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International Journal of Bioprinting


                                        RESEARCH ARTICLE
                                        3D printing of drug-eluting bioactive

                                        multifunctional coatings for orthopedic
                                        applications



                                                     1
                                        Eben Adarkwa , Abhijit Roy , John Ohodnicki , Boeun Lee ,
                                                                2,3
                                                                                           2
                                                                                2
                                        Prashant N. Kumta 2,4,5 , Salil Desai *
                                                                     1
                                        1 Center of Excellence in Product Design and Advanced Manufacturing, North Carolina Agricultural
                                        and Technical State University, Greensboro, North Carolina, USA
                                        2 Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
                                        3 Kennametal Inc., Latrobe, Pennsylvania, USA
                                        4 Department of Chemical and Petroleum Engineering, University of Pittsburgh, Pittsburgh,
                                        Pennsylvania, USA
                                        5 Department of Mechanical Engineering and Materials Science, University of Pittsburgh, Pittsburgh,
                                        Pennsylvania, USA
                                        (This article belongs to the Special Issue: Additive Manufacturing of Functional Biomaterials)



                                        Abstract

                                        Three-dimensional (3D) printing is implemented for surface modification of titanium
                                        alloy substrates with multilayered biofunctional polymeric coatings. Poly(lactic-co-
                                        glycolic) acid (PLGA) and polycaprolactone (PCL) polymers were embedded with
                                        amorphous calcium phosphate (ACP) and vancomycin (VA) therapeutic agents
                                        to promote osseointegration and antibacterial activity, respectively. PCL coatings
            *Corresponding author:      revealed a uniform deposition pattern of the ACP-laden formulation and enhanced
            Salil Desai                 cell adhesion on the titanium alloy substrates as compared to the PLGA coatings.
            (sdesai@ncat.edu)
                                        Scanning electron microscopy and Fourier-transform infrared spectroscopy
            Citation: Adarkwa E, Roy A,   confirmed a nanocomposite structure of ACP particles showing strong binding with
            Ohodnicki J, et al., 2023, 3D   the polymers. Cell viability data showed comparable MC3T3 osteoblast proliferation
            printing of drug-eluting bioactive
            multifunctional coatings for   on polymeric coatings as equivalent to positive controls. In vitro live/dead assessment
            orthopedic applications. Int J   indicated higher cell attachments for 10 layers (burst release of ACP) as compared to 20
            Bioprint, 9(2): 661.        layers (steady release) for PCL coatings. The PCL coatings loaded with the antibacterial
            https://doi.org/10.18063/ijb.v9i2.661
                                        drug VA displayed a tunable release kinetics profile based on the multilayered design
            Received: July 02, 2022     and drug content of the coatings. Moreover, the concentration of active VA released
            Accepted: September 02, 2022  from the coatings was above the minimum inhibitory concentration and minimum
                                        bactericidal concentration, demonstrating its effectiveness against Staphylococcus
            Published Online: January 04, 2023
                                        aureus bacterial strain. This research provides a basis for developing antibacterial
            Copyright: © 2023 Author(s).   biocompatible coatings to promote osseointegration of orthopedic implants.
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: Antibacterial; 3D printing; Orthopedic implants; Osseointegration; Polymeric
            License, permitting distribution,   coatings; Therapeutic agents
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: Whioce
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   Tissue surface modification is implemented on a medical implant device to enhance
            affiliations.               its biocompatibility, wear resistance, corrosion resistance, performance, and therapeutic

            Volume 9 Issue 2 (2023)                        158                      https://doi.org/10.18063/ijb.v9i2.661
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