This
study proposes a novel approach, termed extrusion-microdrilling,
to fabricate three-dimensional (3D) interconnected bioceramic scaffolds
with channel-like macropores for bone regeneration. The extrusion-microdrilling
method is characterized by ease of use, high efficiency, structural
flexibility, and precision. The 3D interconnected β-tricalcium
phosphate bioceramic (EM-TCP) scaffolds prepared by this method showed
channel-like square macropores (∼650 μm) by extrusion
and channel-like round macropores (∼570 μm) by microdrilling
as well as copious micropores. By incorporating a strontium-containing
phosphate-based glass (SrPG), the obtained calcium phosphate-based
bioceramic (EM-TCP/SrPG) scaffolds had noticeably higher compressive
strength, lower porosity, and smaller macropore size, tremendously
enhanced in vitro proliferation and osteogenic differentiation of
mouse bone marrow stromal cells, and suppressed in vitro osteoclastic
activities of RAW264.7 cells, as compared with the EM-TCP scaffolds.
In vivo assessment results indicated that at postoperative week 6,
new vessels and a large percentage of new bone tissues (24–25%)
were formed throughout the interconnected macropores of EM-TCP and
EM-TCP/SrPG, which were implanted in the femoral defects of rabbits;
the bone formation of the EM-TCP group was comparable to that of the
EM-TCP/SrPG group. At 12 weeks postimplantation, the bone formation
percentage of EM-TCP was slightly reduced, while that of EM-TCP/SrPG
with a slower degradation rate was pronouncedly increased. This work
provides a new strategy to fabricate interconnected bioceramic scaffolds
allowing for fast bone regeneration, and the EM-TCP/SrPG scaffolds
are promising for efficiently repairing bone defects.