β-TCP-polylactide composite scaffolds with high strength and enhanced permeability prepared by a modified salt leaching method.

A modified particulate leaching method for fabrication of strong calcium phosphate-polymer composite scaffolds with improved pore interconnectivity is reported. The scaffolds were produced by mixing precompacted composite granules (β-TCP with 40vol% PLA) of different size and density with salt particles followed by high pressure consolidation (at room temperature or 120°C) and porogen dissolution. The scaffolds' compressive strength and Darcy's permeability were found to be inversely related and to be strongly dependent on the processing parameters. The use of precompacted granules instead of the loose β-TCP-PLA powder allowed us to increase permeability by three orders of magnitude while maintaining load bearing characteristics. Scaffolds with 50% porosity prepared from large (300-420μm) composite granules of β-TCP-40vol% PLA and salt porogen particles of comparable size exhibited the best combination of compressive strength (4-6MPa) and permeability (1.3-1.6×10(-10)m(2)) falling within the range of trabecular bone.

[1]  L. Bonassar,et al.  Direct perfusion measurements of cancellous bone anisotropic permeability. , 2001, Journal of biomechanics.

[2]  Michael A. K. Liebschner,et al.  Optimization of Bone Scaffold Engineering for Load Bearing Applications , 2003 .

[3]  M. Bohner,et al.  Calcium phosphate bone graft substitutes: Failures and hopes , 2012 .

[4]  K. Leong,et al.  The design of scaffolds for use in tissue engineering. Part I. Traditional factors. , 2001, Tissue engineering.

[5]  P. Ducheyne,et al.  Low Temperature Fabrication of β‐TCP–PCL Nanocomposites for Bone Implants , 2010 .

[6]  M. Epple,et al.  Composites of Calcium Phosphate and Polymers as Bone Substitution Materials , 2006, European Journal of Trauma.

[7]  M. Mastrogiacomo,et al.  Reconstruction of extensive long bone defects in sheep using resorbable bioceramics based on silicon stabilized tricalcium phosphate. , 2006, Tissue engineering.

[8]  A. W. Wagoner Johnson,et al.  The influence of micropore size on the mechanical properties of bulk hydroxyapatite and hydroxyapatite scaffolds. , 2009, Journal of the mechanical behavior of biomedical materials.

[9]  G. Walker,et al.  Comparative Characterisation of 3-D Hydroxyapatite Scaffolds Developed Via Replication of Synthetic Polymer Foams and Natural Marine Sponges , 2011 .

[10]  Amy L. Ladd,et al.  Bone graft substitutes , 2002 .

[11]  Hyoun‐Ee Kim,et al.  Fabrication of hydroxyapatite-poly(epsilon-caprolactone) scaffolds by a combination of the extrusion and bi-axial lamination processes. , 2007, Journal of materials science. Materials in medicine.

[12]  Young-Hag Koh,et al.  Fabrication of poly(ε-caprolactone)/hydroxyapatite scaffold using rapid direct deposition , 2006 .

[13]  S. M. Haddock,et al.  Structure-function relationships for coralline hydroxyapatite bone substitute. , 1999, Journal of biomedical materials research.

[14]  J. Zerwekh,et al.  Porous ceramics as bone graft substitutes in long bone defects: A biomechanical, histological, and radiographic analysis , 1996, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[15]  A. Vaccaro,et al.  The use of allograft bone and cages in fractures of the cervical, thoracic, and lumbar spine. , 2002, Clinical orthopaedics and related research.

[16]  A. Coombes,et al.  On the determination of Darcy permeability coefficients for a microporous tissue scaffold. , 2010, Tissue engineering. Part C, Methods.

[17]  Yilin Cao,et al.  Repair of goat tibial defects with bone marrow stromal cells and β-tricalcium phosphate , 2008, Journal of materials science. Materials in medicine.

[18]  K. Leong,et al.  The design of scaffolds for use in tissue engineering. Part II. Rapid prototyping techniques. , 2002, Tissue engineering.

[19]  Scott J Hollister,et al.  Effect of polycaprolactone scaffold permeability on bone regeneration in vivo. , 2011, Tissue engineering. Part A.

[20]  Eduardo Saiz,et al.  Fracture modes under uniaxial compression in hydroxyapatite scaffolds fabricated by robocasting. , 2007, Journal of biomedical materials research. Part A.

[21]  E. Gutmanas,et al.  In situ synthesis of calcium phosphate-polycaprolactone nanocomposites with high ceramic volume fractions , 2010, Journal of materials science. Materials in medicine.

