journal article·2025-04-01Open access

Modular scaffolds with intelligent visual guidance system for in situ bone tissue repair

Huifeng Shao, Pengcheng Xia, Tao Zhang, Jinyuan Shi, Zhiqiang Huang, Xianqi Yuan, Zhiheng Nian, Xiao Zhao, Rougang Zhou, Youping Gong, Yong He

Abstract

Abstract In clinical practice, the irregular shapes of traumas pose a significant challenge in rapidly manufacturing personalized scaffolds. To address these challenges, inspired by LEGO® bricks, this study proposed a novel concept of modular scaffolds and developed an innovative system based on machine vision for their rapid and intelligent assembly tailored to defect shapes. Trapezoidal interfaces effectively connect standardized bone units based on magnesium-doped silicate calcium, ensuring high stability of the modular scaffolds, with compressive strength up to 135 MPa and bending strength up to 17 MPa. Through self-developed defect recognition and reconstruction algorithms, defect recognition and personalized assembly schemes for bone scaffolds can be achieved autonomously. Modular scaffolds seamlessly integrate with surrounding bone tissue, promoting new bone growth, with no apparent differences compared to fully 3D printed integral scaffolds in the skull and femur repair experiments. In summary, the adoption of modular scaffolds not only integrates personalization and standardization but also satisfies the optimal treatment window.
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Research context

OpenAlex topics: Medical Imaging and Analysis

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References (54)

