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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Additive-manufactured synthetic bone model

                                        with biomimicking tunable mechanical
                                        properties for evaluation of medical implants



                                        Ju Chan Yuk , Kyoung Hyup Nam *, and Suk Hee Park *
                                                                                     1
                                                                    2
                                                  1
                                        1 School of Mechanical Engineering, Pusan National University, Busan 46241, Republic of Korea
                                        2 Department of Neurosurgery,  Medical Research Institute,  Pusan National University Hospital,
                                        Pusan National University School of Medicine, Busan 46241, Republic of Korea



                                        Abstract

                                        Additive manufacturing has enabled the customization of biomedical systems,
                                        including transplantable medical devices, to achieve mechanical biocompatibility.
                                        For bone implants, patient-specific bone models must be used to evaluate the
                                        mechanical properties of implant compression and subsidence. This study proposes
                                        a methodology for designing and fabricating bone models to evaluate patient-
                                        specific bone implants. The method involves three-dimensional printing of infill-
                                        varied structure, with alternating high-low-high infill density regions, which
                                        undergo sequential deformation from the surficial region during compression with
                                        an implant. Based on this  deformation behavior, the relationship between infill
                                        density parameters and mechanical properties was confirmed with the tunability
            *Corresponding authors:     of mechanical properties involving stiffness and failure load. The infill-varied design
            Suk Hee Park                was applied to the inner structures of artificial vertebra models based on computed
            (selome815@pusan.ac.kr)     tomography scans for cadaver specimens. By tailoring the infill density conditions,
            Kyoung Hyup Nam
            (goodnsdoctor@daum.net)     the stiffness and failure load were approximated to those of the natural vertebrae.
                                        Furthermore, this infill-varied artificial vertebra could be used to evaluate additive-
            Citation: Yuk JC, Nam KH, Park
            SH. Additive-manufactured synthetic   manufactured patient-specific implants.  The patient-specific implant had greater
            bone model with biomimicking   resistance to subsidence than the commercial implant, suggesting the feasibility of a
            tunable mechanical properties for   biomimicking bone model. The bone-mimetic infill-varied structure could be used to
            evaluation of medical implants. Int J
            Bioprint. 2024;10(1):1067.  evaluate patient-specific manufactured implants and could be applied to other bone
            doi: 10.36922/ijb.1067      engineering structures with optimized biomechanical properties.
            Received: June 12, 2023
            Accepted: August 3, 2023    Keywords: Additive manufacturing; 3D printing; Tunable mechanical properties;
            Published Online: January 10, 2024
                                        Bone model; Implant evaluation
            Copyright: © 2024 Author(s).
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,   1. Introduction
            and reproduction in any medium,
            provided the original work is   Additive manufacturing (AM) is considered a powerful tool for enhancing the
            properly cited.             mechanical, chemical, and biological properties of manufactured parts that are difficult
            Publisher’s Note: AccScience   to achieve through conventional processes. This has been driven through its broad use of
            Publishing remains neutral with   functional materials, design flexibility, and adaptable manufacturability.  However, the
                                                                                                 1-3
            regard to jurisdictional claims in
            published maps and institutional   quality control of mechanical properties has been a long-standing challenge in that the
            affiliations.               additive-manufactured parts have unavoidable impairment and anisotropy regarding


            Volume 10 Issue 1 (2024)                       417                          https://doi.org/10.36922/ijb.1067
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