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Smart implants: 4D-printed shape-morphing scaffolds for medical implantation
Guiwen Qu1, Jinjian Huang1, Guosheng Gu1
1Research Institute of General Surgery, Jinling Hospital, School of Medicine, Southeast University, Nanjing 210009, China.
International Journal of Bioprinting
|July 17, 2023
Summary
Four-dimensional (4D) printing enables smart biomedical implants that dynamically change shape for tissue repair. These 4D-printed scaffolds offer advanced integration and minimally invasive surgical options.
Area of Science:
- Biomaterials Science
- Regenerative Medicine
- Medical Device Engineering
Background:
- Biomedical implants are crucial for tissue repair and replacement.
- Three-dimensional (3D) printing allows for patient-specific implant scaffold fabrication.
- Four-dimensional (4D) printing, utilizing shape-responsive materials, enables dynamic functional implants.
Purpose of the Study:
- To review the technologies, materials, and design methods for 4D-printed scaffolds.
- To highlight the applications of 4D-printed shape-morphing implants.
- To discuss the future prospects of 4D-printed shape-morphing implants.
Main Methods:
- Review of current literature on 4D printing technologies and materials for biomedical scaffolds.
- Analysis of shape-programming designs for dynamic implant functionality.
- Exploration of applications in tissue repair, organ replacement, and minimally invasive surgery.
Main Results:
- 4D printing facilitates the creation of smart implants capable of programmed shape morphing.
- These implants can seamlessly integrate with various tissue defects and anatomical structures.
- The small-to-large volume transition of 4D implants is advantageous for minimally invasive surgery.
- 4D-printed scaffolds can mimic the extracellular matrix (ECM), enhancing cellular interaction and tissue regeneration.
Conclusions:
- 4D-printed shape-morphing implants represent a significant advancement in biomedical engineering.
- They offer enhanced functionality, improved surgical outcomes, and expanded possibilities for tissue and organ regeneration.
- Further research into materials, design, and clinical translation is essential for realizing the full potential of these smart implants.

