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In recent years, ECO has emerged as a key strategy in bone tissue engineering (BTE) due to its remarkable potential in constructing vascularized bone and repairing large bone defects. This review centers on the strategies to recapitulate ECO, beginning with an overview of the essential biological events and molecular regulatory networks that define this process. We then highlight state\u2010of\u2010the\u2010art strategies for inducing or mimicking ECO in vitro from a tissue engineering perspective, including seed cell selection and programming, biomaterial scaffold design and fabrication, and the delivery and dynamic regulation of bioactive factors, and propose potential improvement strategies based on the limitations of current engineering approaches. In addition, bibliometric analysis is employed to delineate research hotspots and development trends. 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