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




            There was some powder adhesion at the pores, but this   Funding
            could be removed in post-processing (e.g., sandblasting
            and anodizing).                                    The study was funded by the Henan Provincial Science and
                                                               Technology Project (242102311240) and the Open Project
            3.7. Assembly of the 3D-printed bone plate, filler,   of Guangxi Key Laboratory of Regenerative Medicine
            and femur                                          (Guizai reopened 202202).
            We assembled the 3D-printed bone plate, filler, and
            standardized screws to the 3D-printed femur (Figure 14).   Conflict of interest
            All the 3D-printed parts fit tightly together; the screw   The authors declare no conflicts of interest.
            holes were in the appropriate positions; and there were
            no apparent difficulties in assembling the 3D-printed   Authors’ contributions
            parts. These observations highlighted that the size and
            compatibility  of  the  parts  were  accurate  and  precise.   Conceptualization: Guoqing Zhang
            Therefore, these 3D-printed bone plates and fillers can be   Formal analysis: Guoqing Zhang, Yongsheng Zhou
            used in practical applications.                    Funding acquisition: Guoqing Zhang Investigation: Guoqing
                                                                  Zhang, Junxin Li, Xiaoyu Zhou Writing – original draft:
            4. Conclusion                                         Guoqing Zhang, Yongsheng Zhou Writing – review &
                                                                  editing: Aibing Huang, Congcong Shangguan
            In this study, we investigated the 3D bioprinting of a bone
            plate and filler for biofixation. Our evaluation of the different   Ethics approval and consent to participate
            materials revealed that under stress, the diamond structure
            retained its porosity and had good strength, whereas the   Not applicable.
            Split P structure had a large surface area-to-volume ratio   Consent for publication
            and relatively moderate stress concentration. The contact
            interface of the mixed-porous structure fused by the   Not applicable.
            Boolean operation displayed obvious gaps, while the contact
            interface fused by the implicit surface fusion method had   Availability of data
            less noticeable gaps. The mixed-porous structure retained   The bone model in this study was downloaded from
            the diamond structure’s high porosity and strength, as well   the public database available in the Materialize Mimics
            as the Split P structure’s large surface area-to-volume ratio.  software, and this data is publicly available. The datasets
               The topological optimization revealed slight changes in   used and analyzed in the study are available from the
            the displacement of the loose bone filler and a significant   corresponding author upon reasonable request.
            increment in the displacement of the bone plate and cortical
            bone. The porous structure reduced the stiffness and stress-  References
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            fusion, the bone plate frame, the diamond structure, and   1.   Chen  B,  He  Q,  Yang  J,  et  al.  The  significance  of  Piezo1
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            Volume 10 Issue 4 (2024)                       402                                doi: 10.36922/ijb.2388
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