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Page 1: Evaluation of physical and mechanical properties of -tri ...scientiairanica.sharif.edu/article_4142_06671d7f7c6dd6c04beabbce… · after healing occurrence [6]. This property imparts

Scientia Iranica F (2017) 24(3), 1654{1668

Sharif University of TechnologyScientia Iranica

Transactions F: Nanotechnologywww.scientiairanica.com

Evaluation of physical and mechanical properties of�-tri-calcium phosphate/poly-3-hydroxybutyratenanocomposite sca�old for bone tissue engineeringapplication

Sh. Shahia and S. Karbasib;�

a. Department of Material Engineering, Shahreza Branch, Islamic Azad University, Shahreza, Isfahan, Iran.b. Biomaterials Group, Advance Medical Technology Department, Isfahan University of Medical Sciences, Isfahan, Iran.

Received 10 June 2016; received in revised form 7 December 2016; accepted 13 February 2017

KEYWORDSNano-�-tricalciumphosphate (�-TCP);Poly-3-hydroxybutyrate(P3HB);Sca�old;Tissue engineering.

Abstract. One of the major challenges facing researchers of tissue engineering isthe sca�old design with desirable physical and mechanical properties for growth andproliferation of cells and tissue formation. In this paper, �rstly, �-tricalcium phosphate(�-TCP) nanopowders with particle size of 50-70 nm were synthesized using a simple sol-gelroute with calcium nitrate and potassium dihydrogenphosphate as calcium and phosphorusprecursors, respectively. Then, the porous ceramic sca�old containing 40, 50, and 60 wt%of n�-TCP was prepared by the polyurethane sponge replication method. The sca�oldswere coated with P3HB for 30 sec and 1 min in order to increase the sca�old's mechanicalproperties. XRD, XRF, SEM, TEM, and FT-IR were used in order to study the phaseand element structure, morphology, particle size, and determination of functional groups,respectively. Based on the results of compressive strength and porosimetry tests, the mostappropriate type of sca�old is 50 wt% of n�-TCP immersed for 30 sec in P3HB with75% porosity in 200-600 �m, with a compressive strength of 1.09 MPa and a compressivemodulus of 33 MPa, which can be utilized in bone tissue engineering.© 2017 Sharif University of Technology. All rights reserved.

1. Introduction

Every year, almost two million patients worldwideundergo bone grafting procedure to regenerate bone in-juries due to accidents and automobile accidents, birthdefect, diseases, and di�erent cancers [1,2]. Autograftsand allografts are the current strategies for �lling bonedefects, but each has several disadvantages leading tolimited structural and functional recovery [3,4]. Forexample, there are signi�cant drawbacks to the useof autologous bone, such as limited access and unsta-

*. Corresponding author. Tel.: +98 313 792 24 59;Fax: +98 313 668 85 97E-mail address: [email protected] (S. Karbasi)

ble nature, hematoma, infection, increased operativetime, blood loss, chronic donor site pain, and extracost [4,5]. Allograft bone substitutes involve risks ofimmune rejection, or even lead to infectious diseasetransmission [6]. Synthetic bone �lling materials can beprepared free of obstacles mentioned for autografts andallografts [7]. Synthetic bone �lling materials have theaim of mimicking the physical and mechanical nature ofnative tissue and promoting osteoconduction for bonerepair [3]. Then, the best strategy to treat bone injuriesis the use of tissue engineering [8]. The primary goal ofTissue Engineering (TE) is to produce functional sub-stitutes for damaged or lost tissues [9]. So far, variousthree-dimensional (3D) sca�olds have been produced,and then populated with signaling molecules and cells

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Sh. Shahi and S. Karbasi/Scientia Iranica, Transactions F: Nanotechnology 24 (2017) 1654{1668 1655

to act as a temporary physical framework allowing newtissues to grow and reconstruct the damaged ones [10].In other words, tissue function restoration needs atemplate, a sca�old, which will play the role of extracel-lular matrix in order to allow cells to attach, migrate,and duplicate tissue ingrowth until the new tissue isfully regenerated [11,12]. Bone tissue has a greatpotential for being restored to other body tissues [13].Inherently, natural bone tissue is a composite of acollagenous hydrogel matrix consisting of about 33-43%apatite minerals, 32-44% organics, and 15-25% wateron a volumetric basis [14,15], which is accountable forthe remarkable strength and partial elasticity in bonetissue [16]. Moreover, hybrid structures, made of syn-thetic or naturally occurring ceramics and polymers,have taken advantage of this combination such as thestrong compressive strength of ceramics as well as the exibility of ductile polymers. This combination seemsto be a promising choice, in particular for bone tissueengineering [17,18]. Therefore, the consequent strategyis to combine polymers and inorganic components, suchas CaPs, to construct sca�olds that meet the require-ments desired for bone tissue engineering application[19]. Bone tissue engineering attempts to reconstructand maintain the function of human bone tissues usingthe combination of cell biology, materials science, andengineering principles [8]. Both ceramic matrix andpolymer matrix sca�olds have high porosity, bioactiv-ity, biodegradability, and other physical and mechani-cal properties required for bone tissue engineering [20].Ceramic matrix sca�olds have greater ability to bonddirectly to bone tissue compared to polymer matrixsca�olds. This means that ceramic matrix sca�oldsare more bioactive than polymer matrix sca�olds andare, therefore, recommended for bone tissue engineer-ing [20]. �-TCP [Ca3 (PO4)2] and HA [Ca10 (PO4)6(OH)2] are similar to those found in human bone; there-fore, they are the most commonly used ceramics in thebiomedical �elds [21,22]. Among these bioceramics, �-TCP and �-TCP have been widely used instead of ap-atites for hard tissue restoration due to their excellenttissue biocompatible, biodegradable, and osteoconduc-tive characteristics [6,23]. For example, a biodegrad-able and osteoconductive biocomposite made of �-TCPparticles and gelatin was proposed [24]. This materialwas tested in vivo with good results without the needfor a second surgical operation to remove the deviceafter healing occurrence [6]. This property impartssigni�cant advantage to �-TCP compared to other bio-ceramics, which are not resorbed and replaced by new-formed bone tissues [25]. Therefore, �-TCP bioceram-ics are extensively used in bone �lling substituted in the�eld of oral plastic surgery and bone tissue engineeringsca�olds [25]. Based on previous studies, a desiredsca�old for bone engineering should comply with anumber of mechanical and physiological demands:

