Skip to main content
. 2022 Jan 25;13:20417314211065860. doi: 10.1177/20417314211065860

Table 2.

Synthetic 3D printed conditioned scaffolds.

Authors and references Printing method/parameters Printing material Additives or bioink Shape and/or dimensions

Pore size µm/porosity%
Cells Scaffold characterization studies In vitro cells/scaffold
interactions
In vivo studies
Bahcecioglu et al. 27 3D CAD (SketchUp, Google).
3D Bioprinter (Bioscaffolder, SYS + ENG).
Parameters. Strand orientation: 0/90°; strand distance: 1 mm; w/wo shifting (offset: 0.5 mm) and w/wo circumferential strands.
Pig knee MRI scanned on a 3T scanner; lateral meniscus CAD (Mimics, Materialize); 3D Bioprinter (Bioscaffolder, SYS + ENG).
PCL
Mw 50,000 Da
- GelMA + cells suspension (impregnation)
- GelMA- Agarose + cells suspension (impregnation)
- Square prism, 10 × 10 × 3 mm;
- Rectangular prism, 30 × 10 × 3 mm;
- Coliseum, 26 × 8 × 5 mm
810 ± 40 μm
MESH: Scaffolds w/wo circumferential strands
+ non-shifted designs
+ shifted design
- Human fibrochondrocytes (Passage: 3) - SEM
- Mechanical behavior, compressive/tensile load
Static culture
- Cell viability
- COL I/II deposition, immunostaining
Ghodbane et al. 38 3D Bioprinter (Bioplotter, EnvisionTEC). Pneumatic extrusion.
Parameters. Needle inner Ø: 400 µm; print T: 160°C; speed: 1.2 mm/s; P: 8.9 bar.
p(DTD DD) Collagen-hyaluronate sponge infusion Anterior-posterior length: 32 mm; medial-lateral length: 24 mm
69.9% ± 8.0%
MESH: successive layers of circumferential and radial filaments
- Determination of percent polymer and COL-hyaluronan
- Porosity
- Mechanical behavior, confined compressive creep, circumferential tensile testing
- Suture retention test
- In situ contact stress test
Li et al. 140 3D CAM/CAD of rabbit medial meniscus (SolidWorks, Autodesk), 3D-Bioprinter (Bioplotter, EnvisionTEC).
Parameters. Nozzle Ø: 300 µm; T: 130°C; speed: 7.0 mm/s; P: 0.8 MPa.
PCL
Mw 80,000 Da
SF crosslinking + synovial MSCs specific affinity peptide - Medial meniscus model of a wedged shaped arc disk
300 µm
MESH: PCL bundles alternately oriented along the circumferential and perpendicular direction in a bionic manner
- Rat synovial derived MSCs (Passage: 3) - SEM
- Degradation in vitro
- Frictional force of interface
- Mechanical behavior, compression
- FTIR
Static culture
- Cell viability
- Cell morphology
- Biochemical assays (GAG, COL I/II)
- Gene expression (COL I/II, SOX9, aggrecan)
- Synovial derived MSCs recruitment in vivo
Orthotopic implant
(rat) [− cells]
Synovial MSCs recruitment
(rabbit) [− cells]
End point: 12, 24 weeks
- Gross evaluation (meniscus)
- Cartilage evaluation
- SEM (cartilage)
- Inflammatory response (histology, IL-1, TNF-α synovia, and synovial fluid)
- Biomechanical behavior, compressive/tensile load
Bahcecioglu et al. 141 3D CAD (SketchUp, Google)
3D Bioprinter (Bioscaffolder system, SYS + ENG).
Parameters. Strand orientation: 0/90°; strand distance: 1 mm.
PCL
Mw 70,000–90,000 Da
- Agarose (impregnation)
- GelMA (impregnation)
- Agarose + cells suspension (impregnation of inner region) and GelMA + cells suspension (impregnation of outer region)
- Prism, 4 × 4 × 3 mm
- Meniscus-like, outer Ø: 30 mm, height at periphery: 5 mm, inner Ø: 10 mm
751 ± 43 μm (PCL) in xy-direction and 97 ± 40 μm in z-direction, filled with hydrogel
MESH: strand distance, 1 mm; strand orientation, 0/90°; average strand Ø, 211 ± 18 μm
- Pig MFCs (Passage: 2) - Mechanical behavior, compressive/tensile load Static and dynamic culture (compression)
- Cell viability
- Biochemical assays (DNA, sGAGs, hydroxyproline, and COL content)
- IF (COL I/II)
Cengiz et al. 142 3D Bioprinter (Bioplotter, EnvisionTEC)
Parameters. Needle Ø: 22G metallic; print T: 110°C; P: 5.5 bar.
PCL
Mw 45,000 Da
Entrapped SF (8 or 16 wt%) in PCL 5 mm3
697.1 µm, 61.1% (PCL);
278.7 µm, 54.6% (PCL + 8%SF);
287.2 µm; 50.0% (PCL + 16%SF)
MESH: parallel strands 1.2 mm apart from each other (layers); layer-wise alternating strand directions of 90° and 0° (3D cubic cage)
- Human meniscocytes (Passage: 5)
- Human IFPSCs (Passage: 4)
- Micro-CT
- SEM
- Water uptake
- Mechanical behavior, compression
Static culture
- Cell adhesion/migration (SEM)
- Cell viability
- Proliferation
- Staining for filamentous actin
Subcutaneous implant (nude mice) [+cells]
7 d static culture before implant
End point: 4 weeks
- Micro-CT
- Histological analyses for tissue infiltration, COL matrix, vessels, inflammation
Nakagawa et al. 145 MRI of ovine meniscus
CAD reconstruction of sheep medial meniscus
3D Bioprinter (Bioplotter, Envision TEC),
Parameters. T: 120°C; microstrands: 300 µm; microchannels: 100 µm.
PCL
Mw 65,000 Da
Recombinant human CTGF (outer/middle zones) and recombinant human TGF-β3 (inner/middle zones) incorporation in PLGA Meniscus-like
100/200 μm
MESH: layer path, 300 μm microstrands, 100 μm microchannels
Orthotopic implant (sheep)
End-point: 6, 12 months
- MRI and MRI score
- Macroscopic analysis
- Histological analysis of meniscal, articular cartilage, and synovial tissues
- Meniscal histological score (size, morphology, integrity, integration to the capsule, cellularity, cell morphology, COL organization, matrix staining)
Cengiz et al. 146 3D Bioprinter (Bioplotter, EnvisionTEC).
Parameters. Print T: 110°C; P: 5.5 bar.
PCL
Mw 45,000 Da
SF reinforced in the middle on the transverse plane with PCL 5 m3
