Mechanical properties of calcium phosphate scaffolds fabricated by robocasting Pedro Miranda,1 Antonia Pajares,2 Eduardo Saiz,3 Antoni P. Tomsia,3 Fernando Guiberteau1 1 Departamento de Electrónica e Ingenierı́a Electromecánica, Universidad de Extremadura, Avda de Elvas s/n. 06071 Badajoz, Spain 2 Departamento de Fı́sica, Universidad de Extremadura, Avda de Elvas s/n. 06071 Badajoz, Spain 3 Materials Sciences Division, Lawrence Berkeley National Laboratory, 1 Cyclotron Rd., Berkeley, California 94720 Received 23 February 2007; revised 14 May 2007; accepted 31 May 2007 Published online 9 August 2007 in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jbm.a.31587 Abstract: The mechanical behavior under compressive stresses of b-tricalcium phosphate (b-TCP) and hydroxyapatite (HA) scaffolds fabricated by direct-write assembly (robocasting) technique is analyzed. Concentrated colloidal inks prepared from b-TCP and HA commercial powders were used to fabricate porous structures consisting of a 3D tetragonal mesh of interpenetrating ceramic rods. The compressive strength and elastic modulus of these model scaffolds were determined by uniaxial testing to compare the relative performance of the selected materials. The effect of a 3-week immersion in simulated body fluid (SBF) on the strength of the scaffolds was also analyzed. The results are compared with those reported in the literature for calcium phosphate scaffolds and human bone. The robocast calcium phosphate scaffolds were found to exhibit excellent mechanical performances in terms of strength, especially the HA structures after SBF immersion, indicating a great potential of this type of scaffolds for use in load-bearing bone tissue engineering applications. Ó 2007 Wiley Periodicals, Inc. J Biomed Mater Res 85A: 218–227, 2008 INTRODUCTION structures with customized, complex, 3-D shapes. Thus, these techniques enable the production of optimal porous structures to attain the desired mechanical behavior and mass transport properties (permeability and diffusion properties) for scaffold applications. Furthermore, if the CAD model is obtained from medical scan data (e.g., computerized tomography or nuclear magnetic resonance imaging), the scaffold’s external shape can be made to match the damaged tissue site. Also, SFF techniques enable the fabrication of structures with different combinations of materials, to create microstructural and chemical gradients or patterns with tailored functionality. A feature that distinguishes robocasting from other SFF techniques is that it uses water-based inks with a minimal organic content (<1 wt %) and does not require any sacrificial support material or mold. Since the use of considerable amounts of binders in other SFF techniques complicates their sintering and densification process, robocasting appears as a very appealing candidate technology for building (i.e., printing) ceramic scaffolds. Consequently, recent work has been directed towards developing colloidal suspensions with the appropriate viscoelastic properties to be used as robocasting inks from calcium phosphate–b-tricalcium The robocasting, or direct-write assembly, technique consists of the robotic deposition through a specific nozzle of highly concentrated colloidal suspensions (inks) capable of fully supporting their own weight during assembly.1–3 Thus, lines (rods) of ink are laid down in a controlled manner to build up a 3-D structure layer-by-layer, following a computer-aided design (CAD) model. Like other solid freeform fabrication (SFF) techniques,4–6 it overcomes the limitations of more conventional scaffold fabrication methods, allowing the fabrication of Correspondence to: P. Miranda; e-mail: pmiranda@unex.es Contract grant sponsor: European Community’s Sixth Framework Program; contract grant number: MOIF-CT2005-7325 Conract grant sponsor: Ministerio de Educación y Ciencia and the Fondo Social Europeo; contract grant number: MAT2006-08720 Conract grant sponsor: National Institutes of Health (NIH); contract grant number: 5R01 DE015633 ' 2007 Wiley Periodicals, Inc. Key words: robocasting; hydroxyapatite; phosphate; scaffolds; strength b-tricalcium MECHANICAL PROPERTIES OF ROBOCAST CALCIUM PHOSPHATE SCAFFOLDS phosphate7 (b-TCP) and hydroxyapatite8,9 (HA)–bioceramic powders. These two calcium phosphate ceramics are the materials most widely studied for scaffold applications because their composition is close to that of the mineral bone phase.10–12 Although the development of these inks has allowed