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The aim of this study is to describe an improved experimental substrate for the mechanical testing of patient-specific implants fabricated using direct metal additive manufacturing processes. This method reduces variability and sample size requirements and addresses the importance of geometry at the bone/implant interface.

Short-fiber glass/resin materials for cortical bone and polyurethane foam materials for cancellous bone were evaluated using standard tensile coupons. A method for fabricating bone analogs with patient-specific geometries using rapid tooling is presented. Bone analogs of a canine radius were fabricated and compared to cadaveric specimens in several biomechanical tests as validation.

The analog materials exhibit a tensile modulus that falls within the range of expected values for cortical and cancellous bone. The tensile properties of the cortical bone analog vary with fiber loading. The canine radius models exhibited similar mechanical properties to the cadaveric specimens with a reduced variability.

Additional replications involving different bone geometries, types of bone and/or implants are required for a full validation. Further, the materials used here are only intended to mimic the mechanical properties of bone on a macro scale within a relatively narrow range. These analog models have not been shown to address the complex microscopic or viscoelastic behavior of bone in the present study.

Scientific data on the formulation and fabrication of bone analogs are absent from the literature. The literature also lacks an experimental platform that matches patient-specific implant/bone geometries at the bone implant interface.

Human aging is becoming a common issue these days as it results in orthopaedic-related issues such as joints disorderness, bone-fracture. People with age = 60 years suffer more from these aforesaid issues. It is expected that these issues in human beings will ultimately reach 2.1 billion by 2050 worldwide. Furthermore, the increase in traffic accidents in young people throughout the world has significantly emerged the need for artificial implants. Their implantation can act as a substitute for fractured bones or disordered joints. Therefore, this study aims to focus on electron beam melted titanium (Ti)-based orthopaedic implants along with their recent trends in the field.

The main contents of this work include the basic theme and background of the metal-based additive manufacturing, different implant materials specifically Ti alloys and their classification based on crystallographic transus temperature (including α, metastable β, β and α + β phases), details of electron beam melting (EBM) concerning its process physics, various control variables and performance characteristics of EBMed Ti alloys in orthopaedic and orthodontic implants, applications of EBMed Ti alloys in various load-bearing implants, different challenges associated with the EBMed Ti-based implants along with their possible solutions. Recent trends and shortfalls have also been described at the end.

EBM is getting significant attention in medical implants because of its minor issues as compared to conventional fabrication practices such as Ti casting and possesses a significant research potential to fabricate various medical implants. The elastic modulus and strength of EBMed ß Ti-alloys such as 24Nb-4Zr-8Sn and Ti-33Nb-4Sn are superior compared to conventional Ti for orthopaedic implants. Beta Ti alloys processed by EBM have near bone elastic modulus (approximately 35–50 GPa) along with improved tribo-mechanical performance involving mechanical strength, wear and corrosion resistance, along with biocompatibility for implants.

Advances in EBM have opened the gateway Ti alloys in the biomedical field explicitly ß-alloys because of their unique biocompatibility, bioactivity along with improved tribo-mechanical performance. Less significant work is available on the EBM of Ti alloys in orthopaedic and orthodontic implants. This study is directed solely on the EBM of medical Ti alloys in medical sectors to explore their different aspects for future research opportunities.

With technology advances, metallic implants claim to improve the quality and durability of human life. In the recent decade, Ti-6Al-4V biomaterial has been additively manufactured via selective laser melting (SLM) for orthopedic applications. This paper aims to provide state-of-the-art on mechanobiology of these fabricated components.

A literature review has been done to explore the potential of SLM fabricated Ti-6Al-4V porous lattice structures (LS) as bone substitutes. The emphasize was on the effect of process parameters and porosity on mechanical and biological properties. The papers published since 2007 were considered here. The keywords used to search were porous Ti-6Al-4V, additive manufacturing, metal three-dimensional printing, osseointegration, porous LS, SLM, in vitro and in vivo.

The properties of SLM porous biomaterials were compared with different human bones, and bulk SLM fabricated Ti-6Al-4V structures. The comparison was also made between LS with different unit cells to find out whether there is any particular design that can mimic the human bone functionality and enhance osseointegration.

The implant porosity plays a crucial role in mechanical and biological characteristics that relies on the optimum controlled process variables and design attributes. It was also indicated that although the mechanical strength (compressive and fatigue) of porous LS is not mostly close to natural cortical bone, elastic modulus can be adjusted to match that of cortical or cancellous bone. Porous Ti-6Al-4V provide favorable bone formation. However, the effect of design variables on biological behavior cannot be fully conclusive as few studies have been dedicated to this.

