Even considering such limitations of the current state-of-the-art, results generated from animal bone defect models provide an essential source of information to guide the design of BG scaffolds in future. The review of the literature also makes clear the difficulty encountered to compare different types of bioactive glass scaffolds in their bone forming ability. In addition, animal species selected, defect size and implantation time affect the scaffold in vivo behavior and outcomes.
The literature analysis reveals that the regenerative capacity of BG scaffolds depends on several factors including BG composition, fabrication method, scaffold microstructure and pore characteristics, in addition to scaffold pretreatment and whether or not the scaffolds are loaded with growth factors. The aim of this paper is to review for the first time published research investigating the in vivo osseous regenerative capacity of 3D BG scaffolds in bone defect animal models, to better understand and evaluate the progress and future outlook of the use of such scaffolds in BTE. In vivo animal models allow understanding and evaluation of materials’ performance in the complex physiological environment, being an inevitable step before clinical trials.
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