Influence of ternary divalent cations (Mg2+, Co2+, Sr2+) substitution on the physicochemical, mechanical and biological properties of carbonated hydroxyapatite scaffolds

Substitution of ionic either anion or cation in a controlled amount into carbonated hydroxyapatite (CHA) structure is one of the efficient and safest ways in enhancing the properties of the materials. However, most of the works studied only focused on the physical and mechanical properties of single ionic substitution. For the first time, the influence of simultaneous ternary substitutions of divalent cations into porous CHA scaffolds on the physicochemical, mechanical, degradative, and in vitro biological properties is investigated in the present study. Three different compositions of porous scaffolds with binary and ternary divalent cations, namely, pure CHA (S11), CoSr CHA (S21), and MgCoSr CHA (S31) were fabricated using a polyurethane (PU) foam replication technique. Despite a small amount of Mg2+, Co2+, and Sr2+ being added, these divalent cations had successfully substituted into the Ca2+ site and remained as single-phase B-type CHA. The produced scaffolds demonstrated open, interconnected, and uniform pores. Interestingly, simultaneous ternary divalent cation substitution into CHA structure had successfully enhanced the compressive strength of the sintered scaffolds and also promoted better cell attachment and activities than the binary doped- and pure CHA scaffolds. It is important to note that choosing the right divalent cation can be the determining factor in tuning the physicochemical, mechanical, and biological properties of CHA scaffolds.