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个性化 3D 打印骨支架:综述。

Personalized 3D printed bone scaffolds: A review.

机构信息

Biomaterials and Tissue Engineering Research Unit, School of Biomedical Engineering, The University of Sydney, NSW 2006, Australia; Australian Research Council Training Centre for Innovative Bioengineering, Sydney, NSW 2006, Australia; School of Mechanical, Medical and Process Engineering, Queensland University of Technology, 2 George St., Brisbane, QLD 4000 Australia.

Biomaterials and Tissue Engineering Research Unit, School of Biomedical Engineering, The University of Sydney, NSW 2006, Australia.

出版信息

Acta Biomater. 2023 Jan 15;156:110-124. doi: 10.1016/j.actbio.2022.04.014. Epub 2022 Apr 13.

Abstract

3D printed bone scaffolds have the potential to replace autografts and allografts because of advantages such as unlimited supply and the ability to tailor the scaffolds' biochemical, biological and biophysical properties. Significant progress has been made over the past decade in additive manufacturing techniques to 3D print bone grafts, but challenges remain in the lack of manufacturing techniques that can recapitulate both mechanical and biological functions of native bones. The purpose of this review is to outline the recent progress and challenges of engineering an ideal synthetic bone scaffold and to provide suggestions for overcoming these challenges through bioinspiration, high-resolution 3D printing, and advanced modeling techniques. The article provides a short overview of the progress in developing the 3D printed scaffolds for the repair and regeneration of critical size bone defects. STATEMENT OF SIGNIFICANCE: Treatment of critical size bone defects is still a tremendous clinical challenge. To address this challenge, diverse sets of advanced manufacturing approaches and materials have been developed for bone tissue scaffolds. 3D printing has sparked much interest because it provides a close control over the scaffold's internal architecture and in turn its mechanical and biological properties. This article provides a critical overview of the relationships between material compositions, printing techniques, and properties of the scaffolds and discusses the current technical challenges facing their successful translation to the clinic. Bioinspiration, high-resolution printing, and advanced modeling techniques are discussed as future directions to address the current challenges.

摘要

3D 打印的骨支架具有取代自体移植物和同种异体移植物的潜力,因为其具有无限供应和定制支架生化、生物和生物物理特性的优势。在过去十年中,在用于 3D 打印骨移植物的增材制造技术方面取得了重大进展,但在缺乏能够再现天然骨机械和生物学功能的制造技术方面仍然存在挑战。本文的目的是概述工程理想的合成骨支架的最新进展和挑战,并通过仿生学、高分辨率 3D 打印和先进的建模技术提供克服这些挑战的建议。本文简要概述了开发用于修复和再生临界尺寸骨缺损的 3D 打印支架的进展。意义声明:治疗临界尺寸骨缺损仍然是一个巨大的临床挑战。为了解决这一挑战,已经开发了多种先进的制造方法和材料用于骨组织支架。3D 打印引起了广泛的兴趣,因为它可以对支架的内部结构进行精细控制,从而控制其机械和生物性能。本文对材料成分、打印技术和支架性能之间的关系进行了批判性的综述,并讨论了成功将其转化为临床应用所面临的当前技术挑战。本文讨论了仿生学、高分辨率打印和先进的建模技术作为解决当前挑战的未来方向。

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