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International Journal of Bioprinting


                                        CLINICAL CASE STUDY
                                        The first 3D-bioprinted personalized active bone

                                        to repair bone defects: A case report



                                        Yongqiang Hao 1,2,3† *, Bojun Cao 1,2,3† , Liang Deng 1,2,3 , Jiaxin Li 1,2,3,4 , Zhaoyang Ran 1,2,3 ,
                                        Junxiang Wu 1,2,3 , Boran Pang 1,2,3 , Jia Tan 1,2,3 , Dinghao Luo 1,2,3 , Wen Wu 1,2,3

                                        1 Clinical and Translational Research Center for 3D Printing Technology, Shanghai Ninth People’s
                                        Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China
                                        2 Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai
                                        Ninth  People’s  Hospital,  Shanghai  Jiao Tong  University  School  of  Medicine,  Shanghai,  200011,
                                        China
                                        3 Shanghai Engineering Research Center of Innovative Orthopaedic Instruments and Personalized
                                        Medicine, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine,
                                        Shanghai, 200011, China
                                        4 Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, Harbin,
                                        China
                                        (This article belongs to the Special Issue: Novel Methods, Processes, and Materials of Bioprinting)




                                        Abstract

                                        The repair and reconstruction of bone defects are still major problems to be solved in
                                        the field of orthopedics. Meanwhile, 3D-bioprinted active bone implants may provide
                                        a new and effective solution. In this case, we used bioink prepared from the patient’s
            † These authors contributed equally
            to this work.               autologous platelet-rich plasma (PRP) combined with polycaprolactone/β-tricalcium
                                        phosphate (PCL/β-TCP) composite scaffold material to print personalized PCL/β-TCP/
            *Corresponding authors:     PRP active scaffolds layer by layer through 3D bioprinting technology. The scaffold
            Yongqiang Hao
            (hyq_9hospital@hotmail.com)  was then applied in the patient to repair and reconstruct bone defect after tibial
                                        tumor resection. Compared with traditional bone implant materials, 3D-bioprinted
            Citation: Hao Y, Cao B, Deng L,
            et al., 2023, The first 3D-bioprinted   personalized active bone will have significant clinical application prospects due to its
            personalized active bone to repair   advantages of biological activity, osteoinductivity, and personalized design.
            bone defects: A case report. Int J
            Bioprint, 9(2): 654.
            https://doi.org/10.18063/ijb.v9i2.654  Keywords: Bone defect; 3D bioprinting; Personalized active bone; Platelet-rich plasma
            Received: October 23, 2022
            Accepted: December 8, 2023
            Published Online: December 22,   1. Background
            2022
                                        Bone defects caused by trauma, infection, tumor resection, and other factors are
            Copyright: © 2022 Author(s).                                                                   [1,2]
            This is an Open Access article   still a major problem that urgently needs to be solved in the field of orthopedics  .
            distributed under the terms of the   Conventional treatment methods include autologous bone, allogeneic bone, or artificial
            Creative Commons Attribution   bone implantation, but these methods can only provide scaffold for the ingrowth of new
            License, permitting distribution,
            and reproduction in any medium,   cells; the repair and regeneration of bone also require the ingrowth of macrophages,
            provided the original work is   osteoclasts, osteoblasts, and blood vessels, with the defects being completely replaced
            properly cited.             by new bone after crawling replacement, followed by reconstruction and shaping
            Publisher’s Note: Whioce    that  ultimately  completes  the  repair [3,4] .  The  traditional  treatment  method  may  lead
            Publishing remains neutral with   to increased risk of surgical traumas after autologous bone transplantation as well as
            regard to jurisdictional claims in
            published maps and institutional   increased risk of infections transmitted by allogeneic bone transplantation and as a
            affiliations.               result of immune rejection. In addition, limited bone source is also another challenge


            Volume 9 Issue 2 (2023)                         70                      https://doi.org/10.18063/ijb.v9i2.654
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