Shape Memory Scaffold with a Tunable Recovery Temperature for Filling Critical-Size Bone Defects

R. M. Baker, J. H. Henderson, P. Mather
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Abstract

Traditionally, critical-size defects have been treated using autologous bone grafts which, while being effective, have limitations that include donor site scarcity, additional pain, and donor site morbidity. Synthetic scaffolds show promise as alternate graft materials, but current scaffolds have limitations associated with filling and conforming to the defect site. In this study, we aimed to synthesize a cytocompatible scaffold with shape memory functionality that could address limitations associated with filling and conforming to the defect site. To achieve this goal we employed a porogen-leaching technique to fabricate a shape memory poly(epsilon-caprolactone) (PCL) foam capable of expanding to fill space under physiological temperatures. Tuning of the recovery temperature to a physiological temperature was achieved by copolymerizing with a second, hydrophilic polymer, as well as by varying the deformation temperature. The scaffold showed excellent shape fixing and shape recovery, and the transition temperature was tuned to a physiological range. Preliminary cell studies showed qualitatively that cells remain viable and proliferate on the scaffold.
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具有可调恢复温度的形状记忆支架用于填充临界尺寸骨缺损
传统上,使用自体骨移植治疗临界大小的缺损,虽然有效,但有局限性,包括供体部位稀缺、额外的疼痛和供体部位发病率。合成支架作为一种替代的移植物材料显示出良好的前景,但目前的支架在填充和符合缺陷部位方面存在局限性。在这项研究中,我们的目标是合成一种具有形状记忆功能的细胞相容性支架,可以解决与填充和符合缺陷部位相关的限制。为了实现这一目标,我们采用了一种孔隙浸出技术来制造一种形状记忆聚(epsilon-己内酯)(PCL)泡沫,该泡沫能够在生理温度下膨胀以填充空间。通过与第二种亲水性聚合物共聚以及改变变形温度,可以将恢复温度调整到生理温度。支架具有良好的形状固定和形状恢复能力,转变温度调节在生理范围内。初步的细胞研究定性地表明,细胞在支架上保持活力并增殖。
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