the fabrication of robocast calcium phosphate scaffolds, there is little information yet available about their mechanical behavior. Good mechanical performance of porous scaffolds is paramount for their applications in orthopedics, as they should be able to withstand some degree of loading during their use in vivo. Therefore, high strength and reliability are determining properties, while matching elastic properties to surrounding tissue is also desirable to provide the appropriate support and stress level for bone regeneration. Understanding the fundamental features controlling these properties in this type of structures is thus essential. Accordingly, in this work we analyze the mechanical behavior under compression of b-TCP and HA scaffolds fabricated by robocasting, with an emphasis on their respective compressive strengths. For this purpose, prototype scaffolds consisting of a 3-D tetragonal mesh of interpenetrating ceramic rods were fabricated using the ink recipes developed in previous work for each material,7,9 and tested under uniaxial compression. Tests were performed along two orthogonal directions and the respective compressive strengths analyzed in detail. The effect of immersion in simulated body fluid (SBF) on the strength was also analyzed. Estimates of the elastic moduli of the scaffolds were obtained from the load–displacement curves. Finally, the results are compared with values reported in the literature for calcium phosphate scaffolds and bone tissue. Implications for the optimization of the mechanical performance of robocast calcium phosphate scaffolds and their applicability in load-bearing bone tissue engineering applications are discussed. 219 consistency was fine-tuned by adjusting its pH with HNO3 or NH4OH as needed. Each addition to the mixture was followed by shaking for about 1 h, together with a few zirconia grinding balls, in a paint shaker (Red Devil 5400, Red Devil Equipment, Plymouth, MN). The final powder contents of the inks were 35 vol % for HA9 and 45 vol % for b-TCP.7 Robocasting was used to construct scaffolds consisting of a tetragonal mesh of ceramic rods from the fabricated inks as illustrated in Figure 1. The printing syringe was partially filled with the corresponding ink, tapped vigorously under slight vacuum to remove bubbles, and then placed on the robotic deposition device (3-D Inks, Stillwater, OK), which is controlled by a computer-aided direct-write program (Robocad 3.0, 3-D Inks). The inks were deposited through conical nozzles (EFD Inc., East Providence, RI, USA) of diameter d ¼ 250 lm at a constant linear printing speed of 20 mm/s. The in-plane line spacing (from center to center), s, in the computer 3-D model of the structure was set to 400 lm. The layer spacing, h, was fixed at 225 lm, to have a 25-lm layer overlap that facilitates printing. The external dimensions of the scaffolds were set at about 10 3 10 3 10 mm so that a total of 44 layers were deposited. Deposition was done in a nonwetting oil bath to prevent nonuniform drying during assembly. The samples were dried in air at room temperature for 24 h and then at 4008C (18C/min heating rate) for 1 h to evaporate organics. Finally, the dried samples were sin- EXPERIMENTAL PROCEDURES Materials and sample preparation Robocasting inks were prepared following the recipes described in detail in previous work, from commercially available HA9 and b-TCP7 powders. Basically, a concentrated stable suspension of the selected powder in distilled water was prepared by adding appropriate amounts of Darvan1 C dispersant (R.T. Vanderbilt, Norwalk, CT). Then hydroxypropyl methylcellulose (Methocel F4M, Dow Chemical Company, Midland, MI) was added to the mixture to increase viscosity and the ink was finally gellified by adding polyethylenimine (PEI) as flocculant. The ink’s Figure 1. Schematic of robocasting fabrication process. The ceramic scaffold is built layer by layer from a computer design. A 3-axis robotic arm moves the injection syringe while expressing the ceramic ink through the conical deposition nozzle, of diameter d, to create a self-supporting 3-D network of ceramic rods immersed in an oil bath. The layer spacing, h, and in-plane rod spacing, s, are indicated. Journal of Biomedical Materials Research Part A 220 tered at 13008C (heating rate 38C/min) for 2 h. It was confirmed by X-ray diffraction that after the sintering treatment the HA samples were almost pure HA while the bTCP samples contained small quantities of calcium pyrophosphate as