Calcium Phosphate Cements In Tissue Engineering

Author : Yassine Maazouz
Publisher :
ISBN 13 :
Total Pages : 61 pages
Book Rating : 4.:/5 (112 download)

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Download or read book A Study of the Rheological Properties and Injectability of Calcium Phosphate Cements : Application to Minimally Invasive Surgical Procedures and Scaffold Fabrication for Tissue Engineering Through Rapid Prototyping written by Yassine Maazouz and published by . This book was released on 2018 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: The present work addresses two different applications enabled by a specific and useful property of calcium phosphate cements (CPCs): injectability. On the one hand minimally invasive procedures involving the use of CPCs are based on the injectability of such biomaterials, and on the other hand extrusion-based additive manufacturing processes such as robocasting rely on this property to correctly manufacture personalized 3D-printed scaffolds for the treatment of large bone defects. The present thesis is divided in three different sections. The first one consists in a study of the differences of injectability of aqueous pastes of the two allotropic forms of tricalcium phosphate, namely a- and ß-TCP. The reactivity of the powder was shown to play a significant role in the injectability of TCP pastes. Significant differences were observed between the injection behaviour of non-hardening ß-TCP pastes and that of selfhardening a-TCP pastes. The differences were more marked at low liquid-to-powder ratios, using fine powders and injecting through thin needles. Although, as a general trend, faster-setting pastes were less injectable, some exceptions to this rule were found. For example, whereas in the absence of setting accelerants fine TCP powders were more injectable than the coarse ones, in spite of their shorter setting times, this trend was inverted when setting accelerants were added, and coarse powders were more injectable than the fine ones. In the second section thermoresponsive pastes are developed through the combination of CPCs with an inversethermoresponsive hydrogel. Although calcium phosphate cements (CPCs) are used for bone regeneration in a wide range of clinical applications, various physicochemical phenomena are known to hinder their potential use in minimally invasive surgery or in highly vascularized surgical sites, mainly because of their lack of injectability or their low washout resistance. The proposed strategy allowed to finely tune the cohesive and rheological properties of CPCs to achieve clinical acceptable injectability. It avoided phase separation during implantation and improved cohesion, avoiding washout of the paste. Using the knowledge acquired about the injectability behaviour of TCP pastes, the additive manufacturing of 3D printed scaffolds is studied in the last section. More precisely, this study dealt with the robocasting of alpha-tricalcium phosphate/gelatine reactive slurries as a bioinspired self-setting ink for the production of biomimetic hydroxyapatite/gelatine scaffolds. A controlled and totally interconnected pore network of approximately 300 μm was obtained after ink printing and setting, with the struts consisting of a micro/nanoporous matrix of needle-shaped calcium deficient hydroxyapatite crystals, with a high specific surface area. Gelatine was effectively retained by chemical crosslinking. The setting reaction of the ink resulted in a significant increase of both the elastic modulus and the compressive strength of the scaffolds, which were within the range of the human trabecular bone. In addition to delaying the onset of the setting reaction, thus providing enough time for printing, gelatine provided the viscoelastic properties to the strands to support their own weight, and additionally enhanced mesenchymal stem cell adhesion and proliferation on the surface of the scaffold. Altogether this new processing approach opens good perspectives for the design of hydroxyapatite scaffolds for bone tissue engineering with enhanced reactivity and resorption rate.