Improved osseointegration of 3D printed Ti-6Al-4V implant with a hierarchical micro/nano surface topography: An in vitro and in vivo study.

作者：B. Ren, Y. Wan, Chao Liu, Hongwei Wang, Ming-Zhi Yu, Xiao Zhang, Yong Huang · 发表于：Materials Science and Engineering C: Materials for Biological Applications · 年份：2021 · DOI：10.1016/j.msec.2020.111505 · 被引用次数：188 · 研究领域：Medicine、Materials Science

Three-dimensional (3D) printing technology is serving as a promising approach of fabricating titanium (Ti) and its alloys used for bone tissue engineering. However, the biological inertness nature of Ti material limits its capability to bind directly with the bone tissue. This paper aims to enhance the bioactivity and osteogenesis of 3D printed Ti-6Al-4V implants by constructing a hierarchical micro/nano-topography on the surface. Ti-6Al-4V implants were prepared by the electron beam melting (EBM) technique. A method combining ultrasonic acid etching with anodic oxidation is proposed for surface modification of EBM Ti-6Al-4V implants in this study. The acid etching step was to remove any existent residual powders on the implant's surface and construct micro-pits and -grooves on the EBM microrough surface. Nanotube arrays with a diameter of 40-50 nm were superimposed on the micro-structured substrate via anodic oxidation. The results of in vitro experiments showed that the hierarchical micro/nano-structured surface on Ti-6Al-4V after acid etching and anodic oxidation (AN) promoted the proliferation and osteogenic differentiation of pre-osteoblast cells (MC3T3-E1) via enhancing the surface hydrophilicity and bioactivity compared with the polished Ti surface (P). Micro-CT and histological analysis were used to assess the in vivo osteogenic properties enhancement. The results 8 weeks after the surgery showed the ratio of bone volume to total volume (BV/TV) of AN implant was 43.4%...