Show source-provided references
1. In vivo bioprinting: broadening the therapeutic horizon for tissue injuries10.1016/j.bioactmat.2023.01.018 ↗
2. Increasing trauma deaths in the United States10.1097/SLA.0000000000000600 ↗
3. Human mesenchymal stem cell-derived matrices for enhanced osteoregeneration10.1126/scitranslmed.3003396 ↗
4. The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition10.1186/s13054-023-04327-7 ↗
5. The influence of timing of surgical decompression for acute spinal cord injury: a pooled analysis of individual patient data10.1016/S1474-4422(20)30406-3 ↗
6. The effect of a golden hour policy on the morbidity and mortality of combat casualties10.1001/jamasurg.2015.3104 ↗
7. The power of advanced capability and informed policy10.1001/jamasurg.2015.3111 ↗
8. Every minute counts: the impact of pre-hospital response time and scene time on mortality of penetrating trauma patients10.1016/j.amjsurg.2019.11.018 ↗
9. Hyperelastic “bone”: a highly versatile, growth factor-free, osteoregenerative, scalable, and surgically friendly biomaterial10.1126/scitranslmed.aaf7704 ↗
10. Opportunities and challenges of translational 3D bioprinting10.1038/s41551-019-0471-7 ↗
11. Precision medicine: establishing proteomic assessment criteria from discovery to clinical diagnostics10.1161/CIRCULATIONAHA.118.036781 ↗
12. In situ 3D bioprinting with bioconcrete bioink10.1038/s41467-022-30997-y ↗
13. Intravital three-dimensional bioprinting10.1038/s41551-020-0568-z ↗
14. Noninvasive in vivo 3D bioprinting10.1126/sciadv.aba7406 ↗
15. High-strength calcium silicate-incorporated magnesium phosphate bone cement with osteogenic potential for orthopedic application10.1016/j.compositesb.2022.110324 ↗
16. Calcium phosphate cements for bone engineering and their biological properties10.1038/boneres.2017.56 ↗
17. Patient-specific plates for facial fracture surgery: a retrospective case series10.1016/j.jdent.2023.104650 ↗
18. Spatially controlled templated hydrogels for orthopedic interfacial tissue regeneration10.1021/acsmacrolett.0c00712 ↗
19. Design, printing, and engineering of regenerative biomaterials for personalized bone healthcare10.1016/j.pmatsci.2023.101072 ↗
20. 3D printing of self-healing personalized liver models for surgical training and preoperative planning10.1038/s41467-023-44324-6 ↗
21. Rapid digital light 3D printing enabled by a soft and deformable hydrogel separation interface10.1038/s41467-021-26386-6 ↗
22. Bioactive and bioresorbable cellular cubic-composite scaffolds for use in bone reconstruction10.1098/rsif.2006.0144 ↗
23. A hierarchical 3D graft printed with nanoink for functional craniofacial bone restoration10.1002/adfm.202301099 ↗
24. Advances in 3D printing scaffolds for peripheral nerve and spinal cord injury repair10.1088/2631-7990/acde21 ↗
25. 3D printed grafts with gradient structures for organized vascular regeneration10.1088/2631-7990/ad2f50 ↗
26. A bionic controllable strain membrane for cell stretching at air-liquid interface inspired by papercutting10.1088/2631-7990/acef77 ↗
27. A systematic approach for making 3D-printed patient-specific implants for craniomaxillofacial reconstruction10.1016/j.eng.2020.02.019 ↗
28. Continuous liquid interface production of 3D objects10.1126/science.aaa2397 ↗
29. Bone regeneration in 3D printing bioactive ceramic scaffolds with improved tissue/material interface pore architecture in thin-wall bone defect10.1088/1758-5090/aa663c ↗
30. 3D printed, bio-inspired prototypes and analytical models for structured suture interfaces with geometrically-tuned deformation and failure behavior10.1016/j.jmps.2014.08.011 ↗
31. Adhesion enhancement of micropillar array by combining the adhesive design from gecko and tree frog10.1002/smll.202005493 ↗
32. Theoretical basis of biomimetic flexible piezoelectric acoustic sensors for future customized auditory systems10.1002/adfm.202309316 ↗
33. Harmonizing thickness and permeability in bone tissue engineering: a novel silk fibroin membrane inspired by spider silk dynamics10.1002/adma.202310697 ↗
34. Light‐controlled growth factors release on tetrapodal ZnO‐incorporated 3D‐printed hydrogels for developing smart wound scaffold10.1002/adfm.202007555 ↗
35. Protein corona of magnetic hydroxyapatite scaffold improves cell proliferation via activation of mitogen-activated protein kinase signaling pathway10.1021/acsnano.6b08193 ↗
36. Mitogen-activated protein kinase pathways mediated by ERK, JNK, and p38 protein kinases10.1126/science.1072682 ↗
37. Gaussian curvature–driven direction of cell fate toward osteogenesis with triply periodic minimal surface scaffolds10.1073/pnas.2206684119 ↗
38. JNK signaling: regulation and functions based on complex protein-protein partnerships10.1128/MMBR.00043-14 ↗
39. 2D MXene‐integrated 3D‐printing scaffolds for augmented osteosarcoma phototherapy and accelerated tissue reconstruction10.1002/advs.201901511 ↗
40. Regulating 3D-printed medical products10.1126/scitranslmed.aan6521 ↗
41. 3D-bioprinted human tissue and the path toward clinical translation10.1126/scitranslmed.abo7047 ↗
42. Rapid batch surface modification of 3D-printed high-strength polymer scaffolds for enhanced bone regeneration In vitro and in vivo10.1016/j.surfin.2023.103588 ↗
43. Mechanobiologically optimized 3D titanium-mesh scaffolds enhance bone regeneration in critical segmental defects in sheep10.1126/scitranslmed.aam8828 ↗
44. Assembled/disassembled modular scaffolds for multicellular tissue engineering10.1002/adma.202308126 ↗
45. Customizable design of multiple-biomolecule delivery platform for enhanced osteogenic responses via ‘tailored assembly system’10.1007/s42242-022-00190-7 ↗
46. Functionally assembled metal platform as lego-like module system for enhanced mechanical tunability and biomolecules delivery10.1016/j.matdes.2021.109840 ↗
47. Development of cell-laden multimodular Lego-like customizable endometrial tissue assembly for successful tissue regeneration10.1186/s40824-023-00376-9 ↗
48. In vitro osteogenesis of hMSCs on collagen membranes embedded within LEGO®-inspired 3D printed PCL constructs for mandibular bone repair10.1088/1758-5090/ad6931 ↗
49. 3D-printed LEGO®-inspired titanium scaffolds for patient-specific regenerative medicine10.1016/j.bioadv.2023.213617 ↗
50. The outstanding mechanical response and bone regeneration capacity of robocast dilute magnesium-doped wollastonite scaffolds in critical size bone defects10.1039/C6TB00449K ↗
51. Research on trapezoidal shape optimization of laser remanufacturing heterogeneous interface under fatigue load10.1016/j.ijfatigue.2021.106715 ↗
52. Load-dependent stiffness model and experimental validation of four-station rotary tool holder10.1016/j.ymssp.2022.108868 ↗
53. Implant-derived magnesium induces local neuronal production of CGRP to improve bone-fracture healing in rats10.1038/nm.4162 ↗
54. Metallic implant biomaterials10.1016/j.mser.2014.10.001 ↗