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International Journal of Bioprinting                           3D printing in bone regeneration and bone repair





















































              Figure 7. Top 25 references with the strongest citation bursts for publications on three-dimensional printing in bone regeneration and bone repair.

            biomaterial-related  terms,  including  “extracellular  bone repair. For example, Ti-6Al-4V is an alloy with high
            matrix,” “titanium,” and “calcium phosphate.” Since bone   biocompatibility  and  superior  mechanical  qualities  that
                                                                                                   [43]
            is a complex tissue and its ECM consists of an organic   has been widely used in orthopedic implants . However,
            and inorganic phase, certain types of decellularized   metals have the risk of causing stress shielding, which
                                                                                            [44]
            extracellular matrices have been investigated as potential   may lead to peri-implant osteolysis . The average pore
                                         [40]
            material sources for BTE applications . There are benefits   size of Ti-6Al-4V  scaffolds can significantly influence
            in preserving the bone’s native structure, as shown in   the outcome of osseointegration and bone repair. For
            a study that cultured adipose-derived stem cells on a   instance, a study has confirmed that Ti-6Al-4V scaffolds
            3DP decellularized matrix scaffold, which increased   with an average pore size of 400 μm exhibited better
            calcification  in vivo and helped induce greater bone   osseointegration than those with larger or smaller pores .
                                                                                                           [45]
                      [41]
            regeneration . Calcium phosphate is a popular inorganic   Although mesoporous bioactive materials are not yet
            material frequently used as a component of 3DP scaffolds   in routine clinical use, they have emerged as effective
            for BTE. In one study, calcium phosphate was hybridized   preclinical strategies for bone regeneration. For example,
            with decellularized bone matrix to fabricate a 3DP   the high osteogenic capability of mesoporous bioactive
            polycaprolactone scaffold, which was shown to induce   nanoparticles has been demonstrated in an osteoporotic
                                                                          [46]
            effective bone regeneration in rabbit calvarial defect .   rabbit model . Novel biomaterial developments are
                                                        [42]
            Titanium is commonly used in metal-based implants for   needed to further improve 3DP scaffold systems so that the
            Volume 9 Issue 4 (2023)                        327                         https://doi.org/10.18063/ijb.737
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