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International Journal of Bioprinting                       Design of biofixed metamaterial bone plates and fillers




            plates are required. For this purpose, we designed a 3.5   wall thickness was 0.6 mm; and the printing temperature
            mm diameter screw based on the standard specifications   was 190°C (Figure 12a).
            and test methods of ASTM F543-07 for metal medical    Previous studies performed SLM at an inclined angle
            bone screws. The screws were arranged according to   of 45° for the fillers and bone plates to avoid the excessive
            the fixed hole position to ensure the effectiveness of the   use of supports.  In addition, the solid surface could be
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            openings; the fixation holes were then closed, and the   faced downward to facilitate the removal of supports and
            arranged screws were imported for Boolean operations   improve the surface quality of the printed part. After the
            to complete the screw hole openings. The screw hole   completion of the part placement, the machining risk
            openings were adequate, and the bone plate was     analysis in the Materialize Magics software identified
            fixed successfully.                                machining risks occurring at the bottom and top of the

                                                                                                             o
            3.6. 3D printing of the femur, bone plate, and filler  printed parts (Figure 12b). As an inclined angle of 45
                                                               was used for machining risk analysis, it was not necessary
            3.6.1. Process of 3D printing the femur, bone plate,   to add support to the top of the bone plate. Based on our
            and filler                                         experience, the bottom part of the printed structure could
            The different placement methods and complexity of   be densified due to greater downward force. Tree supports
            the  3D-printed parts determine the  cost  of  the printing   are widely used for their easy removal, no damage to the
            process and the quality of the final printed part. When   suspended bottom surface after removal, high strength,
            printing femoral prostheses with a plastic 3D printer,   minimal support usage, and  low  stress concentration.
            the substrate was optimized at an inclined angle of 15°   We added tree supports based on the shape of the bone
            to prevent excessive scan lines. In addition, the substrate   plate and filler. The tree support parameters are as follows:
            was preheated to 60° to prevent excessive temperature   the top diameter of the trunk was 0.2 mm; the bottom
            difference and warping deformation between the substrate   diameter was 0.3 mm; the top diameter of the branches
            and the formed femoral part. The processing parameter   was 0.1 mm; and the bottom diameter was 0.2 mm. The
            settings were as follows: the sliced layer thickness was 0.15   maximum number of branches on each trunk was five;
            mm; the material was PLA; the filling density was 18%; the   the minimum distance between connection points was 0.6






































               Figure 12. 3D printing of the femur, bone plate, and filler: (a) placement of femur; (b) machining risk analysis; and (c) tree support utilization.


            Volume 10 Issue 4 (2024)                       400                                doi: 10.36922/ijb.2388
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