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The purpose of this paper is to describe a novel design workflow for the digital fabrication of custom-made orthoses (CMIO). It is intended to provide an easier process for clinical practitioners and orthotic technicians alike. It further functions to reduce the dependency of the operators’ abilities and skills.

The technical assessment covers low-cost three-dimensional (3D) scanning, free computer-aided design (CAD) software, and desktop 3D printing and acetone vapour finishing. To analyse its viability, a cost comparison was carried out between the proposed workflow and the traditional CMIO manufacture method.

The results show that the proposed workflow is a technically feasible and cost-effective solution to improve upon the traditional process of design and manufacture of custom-made static trapeziometacarpal (TMC) orthoses. Further studies are needed for ensuring a clinically feasible approach and for estimating the efficacy of the method for the recovery process in patients.

The feasibility of the process increases the impact of the study, as the great accessibility to this type of 3D printers makes the digital fabrication method easier to be adopted by operators.

Although some research has been conducted on digital fabrication of CMIO, few studies have investigated the use of desktop 3D printing in any systematic way. This study provides a first step in the exploration of a new design workflow using low-cost digital fabrication tools combined with non-manual finishing.

Fused deposition modeling (FDM) is booming as a manufacturing technique in several industrial fields because of its ease of use, the simple-to-meet requirements for its machinery and the possibility to manufacture individual specimens cost-effectively. However, there are still large variations in the mechanical properties of the prints dependent on the process parameters, and there are many discrepancies in the literature as to which are the optimal parameters.

In this paper, thermal evolution of the printed specimens is set as the main focus and some phenomena that affect this evolution are explored to differentiate their effects on the mechanical properties in FDM. Interlayer waiting times, the thermal effects of the position of the extruder relative to the specimens and the printing layout are assessed. Thermal measurements are acquired during deposition and tensile tests are performed on the specimens, correlating the mechanical behavior with the thermal evolution during printing.

Additional waiting times do not present significant differences in the prints. Thermal stabilization of the material is observed to be faster than whole layer deposition. The layout is seen to affect the thermal gradients in the printed specimens and increase the fragility. Strain at breakage variations up to 64% are found depending on the layout.

This study opens new research and technological discussions on the optimal settings for the manufacturing of high-performance mechanical components with FDM through the study of the thermal gradients generated in the printed specimens.