Department of Biomechanical Engineering, Delft University of Technology, Delft 2628 CD, The Netherlands.
Department of Anatomy and Cell Biology, University Hospital RWTH Aachen, Aachen 52074, Germany; Department of Orthopedic Surgery, Maastricht UMC+, Maastricht 6202 AZ, The Netherlands.
Acta Biomater. 2019 Sep 15;96:646-661. doi: 10.1016/j.actbio.2019.07.013. Epub 2019 Jul 11.
Additively manufactured (AM) functionally graded porous metallic biomaterials offer unique opportunities to satisfy the contradictory design requirements of an ideal bone substitute. However, no functionally graded porous structures have ever been 3D-printed from biodegradable metals, even though biodegradability is crucial both for full tissue regeneration and for the prevention of implant-associated infections in the long term. Here, we present the first ever report on AM functionally graded biodegradable porous metallic biomaterials. We made use of a diamond unit cell for the topological design of four different types of porous structures including two functionally graded structures and two reference uniform structures. Specimens were then fabricated from pure iron powder using selective laser melting (SLM), followed by experimental and computational analyses of their permeability, dynamic biodegradation behavior, mechanical properties, and cytocompatibility. It was found that the topological design with functional gradients controlled the fluid flow, mass transport properties and biodegradation behavior of the AM porous iron specimens, as up to 4-fold variations in permeability and up to 3-fold variations in biodegradation rate were observed for the different experimental groups. After 4 weeks of in vitro biodegradation, the AM porous scaffolds lost 5-16% of their weight. This falls into the desired range of biodegradation rates for bone substitution and confirms our hypothesis that topological design could indeed accelerate the biodegradation of otherwise slowly degrading metals, like iron. Even after 4 weeks of biodegradation, the mechanical properties of the specimens (i.e., E = 0.5-2.1 GPa, σ = 8-48 MPa) remained within the range of the values reported for trabecular bone. Design-dependent cell viability did not differ from gold standard controls for up to 48 h. This study clearly shows the great potential of AM functionally graded porous iron as a bone substituting material. Moreover, we demonstrate that complex topological design permits the control of mechanical properties, degradation behavior of AM porous metallic biomaterials. STATEMENT OF SIGNIFICANCE: No functionally graded porous structures have ever been 3D-printed from biodegradable metals, even though biodegradability is crucial both for full tissue regeneration and for the prevention of implant-associated infections in the long term. Here, we present the first report on 3D-printed functionally graded biodegradable porous metallic biomaterials. Our results suggest that topological design in general, and functional gradients in particular can be used as an important tool for adjusting the biodegradation behavior of AM porous metallic biomaterials. The biodegradation rate and mass transport properties of AM porous iron can be increased while maintaining the bone-mimicking mechanical properties of these biomaterials. The observations reported here underline the importance of proper topological design in the development of AM porous biodegradable metals.
增材制造(AM)功能梯度多孔金属生物材料为满足理想骨替代物的矛盾设计要求提供了独特的机会。然而,尽管生物降解性对于完全组织再生和长期预防植入物相关感染至关重要,但迄今为止,还没有从可生物降解金属中 3D 打印出功能梯度多孔结构。在这里,我们首次报道了 AM 功能梯度可生物降解多孔金属生物材料。我们利用金刚石单元结构对四种不同类型的多孔结构进行拓扑设计,包括两种功能梯度结构和两种参考均匀结构。然后使用选择性激光熔化(SLM)从纯铁粉中制造出样品,并对其渗透性、动态生物降解行为、机械性能和细胞相容性进行了实验和计算分析。结果发现,功能梯度的拓扑设计控制了 AM 多孔铁样品的流体流动、传质特性和生物降解行为,因为不同实验组的渗透性变化高达 4 倍,生物降解速率变化高达 3 倍。在体外生物降解 4 周后,AM 多孔支架损失了 5-16%的重量。这落入了骨替代所需的生物降解率范围内,证实了我们的假设,即拓扑设计确实可以加速原本降解缓慢的金属(如铁)的生物降解。即使在生物降解 4 周后,样品的机械性能(即 E=0.5-2.1GPa,σ=8-48MPa)仍在报道的小梁骨值范围内。在长达 48 小时内,与金标准对照相比,设计相关的细胞活力没有差异。这项研究清楚地表明了 AM 功能梯度多孔铁作为骨替代材料的巨大潜力。此外,我们证明了复杂的拓扑设计可以控制 AM 多孔金属生物材料的机械性能和降解行为。研究意义:尽管生物降解性对于完全组织再生和长期预防植入物相关感染至关重要,但迄今为止,还没有从可生物降解金属中 3D 打印出功能梯度多孔结构。在这里,我们首次报告了 3D 打印功能梯度可生物降解多孔金属生物材料。我们的结果表明,拓扑设计通常,特别是功能梯度,可以用作调整 AM 多孔金属生物材料生物降解行为的重要工具。可以在保持这些生物材料骨模拟机械性能的同时,增加 AM 多孔铁的生物降解率和传质特性。这里报道的观察结果强调了在开发 AM 多孔可生物降解金属时进行适当拓扑设计的重要性。