[22]  P R Fernandes,et al.  Permeability analysis of scaffolds for bone tissue engineering. , 2012, Journal of biomechanics.

[23]  Eduardo Saiz,et al.  Freeze casting of hydroxyapatite scaffolds for bone tissue engineering. , 2006, Biomaterials.

[24]  F. Linde,et al.  Tensile and compressive properties of cancellous bone. , 1991, Journal of biomechanics.

[25]  Sean S Kohles,et al.  Linear poroelastic cancellous bone anisotropy: trabecular solid elastic and fluid transport properties. , 2002, Journal of biomechanical engineering.

[26]  K. Katti,et al.  Nanocomposites for Bone Tissue Engineering , 2012 .

[27]  A. Boccaccini,et al.  Biodegradable and bioactive porous polymer/inorganic composite scaffolds for bone tissue engineering. , 2006, Biomaterials.

[28]  F. S. Ortega,et al.  Properties of Highly Porous Hydroxyapatite Obtained by the Gelcasting of Foams , 2000 .

[29]  Jian Dong,et al.  The repair of large segmental bone defects in the rabbit with vascularized tissue engineered bone. , 2010, Biomaterials.

[30]  T. Albert,et al.  Physical and monetary costs associated with autogenous bone graft harvesting. , 2003, American journal of orthopedics.

[31]  Masahiro Yoneda,et al.  Repair of an intercalated long bone defect with a synthetic biodegradable bone-inducing implant. , 2005, Biomaterials.

[32]  E. Gutmanas,et al.  Strong bioresorbable Ca phosphate-PLA nanocomposites with uniform phase distribution by attrition milling and high pressure consolidation. , 2013, Journal of the mechanical behavior of biomedical materials.

[33]  T. Kumar,et al.  Microwave accelerated synthesis of nanosized calcium deficient hydroxyapatite , 2004, Journal of materials science. Materials in medicine.

[34]  Amy J Wagoner Johnson,et al.  The mechanical properties and osteoconductivity of hydroxyapatite bone scaffolds with multi-scale porosity. , 2007, Biomaterials.

[35]  Dietmar Werner Hutmacher,et al.  State of the art and future directions of scaffold‐based bone engineering from a biomaterials perspective , 2007, Journal of tissue engineering and regenerative medicine.

[36]  D. Uskoković,et al.  The Designing of Properties of Hydroxyapatite/Poly-l-lactide Composite Biomaterials by Hot Pressing , 2001 .

[37]  W C Hayes,et al.  Evolution of bone transplantation: molecular, cellular and tissue strategies to engineer human bone. , 1996, Biomaterials.

[38]  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.

[39]  E. Gutmanas,et al.  Ca-deficient hydroxyapatite/polylactide nanocomposites with chemically modified interfaces by high pressure consolidation at room temperature , 2010 .

[40]  Tabatabaei Qomi,et al.  The Design of Scaffolds for Use in Tissue Engineering , 2014 .

[41]  D S Metsger,et al.  Mechanical properties of sintered hydroxyapatite and tricalcium phosphate ceramic. , 1999, Journal of materials science. Materials in medicine.

[42]  P. Layrolle,et al.  Macroporous biphasic calcium phosphate scaffold with high permeability/porosity ratio. , 2003, Tissue engineering.

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

[44]  K. Koval,et al.  Bone grafts and bone graft substitutes in orthopaedic trauma surgery. A critical analysis. , 2007, The Journal of bone and joint surgery. American volume.

[45]  P Ducheyne,et al.  Bioactive ceramics: the effect of surface reactivity on bone formation and bone cell function. , 1999, Biomaterials.

[46]  Y. Shikinami,et al.  Bioresorbable devices made of forged composites of hydroxyapatite (HA) particles and poly-L-lactide (PLLA): Part I. Basic characteristics. , 1999, Biomaterials.

[47]  L. Gibson The mechanical behaviour of cancellous bone. , 1985, Journal of biomechanics.

[48]  Pascal Swider,et al.  Use of high-resolution MRI for investigation of fluid flow and global permeability in a material with interconnected porosity. , 2007, Journal of biomechanics.

[49]  S. Mullens,et al.  Permeability of porous gelcast scaffolds for bone tissue engineering , 2010 .

[50]  Umberto Morbiducci,et al.  A Survey of Methods for the Evaluation of Tissue Engineering Scaffold Permeability , 2013, Annals of Biomedical Engineering.