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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1401899</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2024.1401899</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Design of novel triply periodic minimal surface (TPMS) bone scaffold with multi-functional pores: lower stress shielding and higher mass transport capacity</article-title>
<alt-title alt-title-type="left-running-head">Jiang et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fbioe.2024.1401899">10.3389/fbioe.2024.1401899</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Jiang</surname>
<given-names>Jian</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2733832/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Huo</surname>
<given-names>Yi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2684082/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Peng</surname>
<given-names>Xing</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2346942/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wu</surname>
<given-names>Chengwei</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Hanxing</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1189213/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lyu</surname>
<given-names>Yongtao</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/899158/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Spinal Surgery</institution>, <institution>Central Hospital of Dalian University of Technology</institution>, <addr-line>Dalian</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>School of Mechanics and Aerospace Engineering</institution>, <institution>Dalian University of Technology</institution>, <addr-line>Dalian</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Tribology Research Institute</institution>, <institution>School of Mechanical Engineering</institution>, <institution>Southwest Jiaotong University</institution>, <addr-line>Chengdu</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>State Key Laboratory of Structural Analysis Optimization and CAE Software for Industrial Equipment</institution>, <institution>Department of Engineering Mechanics</institution>, <institution>Dalian University of Technology</institution>, <addr-line>Dalian</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>School of Engineering</institution>, <institution>Cardiff University</institution>, <addr-line>Cardiff</addr-line>, <country>United Kingdom</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/964571/overview">Lei Fan</ext-link>, Marquette University, United States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/256892/overview">Qiang Chen</ext-link>, Southeast University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2139799/overview">Xijin Hua</ext-link>, University of Exeter, United Kingdom</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Yongtao Lyu, <email>yongtaolu@dlut.edu.cn</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>12</volume>
<elocation-id>1401899</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>03</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>06</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Jiang, Huo, Peng, Wu, Zhu and Lyu.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Jiang, Huo, Peng, Wu, Zhu and Lyu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Background:</bold> The bone repair requires the bone scaffolds to meet various mechanical and biological requirements, which makes the design of bone scaffolds a challenging problem. Novel triply periodic minimal surface (TPMS)-based bone scaffolds were designed in this study to improve the mechanical and biological performances simultaneously.</p>
<p>
<bold>Methods:</bold> The novel bone scaffolds were designed by adding optimization-guided multi-functional pores to the original scaffolds, and finite element (FE) method was used to evaluate the performances of the novel scaffolds. In addition, the novel scaffolds were fabricated by additive manufacturing (AM) and mechanical experiments were performed to evaluate the performances.</p>
<p>
<bold>Results:</bold> The FE results demonstrated the improvement in performance: the elastic modulus reduced from 5.01&#xa0;GPa (original scaffold) to 2.30&#xa0;GPa (novel designed scaffold), resulting in lower stress shielding; the permeability increased from 8.58 &#xd7; 10<sup>&#x2212;9</sup>&#xa0;m<sup>2</sup> (original scaffold) to 5.14 &#xd7; 10<sup>&#x2212;8</sup>&#xa0;m<sup>2</sup> (novel designed scaffold), resulting in higher mass transport capacity.</p>
<p>
<bold>Conclusion:</bold> In summary, the novel TPMS scaffolds with multi-functional pores simultaneously improve the mechanical and biological performances, making them ideal candidates for bone repair. Furthermore, the novel scaffolds expanded the design domain of TPMS-based bone scaffolds, providing a promising new method for the design of high-performance bone scaffolds.</p>
</abstract>
<kwd-group>
<kwd>bone scaffold</kwd>
<kwd>multi-functional pore</kwd>
<kwd>additive manufacturing</kwd>
<kwd>mechanical behavior</kwd>
<kwd>mass transport capacity</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Biomechanics</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>The demand for high performance artificial bone implants is growing due to the rising prevalence of bone diseases and traumas (<xref ref-type="bibr" rid="B21">Kurtz et al., 2007</xref>; <xref ref-type="bibr" rid="B9">Campana et al., 2014</xref>; <xref ref-type="bibr" rid="B45">Wallace et al., 2017</xref>). Porous bone scaffolds are considered ideal for bone repair because their porosity and stiffness can be adjusted to mimic human bone. Additionally, a microscopic porous scaffold can provide a suitable physiological environment for bone ingrowth (<xref ref-type="bibr" rid="B29">Peng et al., 2022</xref>). Recently, studies have used triply periodic minimal surface (TPMS) as a porous structure to design bone scaffold (<xref ref-type="bibr" rid="B11">Davoodi et al., 2020</xref>; <xref ref-type="bibr" rid="B17">Jiang et al., 2020</xref>; <xref ref-type="bibr" rid="B44">Vijayavenkataraman et al., 2020</xref>). The advantage of TPMS lies in its ability to easily adjust pore sizes using control equations, allowing the mechanical properties of the scaffolds to closely resemble those of human bone (<xref ref-type="bibr" rid="B26">Maconachie et al., 2019</xref>). Moreover, TPMS can provide micropores larger than 300.0&#xa0;&#x3bc;m to allow for bone growth. <xref ref-type="bibr" rid="B7">Barba et al. (2019)</xref> concluded that a 300.0&#x2013;600.0&#xa0;&#x3bc;m pore size is best for osseointegration since it facilitates vascularization and cell growth. Consequently, TPMS-based bone scaffolds are being extensively studied and designed to address clinical challenges. On the other hand, additive manufacturing (AM) provides an ideal solution for manufacturing highly complex geometries such as TPMS scaffolds (<xref ref-type="bibr" rid="B4">Askari et al., 2020</xref>). AM describes a range of processes used to fabricate components directly from a digital representation of the intended geometry by the layer wise combination of a common source material (<xref ref-type="bibr" rid="B49">Zhai et al., 2014</xref>). As a result, TPMS-based bone scaffolds manufactured using AM have become the ideal choice for bone implants.</p>
<p>However, there are two problems with TPMS-based scaffolds that urgently need to be solved&#x2014;the stress shielding effect caused by the high elastic modulus and the insufficient mass transport capacity caused by the low permeability. A bone scaffold should have an elastic modulus similar to that of the human bone to avoid the stress shielding effect. This effect occurs when the load is predominantly borne by the bone scaffold, leading to loosening at the interface (<xref ref-type="bibr" rid="B7">Barba et al., 2019</xref>). Although the elastic modulus of a TPMS scaffold is lower than that of the traditional cubic structure, it is still higher than that of cancellous bone. <xref ref-type="bibr" rid="B36">Sevilla et al. (2007)</xref> reported that the elastic modulus of cancellous bone is 1.08&#xa0;GPa. <xref ref-type="bibr" rid="B47">Wu et al. (2018)</xref> investigated the elastic modulus of cancellous bone under different loading directions. The results indicated that the modulus of cancellous bone is 3.47&#xa0;GPa in the longitudinal direction and 2.57 &#xb1; 0.28&#xa0;GPa in the transverse direction. While there are discrepancies in reported elastic moduli of cancellous bone across studies, it is generally agreed that a bone scaffold&#x2019;s elastic modulus should not exceed 3.00&#xa0;GPa to align with cancellous bone. However, the modulus of a Schwarz P TPMS scaffold with 70% porosity is 5.60&#xa0;GPa (<xref ref-type="bibr" rid="B20">Khaleghi et al., 2021</xref>), which is greater than that of cancellous bone. Additionally, the permeability of cancellous bone is in the range of 3.66 <inline-formula id="inf1">
<mml:math id="m1">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;8</sup>&#xa0;m<sup>2</sup> to 1.90 <inline-formula id="inf2">
<mml:math id="m2">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;7</sup>&#xa0;m<sup>2</sup> (<xref ref-type="bibr" rid="B33">Rabiatul et al., 2021</xref>), but the permeability of a TPMS structure is in the range of 4.31 <inline-formula id="inf3">
<mml:math id="m3">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;10</sup>&#xa0;m<sup>2</sup> to 8.44 <inline-formula id="inf4">
<mml:math id="m4">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;9</sup>&#xa0;m<sup>2</sup> (<xref ref-type="bibr" rid="B35">Santos et al., 2020</xref>). Therefore, broadening the limited TPMS design domain to simultaneously improve its mechanical and biological performances to meet the clinical needs is a big challenge in the design of TPMS bone scaffolds.</p>
<p>In recent years, there have been efforts to enhance the performance of TPMS scaffolds through innovative design approaches. The most common design method is structural optimization, which aims to find the best design scheme based on specific goals and constraints. Moreover, the integration of structural optimization with additive manufacturing (AM) presents a realm of creative opportunities for bone scaffold design (<xref ref-type="bibr" rid="B42">Tan et al., 2017</xref>). This method has been applied in clinic to fabricate devices such as pelvic protheses (<xref ref-type="bibr" rid="B15">Iqbal et al., 2019</xref>), craniofacial prostheses (<xref ref-type="bibr" rid="B40">Sutradhar et al., 2016</xref>), and femoral stem protheses (<xref ref-type="bibr" rid="B3">Arabnejad et al., 2017</xref>; <xref ref-type="bibr" rid="B39">Sun et al., 2018</xref>). Additionally, some studies have designed hybrid TPMS scaffolds and functional graded TPMS scaffolds to improve the performances. For example, <xref ref-type="bibr" rid="B23">Liu et al. (2022)</xref> designed a hybrid TPMS structure to increase the permeability to 1.20 <inline-formula id="inf5">
