• Selenium exhibits anti-inflammatory, antioxidant, and osteogenic properties, effectively improving the bone immune microenvironment.
• Incorporating selenium into bone materials via mesoporous particles, nanoparticles, hydrogen bonds, or diselenide bonds reduces its toxicity and enhances bioavailability.
• Selenium-modified bone materials promote bone regeneration by modulating immune responses and osteogenic gene expression, showing promise for bone defect repair.
• Selenium shows therapeutic potential for Kashin-Beck disease and osteoarthritis through anti-apoptotic, antioxidant, and chondroprotective mechanisms.
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