Review Article

The Role of Three-Dimensional Scaffolds in Treating Long Bone Defects: Evidence from Preclinical and Clinical Literature—A Systematic Review

Table 1

Complete details of 12 preclinical papers identified in this systematic review focusing on the usefulness of scaffolds alone in treating long bone defects.

AuthorsBiomaterialsAnimal modelResultsEffects

Boyde et al., 1999
(Bone) [19]
(1) HASheep tibial defect (3.5 cm)SEM: +
BSE: +
+
Marcacci et al., 1999
(Cal Tiss Int) [20]
(1) HASheep tibial defect (3.5 cm)X-ray: +
Hist: +
+
Zhang et al., 2001
(J Biomat Mat Res) [21]
(1) HA-TCPDog femoral defect (1.5 cm)Mech: ++
Mastrogiacomo et al., 2006
(J Tiss Eng) [22]
(1) Si-TCPSheep tibial defect (4.8 cm)X-ray: +
Hist: +
µCT: +
+
Sarsilmaz et al., 2007
(Acta of Bioeng & Biomech) [23]
(1) HA-PEDog radial defect (1.5 cm)X-ray: +
Hist: +
SEM: +
+
Schneiders et al., 2009
(J Orth Res) [24]
(1) HA-COL
(2) HA-COL-CS
Sheep tibial defect (3 cm)X-ray: +
Hist: +
µCT +
+
(for HA-COL-CS)
Nandi et al., 2009
(Res Vet Sci) [25]
(1) Untreated
(2) Bioactive glass
Sheep radial defect (1.2 cm)X-ray: +
Hist: +
+
Nair et al., 2010
(J Tiss Eng Pt A) [26]
(1) HASiGoat femoral defect (2 cm)X-ray: +
Hist: +
µCT: +
+
Reichert et al., 2011
(Int Ortho) [27]
(1) Untreated
(2) mPCL-TCP
(3) PLDLLA-TCP-PCL
(4) ABG
Sheep tibial defect (2 cm)X-ray: +
Hist: +
µCT: +
Mech: +
+
(similar results of ABG)
Rentsch et al., 2012
(Biomatter) [28]
(1) PCL-Coll I-CSSheep tibial defect (3 cm)X-ray: +
Hist: +
µCT: +
Mec: +
+
Kim et al., 2015
(Biomed Res Inter) [29]
(1) HA/alumina
(2) HA/alumina-medullary canal (3 mm)
Dog tibial defect (2 cm)X-ray: +
µCT: +
Fluorescent labelling: +
+
(for HA/alumina-medullary canal)
Li et al., 2016
(Biomed Mat) [30]
(1) Baghdadite
(2) Baghdadite-PCL-nBG
Sheep tibial defect (3 cm)X-ray: =
Hist: =
µCT: =
Mech: +
+
(for Baghdadite-PCL-nBG)

HA: hydroxyapatite, HA-TCP: hydroxyapatite-tricalcium phosphate, Si-TCP: silicon stabilized tricalcium phosphate, HA-PE: hydroxyapatite-polyethylene, HA-COL: hydroxyapatite-collagen, HA-COL-CS: hydroxyapatite-collagen-chondroitin sulphate, HASi: calcium silicate, tricalcium phosphate, and hydroxyapatite, mPCL-TCP: medical grade polycaprolactone-tricalcium phosphate, (PLDLLA)- TCP-PCL: poly(L-lactide-co-D,L-lactide)- polycaprolactone-tricalcium phosphate, ABG: autologous bone graft, PCL-Coll I-CS: polycaprolactone-collagen- chondroitin sulphate, HA-alumina: hydroxyapatite-alumina, Baghdadite: Ca3ZrSi2O9, Baghdadite-PCL-nBG: Ca3ZrSi2O9-polycaprolactone-bioactive glass nanoparticles, SEM: scanning electron microscopy, BSE: backscattered electron imaging, Hist: histological analysis, µCT: microcomputed tomography, Mech: mechanical analysis, X-ray: radiological analysis, +: positive effects, −: negative effects, and : no significant difference.