Nanomodified plasma-sprayed titanium coatings have been shown in various studies to improve the early osseointegration of orthopedic implants, although little attention has been paid to the interactions that occur between coating surfaces and osteoblast cells. The aim of this study is to determine how surface structure influences cytoskeleton distribution and cellular differentiation and to assess the role of topography in regulating osteogenic fate. The results show that synergistic effects are achieved on hierarchically structured surfaces, with better cell spreading on nanotexture and multidimensional cytoskeleton distribution occurring over rough macroporous structure. Evidence of greater cytoskeleton reorganization and higher intracellular tension was also revealed.

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