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Full Critical Reviews

Boosting bone regeneration using augmented melt-extruded additive-manufactured scaffolds

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Pages 755-785 | Received 28 Mar 2022, Accepted 21 Nov 2022, Published online: 16 Dec 2022
 

ABSTRACT

Bone tissue engineering (BTE) is in active search of the ideal scaffold to give a clinical solution for bone regeneration in non-union fractures. During the last decades, the use of additive manufacturing (AM), and, in particular, melt extrusion AM (ME-AM), has been investigated towards this aim. ME-AM enables the fabrication of personalized 3D scaffolds, with a controlled and highly interconnected porosity, through the solvent-free processing of biodegradable and mechanically robust polymers. In addition to these properties matching the requirements for BTE scaffolds, the polymers used to fabricate these constructs are also more amenable for further functionalization than metals or ceramics, to influence cell behaviour, making thermoplastic materials a preferred choice for BTE. This review provides a comprehensive analysis of various ME-AM scaffolds developed for BTE, along with approaches used to augment their bioactivity, which includes architectural, surface physical and chemical modifications, the incorporation of secondary fibrous or hydrogel networks within the scaffold pores, and the use of composites for ME-AM scaffold fabrication.

Acknowledgment

The authors are grateful to H2020-NMP-PILOTS-2015 (GA n. 685825) for financial support. We are also grateful to the project 3DMENTOR (with project number 18647) of the VICI research programme, which is financed by the Dutch Research Council (NWO).

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by H2020 Industrial Leadership [grant number 685825].