the original powder was calcium-deficient— the sintering mechanisms and resulting microstructure of the b-TCP samples were discussed in detail in a previous work.7 The scaffolds were analyzed using scanning electron microscopy (S-4300SE/N, Hitachi, USA) (Fig. 2). The average rod diameter was measured to be 220 6 10 lm and the average rod spacing in the printing plane 300 6 10 lm, with a rod overlap between adjacent layers of about 50 6 5 lm. Taking into account these dimensions, one estimates approximately 28% macroscopic porosity for the scaffold. Total porosity values of around 39% and 40% were determined by simple weighing for HA and b-TCP, which implies that the porosity within the rods is approximately 15% and 17% in each case (assuming theoretical densities of 3.156 and 3.07 g/cm3, respectively). Average MIRANDA ET AL. grain size in the HA and b-TCP rods were found to be 3.2 6 0.5 and 7.4 6 0.7 lm, respectively, as determined using the mean linear intercept method (ASTM Standard E 11288) on a series of section micrographs on thermally etched samples. It is worth noting the presence of microcracks in the b-TCP samples [Fig. 2(f)] as a result of the reversible b–a transformation occurring during sintering.7,13 After sintering some samples were immersed in SBF14 at 378C for 20 days to determine the effect of this in vitro environment on the mechanical properties of the scaffolds. Mechanical testing The compressive strength of the scaffolds was determined by performing uniaxial tests on approximately cubic blocks of 2-mm side cut from the sintered specimens. The tests were carried out in air on a universal testing machine (AG-IS10kN, Shimadzu, Kyoto, Japan) at a con- Figure 2. SEM micrographs showing the morphology of HA (left) and b-TCP (right) scaffolds after sintering at 13008C for 2 h: general view (a, b), printing plane view (c, d), and detail of the rod surfaces (e, f). Arrows mark the presence of microcracks in (f). Journal of Biomedical Materials Research Part A MECHANICAL PROPERTIES OF ROBOCAST CALCIUM PHOSPHATE SCAFFOLDS stant crosshead speed of 0.6 mm/min. Tests were performed both in the direction perpendicular to the printing plane (direction 3 in Fig. 1) and along one of the two equivalent rod directions (directions 1 or 2 in Fig. 1). The load–displacement curve was registered during the tests. The compressive strength of the structure was calculated as the maximum applied load divided by the measured square section of the sample. A minimum of eight samples were tested in each testing condition in order to get statistically reliable values. The elastic moduli of the scaffolds were estimated from the slopes of the load–displacement curves, taking into account the compliance of the testing machine (20 kN/mm). Intrinsic mechanical properties of the individual calcium phosphate rods were also evaluated. Instrumented indentation (Nanotest, Micro Materials, Wrexham, UK) was used to determine the elastic modulus and hardness of the rods. The indentation tests were performed using a diamond Berkovich indenter on polished sections of the scaffolds (to 1 lm finish) perpendicular to the rod axis. Single indentations of about 5.5-lm deep were placed at the center of b-TCP and HA rods as shown in Figure 3. The indent size, of about 40-lm side, is large enough compared to grain size to provide meaningful information about the mechanical properties of the rods (and not of individual grains) but small enough to avoid the influence of the free surface of the rods. The Poisson’s ratio was assumed to be the same for the two materials and equal to 0.28 (Ref. 15) to calculate the Young’s modulus, E, from the reduced modulus, E ¼ E=ð1 m2 Þ, obtained in the indentation tests. The inert fracture strength of the rods was determined from 3-point bending tests performed in air at a constant crosshead speed of 30 mm/min, in individual rods printed and sintered for this purpose. Since the fracture load for rods of 220-lm diameter was close to the sensitivity limit of the load cell, thicker rods of 360lm diameter were used instead. The final density and microstructure of these rods were undistinguishable from those of the scaffolds. The load–displacement curves from these tests were also used to estimate the Young’s modulus of the rods, confirming the results obtained from the instrumented indentation. RESULTS AND ANALYSIS Figure 4 shows some typical load–displacement curves obtained in uniaxial tests performed on the HA and b-TCP scaffolds in the printing