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3D-printed splint for mallet finger injury
           considering both maximum stress and deflection      in  an  Instron  300LX  (Instron,  High  Wycombe,
           values  while  reducing  the  heat  trapped  around   UK) to measure the average maximum deflection
           the finger by a significant amount. This splint is   of  the  three  splints  from  each  design.  The
           simpler to print than lower percentage mass splints   comparison results, shown in Figure 14B, imply
           that can require more printing support structures.   good agreement of the experimental findings with
           It was found that inevitably reducing the amount    the simulations.
           of material in a load-bearing finger splint would     Surface  finish  and  appearance  are  important
           increase the deflection of it. However, when the    considerations in comfort and appeal to the user.
           distribution of that material is chosen to optimize   The  parameters  that  optimize  the  quality  of  3D
           the stiffness in that situation, the deflection value   printing need to be explored in this area to compete
           was low enough to justify its use.                  with the thermoplastic hand molded thermoplastic
             For  verifying  the  simulation  results,  some   splints. There are some complications on achieving
           experiments were carried out to find the maximum    more strength of splints through print orientations
           deflection that occurred at the tip of the 3D-printed   on the expense of losing the surface finish quality,
           splints. A set up, as shown in Figure 14A, was used   which could be the subject for future work.
                                                                 Investigation in the future needs to be undertaken
                                                               into the duration of time before PLA splints begin
                                                               to  experience  mechanical  property  decline.  It
                                                               should be investigated at what point in the lead
                                                               up  to  hydrolysis  does  mechanical  performance
                                                               decline. Fatigue testing should be investigated in
                                                               the future. Cyclic loading of a finger splint with
                                                               sub-maximal  loads  may  place  a  more  realistic
                                                               loading pattern on the splint than one large one
                                                               off-load.  In  the  day-to-day  wearing  of  a  finger
                                                               splint, the user would apply small repeat loads into
                                                               the splint. This over the course of the 6 – 8-week
                                                               recovery period may cause degradation or decline
           Figure 13. A trade-off among deflection, stress,    in mechanical properties of the splint.
           and heat dissipation of three-dimensional-printed     Measurements  of  the  finger  were  taken
           splints.                                            with  calipers.  Taking  seven  dimensions  of  the


                        A                          B



















           Figure 14. (A) A topology optimized three-dimensional-printed splint under deflection test; (B) comparison
           of experiments versus simulations of splints deflection.


           26                          International Journal of Bioprinting (2020)–Volume 6, Issue 2
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