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Additively Manufactured NiTi Implants
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           Figure 15. (A) The mechanical properties of NiTi with cubic and spherical pores. (B and C) The SEM images of fractured samples
                                                                                                             [91]
           (Reprinted from Materials Letters, 154, I. H. Abidi, F. A. Khalid, M. U. Farooq, et al., tailoring the pore morphology of porous nitinol with
           suitable mechanical properties for biomedical applications, 17–20, Copyright (2015), with permission from Elsevier).
           tissue can also coordinate the migration and differentiation   A
           of bone cells by delivering functional factors .
                                                [97]
               According to Oers  et al. , the contact  energy
                                      [98]
           with the bone (h ) is a function of the osteocyte signal
                         b
           (S) of bone cells  in  adjacent  bone  elements,  as shown
           in Figure 16. Two signal thresholds S  and S  are used.
                                           0
                                                  1
           If the osteoclast  signal is lower than S , the osteoclast
                                             0
           bone adhesion is strong. Between S  and S , the adhesion
                                        0
                                              1
           weakens, and above S , there  is no adhesion.  The
                                1
           Haversian system is a necessary structural unit to support   B
           long  bones,  and  its  pore  size  is  50–250  μm.  For bone
           formation in the pores, the pore size must be larger than
           the Haversian system. The length of osteoblasts is 20 μm
           and the capillary diameter is 10–15 μm .
                                            [98]
               Simultaneously, the size of the interconnected pores
           is crucial for the migration of cells and blood vessels .
                                                        [99]
           In theory, for cells and blood vessels to pass through the
           pore smoothly, the pore size must be larger than 35 μm.
           It is impossible to have capillaries and osteoblasts in the   Figure 16. (A) h  is a function of S. (B) Configurations of minimal
                                                                           b
           connected pores due to the need for space in the process   surface energy for different h b [98]   (Reprinted from Bone, 43(3), R. F.
           of cell migration and vascular growth . Furthermore, it   M. V. Oers, R. Ruimerman, B. V. Rietbergen, et al., relating osteon
                                           [65]
           confirms that the porous structure with 50–300 μm pore   diameter  to strain, 476–482, Copyright  (2008), with permission
           size and good connectivity is conducive to bone tissue   from Elsevier) .
           formation .
                   [88]
               In summary, good interconnectivity is an essential   mechanical  properties  and pore parameters  of porous
           condition for bone ingrowth after implantation.  In   samples. In Figure 17A, the pore size of NiTi is 400 μm,
           summary,  good  interconnectivity  and  proper  pore   and the porosity is 63.5%. The pore size of Ti-6Al-4V is
           parameters jointly lead to the optimization of osteogenesis   500 μm and the porosity is 68.37% (triangular), 42.34%
           effects.                                            (hexagonal),  and 66.65% (rectangular),  respectively. In
                                                               Figure 17B, the porosity of CP-Ti is 70%, the porosity of
           3.6. Relationship between mechanical properties
           and pore parameters                                 NiTi is 63.8%, and the porosity of Ti-6Al-4V is 42.34%.
                                                               In  Figure  17C, the  pore size of Ti-6Al-4V is 282  μm
           As mentioned above, porous biomaterials must provide   (29%) and 596 μm (51%), respectively. The pore size of
           mechanical performance requirements in the design step.   CP-Ti and Ti-TiB is both 400 μm, the pore size of Ti-25Ta
           Figure 17 shows a summary of the relationship between   is 606 μm, and the pore size of NiTi is 400 μm.

           26                          International Journal of Bioprinting (2021)–Volume 7, Issue 2
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