Yuan Bo, Zhou Sheng-Yuan, Chen Xiong-Sheng
Department of Orthopedic Surgery, Shanghai Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China.
J Zhejiang Univ Sci B. 2017;18(4):303-315. doi: 10.1631/jzus.B1600118.
Bone defects arising from a variety of reasons cannot be treated effectively without bone tissue reconstruction. Autografts and allografts have been used in clinical application for some time, but they have disadvantages. With the inherent drawback in the precision and reproducibility of conventional scaffold fabrication techniques, the results of bone surgery may not be ideal. This is despite the introduction of bone tissue engineering which provides a powerful approach for bone repair. Rapid prototyping technologies have emerged as an alternative and have been widely used in bone tissue engineering, enhancing bone tissue regeneration in terms of mechanical strength, pore geometry, and bioactive factors, and overcoming some of the disadvantages of conventional technologies. This review focuses on the basic principles and characteristics of various fabrication technologies, such as stereolithography, selective laser sintering, and fused deposition modeling, and reviews the application of rapid prototyping techniques to scaffolds for bone tissue engineering. In the near future, the use of scaffolds for bone tissue engineering prepared by rapid prototyping technology might be an effective therapeutic strategy for bone defects.
由各种原因引起的骨缺损如果没有骨组织重建就无法得到有效治疗。自体骨移植和异体骨移植已在临床应用中使用了一段时间,但它们存在缺点。由于传统支架制造技术在精度和可重复性方面存在固有缺陷,骨外科手术的效果可能并不理想。尽管引入了骨组织工程,为骨修复提供了一种强大的方法,但情况依然如此。快速成型技术作为一种替代方法出现,并已在骨组织工程中广泛应用,在机械强度、孔隙几何形状和生物活性因子方面增强了骨组织再生,并克服了传统技术的一些缺点。本文综述聚焦于各种制造技术的基本原理和特点,如立体光刻、选择性激光烧结和熔融沉积建模,并回顾了快速成型技术在骨组织工程支架中的应用。在不久的将来,使用快速成型技术制备的骨组织工程支架可能是治疗骨缺损的一种有效策略。