Poster: Optimization of Scaffold Regeneration Process Using Negative Templates Created Using Computer Aided Tissue Engineering, 6/2004

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Matthew Wettergreen

Poster accompanying presentation presented to Plastic Surgery Research Council, June 2004

Technology Business Education

Optimization Of Scaffold Regeneration
Process Using Negative Templates Created
Using Computer Aided Tissue Engineering
*Wettergreen, M A; *Lemoine, J J; *Liebschner, M A K; **Yuksel E
*Department of Bioengineering, Rice University, Houston, TX
**Division of Plastic Surgery, Baylor College of Medicine, Houston, TX

INTRODUCTION incorporation of stereolithography for surgical planning, Two improvements are demonstrated in this work. The
these provide only visual aids and are thus still prone application of computer modeling for implant design
Recon

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Presentation given to the Solid Freeform Fabrication Conference, Austin, TX 8/2006 ABSTRACT Cellular solids studies the mechanical effects of the material arrangement of architectures for the goal of designing materials which are lightweight and possess high structural integrity. These architectures present themselves frequently in structural members in nature (bone, plant stalks, and porous rock) and are now used frequently in design (tissue engineering scaffolds, mechanical design). Until now however, physical studies of these architectures have been completed using molding techniques (for 2D) and random models (for 3D). Rapid prototyping (RP) provides high repeatability during replication which decreases error in studied samples and can serve to reduce the number of conflicting variables which confound the development of structural relationships. In this study we designed and characterized four geometric solids from the Platonic and Archimedean set of polyhedra, the simplest architectures that exist in nature which exhibit symmetry and order. Multiple models of these polyhedra were generated using computer aided design at similar topologies but with varying volume fractions. Employing finite element analysis we analyzed the structures with simulated uni-axial linear compressive tests. We then built actual models of the architectures using solid laser sintering (SLS) with a Sinterstation 2500Plus. The architectures were printed at porosities of 80% and 90% by volume with a bounding box of 2cm x 2cm x 2cm. After printing of the models, they were scanned with micro-computed tomography (µCT) as a validation of the use of SLS for fabrication of computer modeled architectures. Finally, the architectures were compressed to fracture using an MTS, validating the modeling component of the design and providing information which will allow for the determination of relationships which govern the material arrangement and resulting mechanical properties. These results of this study are useful in the development of models which directly relate complex architecture to mechanical properties; these models can be used to develop any architecture based on given input parameters such as porosity, surface area, connectivity and fracture pattern.

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ABSTRACT Tailoring the Mechanical Environment of Scaffolds with Computer Aided Design and Rapid Prototyping Wettergreen MA, Bucklen BS, Mikos AG, Liebschner MAK Department of Bioengineering, Rice University, Houston, TX 77005 While porous scaffolds have shown success in stimulating tissue growth, the random organization of the microarchitecture results in regions exhibiting large variability in mechanical properties. Stress profiles on the scaffold surface depend upon the volume fraction and may vary wildly, presenting regions, which may be unsuitable for cell attachment and viability. If a regular/repeatable architecture is provided, the mechanical environment can be predetermined. We and others have previously demonstrated that rapid prototyping can be utilized to create scaffolds with designed, repeated architecture. The goal of this study was to evaluate a library of CAD designed architectures for tissue engineering. Regular polyhedra based on the Archimedean and Platonic solids and architectures taken from current literature were compared against randomized architecture using finite element analysis. The results demonstrated that for a specific material volume fraction but varying spatial distribution, Young’s Modulus may vary by two orders of magnitude, thus illustrating the dependence of strength upon architecture. Additionally, the stress profile for the designed architectures exhibit peaks at specific stress levels and scaffolds with grossly dissimilar geometry exhibited similar stress profiles. Scaffolds with tailored mechanical properties may be assembled from the unit architectures. The scaffolds may be fabricated from any desired material using rapid prototyping and negative molding and may be helpful for treating defects which require the scaffold to bear mechanical loading.

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ABSTRACT During the past decade, the use of bone screws in spinal stabilization has dramatically increased. Failure of implanted screws to provide adequate stabilization can necessitate additional surgical procedures. Modifications of factors previously shown to be associated with increased screw pullout strength have shown to be insignificant when applied in osteoporotic bone. The objective of this study was to investigate the feasibility of a new bone anchor design in providing superior biomechanical performance when compared to metal screws. We conducted a finite element study simulating implant pullout testing of a metal bone screw and a polymer bone anchor. The results indicated that the polymer bone anchor, while having inferior material properties, has superior biomechanical behavior. The pullout strength was increased by 40% with the new design, while stiffness was increased by more than four fold. We conclude from this study that bone anchors made out of polymers may be suitable for medical applications, however, their design needs to deviate from the traditional screw shape for adequate fixation. With material properties matching bone, polymers may prove to be more successful in long-term clinical applications, especially in osteoporotic bone. INTRODUCTION Surgical management of fractures has historically been accomplished by fixation of the fragments with metallic implants. Despite substantial improvements in metallurgy, design, and the understanding of the biomechanical forces acting on the implant system, the screw-bone interface has remained a major site of complications leading to failure of treatment [1]. Biomedical polymers with properties matching bone tissue may be a better alternative. The overall objective of this study was to investigate the feasibility of a new bone anchor design in providing superior biomechanical performance in osteoporotic bone when compared to metal screws. In this first phase we conducted a finite element study simulating implant pullout testing of a metal bone screw and a new concept design using a polymer bone anchor. MATERIALS AND METHODS Three-dimensional finite element models of a trabecular bone core with a cortical shell, a metal bone screw, and a new bone anchor were developed. Finite element models were of standard single-threaded TSRH screws (Medtronics Sofamor Danek, Memphis, TN, U.S.A) with properties of titanium. The polymer bone anchor was designed with an orthogonal beam network mimicking trabecular bone with channels allowing even distribution of an injectable material between the implant and the adjacent bone tissue. Material properties of the anchor were based on published data for the biomaterial. Trabecular bone was modeled as transversely isotropic osteoporotic bone. The outer diameter of the bone core was more than three times the diameter of the implants. The pullout test was simulated with a max displacement of 2.25 mm. Stiffness and strength were calculated from the load-deformation curves. RESULTS Metal bone screws can be considered as the gold standard to stabilize spinal functional units. Therefore, we compared the biomechanical behavior in the other construct with the behavior of the bone screw. Our results indicate that the initial pullout resistance of the bone anchor is about four fold higher than that of the bone screw and the pullout-strength is about 40% higher in the bone anchor. CONCLUSION The bone-screw interface is a critical component for spinal stabilization. Placement of a significantly stiffer implant into bone disperses the forces non-uniformly, and regions of increased stress result within the screw and the bone. Weakened mechanical properties of synthetic polymers require a paradigm shift in the design of the screw. The much larger bone-implant interface of the new design lead to a drastically increased pullout strength (>40%) in osteoporotic bone when compared to the metal screw. The properties of the bone anchor

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