Mechanical properties of bioactive glass (13-93) scaffolds fabricated by robotic deposition for structural bone repair.

There is a need to develop synthetic scaffolds to repair large defects in load-bearing bones. Bioactive glasses have attractive properties as a scaffold material for bone repair, but data on their mechanical properties are limited. The objective of the present study was to comprehensively evaluate the mechanical properties of strong porous scaffolds of silicate 13-93 bioactive glass fabricated by robocasting. As-fabricated scaffolds with a grid-like microstructure (porosity 47%, filament diameter 330μm, pore width 300μm) were tested in compressive and flexural loading to determine their strength, elastic modulus, Weibull modulus, fatigue resistance, and fracture toughness. Scaffolds were also tested in compression after they were immersed in simulated body fluid (SBF) in vitro or implanted in a rat subcutaneous model in vivo. As fabricated, the scaffolds had a strength of 86±9MPa, elastic modulus of 13±2GPa, and a Weibull modulus of 12 when tested in compression. In flexural loading the strength, elastic modulus, and Weibull modulus were 11±3MPa, 13±2GPa, and 6, respectively. In compression, the as-fabricated scaffolds had a mean fatigue life of ∼10(6) cycles when tested in air at room temperature or in phosphate-buffered saline at 37°C under cyclic stresses of 1-10 or 2-20MPa. The compressive strength of the scaffolds decreased markedly during the first 2weeks of immersion in SBF or implantation in vivo, but more slowly thereafter. The brittle mechanical response of the scaffolds in vitro changed to an elasto-plastic response after implantation for longer than 2-4weeks in vivo. In addition to providing critically needed data for designing bioactive glass scaffolds, the results are promising for the application of these strong porous scaffolds in loaded bone repair.

[1]  T. Oxland,et al.  Elasticity and Viscoelasticity of Human Tibial Cortical Bone Measured by Nanoindentation , 2005 .

[2]  N Verdonschot,et al.  Creep behavior of hand-mixed Simplex P bone cement under cyclic tensile loading. , 1994, Journal of applied biomaterials : an official journal of the Society for Biomaterials.

[3]  G. B. Stark,et al.  Tissue engineering of bone , 2002, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[4]  R. M. Cannon,et al.  Stress-corrosion crack growth of Si-Na-K-Mg-Ca-P-O bioactive glasses in simulated human physiological environment. , 2007, Biomaterials.

[5]  Youxin Hu,et al.  Mechanical characteristics of solid-freeform-fabricated porous calcium polyphosphate structures with oriented stacked layers. , 2011, Acta biomaterialia.

[6]  Francesco Baino,et al.  Three-dimensional glass-derived scaffolds for bone tissue engineering: current trends and forecasts for the future. , 2011, Journal of biomedical materials research. Part A.

[7]  M. Matthewson,et al.  Mechanical properties of ceramics , 1996 .

[8]  Chiara Renghini,et al.  Micro-CT studies on 3-D bioactive glass-ceramic scaffolds for bone regeneration. , 2009, Acta biomaterialia.

[9]  A. Boccaccini,et al.  Poly(D,L-lactic acid) coated 45S5 Bioglass-based scaffolds: processing and characterization. , 2006, Journal of biomedical materials research. Part A.

[10]  F. Boschet,et al.  Weibull Parameters and the Tensile Strength of Porous Phosphate Glass-Ceramics , 2004 .

[11]  N. Fleck,et al.  The fracture toughness of a cordierite square lattice , 2010 .

[12]  Fernando Guiberteau,et al.  Improving the compressive strength of bioceramic robocast scaffolds by polymer infiltration. , 2010, Acta biomaterialia.

[13]  D. Day,et al.  Accelerated Conversion of Silicate Bioactive Glass (13‐93) to Hydroxyapatite in Aqueous Phosphate Solution Containing Polyanions , 2009 .

[14]  Delbert E Day,et al.  Bioactive glass in tissue engineering. , 2011, Acta biomaterialia.

[15]  Aldo R Boccaccini,et al.  A review of the biological response to ionic dissolution products from bioactive glasses and glass-ceramics. , 2011, Biomaterials.

[16]  Delbert E. Day,et al.  Freeze extrusion fabrication of 13–93 bioactive glass scaffolds for bone repair , 2011, Journal of materials science. Materials in medicine.

[17]  S. Takagi,et al.  In-situ hardening hydroxyapatite-based scaffold for bone repair , 2005, Journal of materials science. Materials in medicine.

[18]  Julian R Jones,et al.  Review of bioactive glass: from Hench to hybrids. , 2013, Acta biomaterialia.

[19]  T. Michalske,et al.  A Molecular Mechanism for Stress Corrosion in Vitreous Silica , 1983 .

[20]  E Y Chao,et al.  Internal forces and moments in the femur during walking. , 1997, Journal of biomechanics.

[21]  Amy J Wagoner Johnson,et al.  A review of the mechanical behavior of CaP and CaP/polymer composites for applications in bone replacement and repair. , 2011, Acta biomaterialia.

