“…Bioreactor experiments have been conducted in the past to study the effects of combination systems that have both fluid flow and mechanical stimulation components to induce cellular proliferation and/or differentiation of 3D premature tissue grafts (Birmingham, Niebur, McNamara, & McHugh, ; Engelmayr et al, ; Haasper et al, ; Hoffmann, Feliciano, Martin, de Wild, & Wendt, ; Jagodzinski et al, ; S. T. Li et al, ; C. Liu et al, ; Orr & Burg, ; Witt, Duda, Bergmann, & Petersen, ). Few studies have compared the independent and combined effects of the perfusion flow and mechanical stimuli on cellular proliferation and osteogenic differentiation (Engelmayr et al, ; Jagodzinski et al, ; C. Liu et al, ).…”