Liang Wenqing, Zhou Chao, Zhang Hongwei, Bai Juqin, Jiang Bo, Jiang Chanyi, Ming Wenyi, Zhang Hengjian, Long Hengguo, Huang Xiaogang, Zhao Jiayi
Department of Orthopaedics, Zhoushan Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, 355 Xinqiao Road, Dinghai District, Zhoushan, 316000, Zhejiang Province, China.
Department of Orthopedics, Zhoushan Guanghua Hospital, Zhoushan, 316000, China.
J Biol Eng. 2023 Aug 29;17(1):56. doi: 10.1186/s13036-023-00371-7.
The use of biodegradable polymers for treating bone-related diseases has become a focal point in the field of biomedicine. Recent advancements in material technology have expanded the range of materials suitable for orthopaedic implants. Three-dimensional (3D) printing technology has become prevalent in healthcare, and while organ printing is still in its early stages and faces ethical and technical hurdles, 3D printing is capable of creating 3D structures that are supportive and controllable. The technique has shown promise in fields such as tissue engineering and regenerative medicine, and new innovations in cell and bio-printing and printing materials have expanded its possibilities. In clinical settings, 3D printing of biodegradable metals is mainly used in orthopedics and stomatology. 3D-printed patient-specific osteotomy instruments, orthopedic implants, and dental implants have been approved by the US FDA for clinical use. Metals are often used to provide support for hard tissue and prevent complications. Currently, 70-80% of clinically used implants are made from niobium, tantalum, nitinol, titanium alloys, cobalt-chromium alloys, and stainless steels. However, there has been increasing interest in biodegradable metals such as magnesium, calcium, zinc, and iron, with numerous recent findings. The advantages of 3D printing, such as low manufacturing costs, complex geometry capabilities, and short fabrication periods, have led to widespread adoption in academia and industry. 3D printing of metals with controllable structures represents a cutting-edge technology for developing metallic implants for biomedical applications. This review explores existing biomaterials used in 3D printing-based orthopedics as well as biodegradable metals and their applications in developing metallic medical implants and devices. The challenges and future directions of this technology are also discussed.
使用可生物降解聚合物治疗骨相关疾病已成为生物医学领域的一个焦点。材料技术的最新进展扩大了适用于骨科植入物的材料范围。三维(3D)打印技术在医疗保健领域已变得普遍,虽然器官打印仍处于早期阶段并面临伦理和技术障碍,但3D打印能够创建具有支撑性和可控性的三维结构。该技术在组织工程和再生医学等领域已显示出前景,并且细胞和生物打印以及打印材料方面的新创新扩大了其可能性。在临床环境中,可生物降解金属的3D打印主要用于骨科和口腔科。3D打印的针对患者的截骨器械、骨科植入物和牙科植入物已获得美国食品药品监督管理局(FDA)批准用于临床。金属通常用于为硬组织提供支撑并预防并发症。目前,临床上使用的植入物中有70 - 80%由铌、钽、镍钛诺、钛合金、钴铬合金和不锈钢制成。然而,人们对镁、钙、锌和铁等可生物降解金属的兴趣日益增加,近期有众多相关研究发现。3D打印具有诸如制造成本低、能够制造复杂几何形状以及制造周期短等优点,已在学术界和工业界得到广泛应用。具有可控结构的金属3D打印是开发用于生物医学应用的金属植入物的前沿技术。本综述探讨了基于3D打印的骨科中使用的现有生物材料以及可生物降解金属及其在开发金属医疗植入物和器械方面的应用。还讨论了该技术面临的挑战和未来发展方向。