Search

Bone spacers are exclusively used for replacing the tissue after trauma and/or diseases. Ceramic materials bring positive opportunities to enhance greater osteointegration and performance of implants, yet processing of porous geometries can be challenging. Additive Manufacturing (AM) opens opportunities to grade porosity levels in a part, however, its productivity may be low due to its batch processing approach. The paper studies the biological responses yielded by hydroxyapatite with &beta, TCP (tricalcium phosphate) ceramic porous bone spacers manufactured by robocasting 2-layer meshes that are rolled in green and sintered. The implants are assessed in vitro and in vivo for their compatibility. Human bone marrow mesenchymal stem cells attached, proliferated and differentiated on the bone spacers produced. Cells on the spacers presented alkaline phosphatase staining, confirming osteogenic differentiation. They also expressed bone-specific COL1A1, BGAP, BSP, and SPP1 genes. The fold change of these genes ranged between 8 to 16 folds compared to controls. When implanted into the subcutaneous tissue of rabbits, they triggered collagen fibre formation and mild fibroblastic proliferation. In conclusion, rolled AM-meshes bone spacers stimulated bone formation in vitro and were biocompatible in vivo. This technology may give the advantage to custom produce spacers at high production rates if industrially upscaled.

Two differently sized microspheres were sintered at 1300° C and 1400° C from 2 to 8 h in stoneware, alumina, yttria and zirconia moulds. Selecting the appropriate material to be used as a mould remains a critical issue given titanium's high reactivity at elevated temperatures. Optimum mechanical properties were obtained when sintering the smallest microspheres in yttria-coated moulds. Stiffness of the samples was lower than 40% of that of the bulk solid material, which comes closer to that of human cortical bone. Open and interconnected porosity was observed in all the specimens. © 2011 Elsevier B.V. All rights reserved., The translation of this paper was funded by the Polytechnic University of Valencia and the Universitat Jaume I.