<mml:math id="m5">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;8</sup>&#xa0;m<sup>2</sup>. <xref ref-type="bibr" rid="B13">Fan et al. (2021)</xref> designed functional graded TPMS scaffolds to control the elastic modulus, but both the graded TPMS scaffolds and the hybrid TPMS scaffolds still have the elastic moduli much higher than that of cancellous bone. In addition, these designed scaffolds have many shortcomings, such as poor controllability and lack of reasonable optimization framework guidance. Take the design of functional graded TPMS bone scaffold as example, before designing a functional graded bone scaffold, scholars cannot predict its performance. In these studies, the scaffolds were designed first, and then the performance improvements of the new scaffolds can be proved only by the research results. Therefore, such design method is very inefficient. In addition, the design method in the current study usually can only consider one optimization objective such as elastic modulus, but the permeability is not evaluated. Besides, whether the designed TPMS bone scaffolds meet the requirements of the manufacturing technique has not been considered and explained. Therefore, novel scaffolds that can be controlled and simultaneously improve the mechanical and biological performances are needed to be designed.</p>
<p>In order to address the problems of poor controllability and limited optimization objectives in the optimal design of TPMS bone scaffolds, we propose a novel design method: introducing a new geometric variable, that is, optimization-guided multi-functional pore. The novel TPMS scaffolds with optimization-guided multi-functional pores were designed to address the problems of high elastic modulus and low permeability in this study. The functions of these pores are: to reduce the elastic modulus, to improve the permeability, and to broaden the design domain. Therefore, we name it &#x201c;multi-functional pores&#x201d; to represent these functions. In addition, the position of multi-function pore is not random, but determined under the guidance of optimization theory. After determining the position of the multi-function pore, change its radius to evaluate the effect of different size pores on the performance. The introduction of this multi-functional pore solves many difficulties in the design of TPMS bone scaffolds. First, the multi-functional pore is designed under the optimization framework of reducing the elastic modulus of the bone scaffold, and the elastic modulus of the new designed bone scaffold must be reduced to avoid the stress shielding effect. In the previous design methods, the performance of the new structure cannot be predicted before the design. Therefore, the proposed design method has higher controllability and efficiency. Second, there are few design variables of TPMS structure at present. By introducing the new variable of multi-function pore, the design domain of TPMS structure can be broadened, and the design of high-performance TPMS bone scaffold can be realized. To investigate the performances of the novel designed bone scaffolds, all the scaffolds were fabricated from Ti6Al4V using selective laser melting (SLM). Experiments and FE simulations were used to evaluate the elastic modulus, permeability, and anisotropy of the structures.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<p>In this section, the method to design the novel TPMS scaffolds with multi-functional pores is first detailed. Then, the experimental and simulation methods for evaluating the elastic modulus and permeability behaviors of the TPMS scaffolds are illustrated. In the end, the anisotropic elastic response of the new scaffold is evaluated using the numerical homogenization method.</p>
<sec id="s2-1">
<title>2.1 Modelling method of basic TPMS scaffolds</title>
<p>TPMS is a minimal surface that can extend periodically in three directions, and its topological shape is determined by functional expressions. Common TPMS structures include Schwarz P, Gyroid, Diamond, I-WP, etc. (<xref ref-type="bibr" rid="B8">Blanquer et al., 2017</xref>). It is worth mentioning that the concept of minimal surface was first proposed by the scientist Schwarz in 1883 (<xref ref-type="bibr" rid="B38">Str&#xf6;mberg, 2021</xref>), so Schwarz P is also one of the most classical and widely used types of TPMS structures. Besides, this structure has been shown to have a more stable curvature to promote cell growth (<xref ref-type="bibr" rid="B8">Blanquer et al., 2017</xref>). Therefore, this paper chooses Schwarz P as the basis of structural design. The 3D Schwarz P structure was formed by adding the thickness of the minimal surface (<xref ref-type="fig" rid="F1">Figure 1A</xref>). The Schwarz P structure can be characterized by the following mathematical function (<xref ref-type="bibr" rid="B20">Khaleghi et al., 2021</xref>):<disp-formula id="e1">
<mml:math id="m6">
<mml:mrow>
<mml:mi>f</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mi>x</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>y</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>x</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mi>cos</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mi mathvariant="normal">&#x3c0;</mml:mi>
</mml:mrow>
<mml:mi>n</mml:mi>
</mml:mfrac>
<mml:mi>x</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x2b;</mml:mo>
<mml:mo>&#x2061;</mml:mo>
<mml:mi>cos</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mi mathvariant="normal">&#x3c0;</mml:mi>
</mml:mrow>
<mml:mi>n</mml:mi>
</mml:mfrac>
<mml:mi>y</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x2b;</mml:mo>
<mml:mo>&#x2061;</mml:mo>
<mml:mi>cos</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mi mathvariant="normal">&#x3c0;</mml:mi>
</mml:mrow>
<mml:mi>n</mml:mi>
</mml:mfrac>
<mml:mi>z</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>where <inline-formula id="inf6">
<mml:math id="m7">
<mml:mrow>
<mml:mi>f</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> determines the TPMS topology type; <inline-formula id="inf7">
<mml:math id="m8">
<mml:mrow>
<mml:mi>x</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>y</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>z</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> are the coordinates of a point in the design space; <inline-formula id="inf8">
<mml:math id="m9">
<mml:mrow>
<mml:mi>n</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> denotes the length of a unit cell, and the constant <inline-formula id="inf9">
<mml:math id="m10">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is used to control the two-phase domain, which determines the porosity of the structure (<xref ref-type="bibr" rid="B30">Peng et al., 2023</xref>). With the increase of the constant <inline-formula id="inf10">
<mml:math id="m11">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> from &#x2212;0.5 to 0.5, the porosity of the Schwarz P structure increases (<xref ref-type="fig" rid="F1">Figure 1B</xref>). Previous studies have proved that there is a linear relationship between the constant <inline-formula id="inf11">
<mml:math id="m12">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> in the Eq. <xref ref-type="disp-formula" rid="e1">1</xref> and the porosity of TPMS structure (<xref ref-type="bibr" rid="B2">Al-Ketan and Abu Al-Rub, 2019</xref>). As for Schwarz P, the porosity can be represented by: 0.2876 <inline-formula id="inf12">
<mml:math id="m13">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> &#x2b;0.4967. Therefore, when the constant <inline-formula id="inf13">
<mml:math id="m14">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> equal to 0.53, 0.88, and 1.23, the Schwarz P structure with porosity of 65%, 75% and 85% can be obtained (<xref ref-type="fig" rid="F1">Figure 1C</xref>). These structures were visualized using in-house developed MATLAB code (R2020b, MathWorks, Massachusetts, US), and the dimensions of unit cell were set to 2.5&#xa0;mm <inline-formula id="inf14">
<mml:math id="m15">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 2.5&#xa0;mm <inline-formula id="inf15">
<mml:math id="m16">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 2.5&#xa0;mm.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>
<bold>(A)</bold> Two domains divided by a Schwarz P structure. <bold>(B)</bold> Schwarz P structures with different porosities obtained by changing the constant <inline-formula id="inf16">
<mml:math id="m17">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>. <bold>(C)</bold> Three basic Schwarz P structures with different porosities (65%, 75%, and 85%).</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g001.tif"/>
</fig>
</sec>
<sec id="s2-2">
<title>2.2 Design of the novel TPMS structures with multi-functional pores</title>
<p>By adjusting the constants in Eq. <xref ref-type="disp-formula" rid="e1">1</xref>, only structures with different porosities can be obtained, that is, porosity is the only variable when designing the scaffolds. However, the mass transport capacity of the scaffold depends on the pore size and the obstructed area (<xref ref-type="bibr" rid="B1">Ali et al., 2020</xref>). Therefore, the multi-functional pores were added to the scaffold to improve the permeability. These multi-functional pores were designed and guided by structural optimization method, which is detailed in this section.</p>
<p>Mechanical parameters, including the elastic modulus and anisotropy, are crucial factors for structural design (<xref ref-type="bibr" rid="B14">Feng et al., 2021</xref>), and they can be obtained through the constitutive relation. The constitutive relation of a TPMS structure is given by Eq. <xref ref-type="disp-formula" rid="e2">2</xref> (<xref ref-type="bibr" rid="B22">Lee et al., 2017</xref>):<disp-formula id="e2">
<mml:math id="m18">
<mml:mrow>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mi>C</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(2)</label>
</disp-formula>where the stress and strain can be expressed in matrix form:<disp-formula id="e3">
<mml:math id="m19">
<mml:mrow>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="center">
<mml:mtr>
<mml:mtd>
<mml:mtable columnalign="center">
