Evidence map›Paper›PMID 41682104›Full record

ReviewPolymers2026

Bioactive Polymer Composites for 3D-Printed Bone Implants: A Systematic Review.

Anastassiya Khrustaleva, Dmitriy Khrustalev, Azamat Yedrissov, Polina Rusyaeva, Artyom Savelyev, Marlen Kiikbayev, Kristina Perepelitsyna, Vladimir Kazantsev

Abstract readReview
In one paragraph

Review in Polymers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Anastassiya KhrustalevaSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0000-0002-2214-0165
Dmitriy KhrustalevSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0000-0003-3202-1044
Azamat YedrissovSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0000-0003-3047-8200
Polina RusyaevaSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0009-0003-8379-5012
Artyom SavelyevSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0009-0009-2472-8235
Marlen KiikbayevSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0009-0007-1869-859X
Kristina PerepelitsynaSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0009-0009-6694-1608
Vladimir KazantsevSchool of Pharmacy, Karaganda Medical University, Gogol Street 40, Karaganda 100008, Kazakhstan.ORCID 0009-0004-6198-3167

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polymer-based bioactive composites are one of the most rapidly advancing areas in contemporary regenerative medicine. This review aims to identify major trends and knowledge gaps in the development of bioactive polymer composites and examine their translational relevance from a materials design perspective, with a specific focus on synthetic thermoplastic polymer matrices suitable for load-bearing bone scaffold applications and filament-based additive manufacturing. A total of 546 publications spanning 2016-2025 were screened, with 106 selected according to predefined relevance criteria. Bibliometric and content analyses were performed to delineate the primary research trajectories of bioactive composite materials. The results revealed that the majority of studies focused on composites comprising synthetic aliphatic polyesters, primarily polylactic acid (PLA) or polycaprolactone (PCL), reinforced with hydroxyapatite (HA) or bioactive glass (BG), which confer osteoconductivity but rarely achieve multifunctionality. Antimicrobial agents, ion-releasing components, and naturally derived bioactive molecules-associated with biointeractive functionalities and reported effects related to osteogenesis, angiogenesis, and immune modulation-are significantly underrepresented. Fewer than 20% of the investigated studies include in vivo validation, underscoring considerable scope for further preclinical and translational research. This work consolidates current trends in synthetic bioactive polymer composite design and identifies critical directions for future research. The findings of this review provide a structured framework to support the selection of composite fabrication and modification strategies, functional additives, and targeted biological functionalities for next-generation, load-bearing bone tissue engineering materials.

Indexed as

3D printingadditive manufacturingbioactive compositesbioactive polymersbone tissue engineering

Identifiers

PMID41682104
PMCPMC12899301

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.