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International Journal of Bioprinting                 3D printing of continuous fiber reinforced PLA/PGA composites



            like polyether ether ketone (PEEK) [9,10]  due to their   (CCF-PLA),  and  SCF/CCF-PLA  specimens  using  FDM.
            excellent mechanical properties and biocompatibility.   The  tensile  and  flexural  properties  of  specimens  were
            However, metal materials have mismatching elastic   experimentally investigated, and  the  results showed that
            modulus with human bone, and PEEK material shows   CCF-PLA had the highest tensile and flexural strength
            inherent  bioinert  property  and  hydrophobicity .  More   of 245.40 MPa and 168.88  MPa, respectively, and the
                                                   [11]
            importantly, these  materials are non-biodegradable,   specimen’s strength increased by 460% (tensile strength)
            which limits their clinical application in degradable load-  and 103% (flexural strength) compared to pure PLA.
            bearing implant applications . Polylactic acid (PLA), a   Due to the line-by-line bonding and layer-by-layer
                                   [12]
            biodegradable polymer, has been used to form non-load-  stacking fabrication principle of the FDM process, the
            bearing  orthopedic implants  (such as  degradable  bone   mechanical properties of CCF-PLLA parts show obvious
            plates and screws) and tissue engineering scaffolds due   anisotropy, with the strength along the fiber direction far
            to their admirable attributes in terms of biocompatibility,   larger than those along the transverse direction and layer
            biodegradability,  and  biosafety [13-15] .  However,  the   direction [34,35] .
            applications of PLA in load-bearing implant have
            been restricted due to its poor mechanical properties.  For biodegradable load-bearing bone implant
                                                               application, both the matrix and the reinforcement should
               Adding the particle, short fiber, and continuous fiber
            into the PLA matrix to prepare composite parts through   be degradable materials. Conventional carbon fiber, glass
                                                               fiber, and kevlar fiber are non-degradable materials, which
            the fused deposition modeling (FDM), 3D printing process   cannot be used in biodegradable implants. Polyglycolic
            is an effective way to improve the mechanical properties   acid (PGA) suture is a kind of biodegradable continuous
            of pure PLA parts [16-18] . Bioactive particles such as   fiber,  which can  be used as an ideal reinforcement for
            hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP)   biodegradable composite parts . Takayama  et  al.
                                                                                         [36]
                                                                                                           [37]
            have been added to the PLA to enhance the mechanical   fabricated short PGA fiber-reinforced PLA composites
            properties  and  bioactivity  of  the  printed  parts [19,20] .   specimen by melt-mixing process, and a three-point
            Aihemaiti  et al.  fabricated HA-PLA composite bone   bending test was used to estimate flexural strength and
                         [21]
            plates and investigated the effect of printing parameters   modulus. Ko  et al.  introduced PGA fibers and HA
                                                                               [38]
            on the mechanical properties. Zhang  et al.  and Wang   as fillers to PLA composite by using the manual fiber
                                               [22]
            et al.   prepared  polylactic  acid/nano  hydroxyapatite   alignment and solution mixture solidification method.
                [23]
            (PLA/nHA)  composite  scaffolds  with  different  loading   These studies suggest that the PGA fiber greatly improved
            of nHA by FDM, and the effect of the nHA ratio on the   the mechanical properties of neat PLA, but the fabrication
            mechanical properties of the scaffolds were studied.   process was complex. Hedayati et al.  used biodegradable
                                                                                           [39]
            However, these study results showed that the addition of   PGA suture as a continuous reinforcing fiber to enhance
            HA particles has a limited effect on the improvement of   the mechanical properties of the poly (ε-caprolactone)
            mechanical properties. Even more, the high content of HA   (PCL) by an in situ impregnation FDM method. The tensile
            particles decreased the part’s strength because the particles   strength and elastic modulus of printed parts remarkably
            could easily aggregate and bubbles were introduced in   increased. But the effect of printing parameters on the
            the filaments. Therefore, the particle-reinforced PLA   scaffold’s mechanical properties has not been studied.
            composite parts cannot meet the mechanical property   For the FDM process of continuous fiber-reinforced
            requirement of  the  load-bearing implant. In  addition,   composites, many process parameters affect the mechanical
            using short or continuous carbon fibers [24,25] , glass   properties of the printed parts [40,41] .
            fibers [26,27] , flax fibers [28,29] , and kevlar fibers  to reinforce
                                              [30]
            PLA parts through the FDM process has been developed   Our  long-term research goal  is to  fabricate
            as an efficient way of enhancing mechanical properties   biodegradable load-bearing bone implants with tunable
            of parts. Among them, the mechanical properties of   mechanical properties through the FDM process. In this
            the FDM-printed short fiber-reinforced PLA parts were   study, PLA/PGA composite parts were fabricated by the
            highly dependent on the fiber length and fiber content.   FDM  process  with  PGA  suture  as  reinforcement  phase
            However, large fiber length and high fiber content may   and PLA wire as matrix material. The process parameters
            cause nozzle clogging ; in this manner, the enhancement   including layer thickness, printing space, printing speed,
                             [16]
            of mechanical properties of short fiber-reinforced parts is   and filament feeding speed were investigated to analyze
            limited. Continuous fiber reinforcement was an effective   their impact on the mechanical properties of the printed
            way to increase the strength of parts [31,32] . Maqsood et al.     specimens. The results showed that the tunable mechanical
                                                        [33]
            fabricated pure PLA, short carbon fiber-reinforced PLA   properties range was obtained by altering the printing
            (SCF-PLA), continuous carbon fiber-reinforced PLA   parameters.


            Volume 9 Issue 4 (2023)                        273                         https://doi.org/10.18063/ijb.734
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