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International

                                                                         Journal of Bioprinting



                                        REVIEW ARTICLE
                                        3D bioprinting techniques and hydrogels for

                                        osteochondral integration regeneration



                                        Haiwei Tang 1† id , Enze Zhao 1† id , Yahao Lai 1 id , Anjin Chen , Xiaoting Chen ,
                                                                                       1
                                                                                                     1
                                        Weinan Zeng , Xulin Hu * , Kai Zhou * , and Zongke Zhou *
                                                   1
                                                                        1 id
                                                            2 id
                                                                                           1 id
                                        1  Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan
                                        University, Chengdu, Sichuan, China
                                        2   Department  of  Orthopaedics,  Clinical  Medical  College  and  Affiliated  Hospital  of  Chengdu
                                        University, Chengdu, Sichuan, China
                                        Abstract

                                        Despite considerable advancements in regenerative medicine, restoring the
                                        osteochondral interface and facilitating the integration of osteochondral
                                        regeneration remain significant clinical conundrums. This challenge is predominantly
                                        attributed to the scarcity of appropriate tissue engineering materials for replacing
                                        osteochondral defects and facilitating tissue regeneration. 3D bioprinting constitutes
                                        a promising approach for bone fabrication, as it not only allows for the design of
            † These authors contributed equally
            to this work.               precise personalized scaffolds but also encapsulates cells and growth factors, with
                                        the potential to replicate the functions of native tissues. Many critical properties
            *Corresponding authors:
            Xulin Hu                    of hydrogels, such as their mechanical properties, elasticity, and bioactivity, make
            (huxulin1993@cdu.edu.cn)    them the most prevalently utilized bioinks in tissue engineering. In addition, their
            Kai Zhou                    structure can be easily adjusted to meet the needs of different situations. Therefore,
            (zhoukai_scu@scu.edu.cn)    3D-bioprinted hydrogel scaffolds may have promising prospects for integrated
            Zongke Zhou                 osteochondral repair and are receiving increasing attention. In this review, we
            (zhouzongke@scu.edu.cn)
                                        describe the current problems encountered in the field of osteochondral integration
            Citation: Tang H, Zhao E, Lai Y,   repair and review the latest advances in current 3D printing technology and 3D
            et al. 3D bioprinting techniques   bioprinting hydrogel scaffolds. We propose prospects for the development of novel
            and hydrogels for osteochondral
            integration regeneration.    3D-bioprinted hydrogel scaffolds, providing cues for future research directions.
            Int J Bioprint. 2024;10(6):4472.
            doi: 10.36922/ijb.4472
                                        Keywords: Osteochondral integration repair; 3D-bioprinted; Hydrogels
            Received: August 7, 2024
            Revised: August 27, 2024
            Accepted: September 9, 2024
            Published Online: September 10,
            2024                        1. Introduction
            Copyright: © 2024 Author(s).
            This is an Open Access article   The osteochondral tissue is composed of a cartilage layer, a bone-cartilage interface, and
            distributed under the terms of the   subchondral bone. Articular cartilage, when involved in joint function, is capable of
            Creative Commons Attribution   enduring mechanical load stress and lubricating friction during movement.  Owing
                                                                                                      1,2
            License, permitting distribution,
            and reproduction in any medium,   to its  close  structural connection, cartilage  damage caused by trauma, aging, and
            provided the original work is   degeneration often extends to the interface and subchondral bone layers, leading to the
            properly cited.             formation of osteochondral defects (OCDs).  As OCDs progress, they can result in
                                                                            3,4
            Publisher’s Note: AccScience   joint pain, deformity, limited range of motion, and even dysfunction, eventually leading
            Publishing remains neutral with   to osteoarthritis (OA).  In general, there are many differences in chemical composition
                                                          5
            regard to jurisdictional claims in
            published maps and institutional   and mechanical, structural, electrical, and oxygen and nutritional consumption between
                                                                  6,7
            affiliations.               articular and subchondral bone.  The cartilage layer is characterized by a soft and
            Volume 10 Issue 6 (2024)                        67                                doi: 10.36922/ijb.4472
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