A multiscale porous surface can significantly improve the osseointegration of biomedical implants, but it cannot be facilely achieved on the Poly-ether-ether-ketone (PEEK) surface. In this work, a macro-micro porous structure was prepared on the PEEK surface by ultrasound-assisted sulfonation. The surface morphologies, chemical compositions, functional groups, surface roughness, and wettability of the porous structures at different sulfonation times were characterized by scanning electron microscope (SEM), energy dispersive spectroscopy (EDS), Fourier transform infrared spectrometer (FTIR), laser scanning confocal microscope (LSCM), and contact angle measurement, respectively. The results demonstrate that a macro-micro porous structure is formed on the PEEK surface, with macropore sizes ranging from 50 to 250 μm and micro-sized pore sizes ranging from 0.2 to 1.5 μm. Moreover, the results of in vitro cellular experiments demonstrate that the macro-micro porous structure can promote cell adhesion and proliferation of BMCSc. The formation mechanism of the multiscale porous structures has also been discussed. This novel approach may provide a simple and effective strategy for surface modification of PEEK to improve its mechanical and biological response.
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