Abstract

Commercially available fixation plates are built using metallic biocompatible materials such as titanium and its alloys and stainless steel. However, these plates show a stiffness mismatch comparing to bone, leading to stress shielding and bone loss. In this paper, we investigate the combined use of topology optimisation and additive manufacturing to print fixation plates with reduced stiffness and improved biological performance. Ti-6Al-4 V plates were topology optimised considering different loading conditions and volume reductions and printed using electron beam melting and selective laser melting. The effect of processing conditions on the mechanical properties, microhardness, wear resistance and surface roughness was analysed. Results show acceptable wear resistance values for a medical device and a reduction of stress shielding by increasing volume reduction. It is also shown that no polishing is required as 3D printed plates are able to support cell attachment and proliferation. In comparison to commercial plates, 3D printed ones show significantly better biological performance. For the same design, SLMplates present higher mechanical properties, while EBM plates present better cell attachment and proliferation.
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Authors are grateful for the support provided by the Saudi Arabian government and the South Manchester Hospital, Royal College of Surgeons. The first author is also grateful for the support of the Advanced Manufacturing Institute (AMI), King Saud University, Riyadh, Saudi Arabia. Mechanical tests were conducted with the support of Mr. Chris Cowan in the National Composites Certification and Evaluation Facility (NCCEF), University of Manchester, Manchester, UK.

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Al-Tamimi, A.A., Hernandez, M.A., Omar, A. et al. Mechanical, biological and tribological behaviour of fixation plates 3D printed by electron beam and selective laser melting. Int J Adv Manuf Technol 109, 673–688 (2020). https://doi.org/10.1007/s00170-020-05676-1

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