Customized design and biomechanical property analysis of 3D-printed tantalum intervertebral cages.

BACKGROUND: Intervertebral cages used in clinical applications were often general products with standard specifications, which were challenging to match with the cervical vertebra and prone to cause stress shielding and subsidence. OBJECTIVE: To design and fabricate customized tantalum (Ta) intervertebral fusion cages that meets the biomechanical requirements of the cervical segment. METHODS: The lattice intervertebral cages were customized designed and fabricated by the selective laser melting. The joint and muscle forces of the cervical segment under different movements were analyzed using reverse dynamics method. The stress characteristics of cage, plate, screws and vertebral endplate were analyzed by finite element analysis. The fluid flow behaviors and permeability of three lattice structures were simulated by computational fluid dynamics. Compression tests were executed to investigate the biomechanical properties of the cages. RESULTS: Compared with the solid cages, the lattice-filled structures significantly reduced the stress of cages and anterior fixation system. In comparison to the octahedroid and quaddiametral lattice-filled cages, the bitriangle lattice-filled cage had a lower stress shielding rate, higher permeability, and superior subsidence resistance ability. CONCLUSION: The inverse dynamics simulation combined with finite element analysis is an effective method to investigate the biomechanical properties of the cervical vertebra during movements.

The Laser Selective Sintering Controlled Forming of Flexible TPMS Structures.

Sports equipment crafted from flexible mechanical metamaterials offers advantages due to its lightweight, comfort, and energy absorption, enhancing athletes' well-being and optimizing their competitive performance. The utilization of metamaterials in sports gear like insoles, protective equipment, and helmets has garnered increasing attention. In comparison to traditional truss and honeycomb metamaterials, the triply periodic minimal surface lattice structure stands out due to its parametric design capabilities, enabling controllable performance. Furthermore, the use of flexible materials empowers this structure to endure significant deformation while boasting a higher energy absorption capacity. Consequently, this study first introduces a parametric method based on the modeling equation of the triply periodic minimal surface structure and homogenization theory simulation. Experimental results demonstrate the efficacy of this method in designing triply periodic minimal surface lattice structures with a controllable and adjustable elastic modulus. Subsequently, the uniform flexible triply periodic minimal surface lattice structure is fabricated using laser selective sintering thermoplastic polyurethane technology. Compression tests and finite element simulations analyze the hyperelastic response characteristics, including the element type, deformation behavior, elastic modulus, and energy absorption performance, elucidating the stress-strain curve of the flexible lattice structure. Upon analyzing the compressive mechanical properties of the uniform flexible triply periodic minimal surface structure, it is evident that the structure's geometric shape and volume fraction predominantly influence its mechanical properties. Consequently, we delve into the advantages of gradient and hybrid lattice structure designs concerning their elasticity, energy absorption, and shock absorption.

Promising New Horizons in Medicine: Medical Advancements with Nanocomposite Manufacturing via 3D Printing.

Three-dimensional printing technology has fundamentally revolutionized the product development processes in several industries. Three-dimensional printing enables the creation of tailored prostheses and other medical equipment, anatomical models for surgical planning and training, and even innovative means of directly giving drugs to patients. Polymers and their composites have found broad usage in the healthcare business due to their many beneficial properties. As a result, the application of 3D printing technology in the medical area has transformed the design and manufacturing of medical devices and prosthetics. Polymers and their composites have become attractive materials in this industry because of their unique mechanical, thermal, electrical, and optical qualities. This review article presents a comprehensive analysis of the current state-of-the-art applications of polymer and its composites in the medical field using 3D printing technology. It covers the latest research developments in the design and manufacturing of patient-specific medical devices, prostheses, and anatomical models for surgical planning and training. The article also discusses the use of 3D printing technology for drug delivery systems (DDS) and tissue engineering. Various 3D printing techniques, such as stereolithography, fused deposition modeling (FDM), and selective laser sintering (SLS), are reviewed, along with their benefits and drawbacks. Legal and regulatory issues related to the use of 3D printing technology in the medical field are also addressed. The article concludes with an outlook on the future potential of polymer and its composites in 3D printing technology for the medical field. The research findings indicate that 3D printing technology has enormous potential to revolutionize the development and manufacture of medical devices, leading to improved patient outcomes and better healthcare services.

Study on 3D printing process of continuous polyglycolic acid fiber-reinforced polylactic acid degradable composites.