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>22</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>33</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>13</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>23</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="center">
<mml:mtr>
<mml:mtd>
<mml:mtable columnalign="center">
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mn>22</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mn>33</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mn>13</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mn>23</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(3)</label>
</disp-formula>
</p>
<p>The stiffness matrix can be expressed as Eq. <xref ref-type="disp-formula" rid="e4">4</xref>:<disp-formula id="e4">
<mml:math id="m20">
<mml:mrow>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mi>C</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="center">
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>13</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>14</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>15</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>16</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>21</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>22</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>23</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>24</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>25</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>26</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>31</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>32</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>33</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>34</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>35</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>36</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>41</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>42</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>43</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>45</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>46</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>51</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>52</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>53</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>54</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>55</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>56</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>61</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>62</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>63</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>64</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>65</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>66</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(4)</label>
</disp-formula>
</p>
<p>Moreover, Schwarz P is a cubic symmetric structure with three independent elastic constants, which means that <inline-formula id="inf17">
<mml:math id="m21">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>22</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>33</mml:mn>
</mml:msub>
<mml:mo>;</mml:mo>
<mml:mtext>&#x2009;</mml:mtext>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>13</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>23</mml:mn>
</mml:msub>
<mml:mo>;</mml:mo>
<mml:mtext>&#x2009;</mml:mtext>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>55</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>66</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>; and all other constants are zero. Thus, the stiffness matrix can be simplified as Eq. <xref ref-type="disp-formula" rid="e5">5</xref>:<disp-formula id="e5">
<mml:math id="m22">
<mml:mrow>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mi>C</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="center">
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:mn>0</mml:mn>
</mml:mtd>
<mml:mtd>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(5)</label>
</disp-formula>where <inline-formula id="inf18">
<mml:math id="m23">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, and <inline-formula id="inf19">
<mml:math id="m24">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> are the three independent elastic constants of the Schwarz P structure. Typically, when the two load cases <inline-formula id="inf20">
<mml:math id="m25">
<mml:mrow>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf21">
<mml:math id="m26">
<mml:mrow>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>1</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>1</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>0</mml:mn>
<mml:mtext>&#x2009;</mml:mtext>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> are applied to the Schwarz P structure, the relationship between <inline-formula id="inf22">
<mml:math id="m27">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mi>j</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf23">
<mml:math id="m28">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mi>j</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> can be determined based on Eqs <xref ref-type="disp-formula" rid="e2">2</xref>, <xref ref-type="disp-formula" rid="e3">3</xref>, <xref ref-type="disp-formula" rid="e5">5</xref>:<disp-formula id="e6">
<mml:math id="m29">
<mml:mrow>
<mml:mfenced open="{" close="" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="left">
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mi>c</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>11</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mi>c</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>22</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x3d;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>33</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mi>c</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:mn>2</mml:mn>
<mml:msub>
<mml:mi>c</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>11</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x3d;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>22</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x3d;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>33</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
<label>(6)</label>
</disp-formula>
</p>
<p>The energies of two load cases can be defined as shown in Eq. <xref ref-type="disp-formula" rid="e7">7</xref> (<xref ref-type="bibr" rid="B24">Ma et al., 2021</xref>):<disp-formula id="e7">
<mml:math id="m30">
<mml:mrow>
<mml:mfenced open="{" close="" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="left">
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfrac>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>11</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfrac>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>11</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2b;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>22</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2b;</mml:mo>
<mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mn>33</mml:mn>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
<label>(7)</label>
</disp-formula>where <inline-formula id="inf24">
<mml:math id="m31">
<mml:mrow>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> represents the volume of the Schwarz P structure. Based on Eqs <xref ref-type="disp-formula" rid="e6">6</xref>, <xref ref-type="disp-formula" rid="e7">7</xref>, the relationship between the energies and elastic constants can be expressed as Eq. <xref ref-type="disp-formula" rid="e8">8</xref>:<disp-formula id="e8">
<mml:math id="m32">
<mml:mrow>
<mml:mfenced open="{" close="" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="left">
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mi>c</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mi>c</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mn>3</mml:mn>
</mml:mrow>
</mml:mfrac>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
<mml:mo>&#x2212;</mml:mo>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
<label>(8)</label>
</disp-formula>
</p>
<p>The elastic modulus of the Schwarz P structure can be obtained as Eq. <xref ref-type="disp-formula" rid="e9">9</xref> (<xref ref-type="bibr" rid="B14">Feng et al., 2021</xref>):<disp-formula id="e9">
<mml:math id="m33">
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msubsup>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
<mml:mn>2</mml:mn>
</mml:msubsup>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>2</mml:mn>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
<mml:msup>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(9)</label>
</disp-formula>
</p>
<p>Based on Eqs <xref ref-type="disp-formula" rid="e8">8</xref>, <xref ref-type="disp-formula" rid="e9">9</xref>, the elastic modulus of the Schwarz P structure can be expressed as Eq. <xref ref-type="disp-formula" rid="e10">10</xref>:<disp-formula id="e10">
<mml:math id="m34">
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>18</mml:mn>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>2</mml:mn>
<mml:msup>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:mi>V</mml:mi>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:mi>w</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
<mml:mo>&#x2b;</mml:mo>
<mml:msup>
<mml:mi>w</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>18</mml:mn>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2212;</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2b;</mml:mo>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(10)</label>
</disp-formula>where <inline-formula id="inf25">
<mml:math id="m35">
<mml:mrow>
<mml:msub>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>w</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
</inline-formula> represents the strain energy density.</p>
<p>To match the mechanical properties of cancellous bone, it is necessary to reduce the elastic modulus. Thus, the optimization objection is to find the minimum value of Eq. <xref ref-type="disp-formula" rid="e10">10</xref>, which can be expressed as Eq. <xref ref-type="disp-formula" rid="e11">11</xref>:<disp-formula id="e11">
<mml:math id="m36">
<mml:mrow>
<mml:mfenced open="{" close="" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="left">
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mtext>find&#x2009;</mml:mtext>
<mml:msub>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>,</mml:mo>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mi>min</mml:mi>
<mml:mo>&#x2061;</mml:mo>
