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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        A metamaterial bone plate for biofixation based

                                        on 3D printing technology



                                        Guoqing Zhang *, Junxin Li , Congcong Shangguan , Xiaoyu Zhou , Yongsheng
                                                     1
                                                                1
                                                                                                 1
                                                                                    2
                                        Zhou , and Aibing Huang 3
                                            1
                                        1 Department of Mechanical Design and Manufacturing, School of Mechanical and Electrical
                                        Engineering, Zhoukou Normal University, Zhoukou, Henan , China
                                        2 Veterinary Laboratory, Shangzhou District Animal Health Supervision Institute, Shangluo, Shaanxi,
                                        China
                                        3
                                        Department of Orthopedics, Taizhou People’s Hospital Affiliated to Nanjing Medical University,
                                        Taizhou, Jiangsu, China

                                        Abstract

                                        Bone plate design and production methods are critical for producing metamaterial
                                        bone plates. This study investigated the design and development process of porous
                                        structures and metamaterial bone plates for biofixation applications. We designed
                                        the porous structures for bone plates using parametric modeling and fused them
                                        via  the  implicit  surface  fusion  method.  Likewise,  we  designed  the  metamaterial
                                        bone plate structure using reverse reconstruction and topological optimization.
                                        Thereafter, we utilized three-dimensional (3D) printing for producing and post-
                                        processing the metamaterial bone plate. We observed a reduced stress-shielding
                                        effect after topological optimization. Additionally, the resultant diamond porous
                                        structure maintained a high porosity under pressure. The 3D-printed bone plates and
            *Corresponding author:      fillers had a bright porous surface, with clear pore structures and good connectivity.
            Guoqing Zhang               The assembly of the 3D-printed femur, bone plate, filler, and standardized screw
            (zhangguoqing1202@sohu.com)
                                        indicated a good fitting, and the filler could be fixed by the inclined surface. Taken
            Citation: Zhang G, Li J,    together, the findings of this study established the foundation for the prospective
            Shangguan C, Zhou X, Zhou Y,
            Huang A. A metamaterial bone    application of metamaterial bone plates in biofixation.
            plate for biofixation based on
            3D printing technology.
            Int J Bioprint. 2024;10(4):2388.    Keywords: 3D printing; Bone plate; Topological optimization; Porous structure;
            doi: 10.36922/ijb.2388      Forming quality
            Received: December 8, 2023
            Accepted: March 6, 2024
            Published Online: April 30, 2024
            Copyright: © 2024 Author(s).   1. Introduction
            This is an Open Access article
            distributed under the terms of the   According to the World Health Organization (WHO), the number of patients with bone
            Creative Commons Attribution   and joint diseases worldwide has exceeded 400 million. In Asia, one in six individuals
            License, permitting distribution,
            and reproduction in any medium,   will suffer from bone diseases at a certain age. Bone diseases affect an individual’s
                                                                                       1
            provided the original work is   physical and mental health and can be fatal in some cases.  With the advancement in
            properly cited.             bone repair and replacement surgeries, internal fixation with bone plates is used to repair
            Publisher’s Note: AccScience   human bone injuries, diseases, and congenital deformities to reduce pain, restore bone
            Publishing remains neutral with   function, and improve the quality of life.  Bone plates are generally mass-produced and
                                                                        2,3
            regard to jurisdictional claims in
            published maps and institutional   are manually shaped based on the patient’s condition prior to implantation. However,
            affiliations.               post-implantation failures often occur due to poor compatibility and durability (i.e.,


            Volume 10 Issue 4 (2024)                       387                                doi: 10.36922/ijb.2388
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