
            a good candidate as artificial scaffolds. The internal
            microstructure examined by CT confirmed the variation   Ethics approval and consent to participate
            in thickness for the D-surface scaffolds. Meanwhile, after   Experimental animal research was approved by the Animal
            compression loading, no obvious damage was detected in   Ethics Committee (IAEC) of the Dalian Medical University
            the deformed scaffold samples, highlighting the toughness   (approval number: AEE22048).
            of the biodegradable composite materials.

               Subsequently, PRP with diverse cytokines was loaded   Consent for publication
            on the graded scaffolds, and the  in vitro cell biological   Not applicable.
            activity suggests an enhancement in cell proliferation and
            osteoblast differentiation. Furthermore, the PRP-loaded   Availability of data
            D-surface scaffold displayed enhanced early-stage bone
            regeneration for femoral condyle defect repair. More new   Data that support the findings of this study are available
            bone tissues were formed in PBAT/PLA+PRP scaffolds   from the corresponding authors upon reasonable request.





            Volume 10 Issue 5 (2024)                       195                                doi: 10.36922/ijb.3416
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