<mml:mi>f</mml:mi>
<mml:mrow>
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<mml:mrow>
<mml:msub>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>18</mml:mn>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2212;</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
</mml:mrow>
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:mrow>
<mml:mfenced open="[" close="]" separators="&#x007C;">
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2b;</mml:mo>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mtext>subject&#x2009;to&#x2009;</mml:mtext>
<mml:mn>0.5</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
<mml:mo>&#x2264;</mml:mo>
<mml:mi>V</mml:mi>
<mml:mo>&#x2264;</mml:mo>
<mml:mn>0.8</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
<label>(11)</label>
</disp-formula>where <inline-formula id="inf26">
<mml:math id="m37">
<mml:mrow>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> represents the volume of the Schwarz P scaffold after optimization, <inline-formula id="inf27">
<mml:math id="m38">
<mml:mrow>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represent the original volume before optimization. Since the objection is to reduce the elastic modulus, the volume of the scaffold after optimization should be smaller than the original volume. On the other hand, in order to ensure that the optimized bone scaffold has enough volume to complete the function of mechanical support, the optimized volume should not be too small. Therefore, we set the constrain <inline-formula id="inf28">
<mml:math id="m39">
<mml:mrow>
<mml:mn>0.5</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
<mml:mo>&#x2264;</mml:mo>
<mml:mi>V</mml:mi>
<mml:mo>&#x2264;</mml:mo>
<mml:mn>0.8</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>. In the &#x201c;Topology Optimization&#x201d; part of ABAQUS (v2020, Dassault Systems SIMULIA Ltd., Providence, RI), we set the objection as to find the minimum value of Eq. <xref ref-type="disp-formula" rid="e10">10</xref>; the constrain as <inline-formula id="inf29">
<mml:math id="m40">
<mml:mrow>
<mml:mn>0.5</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
<mml:mo>&#x2264;</mml:mo>
<mml:mi>V</mml:mi>
<mml:mo>&#x2264;</mml:mo>
<mml:mn>0.8</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>. It is worth noting that although the volume size is not directly related to the design variables, the volume constraint in the &#x201c;Topology Optimization&#x201d; part of ABAQUS is very important to achieve the optimization goal. Therefore, we summarize it into a unified optimization framework, which is Eq. <xref ref-type="disp-formula" rid="e11">11</xref>. Moreover, the range of elastic modulus of human cancellous bone is 1.0&#x2013;3.0&#xa0;GPa. If the elastic modulus is lower than 1.0&#xa0;GPa, the strength will not satisfy the requirement. Therefore, instead of directly calculating the minimum value of <inline-formula id="inf30">
<mml:math id="m41">
<mml:mrow>
<mml:mi>f</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:msub>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula>, we find that calculate the minimum values of <inline-formula id="inf31">
<mml:math id="m42">
<mml:mrow>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2b;</mml:mo>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula> can make sure the elastic modulus of the structure will not be lower than 1.0&#xa0;GPa. The optimization process was carried out using ABAQUS with the following set: find the minimum value of <inline-formula id="inf32">
<mml:math id="m43">
<mml:mrow>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
<mml:mo>&#x2b;</mml:mo>
<mml:msubsup>
<mml:mi>v</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msubsup>
</mml:mrow>
</mml:math>
</inline-formula> when subject to <inline-formula id="inf33">
<mml:math id="m44">
<mml:mrow>
<mml:mn>0.5</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
<mml:mo>&#x2264;</mml:mo>
<mml:mi>V</mml:mi>
<mml:mo>&#x2264;</mml:mo>
<mml:mn>0.8</mml:mn>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>. The solid isotropic material with penalization (SIMP) was set. <xref ref-type="fig" rid="F2">Figure 2A</xref> shows the calculation process of the optimization. To ensure that the obtained scaffolds can be fabricated using SLM, the thickness <inline-formula id="inf34">
<mml:math id="m45">
<mml:mrow>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> should be limited within a certain range: <inline-formula id="inf35">
<mml:math id="m46">
<mml:mrow>
<mml:mi>t</mml:mi>
<mml:mo>&#x2265;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 0.2. Materialise Magics (v24.0, Leuven, Belgium) is an AM-guided software, which can detect the thickness of the structure to ensure that it meets the manufacturing requirements. All the optimized structures in this paper are verified that the wall thickness meets the manufacturing requirements.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>
<bold>(A)</bold> Evolution of the strain energy density during the structural design. <bold>(B)</bold> Illustration of the geometric repair process.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g002.tif"/>
</fig>
<p>The disadvantage of the SIMP method was that the boundary of the structure&#x2019;s topology was not sufficiently clear and the structure was not able to be directly fabricated (<xref ref-type="bibr" rid="B38">Str&#xf6;mberg, 2021</xref>). Therefore, topology repair was necessary to ensure the scaffolds can be fabricated. This repair process involved adding multi-functional pores to the scaffolds where material had been removed, determined through ABAQUS calculations (<xref ref-type="sec" rid="s11">Supplementary Figure 2.2B</xref>). To illustrate the structural design process, multi-functional pores with varying radii (0.1&#xa0;mm, 0.2&#xa0;mm, 0.3&#xa0;mm, and 0.4&#xa0;mm) were added (<xref ref-type="fig" rid="F3">Figure 3</xref>). To maintain the cubic symmetry of the scaffold, eight multi-functional pores were added in each unit cell. P654 is taken as an example to illustrate the naming method for each scaffold: the letter &#x201c;P&#x201d; stands for the Schwarz P scaffold, the number &#x201c;65&#x201d; stands for the 65% porosity scaffold before the optimization, and &#x201c;4&#x201d; stands for the 0.4-mm radius of the multi-functional pores.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Three original scaffolds before optimization (named P650, P750, and P850) and the corresponding optimized novel scaffolds with multi-functional pore sizes from 0.1&#xa0;mm to 0.4&#xa0;mm (named P651&#x2013;P654, P751&#x2013;P754, and P851&#x2013;P854).</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g003.tif"/>
</fig>
</sec>
<sec id="s2-3">
<title>2.3 Additive manufacturing of Ti6Al4V Schwarz P structure</title>
<p>A group of Schwarz P structures with 65% porosity (P650&#x2013;P654) were selected for manufacturing to carry out mechanical tests on them. Besides, in this process, it can also be proved that the designed new TPMS bone scaffold can be manufactured and has practical clinical significance. It is worth noting that all the TPMS bone scaffolds designed at 65% (P650-P654), 75% (P750-P754) and 85% (P850-P854) porosity meet the manufacturing requirements: <inline-formula id="inf36">
<mml:math id="m47">
<mml:mrow>
<mml:mi>t</mml:mi>
<mml:mo>&#x2265;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 0.2 by verifications. The FE calculation results showed that the performance changes of each group of bone scaffolds are similar. Therefore, only a group of bone scaffolds with 65% porosity are selected to cross-verify with the results of FE calculation. The specimens were manufactured from Ti6Al4V powder using the SLM technique (Renishaw AM400, Wotton-under-Edge, United Kingdom). Due to the high melting point of Ti6Al4V materials, in the SLM process (<xref ref-type="bibr" rid="B46">Wauthle et al., 2015</xref>; <xref ref-type="bibr" rid="B37">Soro et al., 2019</xref>), the input laser power needed to be 280&#xa0;W, and the scanning speed needed to be 7.3&#xa0;mm/s. After the printing process, the samples were placed at a temperature of 1200&#xb0;C for 2&#xa0;hours, and the white corundum spraying process was carried out.</p>
</sec>
<sec id="s2-4">
<title>2.4 Mechanical simulations and analysis</title>
<p>To evaluate the mechanical behavior of the novel scaffolds, both FE simulations and mechanical experiments were performed. Based on the obtained elastic moduli, the Zener anisotropy indexed were calculated. The elastic moduli and Zener anisotropy indexes were used to evaluate the performance of the novel scaffolds.</p>
<p>For the FE simulations, the boundary condition of <inline-formula id="inf37">
<mml:math id="m48">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> was set as follows:<disp-formula id="e12">
<mml:math id="m49">
<mml:mrow>
<mml:mfenced open="{" close="" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="left">
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>x</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>x</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>x</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.001</mml:mn>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>x</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>x</mml:mi>
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<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>x</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>y</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>y</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>y</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>z</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>z</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>z</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>z</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>z</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
<label>(12)</label>
</disp-formula>
</p>
<p>The boundary condition of <inline-formula id="inf38">
<mml:math id="m50">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> was set as follows:<disp-formula id="e13">
<mml:math id="m51">
<mml:mrow>
<mml:mrow>
<mml:mfenced open="{" close="" separators="&#x007C;">
<mml:mrow>
<mml:mtable columnalign="left">
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>x</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>z</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>x</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.0005</mml:mn>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>z</mml:mi>
</mml:msub>