242.1 ± 7.6μm
76.9% ± 0.5%
MESH: layer-wise alternating strand directions of 45° and 135°; 2 mm inter-strands distance
- Human meniscocytes (Passage: 5)
- Human ADSCs from IFP (Passage: 4)
- SEM
- Micro-CT
- Water uptake
- Suture retention test
- X-ray diffraction
- Mechanical behavior, compression
- In vitro enzymatic degradation
Subcutaneous implant (nude mice) [± cells]
7 d static culture before implant
End point: 4 weeks
- Histological analyses for biocompatibility, tissue infiltration, new vessels
Chen et al. 147 Micro-CT of rabbit menisci
3D CAD of scaffolds
FFF 3D printing.
Parameters. N.R.
PCL
Mw 45,000 Da
- Pig meniscal dECM injection and crossliking
- Pig meniscal dECM injection and crossliking + cells
- Wedge-shaped porous scaffold, 10 × 4 × 1 mm
1000 μm
MESH: circumferential fibers spacing of 1000 μm, adjacent radial fibers angle of 18°, fiber diameters of 250 μm
- Rabbit MFCs (Passage: 3) - Water contact angle,
- FTIR
- SEM
- Mechanical behavior, compressive/tensile load
Subcutaneous implant (rats) [− cells]
End point: 1 week, 1 month
- Histology for inflammatory and immune responses
Orthotopic implant (rabbit) [± cells]
24 h static culture before implant
End point: 3, 6 months
- Morphologic observation
- Histology (cartilage)
- IHC (COL I/II)
- Ishida Score menisci
- COL and GAG content
- Mechanical behavior, compressive/tensile load
- Image assessment (X-ray, MRI)
- Kellgren−Lawrence and WORMS grading
Lee et al. 149 Laser Scan of human/sheep Meniscus
3D CAD
3D Bioprinter
(Bioplotter, EnvisionTEC).
Parameters.print T: 120°C.
PCL
Mw 65,000 Da
Tethering of CTGF and TGF-β3 incorporated in PLGA microstrands Meniscus-like
100 µm
MESH: (a) interlaid strands and interconnecting microchannels with 100 µm Ø + circumferentially aligned fibers added (human meniscus scaffold); (b) 300 µm microstrands and 100 mm microchannels (sheep meniscus scaffold)
- Human BM or synovium MSCs (Passage: 2–3) Static culture
- Cell recruitment
- Fibrocartilage matrix formation
Orthotopic implant (sheep) [− cells]
End point: 12 weeks
- Mechanical behavior (dynamic compression, pull-out strength, friction coefficient, stress relaxation, tensile test)
Abar et al. 150 3D CAM/CAD (Fusion 360), FFF 3D printer (Taz 5, Lulzbot).
Parameters. Nozzle Ø: 400 µm; print T: 212°C–220°C; bed T: 40°C; speed: 360 mm/min.
PCU Collagen hydrogel infill Prism, 105 × 55 × 1.66 mm
0/100/200/400/600/800 µm
MESH: first layer, a solid printed in diagonal pattern; next four layers, rectilinear infill pattern
- NIH/3T3, fibroblasts in aqueous or COL solution (Passage: N.R.) - Light microscopy
- Micro-CT
- Mechanical behavior, tensile testing
Static culture
- Cell proliferation and distribution
Ghodbane et al. 153 3D Bioprinter (Bioplotter, EnvisionTEC).
Pneumatic extrusion.
Parameters. Nozzle inner Ø: 500 µm; T: 160 °C; P: 9 bar; speed: 2 and 4.5 mm/s.
p(DTD DD) Collagen infusion Anterior-posterior length: 32 mm, medial-lateral length:
24 mm
69.9% ± 8.0%
MESH: successive layers of circumferential and radial filaments
- Orientation characterization (XRD)
- Mechanical behavior, circumferential tensile stiffness and ultimate tensile load
Ghodbane et al. 154 3D Bioprinter (Bioplotter, EnvisionTEC). Pneumatic extrusion.
Parameters. Needle inner Ø: 400 µm; print T: 160°C; speed: 1.2 mm/s; P: 8.9 bar.
p(DTD DD) Collagen hyaluronate sponge infusion Anterior-posterior length: 32 mm, medial-lateral length:
24 mm
69.9% ± 8.0%
MESH: successive layers of circumferential and radial filaments
Orthotopic implant (sheep)
End point: 12, 24 weeks
Histology for magnitude and type of tissue ingrowth, tissue thickness and integrity, surface features, cell density, vascularization, inflammatory response; IF for COL I/II; quantification of COL and sGAGs; cartilage histological analysis
Gupta et al. 156 3D CAM/CAD of scaffolds (Fusion 360, Autodesk), FFF 3D printer (Tarantula 3D printer).
Parameters. print T: 200°C; speed: 20 mm/s.
PLA - COL crosslinking
- alginate
- oxidized alginate
Self-healing interpenetrating network hydrogel
Square prism, 10 × 10 × 3 mm
400 µm
MESH: layer by layer with orthogonal orientation of fibers between successive layers. Fiber diameter, 200 μm; fiber spacing in each layer, 400 μm
- Human UC-MSCs (Passage: N.R.) - Cytotoxicity
- Degree of carboxylation
- Mechanical behavior, compression
- Contact angle
- Characterization of hydrogel impregnated scaffolds (in vitro degradation, swelling ratio)
Static culture
- Cell viability/
proliferation/
morphology
- Differentiation
Subcutaneous implant (rats) [− cells]
28 d of static differentiation before implant
End point: 14, 28 days
- Biocompatibility
- Micro-CT
- Histology (tissue architecture, COL content, GAG)
Yang et al. 224 3D printer (Regenovo 3D Bio-Architect Sparrow).
Parameters.
Print T: 17°C–22°C; needle inner Ø 260 µm; print bed T: 0°C
N-acryloylsemicarbazide/gelatin Polydopamine coated-ZIF-8 - Printed grid, 66 × 56 × 0.87 mm
- Printed porous cuboid, 40 × 20 × 2.1 mm
_______________________
MESH: 6 layers grid
- L929 mouse fibroblasts
- Rabbit MFCs (Passage: 3)
- Mechanical characterization, tensile/compressive wear, resistance against femur, tearing tests, suture strength
- Swelling behavior
- Biocompatibility
- In vitro antibacterial activity (Staphylococcus aureus and Escherichia coli)

