PEDOTs in Bone Tissue Engineering Composites: Fabrication Strategies and Translational Hurdles

Electroactive biomaterials represent a promising strategy for reconstructing the electrobiological microenvironment of bone and enhancing tissue regeneration. Among these materials, poly(3,4-ethylenedioxythiophene) (PEDOT) and its composites have attracted considerable attention because of their mixed electronic and ionic conductivity and compatibility with soft and porous scaffolds. However, existing reviews rarely address how fabrication strategies govern the relationships between structure, properties, and translational performance. This review establishes a fabrication, performance, and translation framework for PEDOT-based bone repair systems. Fabrication strategies are categorized into interfacial polymerization, bulk matrix and solution-processed conductive networks, patterned and fibrous conductive architectures, and porous and 3-dimensional scaffold fabrication and are correlated with conductive network topology, mechanical performance, and cytocompatibility. The mechanistic roles of PEDOT in osteogenesis, angiogenesis, immunomodulation, and electroresponsive drug release are further summarized. In addition, this review discusses the key trade-offs that limit practical applications, including the balance between conductivity and degradability, mechanical strength and porosity, as well as multifunctionality and manufacturability. Overall, this review provides a framework-oriented perspective to guide the rational design and clinical translation of PEDOT-based bioelectronic materials for bone tissue engineering.