<mml:mo>,</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>z</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>x</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>z</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.0005</mml:mn>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>x</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>z</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>x</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>y</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>y</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>y</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>y</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>z</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>z</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>l</mml:mi>
<mml:mi>z</mml:mi>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>l</mml:mi>
</mml:mrow>
<mml:mi>x</mml:mi>
</mml:msub>
<mml:msub>
<mml:mo>&#x7c;</mml:mo>
<mml:mrow>
<mml:mi>z</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(13)</label>
</disp-formula>
</p>
<p>According to the derivation in <xref ref-type="sec" rid="s2-2">Section 2.2</xref>, <inline-formula id="inf39">
<mml:math id="m52">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf40">
<mml:math id="m53">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> could be obtained when the strain was set to <inline-formula id="inf41">
<mml:math id="m54">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula>; similarly, <inline-formula id="inf42">
<mml:math id="m55">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> could be obtained when the strain was set to <inline-formula id="inf43">
<mml:math id="m56">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula>. It is worth noting that the elastic constants should be averaged, which can be accomplished using Eq. <xref ref-type="disp-formula" rid="e14">14</xref>:<disp-formula id="e14">
<mml:math id="m57">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mi>j</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mover accent="true">
<mml:mi>&#x3c3;</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mi>V</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:msub>
<mml:mo>&#x222b;</mml:mo>
<mml:mi>V</mml:mi>
</mml:msub>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mi>j</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mtext>dV</mml:mtext>
</mml:mrow>
</mml:math>
<label>(14)</label>
</disp-formula>where the sigma-bar of the stress <inline-formula id="inf44">
<mml:math id="m58">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>&#x3c3;</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> represents the average of the stress values of all points in the entire volume region. Because in the process of FE calculation, the model is divided into many elements and nodes. In order to ensure the accuracy of the calculated stress values, the stress values of all nodes in the FE model are extracted, and the average value of these stress values is <inline-formula id="inf45">
<mml:math id="m59">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>&#x3c3;</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>. The reliability of this data processing method has been confirmed by many previous studies (<xref ref-type="bibr" rid="B14">Feng et al., 2021</xref>; <xref ref-type="bibr" rid="B30">Peng et al., 2023</xref>).</p>
<p>The scaffolds after topology repair were meshed using C3D8R elements with all element size of 0.01&#xa0;mm. In order to ensure that the results based on this element size can be converged, the convergence analysis is shown in the <xref ref-type="fig" rid="F4">Figure 4</xref>. The smaller the size of the element is, the greater number of meshes is, and the result tends to converge. Therefore, four different element sizes of 0.04&#xa0;mm, 0.03&#xa0;mm, 0.02&#xa0;mm and 0.01&#xa0;mm are taken to calculate the effective elastic modulus. According to the results obtained, the elastic modulus is 5.59&#xa0;GPa when the element size is 0.02&#xa0;mm and 5.58&#xa0;GPa when the element size is 0.01&#xa0;mm. Therefore, it can be considered that the result is convergent when the element size is 0.01&#xa0;mm. At present, the material of bone scaffold is Ti6Al4V, which is widely used in clinic, that is, elastic modulus is 110.0&#xa0;GPa and Poisson&#x2019;s ratio is 0.3 (<xref ref-type="bibr" rid="B28">Montazerian et al., 2017</xref>). Then, the FE simulations were carried out in ABAQUS with an input elastic modulus of 110.0&#xa0;GPa and Poisson&#x2019;s ratio of 0.3. Eventually, the elastic moduli were calculated using Eq. <xref ref-type="disp-formula" rid="e9">9</xref>.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Convergence analysis of equivalent elastic modulus with different element sizes.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g004.tif"/>
</fig>
<p>The Zener anisotropy index, which is commonly used to evaluate the anisotropic properties of materials (<xref ref-type="bibr" rid="B10">Chen et al., 2019</xref>), is given by Eq. <xref ref-type="disp-formula" rid="e15">15</xref>:<disp-formula id="e15">
<mml:math id="m60">
<mml:mrow>
<mml:mi>A</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>2</mml:mn>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>44</mml:mn>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>12</mml:mn>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(15)</label>
</disp-formula>
</p>
<p>After the FE analyses with the boundary conditions in Eq. <xref ref-type="disp-formula" rid="e12">12</xref> and Eq. <xref ref-type="disp-formula" rid="e13">13</xref>, the stiffness matrix <italic>C</italic> was obtained, and then the Zener anisotropy index was calculated using Eq. <xref ref-type="disp-formula" rid="e15">15</xref>. Next, the 3D anisotropic elastic responses of the Schwarz P scaffolds were visualized in MATLAB.</p>
<p>Quasi-static uniaxial compression tests were performed using INSTRON 5985 (Instron Company, Massachusetts, United States) and the loading speed was 0.5&#xa0;mm/min according to the mechanical test standard ISO13314 (<xref ref-type="bibr" rid="B25">Ma et al., 2020</xref>). The samples were placed at the center of the lower fixture. The lower plate of the fixture remained fixed, while the upper plate was loaded at 0.5&#xa0;mm/min, and the force and displacement were recorded using the sensors of the equipment (<xref ref-type="fig" rid="F5">Figure 5</xref>). The stress was calculated by dividing the measured force by the cross-sectional area of the sample, and the strain was calculated by dividing the displacement by the height of the sample in the loading direction. The elastic modulus was calculated from the slope of the linear part of the stress&#x2013;strain curve, and the yield stress was calculated using the 0.2% offset method. One camera was mounted in front of the samples to record the whole deformation process.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Experiment setup for the compression test: equipment and sample.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g005.tif"/>
</fig>
</sec>
<sec id="s2-5">
<title>2.5 Mass transport simulations and analysis</title>
<p>Mass transport capacity (measured by permeability) is very important for bone scaffolds, because a high mass transport capacity is beneficial for the transmission in the scaffold, which is crucial for the growth of cells. Computational fluid dynamics (CFD) was used to simulate the process of transmission using COMSOL (v6.0, COMSOL Multiphysics, Stockholm, Sweden). The permeabilities of the novel scaffolds with multi-functional pores were calculated to evaluate the mass transport capacity.</p>
<p>All the structures were arrayed to 2 <inline-formula id="inf49">
<mml:math id="m64">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 2 <inline-formula id="inf50">
<mml:math id="m65">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 2 unit cells with a dimension of 5.0&#xa0;mm <inline-formula id="inf51">
<mml:math id="m66">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 5.0&#xa0;mm <inline-formula id="inf52">
<mml:math id="m67">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 5.0&#xa0;mm. To avoid the boundary effect caused by the inlet and outlet area, a 5.0&#xa0;mm <inline-formula id="inf53">
<mml:math id="m68">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 5.0&#xa0;mm <inline-formula id="inf54">
<mml:math id="m69">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 2.5&#xa0;mm virtual fluid domain was built at both the fluid flow inlet and outlet. Thus, a 5.0&#xa0;mm <inline-formula id="inf55">
<mml:math id="m70">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 5.0&#xa0;mm <inline-formula id="inf56">
<mml:math id="m71">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10.0&#xa0;mm parallelepipedal fluid domain was built (<xref ref-type="fig" rid="F6">Figure 6</xref>). A common boundary condition for permeability was set with a flow rate of 0.001&#xa0;m/s at the inlet and a pressure of 0.0&#xa0;Pa at the outlet (<xref ref-type="bibr" rid="B50">Zhang et al., 2020</xref>; <xref ref-type="bibr" rid="B32">Qureshi et al., 2021</xref>). The external surface of the fluid domain and the surface of the Schwarz P scaffold were set as walls under no-slip state.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>The modeling process of the fluid domain and the boundary conditions in CFD analysis.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g006.tif"/>
</fig>
<p>Darcy&#x2019;s law is given by Eq. <xref ref-type="disp-formula" rid="e16">16</xref>:<disp-formula id="e16">
<mml:math id="m72">
<mml:mrow>
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>e</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>v</mml:mi>
<mml:mi>&#x3c1;</mml:mi>
<mml:mi>D</mml:mi>
</mml:mrow>
<mml:mi>&#x3bc;</mml:mi>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(16)</label>
</disp-formula>where <inline-formula id="inf57">
<mml:math id="m73">
<mml:mrow>
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>e</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is the Reynolds number; <inline-formula id="inf58">
<mml:math id="m74">
<mml:mrow>
<mml:mi>v</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the velocity of the fluid (m/s); <inline-formula id="inf59">
<mml:math id="m75">
<mml:mrow>
<mml:mi>&#x3c1;</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the density of the fluid (kg/m<sup>3</sup>); and <inline-formula id="inf60">
<mml:math id="m76">
<mml:mrow>
<mml:mi>D</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the diameter of the pore (m).</p>
<p>The pressure drop between the inlet and outlet can be obtained from CFD calculation, and the permeability (<inline-formula id="inf61">