1. Biocompatibility to provide cell attachment, di�er-entiation, and proliferation;

2. Osteoconduction and osteoprodution (inducingpowerful bone bonding);

3. Biodegradability at a rate of matching the rate ofnew tissue formation;

4. Mechanical capability in order to enable mechanicalstrength in load bearing sites prior to reconstruc-tion of new tissue;

5. Interconnected porous structure for cell in�ltration,tissue ingrowth, and vascularization [6,26,27].

Consequently, the optimal sca�old design andfabrication techniques must be able to createporous structures convenient for attaining the desiredmechanical function and mass transport properties [28].Polymer replication methods enable the sca�oldsformation with uniform and adjustable porosity [29-31]. The method has been developed due to itsinterconnected pores that are similar to cancellousbone [11]. However, since CaPO4 has a ceramic nature,they are brittle; therefore, biomedical applications ofbare CaPO4 sca�olds for bone tissue reconstructionhave been largely limited by their poor mechanicalproperties such as compression strength, compressionmodule, and toughness [32]. Hence, CaPO4 sca�oldshave been modi�ed by introducing ductile polymer asa reinforcing phase in order to improve the mechanicalproperties and decrease their brittleness [13]. Forexample, collagen coated BCP ceramics were studiedand the biocompatibility towards osteoblasts wasfound to increase upon coating with collagen [33].This approach resulted in applications of conventionalcomposite manufacturing techniques to the �eld ofbiomaterials, and the studies summarized showed thatthe proper combination of a brittle, hard and bioactiveCaPO4 matrix with a ductile polymer coating o�ersmany advantages of both for clinical applications [6].Poly-3-hydroxybutyrate (P3HB) is a partiallycrystalline polymer with a high melting temperatureand a high degree of crystallinity, which can beapplied as a coating in ceramic sca�olds [8]. Poly-3-hydroxybutyrate, as a member of the polyhydrox-yalkanoate family, known as PHB, has attracted muchattention for a wide range of medical applications dueto its biodegradation, which indicates a much longerdegradation time compared to polymers of the poly (a-hydroxyacid) group [34,35]. Namely, PHB/carbonatedACP and PHBHV/carbonated ACP biocompositesappeared to be well suited as slowly biodegradable bonereplacement material [36]. Kang et al. [37] showed thatthe compressive strength of �-TCP sca�olds increasedfrom 2.90 to 4.19 MPa using the in�ltration of PLGAwhile retaining an interconnected porous structure witha porosity of 80%. Miao et al. [38] produced sca�olds

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from HA/TCP coated with the polymer PLGA, andthe compressive strengths of the sca�olds increasedup to 660 kPa by the PLGA incorporation in ceramic-based sca�olds. Foroughi et al. [20] indicated that HAsca�olds coating with poly-3-hydroxybutyrate, by andlarge, improved the compressive strength of the HAsca�olds. Their results exhibited porosity of 80-90%and compressive strength and modulus of 1.51 and 22MPa, respectively. Bang et al. [19] evidenced that thecompressive strength of �-TCP foam increased from30 to 750 kPa by modi�cation with interpenetrationand coating of PCL. Therefore, based on the resultof studies, it is clear that covering ceramic sca�oldwith polymer layers is one of the best achievementsfor production of bone tissue engineering sca�olds.

To the best of our knowledge, this is the �rstreport on the fabrication of sca�olds from nano-�-TCP coated with P3HB. N�-TCP powder was pre-pared using a sol-gel route, and porous sca�olds wereproduced using a polymer replication method. In orderto improve mechanical properties, sca�olds were dip-coated with P3HB. Moreover, the physical and mechan-ical properties of nano�-tricalcium phosphate-poly-3-hydroxybutyrate (n�-TCP/P3HB) composite sca�oldswere evaluated.

2. Materials and methods

2.1. Preparation of ceramic n�-TCPnanopowder

Calcium nitrate tetrahydrate (Ca (NO3)2. 4H2O)(CNT) (Junseichemicals Co., Ltd., S. Korea) andpotassium dihydrogenphosphate (KH2PO4) (KDP)(Kanto Chemical Co., Inc., Japan) were used asstarting calcium and phosphorous precursors. Figure 1shows the ow chart of the sol-gel preparation of �-

Figure 1. Flow chart of the sol-gel preparation ofn�-TCP.

TCP. About 1 M CNT and 0.67 M KDP solutionswere prepared by dissolving the crystals in double-distilled water. CNT solution was added drop-wiseto the KDP solution while stirring. Ammonia (NH3)(Daejung Chemicals and metals Co., Ltd., S. Korea)was added drop-wise to the above mixture resultingin white precipitation. The NH3 was added till theprecipitation was complete, and the �nal pH 10 wasobtained. This precipitated solution was quickly stirredfor 1 h and aged at room temperature for 48 h. Theprecipitate was �ltered and washed repeatedly usingthe vacuum pump via lukewarm distilled water toremove NH+

4 and NO�3 ions. The created precipitatewas dried at 40 C for 24 h in a dry oven. This driedpowder was calcined in air at 800�C for 30 min usingan electrical furnace (Daesung electrics, Korea) anda heating rate of 10�C/min [39]. Then, the powderproduced was subjected to analysis by XRD, TEM,XRF, and FTIR tests.

