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Zhou, et al.
           inhibition  efficiency  for  laser  processed  Zn  implant   the  processing defects  related to LPBF such as pore
           reaches 34.28% . In fact, the released Zn ions can   formation, crack, oxidation, and residual stress should be
                         [79]
           be adsorbed to the bacteria surface by Coulomb force,   further studied. Effect of multi-alloy elements in Zn matrix
           which interferes with cell wall synthesis, thus leading to   on the formation quality also deserves attention. A fact
           the loss of cell wall integrity [171] . On the other hand, once   is that LPBF of Zn is a very complex non-equilibrium
           Zn ions penetrate the cell wall, it can replace the cation   metallurgical process, which involves physical processes
           position of the cell membrane, thereby destroying the cell   such  as  melting,  evaporation,  solidification,  and  solid-
           membrane metabolism  and structure [172] . However, the   state  phase transformation. The  composition,  structure,
           antibacterial effect of Zn ion is limited. Till now, Cu, Ag,   and properties  of materials  have changed  dramatically.
           and Ce that possessed powerful antibacterial effect were   From this aspect, it is still necessary to clarify the basic
           added into Zn-based implants [79,173,174] . One concern is that   theory of laser manufacturing Zn metal and realize the
           the addition of these alloying elements may reduce the   additive manufacturing process with high reliability, high
           biocompatibility of Zn implants to a certain extent, since   precision, and high flexibility.
           they have lower tolerance than Zn in the human body.    (3)  Porous  scaffolds  possess  high  specific  surface
           Furthermore, the reports on the LPBF of antibacterial   area,  which leads to relatively high degradation  rate
           Zn-based  implants are  in the  form of multiple  powder   compared with the bulk samples. In this case, the gradient
           mixtures, such as Zn powder and Nd powder. It is difficult   structure, topology structure, material design, or special
           to ensure the microstructure uniformity of as-built parts.   surface  modification  of  LPBF-prepared  Zn  porous
           From this point of view, it is necessary to develop special   scaffolds need to be studied, aiming to keep mechanical
           antibacterial Zn-based functional powder for LPBF.  integrity  during reconstruction.  In addition,  Zn-based
                                                               implants  with interconnected  pores provide necessary
           6. Remarks and perspectives                         growth space for ingrowth of tissue cells. Considering
           LPBF is regarded as an ideal process for the fabrication   this factor, the effect of porous scaffolds with different
           of Zn implants, since it can precisely control the inner   structures on biocompatibility deserves attention. Great
           porous structure and outer complex shape. The resulting   numbers of in vitro studies for LPBF-fabricated Zn-based
           formation quality and properties including mechanical   implants have highlighted promising result. However, the
           and  degradation  of  LPBF-processed  Zn  implants  are   assessment and mechanism of the biological interactions
           decided  by the powder properties,  processing,  design,   between released Zn ions and other ions still lack related
           and  chemical  component. Although great  progress has   in  vivo studies.  Therefore,  comprehensive  tests  using
           been achieved in understanding and optimizing  the   various animal models and implant locations should be
           LPBF-processed Zn in the last several years, the current   performed in the future work.
           development is still in the infancy stage as compared with
           other biomedical metal. Therefore, to realize the clinical   Acknowledgments
           application of LPBF-processed Zn, a considerable amount   This study was supported by the  following  funds:
           of researches are necessarily considered in the future.  (1)  Anhui Provincial  Natural Science  Foundation
               (1)  The implants require the metal  materials  to   (2008085ME149);  (2) Anhui  Provincial  Top Academic
           provide appropriate  mechanical  properties, suitable   Aid Program for Discipline  (Major)  Talents of Higher
           corrosion rate and excellent biocompatibility, as well as   Education  Institutions  (gxbjZD2020087); (3)  Anhui
           biological activity in human body. Usually, the mechanical   Provincial  Natural  Science  Research  Key  Program
           and degradable performances are strongly decided by the   of Higher Education  Institutions  (KJ2020A0693,
           microstructure,  which results from alloy composition   KJ2020A0700); (4)  Academic  Leader  and  Backup
           design, element  selection,  and process parameters.  At   Candidate  Research Project of  Tongling University
           present, the Zn powder used for LPBF is developed based
           on the traditional manufacturing process. During LPBF of   (2020tlxyxs02,  2020tlxyxs04);  (5) Key  Laboratory
           Zn-based metal, the chemical composition usually varies   of  Construction  Hydraulic  Robots  of  Anhui  Higher
                                                               Education  Institutes, Tongling University (TLXYCHR-
           due to the metal evaporation. As a result, the chemical   O-21YB01); (6) Jiangxi Key Laboratory  of Forming
           composition of the final parts may deviate far from the
           composition of the initial  powder, which may have an   and Joining  Technology for  Aerospace Components,
           important  impact  on its microstructure and properties.   Nanchang Hangkong University (EL202180264); and
           According to the requirements of clinical performance,   (7) Jiangsu Key Laboratory  of Precision  and  Micro-
           the development of specialized Zn-based powder for   Manufacturing Technology.
           LPBF is an urgent issue to be addressed.            Conflict of interest
               (2)  Although the microstructure and formation
           quality  of Zn metals  have been preliminarily  studied,   The authors declare no known conflicts of interest.

                                       International Journal of Bioprinting (2022)–Volume 8, Issue 1        87
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