This study aims to display the ability and efficacy of 3D printing image-based, implantable biological scaffolds with varying properties. In this study, scaffolds were printed using various ratios of hydroxyapatite (HA) to polycaprolactone (PCL) to display a spectrum of properties suitable for musculoskeletal scaffolds. As an initial application of this method, scaffolds were generated from a series of one hundred DICOM images for a 60-year-old, female proximal femur. Additional structures, including a printed box and a circular lattice were generated. These models were printed at HA to PCL ratios (m/m) of 1:9, 2:8, 3:7, 4:6, 5:5, 6:4, 7:3, 8:2, and 9:1. Postprinting analysis of the ratios was performed with scanning electron microscopy to observe the prints’ microstructure. Post printing analysis also included a compression test to observe biomechanical properties and a cell culture on the prints to observe cellular viability and adhesion. Ratios showed vast microstructural differences. It was also found that the 6:4 sample had the most similar surface level microstructure to that of human trabecular bone. The compression test revealed a positive correlation (R2 = 0.92) between HA concentration (%) and stiffness (N/mm). Cellular viability and adhesion were confirmed for 10 days after initial seeding cells.
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