Cheng Meng-qi, Wahafu Tuerhongjiang, Jiang Guo-feng, Liu Wei, Qiao Yu-qin, Peng Xiao-chun, Cheng Tao, Zhang Xian-long, He Guo, Liu Xuan-yong
Department of Orthopedics, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China.
State Key Lab of Metal Matrix Composites, School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China.
Sci Rep. 2016 Apr 13;6:24134. doi: 10.1038/srep24134.
The traditional production methods of porous magnesium scaffolds are difficult to accurately control the pore morphologies and simultaneously obtain appropriate mechanical properties. In this work, two open-porous magnesium scaffolds with different pore size but in the nearly same porosity are successfully fabricated with high-purity Mg ingots through the titanium wire space holder (TWSH) method. The porosity and pore size can be easily, precisely and individually controlled, as well as the mechanical properties also can be regulated to be within the range of human cancellous bone by changing the orientation of pores without sacrifice the requisite porous structures. In vitro cell tests indicate that the scaffolds have good cytocompatibility and osteoblastic differentiation properties. In vivo findings demonstrate that both scaffolds exhibit acceptable inflammatory responses and can be almost fully degraded and replaced by newly formed bone. More importantly, under the same porosity, the scaffolds with larger pore size can promote early vascularization and up-regulate collagen type 1 and OPN expression, leading to higher bone mass and more mature bone formation. In conclusion, a new method is introduced to develop an open-porous magnesium scaffold with controllable microstructures and mechanical properties, which has great potential clinical application for bone reconstruction in the future.
多孔镁支架的传统生产方法难以精确控制孔隙形态并同时获得合适的力学性能。在这项工作中,通过钛丝空间保持器(TWSH)方法,成功地用高纯度镁锭制备了两种孔隙率相近但孔径不同的开孔多孔镁支架。孔隙率和孔径能够轻松、精确且独立地控制,并且通过改变孔隙方向,力学性能也能被调节至人体松质骨的范围内,同时不会牺牲所需的多孔结构。体外细胞测试表明,该支架具有良好的细胞相容性和成骨分化特性。体内研究结果表明,两种支架均表现出可接受的炎症反应,并且几乎可以完全降解并被新形成的骨组织替代。更重要的是,在相同孔隙率下,孔径较大的支架能够促进早期血管化并上调I型胶原蛋白和骨桥蛋白的表达,从而导致更高的骨量和更成熟的骨形成。总之,引入了一种新方法来开发具有可控微观结构和力学性能的开孔多孔镁支架,其在未来骨重建方面具有巨大的临床应用潜力。