2.2. Fabrication of ceramic slurryPreparation of slurry stabilized with appropriate addi-tives is signi�cant and critical to sca�old fabrication; avariety of additives with a range of biological propertieshave been investigated [40]. In this study, �-TCPnanopowder with a particle size of 50-70 nm wasutilized as the sca�old matrix. Then, n�-TCP sca�old,containing various weight ratios of nano-�-tricalciumphosphate (40, 50, and 60 wt.%), was produced bya foam replication method. First, n�-TCP powder(40, 50 and 60 wt.%) was slowly dispersed in double-distilled water to prevent agglomeration, and then theslurry was stirred at 350 rpm for 90 min to obtaina homogeneous solution. To maximize the mechan-ical strength, large amounts of solid material shouldprecipitate from the homogenized solution to thepolyurethane sponge. Ammonium poly-methacrylate(DARVAN®C-N, R.T. Vanderbilt Company, Norwalk,USA) up to 4 wt.% was used as dispersant to obtain auniform distribution of solid substance in the ceramicslurry in order to improve its rheological properties.Carboxymethyl cellulose (CMC, Hangzhou HongboChemical Co. Ltd, China) powder (4 wt.%) wasgradually and slowly added to the solution in orderto enhance slurry uidity and prevent cracking of thestruts during the subsequent heat-treatment process.The solution was stirred at 60�C until it was fullyhomogeneous.

2.3. Preparation of porous sca�oldA commercial polyurethane sponge (MEAY Co., Ltd.China; average pore size of 300-700 �m) was used inthis research. Polyurethane sponge used as templatethat helped to manufacture ceramic cellular structures.The sponge was soaked into ceramic suspension andsqueezed twice. Figure 2 shows the ow chart of the

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Figure 2. Flow chart of the polymer replication methodused for the fabrication of n�-TCP sca�olds.

polymer replication method used for the fabricationof n�-TCP sca�old. This ensured that the ceramicscoat the polyurethane walls to produce a replica ofthe reticulated foam material; the ceramic parts ofthe biomaterial in�ltrated into the polymeric spongepores [41]. The ceramic-coated polymeric template wasdried for 24 hours at 80�C in an oven. Subsequently,the sca�olds were placed in a heat treatment furnace.n�-TCP sca�old was formed in four stages:

1. Treatment at 600�C with a heating rate of 3�C/min;

2. Keeping at 600�C for 1 hour to completely burn thesponge;

3. An increase in temperature from 600 to 1260�C ata rate of 10�C/min;

4. Cooling to room temperature at a cooling rate of10�C/min.

The cooled samples were removed from the furnace,measured, and then placed in desiccators. Figure 3shows the diagram of heat treatment process of n�-TCP porous sca�old. In Figure 4, the left sponge showsthe polyurethane sponge prior to immersion in ceramicslurry, and the right sca�old shows the ceramic sca�oldproduced at 1260�C.

Figure 3. The diagram of heat treatment process ofn�-TCP porous sca�old.

Figure 4. The left sponge showing the polyurethanesponge before immersion in ceramic slurry and the rightsca�old showing the ceramic sca�old formed at 1260�C.

2.4. n�-TCP sca�old coated with P3HBOne possible drawback of the method is the tendencyto produce a hole in the center of each strut resultingfrom the removal of the polymer structure on heating.The presence of this hole can detrimentally a�ect themechanical behavior of the sca�olds [42]. Therefore,the approach of �lling the hole with a polymer leadsto enhanced mechanical properties exploiting the in-teraction between the polymer and ceramics phases. Inthis research, 0.6 g of P3HB powder (Sigma-Aldrich, StLouis, MO, USA) was dissolved and heated in 10 mLof chloroform (Sigma-Aldrich, USA) for 6 hours in anoil bath with a re ux condenser at 60�C to obtainthe polymer solution for coating n�-TCP sca�olds.Next, n�-TCP sca�olds were immersed in the polymersolution for 30 sec and 1 min. To achieve a uniformlycoated surface and remove excess polymer solution,the samples were wrapped in aluminum foils andcentrifuged at 500 rpm for 30 sec. Finally, the sampleswere placed in a vacuum oven at room temperature for24 h.

2.5. Physical characterization2.5.1. Thermal Gravimetric Analysis (TGA)Thermal Gravimetric Analysis (TGA) measures ther-mal stability and compounding materials. In thisresearch, a thermal gravimetric analysis device(TG/DTA, TGA 401, Sanatara Co.) was used to recordthe decrease of weight percentage of the polyurethanesponge versus temperature. The sample was heated ata rate of 1�C/min up to 600�C under nitrogen ow.

2.5.2. XRF analysisXRF analysis was applied as chemical analysis andfor determination of chemical composition of n�-TCPpowder. Elements with low atomic weight (H2, He and

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Li) cannot be identi�ed with XRF; however, all theother elements can be identi�ed.

2.5.3. Transmission Electron Microscopy (TEM)Transmission electron microscopy (TEM, PhilipsCM200 FEG, Netherlands) was used to elucidate themorphology and particle size of �-TCP powders.

2.5.4. X-ray di�raction analysisX-ray di�raction methods (XRD, Philips X'Pert) wereapplied to gain information about the structuralchanges and phases of n�-TCP powder, P3HB powder,n�-TCP sca�olds with and without P3HB coating.CuK X-ray was used for the analysis. The scan ratewas set to 1�/min; the imposed voltage and currentwere 40 kV and 30 mA, respectively, and the di�ractionangle (2�) varied from 10 to 90� at a rate of 0.4�/min.