ADSCs: adipose-derived stem cells; BM: bone marrow; CAD: computer aided design; CAM: computer aided manufacturing; CO: collagen; CTGF: connective tissue growth factor; Da: Dalton; dECM: decellularized extracellular matrix; FFF: fusion filament fabrication; FTIR: Fourier-transform infrared spectroscopy; G: gauge; GAG: glycosaminoglycans; GelMA: gelatin methacrylate; IF: immunofluorescence; IFP: infrapatellar fat pad; IL: interleukin; IFPSCs: infrapatellar fat pad stem cells; IHC: immunohistochemistry; MFCs: meniscal fibrochondrocytes; Micro-CT: micro computed tomography; mm: millimiters; mm/min: millimeters/minute; mm/s: millimeters/second; MPa: megapascal; MRI: magnetic resonance imaging; MSC: mesenchymal stem cells; Mw: molecular weight; N.R.: not reported; p(DTD DD): poly(desaminotyrosyl-tyrosine dodecyl ester dodecanoate); P: pressure; PCL: ε-polycaprolactone; PCU: polycarbonate urethane; PLGA: poly lactic-co-glycolic acid; PU: polyurethane; SEM: scanning electron microscopy; SF: silk fibroin; sGAG: sulfated glycosaminoglycans; SOX9: SRY-Box transcription factor 9; T: temperature; TGFβ3: transforming growth factor, beta 3; UC: umbilical cord; w/wo: with/without; wt: weight; XRD: X-ray diffraction analysis; µm: micrometers; °C: centigrades; Ø: diameter.