<mml:math id="m77">
<mml:mrow>
<mml:mi>K</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>) of the structures can be calculated as:<disp-formula id="e17">
<mml:math id="m78">
<mml:mrow>
<mml:mi>K</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>v</mml:mi>
<mml:mi>&#x3bc;</mml:mi>
<mml:mi>L</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>P</mml:mi>
</mml:mrow>
</mml:mfrac>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mi>v</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>Q</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(17)</label>
</disp-formula>where <inline-formula id="inf62">
<mml:math id="m79">
<mml:mrow>
<mml:mi>K</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the permeability of the structure; <inline-formula id="inf63">
<mml:math id="m80">
<mml:mrow>
<mml:mi>v</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the velocity of the fluid (m/s); <inline-formula id="inf64">
<mml:math id="m81">
<mml:mrow>
<mml:mi>&#x3bc;</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the dynamic viscosity coefficient of the fluid (Pa <inline-formula id="inf65">
<mml:math id="m82">
<mml:mrow>
<mml:mo>&#x2219;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> S); <inline-formula id="inf66">
<mml:math id="m83">
<mml:mrow>
<mml:mi>L</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the length of the flow path (m); <inline-formula id="inf67">
<mml:math id="m84">
<mml:mrow>
<mml:mo>&#x2206;</mml:mo>
<mml:mi>P</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the pressure drop (Pa); <inline-formula id="inf68">
<mml:math id="m85">
<mml:mrow>
<mml:mi>Q</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the flow rate of scaffold (m<sup>3</sup>/s); and <inline-formula id="inf69">
<mml:math id="m86">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is the cross-section area of the fluid domain (m<sup>2</sup>). The fluid properties of water were assumed to be <inline-formula id="inf70">
<mml:math id="m87">
<mml:mrow>
<mml:mi>&#x3c1;</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 1000&#xa0;kg/m<sup>3</sup>, <inline-formula id="inf71">
<mml:math id="m88">
<mml:mrow>
<mml:mi>&#x3bc;</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 0.001&#xa0;Pa <inline-formula id="inf72">
<mml:math id="m89">
<mml:mrow>
<mml:mo>&#x2219;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> S, and <inline-formula id="inf73">
<mml:math id="m90">
<mml:mrow>
<mml:mi>v</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 0.001&#xa0;m/s.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<p>In this section, the geometric characteristics of the Schwarz P scaffolds are discussed first, including the difference in size between the designed and the SLM fabricated multi-functional pores. Then, the mechanical properties of all Schwarz P scaffolds under loading cases <inline-formula id="inf74">
<mml:math id="m91">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf75">
<mml:math id="m92">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> are investigated using FE analysis in terms of elastic modulus and structural anisotropy. Additionally, the mass transport capacities of all Schwarz P scaffolds are investigated, including the pressure fields, velocity distributions, and structural permeabilities. Finally, the optimization results are presented, offering insights into how the scaffolds perform in comparison to natural cancellous bone and highlighting any improvements achieved through the design and optimization process.</p>
<sec id="s3-1">
<title>3.1 Morphological characteristics</title>
<p>The SLM-fabricated structures are visualized in <xref ref-type="fig" rid="F7">Figure 7A</xref>, and the sizes of the multi-functional pores are in the increasing order from the original structure to the novel optimized structure (P650&#x2013;P654). To assess the accuracy of fabrication, the discrepancy between the fabricated specimens and the theoretical designs was examined, with particular focus on the P654 structure (<xref ref-type="fig" rid="F7">Figure 7B</xref>) through a scanning electron microscope (SEM). The designed diameter of the multi-functional pore of P654 was 0.80&#xa0;mm, and the theoretical observation size of the diameter was calculated to be 0.56&#xa0;mm with the equation <inline-formula id="inf76">
<mml:math id="m93">
<mml:mrow>
<mml:msub>
<mml:mi>R</mml:mi>
<mml:mi>o</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mi>R</mml:mi>
<mml:mo>&#xd7;</mml:mo>
<mml:mo>&#x2061;</mml:mo>
<mml:mi>cos</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> 45<inline-formula id="inf77">
<mml:math id="m94">
<mml:mrow>
<mml:mo>&#xb0;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula>. The actual size of the diameter observed by SEM was 0.53&#xa0;mm (<xref ref-type="fig" rid="F7">Figure 7C</xref>), so the error between the fabricated and designed sizes was 5.4%. It is worth noting that the multi-functional pores were located on the curved surface, which could not be observed in a tangent plane direction. Therefore, the specimen was placed flat on the SEM observation platform, and the multi-functional pores were observed along a 45&#xb0; angle.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>
<bold>(A)</bold> SLM-fabricated Ti6Al4V specimens for P650&#x2013;P654 scaffolds (P650 to P654 from left to right). <bold>(B)</bold> SLM-fabricated Ti6Al4V specimen for P654. <bold>(C)</bold> SEM image showing details of the fabricated sample of P654.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g007.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Mechanical properties of the novel structures</title>
<p>The overall distribution of the von Mises stress under the tensile load condition <inline-formula id="inf78">
<mml:math id="m95">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> showed a decreasing trend after adding multi-functional pores to P654, P754, and P854. However, the overall distribution of von Mises stress under the shearing load condition <inline-formula id="inf79">
<mml:math id="m96">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> did not change much (<xref ref-type="fig" rid="F8">Figure 8</xref>). With an increase in the radii of the multi-functional pores, the Zener anisotropy indexes of the novel scaffolds demonstrated a rising trend, while the elastic moduli displayed a decreasing trend. For instance, the Zener isotropy index of P650 was 1.63, and that of P654 was 2.12. The elastic moduli of P650, P750, and P850 were 5.58&#xa0;GPa, 4.87&#xa0;GPa, and 4.51&#xa0;GPa, respectively, whereas the elastic moduli of P654, P754, and P854 were 3.38&#xa0;GPa, 2.50&#xa0;GPa, and 2.30&#xa0;GPa, respectively. Notably, the elastic moduli of P754 and P854 fell within the range of 1.0&#x2013;3.0&#xa0;GPa, which is characteristic of human cancellous bone (refer to <xref ref-type="fig" rid="F9">Figure 9B</xref>). To investigate the structural anisotropy, the effective stiffness was homogenized and every elastic modulus surface was colored according to the magnitude of the effective stiffness (<xref ref-type="fig" rid="F9">Figure 9A</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>
<bold>(A)</bold> Distribution of von Mises stress in the scaffolds before and after structural design at 65%, 75%, and 85% porosities under the uniaxial tensile load condition <inline-formula id="inf80">
<mml:math id="m97">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula>. <bold>(B)</bold> Distribution of von Mises stress in the scaffolds before and after structural design at 65%, 75%, and 85% porosities under the shearing load condition <inline-formula id="inf81">
<mml:math id="m98">
<mml:mrow>
<mml:mfenced open="{" close="}" separators="&#x007C;">
<mml:mrow>
<mml:msup>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="&#x007C;">
<mml:mrow>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula>.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g008.tif"/>
</fig>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>
<bold>(A)</bold> Three-dimensional elastic modulus surface for different Schwarz P scaffolds. <bold>(B)</bold> Variation trend of structural elastic modulus and Zener anisotropy index with the increase of multi-functional pore size under different porosities.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g009.tif"/>
</fig>
<p>The uniaxial compressive deformation behavior of the novel designed scaffold was basically consistent with that of the original scaffold. Both P650 and P654 scaffolds showed a shear band at the compressive strain of 0.15, which can be attributed to the slip. At the compressive strain of 0.40, the first fracture positions of the P650 and P654 structures were marked in the experimental results. Specifically, at this stage, the P654 structure exhibited a V-shaped shear band, while the P650 structure displayed a single diagonal shear band. Moreover, the fracture characteristics differed between the two structures. The fracture surface of the P650 specimen appeared smooth, whereas that of the P654 specimen was relatively rough, as depicted in <xref ref-type="fig" rid="F10">Figure 10</xref>.</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>
<bold>(A)</bold> Deformation behaviors of P650 and P654. <bold>(B)</bold> SEM views of the compressive fracture surfaces of P650 (upper) and P654 (lower).</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g010.tif"/>
</fig>
<p>In <xref ref-type="fig" rid="F11">Figure 11</xref>, the deformation behaviors of the P650 and P654 structures can be observed to follow a pattern consisting of three main stages: the elastic stage, plateau stage, and densification stage. Both curves started in the linear elastic stage, dropped sharply after reaching the peak stress, began a long plateau stage, and finally entered the densification stage from the strain of 0.4. In addition, the strains experienced by both structures at the ultimate compressive strength were found to be approximately the same.</p>
<fig id="F11" position="float">
<label>FIGURE 11</label>
<caption>
<p>Stress&#x2013;strain curves of the Schwarz P scaffolds: P650 and P654.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g011.tif"/>
</fig>
<p>The elastic modulus of the P650 scaffold was 5.58&#xa0;GPa and that of the P654 structure was 3.38&#xa0;GPa, showing the same trend as the FE simulation results. In addition, the yield strength of the P650 structure was 292.0&#xa0;MPa, and that of the P654 structure was 153.0&#xa0;MPa. The error between the measured elastic modulus and the FE simulation result was 9.0% for the P650 structure and 8.3% for the P654 structure (<xref ref-type="fig" rid="F12">Figure 12</xref>).</p>
