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Optimization of 3D Printing Parameters of PLA/HA Bone Plates
           high biocompatibility and biodegradability. It is often   in bone plate printing, such as the HA content, layer
           used to make degradable scaffolds, bone plates, and other   thickness,  printing  speed,  and  filament  feeding  speed,
           implants.  The  bone  plates  are  different  from  long-term   were optimized by an orthogonal experiment. Combined
           orthopedic  implants  such  as  artificial  joints  and  cages,   with the analysis of the internal defects, the temperature
           some non-degradable bone plates need to be removed   of the printing process, and the printing pressure, the
           after the fracture is healed, which will make the patients   influence  of  the  process  parameters  on  the  bending
           undergo another operation. Degradable bone plates do not   strengths of the bending specimens were studied.
           need to be removed after fracture healing, but common
           degradable materials, such as PLA, have poor mechanical   2. Materials and methods
           properties, and the acid products produced by degradation   According to the stress characteristics of the plate, the
           process can easily lead to aseptic inflammation [19,20] . The   influence  of  the  process  parameters  on  the  bending
           strength of a composite composed of bioceramic particles   mechanical  properties  of the  plate  was analyzed.  To
           as the reinforcing phase in PLA is higher than that of pure   simplify the analysis process, the influence of the screw
           PLA. Hydroxyapatite (HA) is a widely used biodegradable   holes in the plate samples was not considered.
           bioceramic. The addition of HA can not only improve the
           bone integration ability and biocompatibility of implants,   2.1. Materials
           but also produce a slightly alkaline environment in the   PLA filament and two kinds of PLA composite filaments
           degradation process, which helps to reduce the occurrence of   with  different  HA  contents  (HA  mass  ratios  in  10%
           aseptic inflammation. Huang et al. grafted poly (D-lactide)   and 20%) were used to prepare samples for bending
           (PDLA) oligomers onto HA nanorods (HA-PDLA), and the   experiments. The average size of HA particles is 15 μm.
           HA-PDLA hybrids were mixed with poly (L-lactide acid)   The  diameter  of  the  filaments  is  1.75mm,  which  were
           (PLLA) to improve the tensile strength and the elongation .   supplied by Shaanxi Jugao AM medical corporation.
                                                        [21]
           Shikinami et al. investigated the forged composites of raw
           HA particles and PLLA (PLLA/F-u-HA) bone rods that   2.2. Experimental setup
           exhibited bioactivity and biodegradation . The  strength
                                             [22]
           stability,  bioactivity,  and  biodegradation  properties  were   (1) Printing platform
           ideal for bone repair. Takayama et al. studied the effects of   The 3D printer used in this study is shown in Figure 1A.
           a bimodal distribution of micro-HA and nano-HA (nHAP)   It consisted of a three-axis  closed-loop  servo motion
           particles on the mechanical properties, such as the bending   system, a hotbed, a nozzle, and a temperature  control
           strengths, modulus, and mode I fracture energies of PLLA/  system.  The  hotbed  was the  substrate  for the  molten
           HA  composites .  The  bending  properties  and  fracture   filament deposition, which was installed on the worktable
                        [23]
           energies  were  effectively  improved  using  a  bimodal   that was controlled by the motion control system for X-Y
           distribution instead of a monomodal distribution. Nejati
           et al.  prepared  nHAP/PLLA  composite  scaffolds  with   A                   B B
           porosities of 85% . Experimental results showed that the
                         [24]
           cell affinity and compatibility of the material were superior
           to those of pure PLLA and PLLA micro composites.
               PLA and bioceramic  particles were mixed in
           different  proportions  to  make  different  composite
           filaments, which could be conveniently used to make a
           composite model by a fused deposition modeling (FDM)
           printer.  In  the  FDM printing  process,  minimizing  the
           voids and improving the adhesion between deposited
           lines  are the  keys and challenges  for improving  the   C                   D D
           printing quality [25,26] . The process parameters are among
           the main factors affecting the mechanical properties of
           FDM printed parts [27-29] . There are relatively many studies
           on the relationship between the process parameters and
           mechanical properties of printed parts [30-34] , but there are
           few studies on the formation mechanism of the internal
           microscopic defects of printed parts and their influence
           on the mechanical properties of the parts.          Figure 1. (A) 3D printing platform. (B) Mechanical test machine
               In this study, a  PLA/HA composite  plate  was   and 3D full-field strain measurement setup. (C) Printing temperature
           proposed.  The important  process parameters  involved   measurement setup. (D) Printing pressure measurement setup.

           154                         International Journal of Bioprinting (2022)–Volume 8, Issue 1
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