direction (direction 3 in Fig. 1)—curves corresponding to direction 1 or 2 (rods directions) are similar. The significant drops in load observed in these plots are associated with the development of longitudinal cracks in the structure, as already reported in a previous work.9 The considerable mechanical resistance retained by the structure after several cracking events, as evidenced by the gradual decline in the load, is also analyzed in that earlier study.9 It is evident from these curves that the compressive strength of the HA scaffolds is clearly superior to that of the 221 Figure 3. SEM micrographs of Berkovich indents on a polished cross-section of the rods: (a) 2-N load imprint on HA and (b) 1-N load imprint on b-TCP. Note that the imprints (40 lm size) are far from the free edges of the rods. b-TCP structures. As is appreciable in the figure, the HA scaffolds are also stiffer than the b-TCP structures (E ¼ 7 6 2 GPa vs. E ¼ 2 6 1 GPa). These results are easily explained by considering the intrinsic mechanical properties of HA and b-TCP rods— determined as described in the previous section— which are summarized in Table I. As is evident from these results, the HA rods are significantly stiffer, harder, and stronger than are the b-TCP rods, thus qualitatively explaining the differences observed in Figure 4. Figure 5 shows the Weibull plot corresponding to the compressive strength data. This plot shows the failure probability as a function of applied stress for HA (circles) and b-TCP (squares) scaffolds tested along direction 1 or 2 (filled symbols) and direction 3 (open symbols). The straight lines are the best fits using the Weibull probability function16–18 P ¼ 1 exp½ðr=r0 Þm ð1Þ with P being the failure probability, and where the Weibull modulus, m, and central value, r0, are adjustable parameters. In particular, it was found that the average compressive strength obtained in tests Journal of Biomedical Materials Research Part A 222 MIRANDA ET AL. Figure 4. Load–displacement curves obtained during uniaxial compression tests performed on HA and b-TCP scaffolds along the direction orthogonal to the printing plane (direction 3 in Fig. 1). Drops in load mark longitudinal crack pop-in events. performed in direction 3 was slightly lower than in the other directions. Also, as clearly shown in Figure 5, the data scatter is significantly larger in this direction. For instance, the Weibull modulus—which is inversely related to data scatter—for HA scaffolds changes from m ¼ 3.2 6 0.2 in direction 3 to m ¼ 9.3 6 0.6 in direction 1 or 2. This difference in Weibull modulus of the data could be associated with a greater localization of the tensile stresses when load is applied along direction 3.9 Higher spatial concentration of the tensile stresses implies a lower probability of finding flaws within the tensile region, and this translates into a greater dispersion of the strength data.19 Also evident in this figure are the differences in strength between the two materials. The lower compressive strength values measured for b-TCP are attributable to the development of microcracks during sintering in this material,7 as evidenced in Figure 2(f) (arrows). The effect of immersion in SBF14 for 20 days on the compressive strength of the scaffolds is shown in the Weibull plots of Figure 6. The data corresponds to tests performed in direction 3 but the effect is TABLE I Intrinsic Mechanical Properties of HA and b-TCP Rods HA TCP a E* (GPa)a mb E (GPa) H (GPa) rF (MPa) 83 6 4 38 6 8 0.28 0.28 82 6 4 36 6 7 2.9 6 0.3 1.5 6 0.8 68 6 12 27 6 9 Reduced modulus, E ¼ Eð1 m2 Þ. From Ref. 15. b Journal of Biomedical Materials Research Part A Figure 5. Weibull compressive strength plot (i.e., failure probability vs. applied stress) for HA (circles) and b-TCP (squares) scaffolds tested uniaxially along direction 3 (open symbols) and direction 1 or 2 (filled symbols). The straight lines are linear fits using a Weibull probability function [Eq. (1)]. analogous for direction 1 or 2. As can be clearly seen, the SBF had no effect on the mechanical behavior of the b-TCP scaffolds but markedly increased the compressive strength of HA, without affecting significantly the Weibull modulus of the data. This effect is associated with the in vitro formation of bone-like apatite (or octacalcium phosphate, OCP20) on the surface of the HA rods, as shown in Figure 7(a) [cf. Fig 2(e)]. No apatite formation is observed in the b-TCP scaffolds [Fig. 7(b), cf. Fig. 2(f)], and therefore, no analogous