<fig id="F12" position="float">
<label>FIGURE 12</label>
<caption>
<p>
<bold>(A)</bold> Elastic moduli and yield strengths of scaffolds P650 to P654 calculated from experimental data. <bold>(B)</bold> Error in the elastic moduli of scaffolds P650 and P654 calculated by mechanical experiment and FE analysis.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g012.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 Mass transport capacity of the novel new structures</title>
<p>The pressure field in the entire model was homogenized along the vertical direction, indicating that the same pressure drop could be obtained by selecting any cross section. Since the multi-functional pores facilitated the fluid flow, the chosen cross-section position was strategically placed to intersect the centers of these pores, as illustrated in <xref ref-type="fig" rid="F13">Figure 13</xref>.</p>
<fig id="F13" position="float">
<label>FIGURE 13</label>
<caption>
<p>Pressure field and local flow velocity for the chosen cross section in the representative CFD model with symmetrical boundary conditions.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g013.tif"/>
</fig>
<p>With an increase in the radius of the multi-functional pores, the fluid velocity experienced a significant rise, culminating in a maximum velocity 2.8 &#xd7; 10<sup>&#x2212;3</sup>&#xa0;m/s in the P654 scaffold (<xref ref-type="fig" rid="F14">Figure 14A</xref>). In addition, the pressure drop decreased with the increase of the radius of the multi-functional pore (<xref ref-type="fig" rid="F14">Figure 14B</xref>). According to Darcy&#x2019;s law shown in Eq. <xref ref-type="disp-formula" rid="e17">17</xref>, the permeability of the scaffold was greatly improved by adding the multi-functional pores.</p>
<fig id="F14" position="float">
<label>FIGURE 14</label>
<caption>
<p>
<bold>(A)</bold> Velocity field in the Schwarz P scaffolds with symmetrical boundary conditions. <bold>(B)</bold> Pressure distribution in the Schwarz P scaffolds with the symmetrical boundary conditions.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g014.tif"/>
</fig>
<p>The permeabilities of the scaffolds increased with the increase of porosity (<xref ref-type="fig" rid="F15">Figure 15</xref>). For example, the permeability of the P650 structure was 8.58 <inline-formula id="inf82">
<mml:math id="m99">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;9</sup>&#xa0;m<sup>2</sup>, while that of the P850 structure was 2.65 <inline-formula id="inf83">
<mml:math id="m100">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;8</sup>&#xa0;m<sup>2</sup>. The permeability increased approximately three times with the increase of porosity from 65% to 85%. Furthermore, when holding porosity constant, the addition of multi-functional pores led to a significant enhancement in permeability. For example, the permeability of the P650 structure was 8.58 <inline-formula id="inf84">
<mml:math id="m101">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;9</sup>&#xa0;m<sup>2</sup>, and that of the P654 structure was 3.23 <inline-formula id="inf85">
<mml:math id="m102">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;8</sup>&#xa0;m<sup>2</sup>. The permeability increased approximately four times with the increase of the radius of the multi-functional pore from 0.1&#xa0;mm to 0.4&#xa0;mm.</p>
<fig id="F15" position="float">
<label>FIGURE 15</label>
<caption>
<p>Effects of porosity and radius of multi-functional pores on the permeability of Schwarz P scaffolds.</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g015.tif"/>
</fig>
<p>Finally, the elastic moduli and permeabilities of the scaffolds were compared with those of cancellous bone (<xref ref-type="fig" rid="F16">Figure 16</xref>). As a result of the design process, the coordinate points gradually shifted from the upper left corner (higher elastic modulus and lower permeability) of the graph to the lower right corner (lower elastic modulus and higher permeability). The elastic moduli and permeabilities of three structures, P754, P853, and P854, had been optimized to fall within the range observed for cancellous bone.</p>
<fig id="F16" position="float">
<label>FIGURE 16</label>
<caption>
<p>Optimization of the elastic modulus and permeability of Schwarz P scaffold and comparison with those of cancellous bone (the blue area is the range of the elastic modulus and permeability of cancellous bone).</p>
</caption>
<graphic xlink:href="fbioe-12-1401899-g016.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>Novel TPMS structures were designed and fabricated in this study. The morphological properties, mechanical properties, and mass transport capacities of the structures were investigated using FE simulations and mechanical experiments. In this section, the calculated results of the novel scaffolds are discussed and compared with those of cancellous bone, proving that the novel scaffolds in this study are ideal candidates for clinical applications.</p>
<sec id="s4-1">
<title>4.1 Morphological characteristics</title>
<p>The error between the fabricated and designed values was 5.4%, indicating that the fabricated scaffolds were of good quality. However, it is necessary to discuss the possible reasons for the error. First, overhang structures were observed (<xref ref-type="sec" rid="s11">Supplementary Figure 3.1C</xref>), which were the defects in the printing process generated by powder attachment. The side attachment was due to the partial melting of the powder around the contour line by laser tracking (<xref ref-type="bibr" rid="B48">Yan et al., 2012</xref>) and the bottom attachment was due to the improper thickness of the adjacent layers (<xref ref-type="bibr" rid="B43">Tian et al., 2017</xref>). Manufacturing defects such as overhang structures and residual powder are inevitable, and the same phenomena have been observed in other studies (<xref ref-type="bibr" rid="B13">Fan et al., 2021</xref>; <xref ref-type="bibr" rid="B31">Qiu et al., 2023</xref>). Second, the accuracy of the STL model and the internal structure of the specimen can also affect the manufacturing precision, but these factors are beyond the scope of this study. Although we can eliminate errors as much as possible, due to the limitations of AM technology, errors cannot be completely avoided. The error analysis of AM technology is another complex research field. Therefore, it may be possible to avoid errors by printing multiple times in the future, but in this study, considering the acceptable error of the multi-functional pore (5.4%), it is believed that the fabricated scaffolds meet the requirements of clinical applications.</p>
</sec>
<sec id="s4-2">
<title>4.2 Mechanical properties of the novel structures</title>
<p>The FE analysis results revealed that the novel scaffolds designed in this study do not produce stress concentration near the multi-functional pores, which will benefit the long-term service of the scaffolds (<xref ref-type="sec" rid="s11">Supplementary Figure 3.2</xref>). Large stress will inevitably be generated near the multi-functional pores, but such a stress concentration phenomenon is not obvious, and it will not cause the structure to be damaged at the multi-functional pores. It is important to highlight that, in this study, mixed boundary conditions were employed instead of periodic boundary conditions to determine the scaffolds&#x2019; elastic moduli. This choice not only enhances computational efficiency but has also been validated for its reliable calculation accuracy in previous research (<xref ref-type="bibr" rid="B14">Feng et al., 2021</xref>; <xref ref-type="bibr" rid="B6">Baghous et al., 2023</xref>; <xref ref-type="bibr" rid="B30">Peng et al., 2023</xref>).</p>
<p>The Zener anisotropy indexes (<inline-formula id="inf86">
<mml:math id="m103">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>) of all scaffolds closely resembled those of cancellous bone, affirming the consistent anisotropic behaviors of the designed structures. The index <inline-formula id="inf87">
<mml:math id="m104">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> increased with the increase of the radius of the multi-functional pore and showed the following two trends. First, the larger the radius of the multi-functional pore, the faster the increase of index <inline-formula id="inf88">
<mml:math id="m105">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (<xref ref-type="sec" rid="s11">Supplementary Figure 3.3A</xref>). For structures with the same porosity of 85%, index <inline-formula id="inf89">
<mml:math id="m106">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> increased by 12.1% with the increase of the radius of the multi-functional pores from 0.1&#xa0;mm to 0.2&#xa0;mm. In contrast, the index <inline-formula id="inf90">
<mml:math id="m107">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> increased by 53.8% when the radius of the multi-functional pores increased from 0.2&#xa0;mm to 0.3&#xa0;mm. Second, the larger the porosity of the scaffold, the larger the difference between anisotropy indexes of the original and the novel designed scaffolds. For example, at 65% porosity, index <inline-formula id="inf91">
<mml:math id="m108">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> changed by 23% after novel design, whereas at 85% porosity, it changed by 61.4%. The index <inline-formula id="inf92">
<mml:math id="m109">
<mml:mrow>
<mml:mi>A</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> of human cancellous bone is 1.0&#x2013;4.0 (<xref ref-type="bibr" rid="B19">Kang et al., 2020</xref>). The index of the cancellous bone of the femur measured by CT scanning is 3.5 (<xref ref-type="bibr" rid="B5">Augat et al., 1998</xref>), and the index of the spine measured by the compressive testing method is 4.8 (<xref ref-type="bibr" rid="B12">Dendorfer et al., 2008</xref>). Thus, there is no unified conclusion on the range of the Zener anisotropy index of cancellous bone. However, the anisotropic behavior of P854 is still obvious, which may affect its mechanical properties. In conclusion, while the Zener anisotropy indexes of the novel scaffolds align with cancellous bone standards, the challenge of managing anisotropy during structural design necessitates further exploration and resolution.</p>
