Bioinspired scaffolds with hierarchical structures for tailored mechanical behaviour and cell migration

Replacement and regeneration of damaged bone, particularly for those defects with critical size, are still major challenges in orthopaedic surgery. The conventional bone implants, normally with poor internal architecture design, may cause significant issues owing to the mechanical and structural mismatches between target bone and the implants. In this work, as inspired by hierarchical natural bone, for the first time, we developed hydroxyapatite (HA) and beta-tricalcium phosphate (beta-TCP) scaffolds with three-level hierarchical structures across macro to nano scale using combined 3D printing (3DP) and freeze casting routines. It is clear these hierarchical porous scaffolds significantly enhance cell penetration (over 7 times) while maintaining cell proliferation ability. With three levels of hierarchies, the overall mechanical behaviour of the scaffolds can be tailored to be comparable to general cancellous bone (ranging from 1 to 6 MPa), demonstrating great potential for practical applications. Additionally, the combination of nanoindentation and mechanics model makes it possible to predict the mechanical behaviour of scaffolds at micro and macro scales.