effect in the strength is observed for this material. This inability of b-TCP to induce apatite growth in vitro has recently been reported in the literature.20 Figure 8 shows a comparative summary of the experimental results obtained in the uniaxial tests for the average compressive strength of the scaffolds, with the error bars representing one standard deviation of the data. Again, the superior resistance properties of HA relative to b-TCP are clear, especially after the approximately twofold increase in HA strength obtained by immersion in SBF. In fact, the average compressive strength of the HA scaffolds was more than three times greater than that of the b-TCP structures before immersion in SBF, but after the immersion that difference increased to more than sevenfold. Finally, in Figure 9 our strength and modulus data are compared with results from the literature for HA (circles) and TCP (squares) scaffolds fabricated by conventional and SFF processing techniques11,21–44— different literature sources are not distinguished. The results are plotted as a function of material den- MECHANICAL PROPERTIES OF ROBOCAST CALCIUM PHOSPHATE SCAFFOLDS 223 Figure 6. Weibull compressive strength plot (i.e., failure probability vs. applied stress) for HA (circles) and b-TCP (squares) scaffolds tested uniaxially along direction 3, before (open symbols) and after (filled symbols) immersion for 20 days in SBF. The straight lines are linear fits using a Weibull probability function [Eq. (1)]. which increased the value to levels similar to those corresponding to cortical bone of the same dry density. To the best of our knowledge, this striking effect has not before been reported in the literature. In principle, there is no reason to believe that the same immersion procedure cannot be applied to increase the strength of scaffolds fabricated by other techniques, though evidently the amount of improvement may depend on the preexisting surface conditions of the scaffold. Regarding the elastic moduli, Figure 9(b) shows that the values estimated from the uniaxial compression curves for our scaffolds lie well below the levels reported in the literature for scaffolds fabricated by more conventional techniques, which usually lie above the values corresponding to bone tissue of the same apparent dry density. However, the only value found in the literature for an HA scaffold fabricated from an SFF technique38 (with coincidentally the same total porosity) is even lower than our value. Nevertheless, estimates of the elastic modulus of the scaffolds from the load–displacement curves in uniaxial tests can be unreliable, even after correcting the sity (bottom axis), calculated from reported porosity values (top axis) assuming a theoretical density of 3.1 g/cm3 for both HA and TCP. Also included for comparison are estimated values for bone tissue following an empirical model due to Keller.45 This model, derived from an extensive data collection corresponding to both femoral and spinal tissue, relates the properties of bone to its apparent dry density through a simple power-law. Those estimates, including the data dispersion, are represented by the shaded bands in Figure 9. The compressive strength plot [Fig. 9(a)] clearly shows that our as-fabricated robocast scaffolds have a level of mechanical integrity at least comparable to those of scaffolds fabricated by other techniques from the same materials. In particular, the robocast HA scaffold presents greater strength than the single available literature value with the same total porosity—which corresponds to a scaffold fabricated by another SFF technique.38 Higher levels of compressive strength have only been claimed in a recent paper on scaffolds fabricated by freeze casting (the two open circles inside and above the shaded band within the cortical bone region).21 However, those high values were obtained for a lamellar structure with interlamella spacing of *15 lm and only when tested along a direction parallel to the lamina. Also, the control of the pore structure of the scaffolds achieved in freeze casting, though better than in most conventional techniques, do not reach the levels attainable in robocasting. Especially remarkable was the effect of the immersion in SBF on the strength of the HA scaffolds, Figure 7. SEM micrographs showing the morphology of the surfaces of the scaffold rods after immersion for 20 days in SBF: (a) HA surface showing the bone-like apatite crystals that grew during the in vitro immersion, and (b) unchanged