Optimal Selection of Biodegradable Polymer Composites for Load-Bearing Bone Tissue Engineering: A Hybrid Fuzzy...

The development of biodegradable scaffolds for load-bearing bone tissue engineering (BTE) presents a fundamental multi-criteria optimization challenge, requiring a simultaneous balance among mechanical performance, biological integration, and degradation kinetics. These criteria are inherently conflicting: composite formulations with the highest compressive strength frequently exhibit suboptimal porosity, while those with superior osteoconductivity often lack sufficient load-bearing capacity. To address this challenge rigorously, this study establishes a hybrid Fuzzy Analytic Hierarchy Process-Technique for Order of Preference by Similarity to Ideal Solution (Fuzzy AHP-TOPSIS) framework to evaluate and rank five clinically relevant biodegradable polymer-ceramic composite candidates: PLA/Hydroxyapatite (PLA/HA), PCL/Hydroxyapatite (PCL/HA), PLGA/Bioactive Glass (PLGA/BG), PLA/Carbon Nanotubes (PLA/CNT), and PLA/Magnesium (PLA/Mg). Quantitative property data were systematically extracted from ten peer-reviewed experimental studies published between 2021 and 2025, and converted into Triangular Fuzzy Numbers (TFNs) to explicitly model inter-study variability arising from differences in fabrication methods, filler loading, and testing conditions. Fuzzy AHP analysis identified Compressive Strength (w = 25.2%) and Cell Viability (w = 21.5%) as the dominant decision criteria for load-bearing cortical bone repair. The Fuzzy TOPSIS ranking identified PLA/HA as the optimal composite candidate (Closeness Coefficient, CCᵢ = 0.677), demonstrating the superior multi-criteria balance required for cortical bone repair applications. Although PLA/CNT achieved the highest mechanical strength, it was outranked due to lower osteoconductivity and elevated cytotoxicity uncertainty at high nanotube concentrations (CCᵢ = 0.544). Sensitivity analysis across five distinct weighting scenarios confirmed the robustness of PLA/HA as the primary candidate. These findings provide a validated, replicable computational blueprint for evidence-based scaffold material selection, with direct implications for reducing the burden of costly trial-and-error experimentation in BTE research.