Three-dimensional (3D) printing is highly dependent on printing process parameters for achieving high mechanical strength. It is a time-consuming and expensive operation to experiment with different printing settings. The current study aims to propose a regression-based machine learning model to predict the mechanical behavior of ulna bone plates.

The bone plates were formed using fused deposition modeling (FDM) technique, with printing attributes being varied. The machine learning models such as linear regression, AdaBoost regression, gradient boosting regression (GBR), random forest, decision trees and k-nearest neighbors were trained for predicting tensile strength and flexural strength. Model performance was assessed using root mean square error (RMSE), coefficient of determination (R²) and mean absolute error (MAE).

Traditional experimentation with various settings is both time-consuming and expensive, emphasizing the need for alternative approaches. Among the models tested, GBR model demonstrated the best performance in predicting both tensile and flexural strength and achieved the lowest RMSE, highest R2 and lowest MAE, which are 1.4778 ± 0.4336 MPa, 0.9213 ± 0.0589 and 1.2555 ± 0.3799 MPa, respectively, and 3.0337 ± 0.3725 MPa, 0.9269 ± 0.0293 and 2.3815 ± 0.2915 MPa, respectively. The findings open up opportunities for doctors and surgeons to use GBR as a reliable tool for fabricating patient-specific bone plates, without the need for extensive trial experiments.

The current study is limited to the usage of a few models. Other machine learning-based models can be used for prediction-based study.

This study uses machine learning to predict the mechanical properties of FDM-based distal ulna bone plate, replacing traditional design of experiments methods with machine learning to streamline the production of orthopedic implants. It helps medical professionals, such as physicians and surgeons, make informed decisions when fabricating customized bone plates for their patients while reducing the need for time-consuming experimentation, thereby addressing a common limitation of 3D printing medical implants.

Based on the unilateral CT images of a patient in stage III for osteonecrosis of the femoral head, three subject‐specific three‐dimensional finite element models of proximal femur are developed by reverse engineering method, including normal model, necrosis model and prothetic model. Based on the same CT set, the material properties are assigned to each finite element model. Then, by finite element analysis, the process of bone grafting for osteonecrosis of the femoral head is simulated. The results indicate that when the necrosis parts of femoral head are removed, the stresses and displacements of proximal femur increase correspondingly, but after the surgery of bone grafting, the stresses and displacements of proximal femur efficiently decrease and become more close to the normal state. The results are useful for a better understanding of the procedure of the bone grafting surgery.

This paper aims to investigate whether the trabecular architecture found in natural bone can be effectively replicated through the selective laser sintering process of Nylon P2200.

Trabecular bone was idealised into a scaled up hexagonal cell proven to replicate the natural structure. The structure was modelled in Solidworks 2013 to form a network of interlinking cells. The specific property analysed was the structure toughness through the measurement of the energy absorbed before sample fracture.

It was found that the impact absorption can be increased with the integration of a greater number of trabecular cells producing a finer resolution and not necessarily by increasing the trabecular size. The information gained from this research may be useful in the design of impact and shock absorbing components, with an emphasis on efficient use of material mass.

Designers and engineers may find biomimetic methods of absorbing shock and impact an efficient alternative consideration in design applications.

The trabecular architecture should be designed so as to be weaker than the bounding surfaces, ensuring that the individual trabecular experience failure first, maximising their energy absorbing capability through increasing the period of deceleration. The simplest way of doing this is to ensure the rod thickness is less than the bounding material thickness.

This work documents original testing of both the RP material and consolidated design of samples of idealised bone structures. It builds on previous work in the area and through the results of empirical testing, derives recommendations for further considerations in this area of design and manufacture of biomimetic structures.

The purpose of this paper is to fabricate and characterize osteochondral beta‐tricalcium phosphate/collagen scaffold with bio‐inspired design by ceramic stereolithography (CSL) and gel casting.

Histological analysis was applied to explore the morphological characteristics of the transitional structure between the bone and the cartilage. The acquired data were used to design biomimetic biphasic scaffolds, which include the bone phase, cartilage phase, and their transitional structure. The engineered scaffolds were fabricated from β‐TCP‐collagen by CSL and gel casting. The cartilage phase was added to the ceramic phase by gel‐casting and freeze drying.

The resulting ceramic scaffolds were composed of a bone phase with the following properties: 700‐900 μm pore size, 200‐500 μm interconnected pores size, 50‐65 percent porosity, fully interconnected, ∼12 Mpa compressive strength. A suitable binding force between cartilage phase and ceramic phase was achieved by physical locking that was created by the biomimetic transitional structure. Cellular evaluation showed satisfactory results.