b-TCP surface after the immersion. Microcracks that developed in b-TCP during sintering are apparent in (b). Journal of Biomedical Materials Research Part A 224 MIRANDA ET AL. The strength differences between the two materials increased markedly after in vitro immersion in SBF for 20 days. The HA scaffolds doubled their compressive strength—reaching values similar to those of cortical bone with the same dry density—due to bone-like apatite growth on the surface of the HA rods, while the b-TCP scaffolds remained unaltered. Hence, controlled immersion in SBF would seem to be a simple and inexpensive means of improving the mechanical performance of complex 3-D structures fabricated by robocasting from apatite-forming materials. In all Figure 8. Bar chart summarizing the average compressive strength data obtained for each type of scaffold. Error bars are one standard deviation. curve to take the machine compliance into account. This is especially relevant for our robocast scaffolds where the irregular contact surface can complicate the coupling between the sample and the compression plates. Because of the intrinsic low strength of the calcium phosphate materials, cracking may occur at the contacts9 or at isolated points of the structure even at low load; thus preventing the system from showing a linear region in the load–displacement curve. That is the case in the curves of Figure 4, where the ‘‘linear’’ region is more like a sigmoidal curve of very slowly varying slope. More accurate measurement methods (e.g., using extensometers) or computational techniques (e.g., finite element simulations) would be needed to reliably estimate the actual elastic response of this type of structure. CONCLUSIONS AND IMPLICATIONS The compressive strengths of b-TCP and HA scaffolds fabricated by a direct-write assembly (robocasting) technique have been analyzed and compared in this work. Prototype porous structures consisting of a 3-D tetragonal mesh of interpenetrating ceramic rods fabricated from concentrated colloidal inks prepared from b-TCP and HA commercial powders were used. The results showed that the HA scaffolds had much greater (more than twofold) compressive strength than b-TCP in all testing configurations. Such significant differences are attributable to microcrack formation during sintering in the b-TCP materials.7 The microcracks reduce the intrinsic strength of the rods, which in turn reduces the compressive strength of the scaffolds. Journal of Biomedical Materials Research Part A Figure 9. Comparative plot of (a) strength and (b) modulus data from this work and literature reports,11,21–44 for both HA (circles) and TCP (squares) scaffolds-different literature sources are not distinguished. The results are plotted as a function of material density (bottom axis) and porosity (top axis) for both HA and TCP. The shaded bands represent bone properties (including data dispersion) as a function of apparent bone dry density (bottom axis), estimated using a power-law empirical model due to Keller.45 MECHANICAL PROPERTIES OF ROBOCAST CALCIUM PHOSPHATE SCAFFOLDS probability this procedure could also be successfully applied to scaffolds fabricated by other SFF and more conventional techniques. However, in some of the conventional techniques the apatite growth may reduce the pore interconnectivity, which is a critical parameter to promote bone ingrowth. Also, SBF immersion provides an additional means (together with that of controlling the sintering process) of modifying the surface properties of the scaffolds, which are known to have a major influence on cell affinity for the structure. In particular, it has been shown in vitro that the formation of a bone-like layer increases the number of cells adhered to the HA surface.46 Considering both its superior strength and its ability to induce apatite formation in vitro, HA seems a much better material than b-TCP for the fabrication of load-bearing scaffolds for bone tissue engineering applications. However, the inability of b-TCP to induce apatite/OCP growth in vitro is not necessarily an indication of low bioactivity in vivo. Indeed, bTCP is known to exhibit great biodegradability and osteoconductivity, significantly superior to those of synthetic HA.47,48 For this reason, b-TCP is a better choice for tissue engineering applications and has been successfully used in maxillary reconstruction or as a filler in polymer composites.49–51 However, our results suggest that b-TCP has still a long way to go to become a