RESUMO
NiTi shape memory alloys are the prime choice for many engineering and biomedical applications due to their unique response to environmental/external stimuli. The capability of laser powder bed fusion (LPBF) to additively manufacture high-quality density NiTi alloy with intricate geomaterial configuration, good surface quality, and chemical homogeneity makes the LPBF process the preferred choice among other additive manufacturing (AM) methods for manufacturing the NiTi alloy. The AM process parameters have a decisive effect on the functional and mechanical properties of NiTi alloy. There is a need to understand the resultant effect of the interrelationship between the process parameters on the final NiTi additive manufactured structures. The inherent high rate of melting and cooling of the LPBF process resulting in high internal stress could cause adverse effects such as cracks and Ni-loss which are detrimental to the phase transformation temperature of the NiTi alloy. Despite the current challenges, the literature reveals that LPBF NiTi components demonstrated functional and mechanical properties according to the ASTM standard and have been used widely for biomedical applications due to its stress-strain hysteresis, which is similar to bone tissues. The alloy is also used extensively for high-value engineering applications such as the automotive and aerospace industries due to its actuation properties.
RESUMO
BACKGROUND: Botswana, like most sub-Sahara African nations, uses conventional orthopaedic implants that are sourced from major manufactures in the West. The implants are mass-produced and designed with universal configurations to fit an average patient. During surgery, surgeons thus sometimes bend the implants to match the individual bone anatomy, especially for paediatric patients and those with unique deformities, thus risking implant failure. The purpose of this project was to show the feasibility of developing safe and effective patient-specific orthopaedic implants in a low-resourced market. METHODS: CT Scan slice files of a paediatric patient with Ollier's disease were used to reconstruct the lower limb anatomy. The resultant files were 3D printed into prototypes that showed severe right knee valgus deformity. The surgeon used the prototype to plan for corrective femoral osteotomy and the required implant. The implant design and planned surgery were subsequently simulated on the Medical Design Studio software for proper fitting before final implant printing. Surgery was then performed, followed by 12 weeks of physiotherapy. RESULTS: Post-surgical x-rays demonstrated good implant positioning and knee joint alignment. At 18 months of post-surgical follow-up, the child was pain-free, could perform full squats, and ambulation was near-normal, without the use of an assistive device. CONCLUSIONS: It is feasible to develop effective, patient-specific implants for selected orthopaedic cases in a low-resourced country. This work could improve surgical and rehabilitation outcomes for selected paediatric patients and those with severe bone deformities.
RESUMO
Despite the advances and significant benefits of additive manufacturing globally, Africa and several developing countries are lagging behind due to several adoption barriers. South Africa has nevertheless made significant gains in the area of additive manufacturing over the past three decades. The current study examines the critical success factors that have led to South Africa's relative success in the field of additive manufacturing by overcoming the barriers. One of such success factors was the demonstration of visionary leadership and commitment to additive manufacturing through huge investments. The building of human capital through education and research in the area of additive manufacturing is another factor. The development of a strong collaboration between industry and research involving both local and international institutions represents another success factor in South Africa's additive manufacturing growth. Lastly, a positive national culture that drives the adoption of new technologies which is defined by the display of low power distance, high individuality, masculinity, and lower uncertainty avoidance index is another success factor of additive manufacturing in South Africa.
