Poly-L-Lactic Acid (PLLA)-Based Biomaterials for Regenerative Medicine: A Review on Processing and Applications

Synthetic biopolymers are effective cues to replace damaged tissue in the tissue engineering(TE) field, both for in vitro and in vivo application. Among them, poly-L-lactic acid (PLLA) has beenhighlighted as a biomaterial with tunable mechanical properties and biodegradability that allowsfor the fabrication of porous scaffolds with different micro/nanostructures via various approaches.In this review, we discuss the structure of PLLA, its main properties, and the most recent advancesin overcoming its hydrophobic, synthetic nature, which limits biological signaling and proteinabsorption. With this aim, PLLA-based scaffolds can be exposed to surface modification or combinedwith other biomaterials, such as natural or synthetic polymers and bioceramics. Further, variousfabrication technologies, such as phase separation, electrospinning, and 3D printing, of PLLA-basedscaffolds are scrutinized along with the in vitro and in vivo applications employed in various tissuerepair strategies. Overall, this review focuses on the properties and applications of PLLA in theTE field, finally affording an insight into future directions and challenges to address an effectiveimprovement of scaffold properties.