2.5.5. FT-IR spectroscopyFourier transform infrared spectroscopy (FT-IR: 6300,JASCO, Japan) was used for studying the functionalgroups. Solid samples were prepared by pellet tech-nique. This technique is based on the fact that asample in KBr powder can be compressed under pres-sure with or without vacuum to fabricate transparentdisks. Spectral analyses were performed using standardNicolet and Microcal Origin software. FT-IR spectrawere taken from n�-TCP powder, P3HB powder, n�-TCP sca�olds with and without P3HB coating.

2.5.6. Scanning Electron Microscopy (SEM)Scanning electron microscopy (SEM, Philips XL-30,Netherlands) was applied to study the morphologyof n�-TCP sca�olds with and without P3HB coat.The samples were coated with gold under an argonatmosphere.

2.5.7. Porosity and density measurementsLiquid displacement was used to calculate the porosityand density of the sca�olds. Sca�old density providesinformation about the size, distribution, and perme-ability of pores and the presence of structural defectsin sintered ceramic frameworks [13].

Owing to the hydrophobic properties of the poly-mer, 96% ethanol, which can pass easily through pores,was used instead of water. The mass of the ceramicsample (W ) was measured, and a volume (V1) ofethanol was poured into a graduated cylinder andmeasured. The sample was immersed in ethanol for5 min until it became saturated (V2). The di�erencebetween volumes (V2 � V1) represented the volume ofthe sca�old. The ethanol-soaked sca�old was removedfrom the graduated cylinder, and the remaining volumewas recorded as V3. V1 � V3 represented the volume ofethanol absorbed by the sca�old [40].

The following equation calculates the density of

sca�old (�) (Eq. (1)):

� =W

V2 � V3: (1)

The following equation calculates the amount of openporosity of sca�old ("):

" =V1 � V3

V2 � V3: (2)

2.6. Mechanical characterizationMachining and gripping the specimen is a major prob-lem in the mechanical characterization of porous ce-ramic structures; conventional methods of mechanicalcharacterization, such as tensile, biaxial, and impacttests, are usually inapplicable to biomaterial withporous frameworks [13]. Compression impact testsfor porous bone and n�-TCP specimens with cellularstructure are instead applied [13,40]. Compressivestrength and compressive modulus tests for n�-TCPsca�olds with and without P3HB were measured usinga compression impact tester (SANTAM- Eng. DesignCo. LTD.) with a 10-KN load cell based upon guide-lines set in ASTM-D5024-95a. The dimensions of eachsample were 20�10�10 mm3 for the compression test.As ceramic sca�olds are fragile, the crosshead speedwas set at 0.5 mm/min to avoid any damage to theceramic structure. The elastic modulus was calculatedas the slope of the primary linear portion of the stress-strain curve. The yield strength was calculated fromthe intersection of the two tangents on the curve aroundthe yield point.

2.6.1. Statistical analysis for mechanicalcharacterization

Statistical analysis was carried out by two-way ONAVAanalysis test in IBM SPSS 722 software.

3. Results and discussion

3.1. XRF analyses of �-TCP nanopowderThe results of XRF analysis of n�-TCP powder sampleproduced using the sol-gel method are presented inTable 1, indicating, with acceptable matching, thatthe weight percentages are similar to standard weightpercentages of n�-TCP. The calculations showed that%W=Wcao%W=Wp2o5

value is equal to 1.16, remarkably close totheoretic value of 1.18. These results veri�ed theproduction of n�-TCP with desired weight percentagesand excellent purity.

3.2. TEM analyses of �-TCP nanopowderFigure 5 displays TEM micrographs of n�-TCP pow-der. Morphology and size of n�-TCP particle areshown in the image. The particle-size distribution ofn�-TCP was mainly in the wide range of 50-70 nm withirregular particle shapes.

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Table 1. Chemical analysis of nano-�-TCP powder.

Compound Concentration(%W/W)

CaO 51.1P2O5 43.89Na2O 1.07SO3 0.972MgO 0.852SiO2 0.625Cl 0.416

H2O 0.399Al2O3 0.18SrO 0.149K2O 0.18

Fe2O3 0.069CuO 0.037ZnO 0.033TiO2 0.027LOI�

Total 100�LOI: Loss On Ignition (1400�C, 90 min).

Figure 5. TEM of nano-�-TCP powder.

3.3. XRD and FTIR analyses of �-TCPnanopowder and n�-TCP sca�old withoutP3HB

3.3.1. X-ray di�raction analysisFigure 6(a) shows X-ray di�raction spectra that n�-TCP powder produced by the route of Sanosh etal. [39]. According to XRD spectra, it is obviousthat the obtained product was n�-TCP with highpurity, and no additional stable phase was revealed.Di�raction peaks for the obtained product favorablycorresponded to the standard JCPDS: 9-169 [43]. �-TCP crystallizes in the rhombohedral space groupR3c with unit cell parameters a = 10:439 �A, c =37:375 �A [44]. �-TCP crystal size at 800�C wasestimated up to 38.50 nm by modi�ed Scherer equation(Monshi et al.) [45]. It should be noted that besides

Figure 6. Pattern of XRD analysis: (a) n�-TCP powder;and (b) n�-TCP sca�old sintered at 1260�C.