suitable material for load-bearing bone tissue engineering applications. In particular, the intrinsic strength of b-TCP would have to be improved, for example by avoiding the formation of microcracks during sintering. Since those microcracks form as a consequence of a reversible b–a transformation,7,13 they could be avoided by selecting appropriate sintering conditions. Also, starting powder quality (size, morphology, and composition) may be one of the key parameters in fabrication and performance. Further research is therefore needed to determine the optimal processing route to improve the mechanical performance of b-TCP. Also, our results suggest that both the strength and the reliability of this type of tetragonal mesh structure are superior when tested along the rod directions. If this is confirmed for different scaffold designs, it would be something to take into account when orienting these scaffolds in real applications. Since reliability is reduced (i.e., the dispersion of the strength values is increased) by stress concentrations, a rule of thumb in scaffold design would be to build the scaffold so that tensile stresses are as evenly distributed as possible over the entire structure. Finite element modeling would certainly be an invaluable tool for this task. It is worth noting that our robocast scaffolds had greater strength than have the most reported ones, but that is at least partially attributable to the fact that they have lower porosity than most scaffolds reported in the literature. This low volumetric poros- 225 ity may induce one to think that our scaffolds would have less capacity to induce bone ingrowth. However, rather than the volume of porosity, it is the interconnections between the pores which are mainly involved in allowing bone ingrowth (i.e., cell migration and nutrient transport processes).11,52 Indeed, pore interconnectivity has been shown to positively influence bone deposition rate and depth of infiltration both in vitro53 and in vivo.54 Therefore, the optimal amount of total porosity for bone tissue regeneration is really still an open question. Most published estimates have been derived from data corresponding to scaffolds fabricated conventionally,55 where pore interconnection size is much smaller than pore size, and therefore in which a high volumetric porosity is needed to ensure enough pore interconnections of the necessary size. Robocasting and other SFF methods allow the construction of macropore structures where pores and pore interconnections are similar in size, and therefore lower total volumetric porosities are needed to achieve the same functionality. Also, these regular interconnected pores provide spacing for the vasculature required to nourish new bone and remove waste products.56–59 Indeed, Rekow et al.60 have shown that bone tissue grows easily inside the pore structure of HA scaffolds fabricated by robocasting, colonizing even the microporosity within the rods. In short, robocasting is a scaffold fabrication technique that allows the design of the macropore structure and the control of the microporosity within the rods by adjusting the sintering conditions.7 The latter, together with in vitro treatment by immersion in SBF, provide means to control the cell affinity for the scaffold surfaces. These capabilities will eventually allow the total porosity of the scaffolds to be reduced to maintain the suitable mechanical strength without jeopardizing their osteoconductive properties. Of course, the pore architecture required for optimal osteoconductivity and mechanical performance (i.e., strength and modulus matching the tissue properties) has yet to be determined, and work in this direction is under way in our laboratories. The ability to tailor porosity is obviously essential for the fabrication of loadbearing bone tissue engineering scaffolds, and in this sense robocasting is a very promising technique. By printing materials from a computer design, robotic deposition offers the unique opportunity to explore systematically the factors controlling the behavior of porous scaffolds and to fabricate structures with optimal mechanical and biological behavior. References 1. Cesarano J III, Segalman JR, Calvert P. Robocasting provides moldless fabrication from slurry deposition. Ceram Ind 1998;148:94–102. Journal of Biomedical Materials Research Part A 226 2. Cesarano J, Calvert P. Freeforming objects with low-binder slurry. U.S. Patent 6,027,326, 2000. 3. 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