<p>The deformation behavior of the newly designed structure closely mirrored that of the original structure, as illustrated in <xref ref-type="sec" rid="s11">Supplementary Figure 3.4</xref>. Within the strain range of 0&#x2013;0.1, both structures exhibited stress-strain relationships that were predominantly linear. Notably, at a strain of 0.1, the stresses of P650 and P654 experienced significant drops to 27.4% and 51.3% of their peak stress levels, respectively. This phenomenon was related to the brittle failure of pillars in the Ti6Al4V lattice treated by SLM (<xref ref-type="bibr" rid="B18">Kadkhodapour et al., 2017</xref>), and this same phenomenon has been observed in previous studies. For example, <xref ref-type="bibr" rid="B31">Qiu et al. (2023)</xref> reported that the stress dropped to 39.4% of the peak stress, and Rezapourian et al. (<xref ref-type="bibr" rid="B34">Rezapourian et al., 2023</xref>) reported that the stress dropped to 8.9% of the peak stress. As the stress decreased, both the P650 and P654 structures exhibited a shear band along a diagonal direction of 45&#xb0;, and P654 produced an additional horizontal shear band (<xref ref-type="sec" rid="s11">Supplementary Figure 3.4A</xref>). The shear band along the diagonal was caused by the diagonal distribution of the maximum local curvature of the Schwarz P structure (<xref ref-type="bibr" rid="B13">Fan et al., 2021</xref>). In the plateau stage, the stresses were lower than the ultimate strength and increased in waves. Subsequently, the two structures entered the densification stage, and the stress&#x2013;strain curve showed an upward trend and reached its initial peak. As the strain increased, the fracture zone of the structure continued to expand, resulting in a state of collapse in the lower layer and a state of yield in the upper layer. The P650 structure displayed smooth and flat fracture characteristics, indicating that the structure&#x2019;s fracture type was primarily due to tensile deformation (<xref ref-type="sec" rid="s11">Supplementary Figure 3.4B</xref>). Furthermore, some internal defects were observed on the fracture cross section of the P654 structure, which may have led to the formation of the horizontal shear band of P654. Similar internal defects have been documented in other studies as well, indicating a potential influence on the mechanical behavior and failure mode of the structure (<xref ref-type="bibr" rid="B13">Fan et al., 2021</xref>; <xref ref-type="bibr" rid="B31">Qiu et al., 2023</xref>).</p>
<p>The compressive strength and yield strength of the novel scaffolds were compared with those of cancellous bone, indicating that the novel scaffolds had sufficient strength. The compressive strength of cancellous bone is 5.8&#xa0;MPa and the yield strength of cancellous bone is 4.1&#xa0;MPa (<xref ref-type="bibr" rid="B41">Syahrom et al., 2011</xref>). The P654 structure had compressive strength of 165.0&#xa0;MPa and yield strength of 153.0&#xa0;MPa. Therefore, the novel scaffolds met the strength requirements. The error between the FE method and experimental method was 9.0% for the P650 structure and 8.3% for the P654 structure. The error between the two methods evaluated by <xref ref-type="bibr" rid="B16">Jia et al. (2020)</xref> fluctuated between 8.0% and 20.0%, so the error in this study was within the acceptable range.</p>
</sec>
<sec id="s4-3">
<title>4.3 Mass transport capacity of the novel structures</title>
<p>With the increase of the radius of the multi-functional pore, the velocity of the fluid in the scaffold increased gradually (<xref ref-type="sec" rid="s11">Supplementary Figure 3.8A</xref>). When the radius of the multi-functional pore reached 0.4&#xa0;mm, the internal structure was completely connected, which significantly improved the permeability of the scaffold. In the past, the method to improve permeability was to increase porosity, but the possible porosity for a certain TPMS scaffold (<xref ref-type="bibr" rid="B27">Maskery et al., 2018</xref>) is limited to a certain range. For example, the permeability of P650 was 8.58 <inline-formula id="inf93">
<mml:math id="m110">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;9</sup>&#xa0;m<sup>2</sup>, and the permeability of P850 was 2.65 <inline-formula id="inf94">
<mml:math id="m111">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;8</sup>&#xa0;m<sup>2</sup>. By increasing the porosity from 65% to 85%, the permeability of the structure was increased approximately 3.1 times. However, the permeability of P654 was 3.27 <inline-formula id="inf95">
<mml:math id="m112">
<mml:mrow>
<mml:mo>&#xd7;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> 10<sup>&#x2013;8</sup>&#xa0;m<sup>2</sup>. Thus, the permeability of the P650 scaffold increased 3.8 times after adding multi-functional pores with a 0.4-mm radius to the scaffold. Therefore, the novel designed scaffolds proposed in this study introduce a new way to control the permeability of TPMS scaffolds.</p>
<p>After adding the multi-functional pores to the scaffolds, the elastic moduli and permeabilities of P754, P853, and P854 fall within the corresponding ranges of cancellous bone (<xref ref-type="sec" rid="s11">Supplementary Figure 3.10</xref>). In addition, with the progress of adding multi-functional pores, the change of permeability was much larger than the change of elastic modulus. From the P650 scaffold to the P654 scaffold, the elastic modulus decreased by 39.0% and the permeability increased by 281.0%. Previous studies have shown that the permeability of a TPMS scaffold is more sensitive to pore size than is the elastic modulus (<xref ref-type="bibr" rid="B40">Sutradhar et al., 2016</xref>). The results shown in <xref ref-type="sec" rid="s11">Supplementary Figure 3.10</xref> also prove that the design method proposed in this study can expand the design domain of TPMS structure. To be specific, since the TPMS structure is controlled by mathematical equation such as Eq. <xref ref-type="disp-formula" rid="e1">1</xref>, it means that the variable parameters in Eq. <xref ref-type="disp-formula" rid="e1">1</xref> is the only variable, which leads to great limitations in the design domain of TPMS structures. To solve this problem, novel TPMS structures such as functional graded TPMS structures are designed in previous studies to broaden the design domain (<xref ref-type="bibr" rid="B13">Fan et al., 2021</xref>; <xref ref-type="bibr" rid="B23">Liu et al., 2022</xref>). The optimal design method proposed in this study introduced a new variable: multi-functional pore, it can broaden the design domain of TPMS structure, so more different TPMS bone scaffolds can be designed. As shown in <xref ref-type="sec" rid="s11">Supplementary Figure 3.10</xref>, the bone scaffolds that possess elastic modulus and permeability meet the requirements of cancellous bone can be designed by this method, which are new scaffolds cannot be obtained in the previous design domain.</p>
<p>Although promising results were obtained in this study, there are still some limitations that should be resolved in the future. First, the novel design method proposed in this study is only suitable for symmetric structures such as TPMS structures. Because the TPMS structures are symmetrical, its stiffness matrix <inline-formula id="inf96">
<mml:math id="m113">
<mml:mrow>
<mml:mi>C</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> can be simplified and the optimization framework was based on the simplified stiffness matrix <inline-formula id="inf97">
<mml:math id="m114">
<mml:mrow>
<mml:mi>C</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>. Second, only the Schwarz P scaffolds were evaluated in this study, and other types of TPMS scaffolds remain to be analyzed. Last but not least, at present, only a group of bone scaffolds with 65% porosity have been manufactured and mechanical experiments have been carried out. The manufacture of bone scaffolds with more porosity needs to be carried out in the future.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s5">
<title>5 Conclusion</title>
<p>To address the problems of high elastic modulus and low permeability in current bone scaffolds, novel TPMS bone scaffolds with optimization-guided multi-functional pores were designed in this study. The performances of the novel TPMS scaffolds were investigated using experimental characterization and numerical simulations. The main conclusions are as follows:<list list-type="simple">
<list-item>
<p>(1) The effective elastic modulus reduced from 5.58&#xa0;GPa (original scaffold) to 3.38&#xa0;GPa (novel designed scaffold), resulting in lower stress shielding.</p>
</list-item>
<list-item>
<p>(2) The multi-functional pores greatly improved the mass transport capacities of the TPMS scaffolds by providing new pores on the walls. The permeability increased from 8.58 &#xd7; 10<sup>&#x2212;9</sup>&#xa0;m<sup>2</sup> (original scaffold) to 5.14 &#xd7; 10<sup>&#x2212;8</sup>&#xa0;m<sup>2</sup> (novel designed scaffold)</p>
</list-item>
<list-item>
<p>(3) The deformation mode of the novel TPMS bone scaffolds at 65% porosity remained unchanged, which ensured that the new scaffolds can be used as stably as the previous scaffolds. The compressive strength and yield strength of the structure met the clinical requirements, i.e., the scaffolds need to have enough strengths to ensure that they will not break easily.</p>
</list-item>
<list-item>
<p>(4) The novel scaffolds expanded the design domain of TPMS-based bone scaffolds, providing a promising new method for the design of high-performance bone scaffolds.</p>
</list-item>
</list>
</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>JJ: Funding acquisition, Investigation, Writing&#x2013;review and editing. YH: Methodology, Software, Writing&#x2013;original draft. XP: Methodology, Writing&#x2013;original draft. CW: Investigation, Writing&#x2013;review and editing. HZ: Supervision, Writing&#x2013;review and editing. YL: Conceptualization, Formal Analysis, Methodology, Writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by National Natural Science Foundation of China [grant numbers 12211530062 and 12072066], State Key Laboratory of Structural Analysis for Industrial Equipment [grant number GZ22105], Natural Science Foundation of Liaoning Province [grant numbers 2022-MS-443 and 2022-YGJC-21], Dalian Medical Science Research Program Project [grant number 2111005], Dalian University of Technology and Affiliated Central Hospital joint research fund [grant numbers 2022ZXYG45 and DUT23YG217] and the DUT-BSU Joint Institute fund [grant number ICR2303].</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fbioe.2024.1401899/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fbioe.2024.1401899/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.ZIP" id="SM1" mimetype="application/ZIP" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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