�nite crystallite size, deviations from ideal crystallinityhas also a signi�cant in uence on revealing XRD peakbroadening [39]. During calcination of n�-TCP at800�C, crystallinity increases to more than 90% due toits predominating factor in sharping of the di�ractionpeaks rather than particle size; therefore, no overlapsappeared [39]. Then, by forming a solution andconstructing sca�old at 1260�C, peak XRDs are shownin Figure 6(b). XRD peaks of di�raction patternagree appropriately with those standards of �-TCPphase in the di�raction �le (Card No. 09-0169) as theprimary crystalline phase and with a minor quantityof other phase as the secondary phase [43]. On theother hand, as evidenced by Gao et al. [43], �-TCPstarted being transformed to �-TCP above 1180�C.Hence, it is not surprising that the peaks associatedwith the conversion of �-TCP phase into �-TCPphase appeared during sintering of �-TCP sca�olds attemperature up to 1260�C. Therefore, the di�ractionpeaks at 28.30�, 31.24�, and 34.60� angles relatedto �-TCP crystalline phase overlapped with severalpeaks of �-TCP crystalline phase, and acceptablematching was observed with the standard JCPDS: 9-348 [43]. Furthermore, according to comparison ofFigure 6(a) and (b) at a de�ned angle of 47� concerningsingle-phase �-TCP at both patterns, �-TCP phase'squantitative values of both patterns related to powdersand sintered sca�olds were determined by using theratio of slopes method [46]. Based on the result ofquantitative phase analysis, the quantitative value of�-TCP phase decreased. This indicates the fact that�-TCP phase has been converted into �-TCP phaseduring sintering of �-TCP porous sca�olds above thetransformation temperature of 1120�C.

3.3.2. FT-IR spectroscopyThe patterns of FT-IR �-TCP powder and �-TCPceramic porous sca�old are shown in Figure 7(a) and(b), respectively. Figure 7(a) shows FTIR diagramrelated to �-TCP powder, in which strong peaksat 1092 and 1040 cm�1 are typically related to the

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Figure 7. Pattern of FT-IR analysis: (a) n�-TCP powderand (b) porous ceramic sca�old of heat treatment at1260�C.

components of triply degenerate anti-symmetric P-Ostretching �3 vibration. Peripheral absorption bandat 962 cm�1 is related to �1, the non-degenerate P-Osymmetric vibration. 601 and 571 cm�1 bands in thespectra of n�-TCP powder are related to componentsof triply degenerate �4O-P-O bending vibration. Thepeaks visible at 1640 and 3400 cm�1 are also attributedto the molecular and absorbed water. The clearabsorption bands at 632 cm�1 are attributed to thestretching and vibration of the signi�cant concentra-tion of hydroxyl group remaining in structure [39]. Aweak peak emerged near 875 cm�1 is attributed tothe stretching vibration of P-O (H) band in HPO2�

4groups. The short peaks observed near 1490 and1426 cm�1 are due to �3 vibration mode of CO2�

3groups. The de�ned bands from inorganic carbonateion indicate that carbon of furnace atmosphere getsdissolved in the organic components and does notpyrolyze completely and may instead dissolve into �-TCP crystal [39]. The mineral phase of bone consistsof carbonates [47]; hence, �-TCP may tend to havebetter bioactivity as a consequence of CO2�

3 presence.The other peaks detected in Figure 7(b) reveal the sameprocess mentioned in Figure 7(a).

3.4. XRD and FTIR analyses of n�-TCPsca�old with and without P3HB

3.4.1. Thermal Gravimetric Analysis (TGA) ofpolymer foam

In order to prevent cracks in the ceramic structure,there should be su�cient time for burning polymericfoams. Figure 8 shows the weight change of thepolyurethane foam relative to temperature. TGAcurve demonstrated that the polymer sponge wouldundergo weight decline in several stages, shown in the�gure. The main part of the polymer was removed attemperatures between 380�C and 600�C; therefore, itis necessary to take into account the slow heating rateat this stage to prevent structural damage caused byemissions from thermal degradation of polymers. Attemperatures above 600�C, the polymer foam had a low

Figure 8. Weight loss as a function of temperature(heating rate = 3�C/min) for pyrolysis of polyurethanesponge.

weight decrease due to the amount of carbon producedfrom the decomposition of the polymer process dioxide.Complete combustion of polymeric foams occurred at600�C.

3.4.2. X-ray di�raction analysisFigure 9(a), (b), and (c) show X-ray di�raction pat-terns of n�-TCP, P3HB, and n�-TCP/P3HB sca�olds,respectively. The pattern of XRD in Figure 9(a)demonstrates the process mentioned in Section 3.1.1about XRD of n�-TCP porous sca�old. In Figure 9(b),the main peaks of P3HB are detected, and Figure 9(c)is attributed to XRD pattern of n�-TCP sca�oldcoated with P3HB; according to the standards ofJCPDS: 009-0169 and JCPDS: 009-0348, the peaks of13.86, 17.30, and 21.88 angles appeared in Figure 9(c)are assigned to P3HB. Since two of the strong peaks ofP3HB are observed in Figure 9(c), it can be evidencedthat the composite structure was a hybrid sca�old ofn�-TCP/P3HB.

3.4.3. FT-IR spectroscopyThe patterns of FTIR n�-TCP sca�old and P3HBpure polymer and n�-TCP/P3HB sca�olds are shownin Figure 10(a), (b), and (c), respectively. The pat-

Figure 9. Pattern of XRD analysis: (a) n�-TCP sca�old,(b) P3HB, and (c) n�-TCP/P3HB sca�old.

