Bone tissue engineering (BTE) has emerged as a promising strategy for addressing bone defects and disorders that cannot be repaired through traditional methods. This field leverages the potential of various biomaterials, cells, and bioactive factors to promote bone regeneration. Mesenchymal stem cells (MSCs) have gained significant attention due to their osteogenic potential, which can be enhanced through osteoinductive factors. Osteoinductive factors, including growth factors like BMPs, TGF-β, VEGF, and IGF, play a crucial role in stimulating the osteodifferentiation process, thereby promoting bone regeneration. Furthermore, bioprinting technologies have opened new avenues for precisely designing scaffolds that can mimic the native bone architecture and provide a conducive environment for MSC differentiation. The integration of bioprinting with mesenchymal stem cells and osteoinductive factors has the potential to revolutionize regenerative therapies by allowing for the creation of patient-specific bone grafts. This review highlights the latest developments in MSC-based therapies, the role of osteoinductive factors, and the impact of bioprinting in advancing BTE. It also discusses future directions for improving the efficacy and clinical translation of these technologies.

Complex and revision hip arthroplasty has remained one of the most discussed orthopedic topics in recent years. With the advancement of printing technologies 3D preoperative planning and live model simulation provides us with “hands on” procedures without any risk for the patient. Modern computer technologies present the possibility for preoperative planning of Total Hip Arthroplasty (THA) in digital environment. 3D printing of anatomical models in real size allows accurate assessment of the pathological deviations of the anatomy, precise preoperative planning of the reconstruction and simulation of the operative intervention ex-vivo. We present a series of 3D simulations for planning hip replacement, illustrating the technique, discussing its advantages and disadvantages, in complex primary and revision hip arthroplasty. In the complex and revision surgery of the hip joint, a correct assessment of bone defects is mandatory. Reconstructing the biomechanical parameters – centre of rotation, femoral offset and leg length discrepancy, is also of great significance. The 3D reconstruction with biomodel simulations offers exceptional accuracy in this respect. The method can be an excellent tool for education of surgeons in training and residents.