A continuous polyglycolic acid (PGA) fiber-reinforced polylactic acid (PLA) degradable composite was proposed for application in biodegradable load-bearing bone implant. The fused deposition modeling (FDM) process was used to fabricate composite specimens. The influences of the printing process parameters, such as layer thickness, printing spacing, printing speed, and filament feeding speed on the mechanical properties of the PGA fiber-reinforced PLA composites, were studied. The thermal properties of the PGA fiber and PLA matrix were investigated by using differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA). The internal defects of the as-fabricated specimens were characterized by the micro-X- ray 3D imaging system. During the tensile experiment, a full-field strain measurement system was used to detect the strain map and analysis the fracture mode of the specimens. A digital microscope and field emission electron scanning microscopy were used to observe the interface bonding between fiber and matrix and fracture morphologies of the specimens. The experimental results showed that the tensile strength of specimens was related to their fiber content and porosity. The printing layer thickness and printing spacing had significant impacts on the fiber content. The printing speed did not affect the fiber content but had a slight effect on the tensile strength. Reducing the printing spacing and layer thickness could increase the fiber content. The tensile strength (along the fiber direction) of the specimen with 77.8% fiber content and 1.82% porosity was the highest, reaching 209.32 ± 8.37 MPa, which is higher than the tensile strength of the cortical bone and polyether ether ketone (PEEK), indicating that the continuous PGA fiber-reinforced PLA composite has great potential in the manufacture of biodegradable load-bearing bone implants.

3D Printing of Flexible Mechanical Metamaterials: Synergistic Design of Process and Geometric Parameters.

Mechanical metamaterials with ultralight and ultrastrong mechanical properties are extensively employed in various industrial sectors, with three-periodic minimal surface (TPMS) structures gaining significant research attention due to their symmetry, equation-driven characteristics, and exceptional mechanical properties. Compared to traditional lattice structures, TPMS structures exhibit superior mechanical performance. The mechanical properties of TPMS structures depend on the base material, structural porosity (volume fraction), and wall thickness. Hard rigid lattice structures such as Gyroid, diamond, and primitive exhibit outstanding performance in terms of elastic modulus, energy absorption, heat dissipation, and heat transfer. Flexible TPMS lattice structures, on the other hand, offer higher elasticity and recoverable large deformations, drawing attention for use in applications such as seat cushions and helmet impact-absorbing layers. Conventional fabrication methods often fail to guarantee the quality of TPMS structure samples, and additive manufacturing technology provides a new avenue. Selective laser sintering (SLS) has successfully been used to process various materials. However, due to the layer-by-layer manufacturing process, it cannot eliminate the anisotropy caused by interlayer bonding, which impacts the mechanical properties of 3D-printed parts. This paper introduces a process data-driven optimization design approach for TPMS structure geometry by adjusting volume fraction gradients to overcome the elastic anisotropy of 3D-printed isotropic lattice structures. Experimental validation and analysis are conducted using TPMS structures fabricated using TPU material via SLS. Furthermore, the advantages of volume fraction gradient-designed TPMS structures in functions such as energy absorption and heat dissipation are explored.

Optimization of 3D Printing Parameters of Biodegradable Polylactic Acid/Hydroxyapatite Composite Bone Plates.

The building parameters of three-dimensional (3D) printed polylactic acid/hydroxyapatite (HA) composite bone plates were optimized by an orthogonal experiment, and the effects of the layer thickness, printing speed, filament feeding speed, and HA content on the bending strengths of the specimens were analyzed. The deformation characteristics of the specimens were studied by 3D full-field strain analysis, and the internal defects of the specimens were analyzed. The effects of different combinations of the process parameters on the cross-sectional shape of the single deposited line, printing temperature, and pressure of the molten material were further analyzed. The results showed that the factors affecting the bending properties were the layer thickness, printing speed, filament feeding speed, and HA content, successively. The optimized process parameters were an HA content of 10%, a layer thickness of 0.1 mm, a printing speed of 30 mm/s, and a filament feeding speed of 0.8 mm/s, and the optimized specimen bending strength was 103.1 ± 5.24 MPa. The deposited line with a flat section shape and width greater than the print spacing helped to reduce the porosity of the specimens. The process parameters that resulted in large high-temperature areas and a high extrusion pressure could better promote material fusion.

Composite scaffolds for bone tissue engineering: application review and future direction / 中国组织工程研究

BACKGROUND:In general, a single-type artificial bone is difficult to meet the requirements for bone defect repair and extracellular matrix of bone tissue engineering. Compositing and processing the materials with different properties can form the composite-type artificial bone, which can either ensure the biological activity or effectively improve its mechanical properties.OBJECTIVE: To summarize the present situation of the application of composite-type artificial bone and prospects the development trend. METHODS:The literatures were retrieved from CNKI, ScienceDirect, PubMed, SpingerLink, El Village, Wiley databases from January 2000 to April 2017. The key words were "composite scaffold, tissue engineering, artificial bone" in Chinese and English, respectively. The selected literatures were analyzed according to the inclusion and exclusion criteria. RESULTS AND CONCLUSION: The requirements for the scaffolds used for bone tissue engineering are complex and it should carefully consider and control various factors used in the design and preparation of scaffolds, including microporous structure, mechanical strength, degradation rate, porosity, growth factor, morphology and surface chemistry, so as to meet the bone tissue engineering applications. The preparation of tissue-engineered bone scaffold is based on biological active substances and matrix materials through a reasonable manner. It simulates the components of natural bone matrix, promotes the adhesion, proliferation and differentiation of bioactive substances, and gives play to its functions of osteogenesis. Although existing techniques and methods have made significant progress in the preparation of composite scaffolds, there is no technique or method to fully meet all the requirements for preparation of tissue-engineered bone scaffold.