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Figure 10. Pattern of FT-IR analysis: (a) n�-TCPsca�old, (b) P3HB, and (c) n�-TCP/P3HB sca�old.

tern of FTIR in Figure 10(a) illustrates the processmentioned in Section 3.3.2 about FTIR of n�-TCPsca�old. Figure 10(b) indicates FTIR diagram relatedto the P3HB, in which peaks of 1057, 1132, 1188, and1284 cm�1 are related to the stretching vibrations ofC-O-C bond. A sharp peak centered at the wave-length of 1383 cm�1 is due to bending vibrations ofCH3 group. The clear peak located at wavelength1455 cm�1 is attributed to CH2 groups. The mostintense peak visible at 1725 cm�1 belongs to stretchingvibration of carbonyl (C=O) groups. The broad twinpeak observed in the in-between range of 2874 and2972 cm�1 is assigned to stretching aliphatic band ofC-H. P3HB has terminal hydroxyl groups that can beobserved at the relevant peak within a range of 3100-3680 cm�1. Figure 10(c) shows FTIR diagram relatedto n�-TCP/P3HB hybrid sca�old. In this diagram,all of the main and strong peaks originated fromP3HB polymer and n�-TCP sca�old are observed inspectrum of n�-TCP/P3HB sca�old. A short and clearpeak composed at 1721 cm�1 corresponds to stretchingmode of carbonyl (C=O) groups, and the absorptionbands emerging at 2934-2972 cm�1 are assigned tostretching mode of C-H aliphatic band. This showsthat the sca�old produced has a hybrid compositestructure of n�-TCP/P3HB. In order to accuratelyevaluate the interaction of n�-TCP and P3HB, FTIRspectra of the composite compared to unmodi�ed n�-TCP from 500 to 1140 cm�1 and FT-IR spectra ofthe composite compared to pure polymer from 1600to 3000 cm�1 are shown in Figure 11. Comparison ofpeaks belonging to PO3�

4 in both states of stretchingand bending vibration in the region between 500 cm�1

and 1100 cm�1 indicates intensity reduction of thesepeaks; in addition, the changes in wavenumber of peaksin nanocamposite are compared to those of pure n�-TCP. Therefore, it is supposed that P3HB polymer wasconnected to n�-TCP surface by the phosphoric andhydroxyl groups (Figure 11(a)). In Figure 11(b), thecarbonyl group absorption peak observed at 1725 cm�1

in pure polymer is sharper compared to the samepeak in nanocomposite. Furthermore, this peak in n�-

Figure 11. Pattern of FT-IR analysis: (a) n�-TCP andn�-TCP/P3HB sca�olds and (b) P3HB polymer andn�-TCP/P3HB sca�old.

TCP/P3HB nanocomposite is shifted to a lower wavenumber up to 1721 cm�1, which possibly indicateshydrogen bond formation between P3HB carbonylgroups and OH groups of �-TCP particles. As pre-viously mentioned, the twin peak observed in range ofbetween 2874 and 2972 cm�1 is assigned to stretchingaliphatic band of C-H in pure polymer in which thesame absorption band in the composite sca�old isobserved with lower intensity in narrow range of wavenumber. The connection between the sca�old ceramicbackground and polymer molecules was con�rmed byFTIR spectra [48].

3.5. SEM of n�-TCP sca�old with andwithout P3HB

Figure 12(a) depicts the electron microscopic imagesof polyurethane foam with open pores in range of300-700 �m before immersion in the ceramic slurry.Figure 12(b) exposes porous n�-TCP sca�old with porediameters ranging from 200 to 600 �m. Figure 12(c)displays the micropores fabricated from n�-TCP par-ticles; these micropores promote tissue growth [20].Figure 12(d) shows porous n�-TCP sca�old immersedin the polymer for 30 sec, and Figure 12(e) illustratesn�-TCP sca�old immersed in the polymer for 60 sec.As observed in Figure 12, SEM images show uniformporosity in size 200 to 600 �m, which are appropriatefor adhesion and migration of osteoblast cells [49].

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Figure 12. (a) Polyurethane sponge's image captured by SEM (85x). (b) Cross-section of n�-TCP sca�old. (c) View ofmicro-porosities' details (3.00 kx). (d) Cross-section of n�-TCP/P3HB sca�old for 30 sec. (e) n�-TCP/P3HB sca�old for60 sec.

Miao et al. [38] reported HA/TCP composite sca�oldporous structure with open macropores ranging from300 to 700 �m in diameter by the scanning electronmicrograph observations. Also, Murphy et al. [49]evidenced the e�ect of sca�old pore size on cell at-tachment, induction, di�erentiation, proliferation, andmigration in bone tissue engineering, and discoveredthat 325 �m mean pore size is appropriate for bonetissue engineering sca�olds. Regarding Figure 12(d)and (e), it can be proved from these images that addingP3HB to n�-TCP ceramic sca�old and also the immer-sion time increase of sca�olds in the polymer decreasethe porosity of sca�olds while maintaining a moreinterconnected porous structure which is bene�cial forcells adhesion. Fabrication of pore interconnectedporous structure is needed for the precise di�usion

of nutrients and gases, such as oxygen, and for theremoval of metabolic wastes resulted from the activityof migrated cells that had, meanwhile, grown intothe porous sca�olds, thereby mimicking the cancellousbone structure [11,50]. Therefore, it is concluded thatadding P3HB to n�-TCP ceramic sca�old decreases thepore size of sca�olds, but it does not have harmful e�ecton them, because the sca�olds coated with a polymerhave acceptable pore sizes for growing of bone cells,making them suitable candidates for bone replacement.

3.6. Porosity measurementsThe porosity measurement was performed on n�-TCPsca�olds with and without P3HB coating in 30 and 60sec, and the porosity range was 70-84%. The resultsof porosity percentages of the samples are shown in

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Table 2. Mean porosity of n�-TCP sca�old with and without P3HB.

