Page 174 - IJB-7-4
P. 174

3D Printing Custom Shoe Sole
           The need is to have a perfect shoe which will not only   across the sole, changing wall thickness of infill walls and
           provide  comfort,  but  also  maintain  the  functionality  in   changing infill density and height of each voxel. Hence,
           diverse  daily  activities . It can also  be  inferred  from   the midsole designed could not only be customized to the
                              [11]
           the  open  literature  that  shoe  sole  plays  a  critical  role   individual’s foot, but also is customized to the types of
           in rehabilitation  of lower limb  while  it  improves   activity, such as walking, running, or jumping. The same
                                       [12]
           walking  function  and  reduces  foot  lesions.  Patients   level of performance will be hard to do or impossible with
                         [13]
           often complain of foot pain and fatigue after prolonged   machining and conventional subtractive manufacturing.
           walking, followed  by pain  in the knee  and ankle  that   Recent studies were conducted on different lattice
           generally deteriorates the quality of life . The effects of   structures by changing its unit cell size and shape to check
                                            [14]
           custom-made sole on the life quality of individuals both   the  behavior  of their  mechanical  property,  deformation
           physically and mentally are proven . Due to difference in   behavior, and compressive property [27-29] . Different lattice
                                       [15]
           foot structures of people, customizable midsole has come   structures with closed and open unit cells of same size
           into picture, which provides more comfort as compared   were investigated in these studies and found that lattice
           to prefabricated counterparts. One solution is 3D printing   structure  with  a  closed  unit  cell  has  higher  stiffness
           of custom shoe midsole, where 3D scanning techniques   compared to the open lattice. A comparison analysis of
           helps in getting the exact shape and size of the foot which   lattice structures made from different unit cells by additive
           act as input to design. Custom soles are more suitable for   manufacturing were conducted . The compression tests
                                                                                         [30]
           plantar structure of patient  and can further be improved   were  performed  on  four  different  topologies  such  as
                                 [16]
           if traditional support structure is optimized;  therefore,   Diamond, Grid, X shape, and Vintiles to investigate the
           further damage reduction at a lower cost, material waste,   mechanical property of all four topologies. It has been
           and fabrication time [17,18] .                      found that the Grid lattice delivered the highest stiffness
               In the past years, there has been considerable   compared to others which can be helpful to use in heel
           amount of research in footwear industry to provide   part of the insole as it requires stiffer material. Diamond
           best  comfort  shoes  for  different  walks  of  people  from   shape lattice structure has shown the most uniform stress
           various fields, such as the sports or health sector; many   distribution property which can be helpful for reducing
           researchers continue to deliver crucial information based   the plantar pressure.
           on the experimental and theoretical works . The stiffness   Shoe firms have been moving away from leather to
                                             [19]
           reported as a crucial factor accounts for 70% of the comfort   shoes that are almost entirely polymeric. Thermoplastic
           for diabetic users . High plantar pressure generated on   urethane (TPU) is a soft material that is highly resistant
                         [20]
           foot  can  be  impacted  by  changing  the  stiffness  of  the   to wear and abrasion, and is already used widely in many
           shoe sole material [21,22] . A study has shown the efficacy   industries,  including footwear.  The  visco-hyper-elastic
           of customized sole in reducing the peak of load by   property of TPU is preferred due to their elasticity property
           40% at metatarsal region . Custom-made insoles have   and resistance they offer when subjected to compression.
                                [23]
           proven to provide considerably better stress distribution   The TPU also meets the requirements for medical devices
           and much less maximum stress (around 40%) compared   with regard to cytotoxicity  and skin sensitization  in
           to  flat  insoles,  which  is  very  important  in  fabrication   accordance with the DIN EN ISO 10993-5 and 10993-10
           and selection  of comfortable  insoles . Furthermore,   standards. The major advantage of soft-filament materials
                                            [24]
           the  effect  of  custom-made  3D-printed  foot  orthoses  in   is the flexibility that makes them deformed under a load
           the treatment of pain result in the foot of workers due   and its ability to revert back to their original state when
           to prolonged standing has been studied . Analysis  of   the  load is removed.  This property  makes  it  possible
                                             [25]
           the participants’ test results revealed that after wearing   to  fabricate  durable  3D objects  with  high  deformation
           customized 3D printing orthoses, feeling of discomfort,   stability. In addition to its softness and flexibility, TPU is
           pain, and heavy legs were reduced significantly.    also known for its functional properties of being durable
               Increase of thickness makes the stress distribution   and being able to withstand ambient temperatures up to
           more uniform and decreases the maximum stress value   80°C. TPU is therefore practical for both consumer and
           up to 10%. However, simply increasing  the  thickness   industrial use.
           does not necessarily  lead  to less maximum  stress after   The fast print speeds and compatibility with springy
           a certain thickness of the insole  that is where more   and flexible materials such as TPU, silicone, and elastic
                                       [26]
           sophisticated lattice design from 3D printing could play   polyurethane, common for athletic shoes, have made resin-
           a significant role. 3D printing has been recently focused   based 3D printing technology a sustainable manufacturing
           as the most flexible technology in making midsoles due   option. At present, vat photopolymerization is the most
           to its unit features in designing and developing variable   popular  category  of  3D printing  methods  for footwear
           density  and  stiffness  products  with  changing  the  infill   manufacturing .  This category includes  resin-based
                                                                           [31]
           pattern in two and three dimensions, changing the infill   technologies,  such as  stereolithography  and  digital
           170                         International Journal of Bioprinting (2021)–Volume 7, Issue 4
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