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     3D-printed splint for mallet finger injury
           conducted with varying element sizes and model      Table 1. Heat simulation analysis settings
           that  had  <5%  variation  in  maximum  stress  was   Internal splint surface temperature (°C)  31.7
           selected.                                                                     W               10
                                                               Convection coefficient of air   2  
           2.5 Thermal heat analysis                                                      m ·K 
                                                               Total heat generation of human body (W)    110
           Using  the  four  splints  created,  thermal  analysis   Average body surface area of human adult (m )  2
                                                                                                    2
           of  the  prototypes  was  undertaken.  The  Static
           Structural  module  in  ANSYS  used  to  test  for   A                      B
           deflection  and  stress  values  were  linked  with
           steady-state thermal module to link the data. The
           internal face of each of the splints was selected
           and set at 31.7°C, the temperature of the skin at
           room  temperature .  The  convection  coefficient
                            [40]
           of  air  at  22°C  in  free  convection  was  selected
           as 10 W/(m .K). The total heat generation of the
                      2
           human body for this project is selected 110 W .
                                                        [41]
           A heat flux was also created for the internal face
           assuming  that  the  average  body  surface  area  of
           human adult is 2 m . Table 1 details the properties
                             2
           calculated above.
             To  clarify,  for  the  topology-optimized        Figure 7. A three-dimensional-printed dog-bone
           splints,  meshing  was  done  for  TO  using  a     poly-lactic-acid sample (A) before, and (B) after
           low  element  number,  default  mesh.  Once  the    tensile test.
           topology-optimized  shape  was  obtained,  it  was
           then  inserted  into  back  into  static  structural,   strength and modulus of the 3D-printed samples
           and a new refined mesh with a high number of        were  determined  52.2  MPa  and  2.86  GPa,
           elements  was  used  to  ensure  that  data  values   respectively.  In  FDM  topology  optimized  and
           obtained regarding deflection, stress, and heat are   original  design,  finger  splints  were  fabricated,
           as accurate as possible.                            original  (100%  mass),  62.51%  mass,  71.13%
                                                               mass, and 79.49% mass, by the same 3D printer
           3 Results and discussion                            and processing parameters used for the dog-bone
                                                               specimens (Figure 8).
           The low-cost 3D printer used in this study was        To test the maximum deflection of the splints
           the  Ultimaker2  Extended+  (Ultimaker  B.V.,       under  realistic  conditions,  the  rear  of  the  splint
           Geldermalsen,  The  Netherlands).  The  splints     was the fixed end with the load to be applied at
           were  printed  at  100%  infill,  nozzle  speed  of   the front of the splint near the tip of the finger.
           20mm/s, heat bed of 50°C, and layer thickness of    This was used to simulate how the splint would
           0.2 mm. The dog-bone type PLA samples were          deform under the force applied solely by the final
           3D-printed  according  to  Type  I  ASTM  D638      joint of the finger (distal interphalangeal joint). As
           with a width of 13 mm, the thickness of 5 mm,       the splint does not extend onto the second joint of
           and a gauge length of 50 mm. To determine basic     the finger, only the force that could be produced
           mechanical properties, tensile tests, as shown in   by  the  final  joint  was  considered.  In  FEA,  the
           Figure  7,  were  conducted  on  3D-printed  dog-   fixed support geometry was consistent across all
           bone specimens. The tests were performed in an      simulations and excluded from TO. To complete
           Instron  300LX  (Instron,  High  Wycombe,  UK)      the mesh convergence study, the measured force
           with  a  crosshead  speed  of  5  mm/min.  Tensile   value was applied to the rim of the finger pad area.
           22                          International Journal of Bioprinting (2020)–Volume 6, Issue 2
     	