Sample Porosity% withoutP3HB

Coated P3HBin 30 sec

Coated P3HBin 1 min

S1� 84� 1 77� 1 74� 1

S2 80� 1 75� 2 73� 1S3 75� 2 72� 1 70� 1

�S1: 40% �-TCP sca�old; S2: 50% �-TCP sca�old; S3: 60% �-TCP sca�old

Table 2. The results showed that with the increase ofweight percentage of �-TCP, the porosity percentagewas reduced. It is also concluded that adding P3HBto n�-TCP sca�olds decreased their porosity; this isdespite the fact that it did not have adverse e�ect onthe sca�olds, and it allowed the preservation of poresinterconnection after in�ltration process. Accordingto the results of porosity measurements, it may beconcluded that the samples immersed for 30 sec inP3HB had higher porosity than the samples immersedfor 1 min in P3HB. Mondal et al. [28] revealed thatthe porosity of Labeo rohita �sh scale-derived sca�oldwas about 30-33%. Kang et al. [37] determined thatthe porosity of �-TCP sca�old was about 82.49% andslightly declined up to 80.65% after PLGA in�ltration.In a similar study, Chen et al. [51] demonstratedan about 2.2% devaluation in bio-glass macroporositydue to PDLA polymer coating. In addition, Miao etal. [38] proved that the total porosity of HA/TCPsca�olds was estimated to be up to 87% and indicated�2% macroporosity reduction due to coating and in-terpenetrating with the PLGA polymer. Furthermore,according to previous studies of Miao et al. [52,53], theremoval of crack-like defects, owing to PLGA polymerphase �ling into the open voids, was demonstrated.The crack-like defects of uncoated sca�olds causedthe burning o� of the PU sponge, initially centeredwith the ceramic particles [38]. Natural reduction ofmechanical properties is brought about by the awssuch as cracks. Therefore, when the sca�olds after thepolymer solution dipping were placed into centrifuge,the centrifugal e�ect caused the polymer to �ll thecrack-like defects [38].

3.7. Compressive strength and compressivemodulus of n�-TCP sca�olds with andwithout P3HB

Figure 13(a) shows representative stress-strain curveobtained in uni-axial tests performed on bare n�-TCP sca�olds with various weight percentages of �-TCP ceramic. This �gure illustrated that �-TCPfailed in an elastic response of a brittle ceramic (i.e.,within the linear region of the curve) obtained bydisjointed rods that would collapse presumably bybrittle fracture domination of struts [37]. The onsetof the �rst of these cracks occurred during the elastic

Figure 13. Stress-strain curves of compressive strength ofceramic sca�olds: (a) 40, 50 and 60 wt.% of bare n�-TCP,and (b) 50 wt.% of n�-TCP uncoated, 50 wt.% of n�-TCPcoated for 30 sec, and 50 wt.% of n�-TCP coated for60 sec.

regime (i.e., within the linear region of the curve)and was usually related to the maximum applied load,thereby determining the compressive strength of thesca�old [54]. It should be noted that compressivemodulus of sca�olds is achieved by steep calculationof strain-stress curve in elastic regime. Based onthe results, on one hand, compressive strength andcompressive modulus of n�-TCP sca�olds increasedby the weight percentage increase of �-TCP; on theother hand, the porosity percentage decreased. Theresults of porosity percentage, compressive strength,and compressive modulus of uncoated and coated �-TCP sca�olds with various weight percentages arepresented in Tables 2, 3, and 4, respectively. Thecompressive strength of a sca�old depends on itsmacroporosity, macro-pore size, macro-pore geometry,and the strength of the struts [38]. The compressive

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Table 3. Mean compressive strength of n�-TCP sca�olds with and without P3HB (P < 0:05; n = 3).

Sample Without coat(MPa)

Coated P3HBin 30 sec (MPa)

Coated P3HBin 1 min (MPa)

S1� 0:1727� 0:0892 0:6335� 0:0460 0:9872� 0:0992

S2 0:5657� 0:3524 1:0901� 0:21 1:1419� 0:4872S3 1:0593� 0:3691 1:4276� 0:2153 1:59� 0:6788

�S1: 40% n�-TCP sca�old; S2: 50% n�-TCP sca�old; S3: 60% n�-TCP sca�old.

Table 4. Mean compressive modulus of n�-TCP sca�olds with and without P3HB (P < 0:05; n = 3).

Sample Without coat(MPa)

Coated P3HBin 30 sec (MPa)

Coated P3HBin 1 min (MPa)

S1� 16.13 20.06 27.603

S2 17.234 33.11 35.2S3 17.7 49.593 63.51

�S1: 40% n�-TCP sca�old; S2: 50% n�-TCP sca�old; S3: 60% n�-TCP sca�old.

strength test was also performed on n�-TCP sca�oldwith and without P3HB. The compression curves ofbare 50% �-TCP sca�old and PHB-coated 50% �-TCPsca�olds for 30 sec and 1 min were exhibited in Fig-ure 13(b). The fracture phenomena also occurred in thecoated sca�olds, but the curves indicated a signi�cantincrease of this linear elastic region range; moreover,the yield point substantially moved to a higher point,and this proves the improvement of strengthening aftercoating by polymer which is superior when comparedwith pure �-TCP sca�olds [37]. As seen in Tables 2to 4, the results achieved in the present study clearlyshowed that the mechanical performance of �-TCPsca�old can be enhanced remarkably by the incorpo-ration of ductile polymer. In addition, they showedthat with increasing immersion time of the polymer,the strength and modulus increased; by contrast, theporosity percentage decreased. This might explain thatthe mechanical behaviors of �-TCP sca�old improvedby the substantial adhesion between �-TCP particlesand PHB [19]. According to the achievements of Nallaet al. [55], the main toughening mechanism in bone wasthe crack bridging by the collagen polymer �brils. Thefracture surface showed the formation of �brils which isrelated to that of collagen �brils in cortical bone [55].Therefore, it could be concluded that PHB polymerin�ltration not only improved the mechanical strengthof �-TCP ceramic sca�old, but also toughed �-TCPsca�old. Kang et al. [37] produced sca�olds from �-TCP coated with a PLGA polymer. The compressivestrength of the sca�old before coating was 2.90 MPathat increased to 1.44 MPa by the interpenetration ofPLGA. Miao et al. [38] also showed that by PLGAin�ltration in HA/TCP, hybrid sca�olds increased theircompressive strength up to 660 KPa. Bang et al. [19]exhibited that the compressive strength of �-TCP foamincreased from 30 � 10 kPa to 750 � 20 kPa when it

