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International Journal of Bioprinting                                Mechanical responses of 3D-printed AFO




            parametric design, different AFO thicknesses, base   Table 3. Printing temperature for different materials
            materials, and trimline locations were considered in this                       Temperature (°C)
            study. The baseline AFO design was used to  study the   Material
                                                                                                      Build
            thickness and base materials. The thickness of the AFO was                    Nozzle     platform
            determined from the shell thickness, and trimline location
            was determined from the portion of the AFO trimmed   Polycyclohexylene dimethylene   265   90
                                                                terephthalate glycol-modified
            from the pseudo-foot-ankle center to the posterior and   (PCTG)
            inferior directions. The location of the trimline was adjusted   Polyamide 12 (PA12)  270  100
            accordingly to produce different AFO designs, while the
            calf height was kept at 45 mm for consistency.  Table 2   Carbon fiber-reinforced   285    90
                                                                polyamide 12 (PA12-CF)
            summarizes the design variables considered in this work.
                                                                Polylactic acid (PLA)      220         45
            2.3. Sample fabrication
            The samples were fabricated via FDM using a Creality K1   capacity of 30 kN was utilized. The testing was performed
            Max 3D printer. The CAD model of the samples was first   at a loading rate of 1 mm/min. The reaction force from
            converted to STL and sliced with a 0.1 mm layer height.   the load cell and displacement were measured by a long
            Each slice of the model has two perimeter walls and an   travel extensometer. Additionally, a uniaxial compression
            infill density of 100%. Then, the toolpath information was   test  was  conducted  on the  baseline  AFO printed  with
            written into G-code and sent to the printer. A 0.4-mm   PA12 material. A digital camera was used to capture the
            hardened steel nozzle was utilized, and the standard 1.75-  deformation of the AFO during testing.
            mm filament was used for all materials. All filaments were
            dried before printing to avoid moisture absorption from   2.5. Numerical model
            the air. During the printing process, the thermoplastic   FE modeling was employed to investigate the mechanical
            filament was heated to a semiliquid state and extruded   responses of AFOs under PF- and DF-loading conditions.
            through the nozzle onto the heated build platform to   The FE package ABAQUS/Implicit 2020 (Dassault
            facilitate adhesion between the first layer and the build   Systèmes Simulia Corp, USA) was used to develop the
            platform. A printing speed of 100 mm/s was used for all   computational model. The CAD model of AFOs was
            samples. The nozzle and build platform temperatures for   imported into HyperMesh (Altair, USA) to create the
            different materials are summarized in Table 3.     FE  mesh  and  exported to ABAQUS.  Figure  3a  presents
                                                               the boundary conditions of the computational model. A
            2.4. Mechanical testing                            coupling constraint was assigned between the calf section
            Tensile tests were conducted to characterize the mechanical   of the AFO and a reference point, while a second coupling
            properties of base materials. Samples were designed   constraint was assigned between the foot section of the
            according  to  ASTM  standard  D638.   Three  Type  IV   AFO and another reference point.
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            samples with gauge length of 33 mm, width of 6 mm, and
            thickness of 4 mm were printed for each material according   To simulate the PF and DF motions, the bottom part
            to the conditions described in the previous section. An   of the AFO was fixed, and a 10° rotation about the virtual
            Instron 5900R universal testing machine with a load   ankle center was applied through the reference points. The
                                                               contact behavior was modeled by general contact with a
                                                               hard formulation for the normal direction and a penalty
            Table 2. Variables considered for parametric design of ankle-  friction formulation with a friction coefficient of 0.3 for
            foot orthoses (AFOs)                               the tangential direction. The constitutive behavior of the
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             Variable          Conditions                      base material was simplified to be elastic perfectly plastic
             AFO thickness (mm)  2; 3; 4; 5; 6                 based on the tensile results in  Figure 4. The rotational
                                                               displacement and reaction moment of the calf section were
             Base material     Polycyclohexylene dimethylene   extracted for further evaluation. The PF and DF stiffnesses
                               terephthalate glycol-modified (PCTG);
                               polyamide 12 (PA12); carbon fiber-  of the AFO were calculated as the slope of the linear region
                               reinforced polyamide 12 (PA12-CF);   in the AFO moment–ankle angle relationship.
                               polylactic acid (PLA)              A mesh convergence analysis was conducted to evaluate
             Trimline/trim depth                               the mesh density required based on the optimization
             (mm)                                              of computational cost and accuracy. Four-node linear
             Posterior         10; 15; 20; 25                  tetrahedral solid element (C3D4) and four-node linear
             Inferior          10; 15; 20; 25                  quadrilateral shell element (S4) were considered for


            Volume 10 Issue 3 (2024)                       522                                doi: 10.36922/ijb.3390
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