[22]  A. M. Deliormanlı,et al.  Direct-write assembly of silicate and borate bioactive glass scaffolds for bone repair , 2012 .

[23]  张哉根,et al.  Leu-M , 1991 .

[24]  T P Schmalzried,et al.  Quantitative Assessment of Walking Activity after Total Hip or Knee Replacement* , 1998, The Journal of bone and joint surgery. American volume.

[25]  S A Goldstein,et al.  Perspectives on tissue engineering of bone. , 1999, Clinical orthopaedics and related research.

[26]  Hiroshi Tada,et al.  The stress analysis of cracks handbook , 2000 .

[27]  U. Koch,et al.  Bone-muscle strength indices for the human lower leg. , 2000, Bone.

[28]  W. Lu,et al.  Bioactive borosilicate glass scaffolds: in vitro degradation and bioactivity behaviors , 2009, Journal of materials science. Materials in medicine.

[29]  Francesco Brun,et al.  Microstructural characterization and in vitro bioactivity of porous glass-ceramic scaffolds for bone regeneration by synchrotron radiation X-ray microtomography , 2013 .

[30]  D. Chamberland,et al.  Effect of bioactive glass particle size on osseous regeneration of cancellous defects. , 1998, Journal of biomedical materials research.

[31]  S. Radin,et al.  In vitro transformation of bioactive glass granules into Ca-P shells. , 2000, Journal of biomedical materials research.

[32]  Yusuf Khan,et al.  Bone graft substitutes , 2006, Expert review of medical devices.

[33]  A. Tomsia,et al.  Porous and strong bioactive glass (13-93) scaffolds prepared by unidirectional freezing of camphene-based suspensions. , 2012, Acta biomaterialia.

[34]  C. B. Carter,et al.  Ceramic Materials: Science and Engineering , 2013 .

[35]  J. Polak,et al.  Ionic products of bioactive glass dissolution increase proliferation of human osteoblasts and induce insulin-like growth factor II mRNA expression and protein synthesis. , 2000, Biochemical and biophysical research communications.

[36]  C. M. Agrawal,et al.  Biodegradable polymeric scaffolds for musculoskeletal tissue engineering. , 2001, Journal of biomedical materials research.

[37]  M. Swiontkowski,et al.  Bone-graft substitutes , 1999, The Lancet.

[38]  J. Hollinger,et al.  Evaluation of particulate Bioglass in a rabbit radius ostectomy model. , 1997, Journal of biomedical materials research.

[39]  Eleftherios Tsiridis,et al.  Bone substitutes: an update. , 2005, Injury.

[40]  D. Wise,et al.  Tissue Engineering And Biodegradable Equivalents, Scientific And Clinical Applications , 2002 .

[41]  Enrica Verne,et al.  3-D high-strength glass–ceramic scaffolds containing fluoroapatite for load-bearing bone portions replacement , 2009 .

[42]  Ming-Chuan Leu,et al.  Porous and strong bioactive glass (13–93) scaffolds fabricated by freeze extrusion technique , 2011 .

[43]  Eduardo Saiz,et al.  Bioactive glass scaffolds for bone tissue engineering: state of the art and future perspectives. , 2011, Materials science & engineering. C, Materials for biological applications.

[44]  R A Brand,et al.  The effect of femoral stem cross-sectional geometry on cement stresses in total hip reconstruction. , 1980, Clinical orthopaedics and related research.

[45]  L L Hench,et al.  Gene-expression profiling of human osteoblasts following treatment with the ionic products of Bioglass 45S5 dissolution. , 2001, Journal of biomedical materials research.

[46]  Larry L. Hench,et al.  The story of Bioglass® , 2006, Journal of materials science. Materials in medicine.

[47]  Eduardo Saiz,et al.  Mechanical properties of calcium phosphate scaffolds fabricated by robocasting. , 2008, Journal of biomedical materials research. Part A.

[48]  J. Chevalier,et al.  Mechanical properties and cytocompatibility of poly(ε-caprolactone)-infiltrated biphasic calcium phosphate scaffolds with bimodal pore distribution. , 2010, Acta biomaterialia.

[49]  Fernando Guiberteau,et al.  Finite element modeling as a tool for predicting the fracture behavior of robocast scaffolds. , 2008, Acta biomaterialia.

[50]  Eduardo Saiz,et al.  Direct ink writing of highly porous and strong glass scaffolds for load-bearing bone defects repair and regeneration. , 2011, Acta biomaterialia.

[51]  Eduardo Saiz,et al.  Bioinspired Strong and Highly Porous Glass Scaffolds , 2011, Advanced functional materials.

[52]  Aldo R. Boccaccini,et al.  Bioactive Glass and Glass-Ceramic Scaffolds for Bone Tissue Engineering , 2010, Materials.

[53]  Q. Fu,et al.  Silicate, borosilicate, and borate bioactive glass scaffolds with controllable degradation rate for bone tissue engineering applications. I. Preparation and in vitro degradation. , 2010, Journal of biomedical materials research. Part A.