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International Journal of Bioprinting                     Design and manufacture of high-performance bone plate



               (2) Pore feature: since the laser spot has a limiting size   GYD150 SLM, manufactured by Shenzhen Sunshine
            affected by the diffusion of the heat-affected zone during   Laser & Electronics Technology Co., Ltd., was used as the
            laser processing, the width of the welding bead is larger   molding equipment. Argon was used as the protective gas,
            than the spot size; if the pore size is too small, the weld   while the oxygen content was controlled below 0.03%. The
            bead will block the pore, and the size of the pore feature   processing laser  power  was  180 W,  the  scanning  speed
            perpendicular to the molding direction has a minimum   was 500 mm/s, the scanning interval was 80 µm, the layer
            limit.                                             thickness was 20 µm, and the X–Y interlayer interlacing

               (3) Biocompatibility requirement: the optimal range   strategy was adopted. There were no fewer than three
            of pore sizes of porous structure for osteocytes to grow is   experimental samples for each group.
            about 100 to 1000 μm, and cancellous bone structures can   2.3. Analysis methods
            be simulated at a porosity of 50% to 90%, which is most   Mimics 20.0 and Inspire 2021 were used for the reverse
            beneficial for new bone to grow in; a larger surface-area-to-  reconstruction  of the femoral prosthesis.  The finite
            volume ratio of porous implants with larger contact areas   element analysis software Inspire was used for the
            between the surface of porous implanted bone correlates   plate’s  optimization  design  (topology  optimization).
            with a more significant mechanical stimulus applied to   The optimization method used was the variable density
            new bone.                                          method. Biological fixation plates with optimized topology
               (4) Draft constraint: for fracture surgeries that require   were reconstructed using Rhino software. Data processing
            removing the internal fixation plate, shielding should be   and processing risk analysis were conducted on 3D-printed
            avoided in the removal direction; however, designs that   parts using Magics 22.0.
            do not require removing the internal fixation plate are not   The surface of the 3D-printed plate was treated as
            subjected to this constraint.                      follows:  sandblasting was  performed,  followed  by  rough
                                                               polishing with sandpaper, and finally, a polishing cloth
            2.2. Materials and manufacturing methods           was used for further polishing. The surface roughness
            The host bone was printed using an industrial high-  of the bone plate was measured using a 3D topography
            precision desktop 3D printer Z-603S made by JG Maker   instrument (MIAOXAM2.5X – 0X). After surface
            Co., Ltd. to reduce cost. The molding material was   treatment, the surface morphology of the 3D-printed
            polylactic acid, the layer thickness was 0.15 mm, and the   parts was observed using a high-definition VGA electron
            filling density was 20%.
                                                               microscope manufactured by Bocheng Co., Ltd. The SLM
               Ti-6Al-4V alloy metal powder produced by        molding process parameters were optimized to produce
            Wuxi FalconTech Co., Ltd., Jiangsu Province, was used as   optimized molded parts.
            the molding material of the plate. The composition satisfies
            the requirements of ASTM F136 and GB/T 13810-2007. The   3. Results and discussion
            comparison of the compositions is shown in Table 1. The
            spherical powder was prepared by gas atomization, with   3.1. Reverse reconstruction and simulated repair of
            an apparent density of ρ  of 2.55 g/cm . The particle size   femoral prosthesis
                                           3
                                s
            distribution was narrow and concentrated,  −22 μm for   3.1.1. Reverse reconstruction of femoral prosthesis
            90% and −28.5 μm for D50.                          Since the affected sites vary across patients and have
                                                               complex geometric or curved shapes, in order to increase
            Table 1.  Comparison  of powder  material manufactured  in   the degree of fit between the designed implant and affected
            SLM and ASTM F136 standard                         site, lower the risk of implant loosening, and improve
                                                               the success rate of implant surgery, it is best to locate
             Element     Ti-6Al-4V powder  ASTM F75 standard   the patient’s affected site  using medical imaging, such
                                                               as computed tomography (CT) or magnetic resonance
             Al          5.5%–6.5%        5.5%–6.5%            tomography, for 3D reconstruction. In order to obtain
             V           3.5%–4.5%        3.5%–4.5%            the image of the affected site, we used CT or nuclear
             Fe          0.25%            < 0.3%               magnetic resonance to scan the patient’s affected site. We
             C           0.08%            < 0.08%              then imported the CT scan images of the affected site of
             N           0.03%            < 0.05%              the femur into Mimics. Subsequently, the CT scan images
             H           0.012%           < 0.012%             in Mimics were subjected to threshold segmentation,
             O           < 0.08%          < 0.13%              physique manipulation, smoothing, denoising, and other
                                                               operations. An optimized  3D model was then  obtained
             Ti          Balance          Balance              (Figure 1).


            Volume 9 Issue 2 (2023)                        120                      https://doi.org/10.18063/ijb.v9i2.658
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