Jiaqian ZHENG, Xiao LU, Yajie LU, Yingjun WANG, Zhen WANG, Jianxi LU. Functional Bioadaptability in Medical Bioceramics: Biological Mechanism and Application [J]. Journal of Inorganic Materials, 2024, 39(1): 1

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- Journal of Inorganic Materials
- Vol. 39, Issue 1, 1 (2024)
![Theory of “Cell-Material-Blood supply” interacting with trinity tissue regeneration[17]](/richHtml/jim/2024/39/1/1/img_1.png)
1. Theory of “Cell-Material-Blood supply” interacting with trinity tissue regeneration[17]
 Cell motility in bioceramic microstructure with three-dimensional flow dynamic culture system, perfusion bioreactor; (b) SEM images of the cross section of a scaffold seeded with sheep MSCs; (c) Histological section of the cell-TCP composite stained with May-Grünwald Giemsa (A-F)](/richHtml/jim/2024/39/1/1/img_2.png)
2. Effects of microstructure on cell recombination and proliferation[21,27](a) Cell motility in bioceramic microstructure with three-dimensional flow dynamic culture system, perfusion bioreactor; (b) SEM images of the cross section of a scaffold seeded with sheep MSCs; (c) Histological section of the cell-TCP composite stained with May-Grünwald Giemsa (A-F)
 Interconnective pore size is 70, 100, 120, 150, and 200 μm, respectively; (f) The lumen of new blood vessels passing through the interconnection became narrower and larger after entering the hole, resembling a string-of-beads shape. Scale bars in all images are 100 μm](/Images/icon/loading.gif)
3. Different kinds of interconnective pore size β -TCP porous ceramics with the same macroporous size (300-400 μm) evaluated in vivo [31](a-e) Interconnective pore size is 70, 100, 120, 150, and 200 μm, respectively; (f) The lumen of new blood vessels passing through the interconnection became narrower and larger after entering the hole, resembling a string-of-beads shape. Scale bars in all images are 100 μm
![Blood vessels growth curve guided by porous ceramic rod at different time[17]](/Images/icon/loading.gif)
4. Blood vessels growth curve guided by porous ceramic rod at different time[17]
 Radiographs of cases with loose packing; (b, c) Radiographs of cases implanted with β-TCP granules by dense packing](/Images/icon/loading.gif)
5. Effect of packing method on degradation[63](a, d) Radiographs of cases with loose packing; (b, c) Radiographs of cases implanted with β -TCP granules by dense packing
 Structure of mechanically enhanced bioceramics; (b) Wedge- shaped implant for high tibial osteotomy (HTO); (c, d) Microstructures of the bioinspired β-TCP bioceramics showing the dense/porous interface (c), and macroporous structure (d)](/Images/icon/loading.gif)
6. Mechanically enhanced bioceramics[72](a) Structure of mechanically enhanced bioceramics; (b) Wedge- shaped implant for high tibial osteotomy (HTO); (c, d) Microstructures of the bioinspired β -TCP bioceramics showing the dense/porous interface (c), and macroporous structure (d)

7. Clinical case of the bird’s nest-like frame structure implant

8. Clinical case of long, hollow tubular frame structure implant

9. Failure clinical case showing the implant broken due to stress concentration and insufficient support
 Repaired with bioceramic-chondrocyte constructs implant, 2 w postsurgery; (b) Repaired with bioceramic-chondrocyte constructs implant, 24 w postsurgery; (c) Repaired with bioceramic without cells implant, 24 w postsurgery; (d) Defect without any implant (control), 24 w postsurgery](/Images/icon/loading.gif)
10. Bioceramics used in combination with chondrocytes to achieve better cartilage tissue repair[85](a) Repaired with bioceramic-chondrocyte constructs implant, 2 w postsurgery; (b) Repaired with bioceramic-chondrocyte constructs implant, 24 w postsurgery; (c) Repaired with bioceramic without cells implant, 24 w postsurgery; (d) Defect without any implant (control), 24 w postsurgery
 Insertion of the Kirschner wire under fluoroscopy; (b) Core decompression by drilling; (c) Necrosis debridement by minimal reamers; (d) Bioceramic granules packing; (e) Insertion of the porous bioceramic rods](/Images/icon/loading.gif)
11. Standard surgical procedure for ONFH treatment, performed with surgical ancillary instruments[44](a) Insertion of the Kirschner wire under fluoroscopy; (b) Core decompression by drilling; (c) Necrosis debridement by minimal reamers; (d) Bioceramic granules packing; (e) Insertion of the porous bioceramic rods
![Van Gieson staining of “In Vivo Bioreactor” in rabbits showed the “Rebar Coagulated Bone” structure[102]Yellow arrow: Newly formed bone; White arrow: Connective. Scale bar: 50 μm (blue), 20 μm (green); Colorful figures are available on website](/Images/icon/loading.gif)
12. Van Gieson staining of “In Vivo Bioreactor” in rabbits showed the “Rebar Coagulated Bone” structure[102]Yellow arrow: Newly formed bone; White arrow: Connective. Scale bar: 50 μm (blue), 20 μm (green); Colorful figures are available on website
 Multi-material, structural, and technical bone defect repair solution; (b) Bioceramics granules being used; (c) Bioceramics microstructure; (d) Composite in operation](/Images/icon/loading.gif)
13. Application of“In vivo Bioreactor” in operation[77](a) Multi-material, structural, and technical bone defect repair solution; (b) Bioceramics granules being used; (c) Bioceramics microstructure; (d) Composite in operation

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