This study is the first try to apply CSL to fabricate biological implants with β‐TCP and type‐I collagen. There are still some defects in the composition of the slurry and the fabrication process.

This strategy of osteochondral scaffold fabrication can be implemented to construct an osteochondral complex that is similar to native tissue.

The CSL technique is highly accurate, as well as biologically secure, when fabricating ceramic tissue engineering scaffolds and may be a promising method to construct hard tissue with delicate structures. The present strategy enhances the versatility of scaffold fabrication by RP.

The purpose of this paper is to investigate the possibility to construct tissue-engineered bone repair scaffolds with pore size distributions using rapid prototyping techniques.

The fabrication of porous scaffolds with complex porous architectures represents a major challenge in tissue engineering and the design aspects to mimic complex pore shape as well as spatial distribution of pore sizes of natural hard tissue remain unexplored. In this context, this work aims to evaluate the three-dimensional printing process to study its potential for scaffold fabrication as well as some innovative design of homogeneously porous or gradient porous scaffolds is described and such design has wider implication in the field of bone tissue engineering.

The present work discusses biomedically relevant various design strategies with spatial/radial gradient in pore sizes as well as with different pore sizes and with different pore geometries.

One of the important implications of the proposed novel design scheme would be the development of porous bioactive/biodegradable composites with gradient pore size, porosity, composition and with spatially distributed biochemical stimuli so that stem cells loaded into scaffolds would develop into complex tissues such as those at the bone–cartilage interface.

Finite element (FE) modeling of the human dentate mandible is the method of choice currently used for simulating structural fracture analyses in the mandibular region. A finite element model of a parasymphyseal fracture with an internal rigid fixation plate‐screw system has been developed to compare the effects of including frictionless/frictional contact boundary conditions at the fracture site. It is common practice to ignore contact boundary conditions in FE modeling of mandibular fractures due to the non‐linearities causing increased computational requirements. The stress distributions and displacements of the mandibular fracture region indicate a significant difference resulting from the introduction of realistic contact boundary conditions. These current findings suggest that even though the modeling of extreme situations, i.e. non‐contact modeling of unhealed fractures, may provide insight to non‐union problems, future mandibular fracture models should include frictional contact boundary conditions. This is in order to capture more realistic behavior of the system to be analyzed.

The aim of this paper is to present the main results of a research project finished in 2008 which concerned the selective laser melted (SLM) prototype of a new kind of minimally invasive resurfacing hip arthroplasty (RHA) endoprosthesis with the original multi‐spiked connecting scaffold (MSC‐Scaffold). Previous attempts performed in pre‐Direct Metal Manufacturing (DMM) era demonstrated that it was impossible to manufacture suitable prototypes of this RHA endoprosthesis (especially of the MSC‐Scaffold) using traditional machining technologies. Owing to an extensive development of DMM technologies observed in recent years the manufacturing of such prototypes has become possible.

Computer aided design models of pre‐prototypes and the prototype of the RHA endoprosthesis with MSC‐Scaffold were designed and initially optimized within the claims and the general assumptions of international patents by Rogala. Prototyping in SLM technology was subcontracted to SLM Tech Center (Paderborn, Germany). Macroscopic and SEM microscopic evaluation of the MSC‐Scaffold was performed using SLM manufactured prototypes and paying special attention to the quality and precision of manufacturing.

It was found that SLM can be successfully applied to manufacturing of prototypes of the original minimally invasive RHA endoprosthesis. The manufacturing quality of the 3D spikes system of the MSC‐Scaffold, which mimics the interdigitations of articular subchondral bone, has been proved to be geometrically corresponding to the biological original. Nevertheless, some pores and non‐melted zones were found in SLM prototyped RHA endoprosthesis cross‐sections which need to be eliminated to minimize the potential risk of clinical failure.

The presented case study was performed with a limited number of samples. More research needs to be performed on the rapid prototyped samples including microstructural and mechanical tests. The results may enable the optimization of the SLM manufacturing process of the prototypes of the minimally invasive RHA endoprosthesis with MSC‐Scaffold.

The SLM can be considered as potentially suitable for the fabrication of patient‐fitted minimally invasive RHA endoprostheses with MSC‐Scaffold.

For the first time, largely owing to SLM technology, it was possible to manufacture the prototype of the original minimally invasive RHA endoprosthesis with MSC‐Scaffold suitable for further research.