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International Journal of Bioprinting                               Osteoconduction and scaffold directionality























            Figure 1. Construction of scaffold from the unit cell to microarchitecture. (A) A unit cell exemplified for filaments of 0.5 mm is patterned (B) and stacked
            (C) to form the filament-based microarchitecture.
            remaining ceramic particles were sintered to increase the   The bony regenerated area is the percentage of bone and
            density with a dwell time of 3 h at 1100°C.        bony integrated scaffold in the AOI (bony area, %). Bony
                                                               bridging, as a measure of osteoconduction, was performed
            2.2. Surgical procedure                            as reported earlier [2,31] . In essence, bone tissue in the AOI as
            Eighteen (6–8 months old) female New Zealand White   well as bony integrated scaffold is projected onto the x-axis.
            rabbits were used to examine the osteoconductivity of   The sum of stretches of the x-axis where bone formation
            filament-based scaffolds from this library. Animals were   had occurred at any level in relation to the defect width
            either treated with Fil-type or FilG-type implants using   (6 mm) yield in bony bridging provided as percentage of
                               [2]
            a calvarial defect model . The protocol was in line with   defect width.
            the European Union Directive 2010/63/EU and accepted
            by the local authorities (065/2018). In brief, animals were   2.4. Statistics
            anesthetized before surgery by injection of 65 mg/kg   Statistic was performed as previously reported [2,31] . Values
            ketamine and 4 mg/kg xylazine and maintained during the   are expressed as mean ± standard deviation or displayed in
            operation with a mix of isoflurane and O . Next, the skin   graphs as median ± lower/upper quartile.
                                             2
            on top the cranium was disinfected and an incision was
            made from the nasal bone to the mid-sagittal crest. After   3. Results
            the soft tissue was deflected and fixed, the periosteum was
            removed. By the use of a 6-mm trephine bur, four defects   3.1. Scaffold library
            were marked. Inside this mark, all defects were completed   After debinding and sintering, all scaffolds appeared white
            with rose burrs of 5 mm in diameter, followed by a burr   to indicate that the yellowish binder was removed during
            with a 1 mm diameter to preserve the dura. Each animal   the sinter process. The generation of scaffolds with finer
            received all the four treatment modalities for Fil- or FilG-  filaments of 0.35 mm failed for the FilG-type arrangement,
            based scaffold types. The Fil treatments were labeled   showing the constrains of our production methodology. In
            Fil040, Fil050, Fil083, and Fil125, and the FilG treatments   Table 1, the characteristics of all scaffolds are displayed.
            were labeled FilG040, FilG050, FilG083, and FilG125.   The macroporosity and transparency of all scaffolds are
            Four weeks after the operation, the rabbits received   identical. For Fil-type scaffolds, all filaments point toward
            general anesthesia and were sacrificed by an overdose of   the direction of bone growth; for FilG-type scaffolds, only
            pentobarbital to harvest the samples for methacrylate   50% of the filaments point toward bone growth direction.
            embedding .
                     [2]
                                                                  The overall design strategy is displayed in Figure 2 as Fil-
            2.3. Histomorphometry                              type and respective FilG-type of identical rod dimension and
            The  image  analysis  software  (Image-Pro Plus®;  Media   rod distance are derived from the same microarchitecture
            Cybernetic, Silver Springs, MD) was used to evaluate the   (Figure 2A). Directionality of filaments in respect to the
            ground section of each sample from the middle of each   advancement of the bone front during the repair of the
            implant. The area of interest (AOI) was limited by the   defect is 100% for the Fil-type scaffolds but only 50% for the
            defect margins, which were 6 mm apart, and the area   FilG-type scaffolds, since in the latter case, 50% of filaments
            fraction of the implant submerged into the bony defect.   are orthogonal oriented (Figure 2B). Moreover, 3D and 2D


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            Volume 9 Issue 1 (2023)olume 9 Issue 1 (2023)   65                      https://doi.org/10.18063/ijb.v9i1.626
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