was immersed in PCL polymer solution. Finally, tochoose the most appropriate sca�old and compare itwith regard to the obtained results from porosity per-centage, compressive strength, and modulus, Table 5was prepared. Based on the data available in thesetables, the most proper sca�old for bioactivity andbiodegradability tests can be selected. It should benoted that the suitable sca�old to use in tissue engi-neering and in studying bioactive and biodegradablebehaviors should have porosity percent in range of 75-80%, requiring compressive strength and modulus [56].As seen in Table 5, �-tricalcium phosphate 40 wt.%sca�old has suitable porosity percent; by contrast, ithas low compressive strength and modulus. Beta-tricalcium phosphate 60 wt.% sca�old has low porositypercent; by contrast, its compressive strength andmodulus are high. Hence, according to the results ofporosity percentage, compressive strength, and modu-lus shown in Table 5, the most appropriate specimenfor bioactive and biodegradable tests is �-tricalciumphosphate 50 wt.% sca�old without and with PHBcoating for 30 sec. The data of porosity, compressiveand strength modulus for 50 wt.% �-TCP sca�old arerevealed and identi�ed with highlights in this table.

3.7.1. Statistical analysis for mechanicalcharacterization

As previously mentioned, results of compressivestrength values related to n�-TCP sca�old without andwith P3HB for various weight percentages are shown inTable 3. According to statistical analysis, P-values forSca�old without coating and sca�old with P3HB for30 and 60 sec are less than 0.05, and the assumed lackof di�erence is rejected. It means that, statistically,there is a signi�cant di�erence between compressivestrength of sca�old without coating and sca�old withP3HB for 30 and 60 sec. Furthermore, Since P -values

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Table 5. Porosity, compressive strength, and modulus of ceramic sca�old for 40, 50, and 60 wt.% of n�-TCP with andwithout P3HB coating.

Type of sca�old n�-TCP% Porosity% Compressivestrength (MPa)

Compressivemodulus (MPa)

�-Tricalcium phosphate40 83.90 0.1727 16.1350 80.49 0.5657 17233460 74.56 1.0593 17.7

With 30 sec coating40 76.84 0.6335 20.0650 75.31 0.9019 33.1160 71.80 1.4276 43.593

With 60 sec coating40 74 0.9872 27.60350 73.24 1.1419 35.260 70 1.59 63.51

for Sca�old with various weight percentages are lessthan 0.05, the assumed lack of di�erence is rejected. Itmeans that, statistically, there is a signi�cant di�erencebetween compressive strengths of 40%, 50%, and 60%�-TCP sca�olds. In fact, con�dence coe�cient of thismechanical test is 95%.

Similarly, the results of compressive modulusrelated to n�-TCP sca�old without and with P3HB forvarious weight percentages are shown in Table 4. SinceP -values for sca�old without coating and sca�old withP3HB coating for 30 and 60 sec are less than 0.05, theassumed lack of di�erence is rejected. It means that,statistically, there is a signi�cant di�erence betweencompressive modulus of sca�old without coating andsca�old with P3HB for 30 and 60 sec. In addition,since P -values for 40, 50, and 60 wt.% sca�olds are lessthan 0.05, the assumed lack of di�erence is rejected. Itmeans that, statistically, there is a signi�cant di�erencebetween compressive modulus of 40% �-TCP, 50% �-TCP, and 60% �-TCP sca�old. In fact, con�dencecoe�cient of this mechanical test is 95%.

4. Conclusion

In this research, �-TCP ceramic sca�old was con-structed using a polymeric sponge method, and it wascoated with P3HB. The results of FTIR, XRF, andXRD analyses con�rmed the purity of fabricated n�-TCP powder by using the sol-gel method, and theresults of TEM analysis emphasized that the particlesize of n�-TCP is about 50-70 nm and has irregu-lar morphology. The �ndings of XRD and FTIR ofsca�olds also proved the production of n�-TCP/P3HBcomposite sca�old. Porosity is a signi�cant factor todesign a sca�old. In fact, the production of sca�oldwith designed pore architecture is an essential requestfor bone tissue engineering. The results of SEM analysisand porosimetry indicated that adding P3HB to n�-TCP sca�old resulted in a decrease in the amount

of porosity, but the increase of size, volume, andinterconnectivity of porosity was also maintained. Theresults of mechanical test showed that the increase ofthe weight percentage of �-TCP and adding P3HBto n�-TCP sca�old brought about an increase incompressive strength and compressive modulus. In theend, according to the comparison of result collectionof mechanical and porosimetry tests, it is evidencedthat the optimal specimen was sca�old with 50 wt%of n�-TCP and coating time of 30 sec which has 1.09MPa compressive strength, 33.11 MPa compressivemodulus, and 75% porosity. Therefore, this sca�old hasa promising possibility to be applied as a bone �llingsubstitution in tissue engineering �eld.

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Biogrphies

Shabnam Shahi received her BS degree in Ceramic-Material Engineering from Shahreza Islamic Azad Uni-versity, Iran, in 2011, and MS degree in Ceramic-Material Engineering from Shahreza Islamic AzadUniversity, Iran, in 2015. She is currently pursuingresearch in tissue engineering.

Saeed Karbasi received his BS degree in MaterialEngineering from Shiraz University, Iran, in 1994 andMS and PhD degrees in Biomedical Engineering fromAmirkabir University, Iran, in 1997 and 2005, respec-tively. He is currently an Associate Professor at IsfahanUniversity of Medical Sciences, Iran. His researchinterests include biomaterials, tissue engineering, andnanobiomaterials.