A LDH‐Derived Metal Sulfide Nanosheet‐Functionalized Bioactive Glass Scaffold for Vascularized Osteogenesis and Periprosthetic Infection Prevention/Treatment

Abstract Periprosthetic infection and prosthetic loosing stand out as prevalent yet formidable complications following orthopedic implant surgeries. Synchronously addressing the two complications is long‐time challenging. Herein, a bioactive glass scaffold (BGS) functionalized with MgCuFe‐layered double hydroxide (LDH)‐derived sulfide nanosheets (BGS/MCFS) is developed for vascularized osteogenesis and periprosthetic infection prevention/treatment. Apart from the antibacterial cations inhibiting bacterial energy and material metabolism, the exceptional near‐infrared‐II (NIR‐II) photothermal performance empowers BGS/MCFS to eliminate periprosthetic infections, outperforming previously reported functionalized BGS. The rough surface topography and the presence of multi‐bioactive metal ions bestow BGS/MCFS with exceptional osteogenic and angiogenic properties, with 8.5‐fold and 2.3‐fold enhancement in bone mass and neovascularization compared with BGS. Transcriptome sequencing highlights the involvement of the TGF‐β signaling pathway in these processes, while single‐cell sequencing reveals a significant increase in osteoblasts and endothelial cells around BGS/MCFS compared to BGS.