3D-Printed LEGO^®-inspired Titanium Scaffolds for Patient-Specific Regenerative Medicine

Abstract

Despite the recent advances in 3D-printing, it is difficult to fabricate implants that optimally fit a defect size/shape. There are some approaches to resolve this issue, such as patient-specific implant based on CT images, however, it is labor-intensive and costly. Especially in developing countries, affordable treatments are required, while still not excluding these patient groups from manufacturing advances. Here, a SLM 3D-printing strategy was used to fabricate a hierarchical, Assemblable Titanium Scaffold (ATS), which can be manually assembled in any shape or size with ease. A surgeon can create a scaffold that would fit to the defect right before the implantation during the surgery. Additionally, the direct inclusion of micro- and macroporous structures via 3D-printing, as well as a double acid-etched surface treatment (ST) in the ATS, ensure improved nutrient flow and cellular activity. Different structures were designed, 3D-printed and then surface treated for the ST groups. Both individual and stacked ATS have sufficient mechanical properties to withstand physiological loading, and the porous groups resulted in enhanced cell proliferation, mineralization and osteogenesis compared to non-porous group. Furthermore, successful cell attachment and migration between the assembled ATS were observed. Finally, we demonstrate possible medical applications that reveal the potential of the ATS through assembly.