RESUMEN
In the field of maxillofacial reconstruction, additive manufacturing technologies, specifically electron beam melting (EBM), offer clinicians the potential for patient-customized design of jaw prostheses, which match both load-bearing and esthetic demands. The technique allows an innovative, functional design, combining integrated porous regions for bone ingrowth and secondary biological fixation with solid load-bearing regions ensuring the biomechanical performance. A patient-specific mandibular prosthesis manufactured using EBM was successfully used to reconstruct a patient's mandibular defect after en bloc resection. Over a 9-month follow-up period, the patient had no complications. A short operating time, good esthetic outcome, and high level of patient satisfaction as measured by quality-of-life questionnaires-the European Organisation for Research and Treatment of Cancer QLQ-C30 (30-item quality-of-life core questionnaire) and H&N35 (head and neck cancer module)-were reported for this case. Individually planned and designed EBM-produced prostheses may be suggested as a possible future alternative to fibular grafts or other reconstructive methods. However, the role of porosity, the role of geometry, and the optimal combination of solid and porous parts, as well as surface properties in relation to soft tissues, should be carefully evaluated in long-term clinical trials.
Asunto(s)
Neoplasias Mandibulares/cirugía , Reconstrucción Mandibular/métodos , Prótesis e Implantes , Diseño de Prótesis , Anciano de 80 o más Años , Electrones , Femenino , Humanos , Materiales Manufacturados , Satisfacción del Paciente , Calidad de Vida , Propiedades de Superficie , Colgajos Quirúrgicos , Tomografía Computarizada por Rayos XRESUMEN
The last decade has witnessed rapid advancements in manufacturing technologies for biomedical implants. Additive manufacturing (or 3D printing) has broken down major barriers in the way of producing complex 3D geometries. Electron beam melting (EBM) is one such 3D printing process applicable to metals and alloys. EBM offers build rates up to two orders of magnitude greater than comparable laser-based technologies and a high vacuum environment to prevent accumulation of trace elements. These features make EBM particularly advantageous for materials susceptible to spontaneous oxidation and nitrogen pick-up when exposed to air (e.g., titanium and titanium-based alloys). For skeletal reconstruction(s), anatomical mimickry and integrated macro-porous architecture to facilitate bone ingrowth are undoubtedly the key features of EBM manufactured implants. Using finite element modelling of physiological loading conditions, the design of a prosthesis may be further personalised. This review looks at the many unique clinical applications of EBM in skeletal repair and the ground-breaking innovations in prosthetic rehabilitation. From a simple acetabular cup to the fifth toe, from the hand-wrist complex to the shoulder, and from vertebral replacement to cranio-maxillofacial reconstruction, EBM has experienced it all. While sternocostal reconstructions might be rare, the repair of long bones using EBM manufactured implants is becoming exceedingly frequent. Despite the various merits, several challenges remain yet untackled. Nevertheless, with the capability to produce osseointegrating implants of any conceivable shape/size, and permissive of bone ingrowth and functional loading, EBM can pave the way for numerous fascinating and novel applications in skeletal repair, regeneration, and rehabilitation. STATEMENT OF SIGNIFICANCE: Electron beam melting (EBM) offers unparalleled possibilities in producing contaminant-free, complex and intricate geometries from alloys of biomedical interest, including Ti6Al4V and CoCr. We review the diverse range of clinical applications of EBM in skeletal repair, both as mass produced off-the-shelf implants and personalised, patient-specific prostheses. From replacing large volumes of disease-affected bone to complex, multi-material reconstructions, almost every part of the human skeleton has been replaced with an EBM manufactured analog to achieve macroscopic anatomical-mimickry. However, various questions regarding long-term performance of patient-specific implants remain unaddressed. Directions for further development include designing personalised implants and prostheses based on simulated loading conditions and accounting for trabecular bone microstructure with respect to physiological factors such as patient's age and disease status.
Asunto(s)
Prótesis Anclada al Hueso , Titanio , Humanos , Porosidad , Titanio/química , Electrones , Prótesis e Implantes , AleacionesRESUMEN
Although two-dimensional nanosheets like graphene could be ideal atomic coatings to prevent corrosion, it is still controversial whether they are actually effective due to the presence of parasitic effects such as galvanic corrosion. Here, we reported a reduced graphene oxide (RGO) coating strategy to protect sintered Cu metal powders from corrosion by addressing the common galvanic corrosion issue of graphene. A layer of silane molecules, namely, (3-aminopropyl)triethoxysilane (APTES), is deposited between the surface of Cu particles and the graphene oxide (GO), acting as a primer to enhance adhesion and as an insulating interlayer to prevent the direct contact of the Cu with conductive RGO, mitigating the galvanic corrosion. Due to this core-shell coating, the RGO uniformly distributes in the Cu matrix after sintering, avoiding aggregation of RGO, which takes place in conventional GO-Cu composites. The dual coating of GO and silane results in bulk samples with improved anticorrosion properties, as demonstrated by galvanostatic polarization tests using Tafel analysis. Our development not only provides an efficient synthesis method to controllably coat GO on the surface of Cu but also suggests an alternative strategy to avoid the galvanic corrosion effect of graphene to improve the anticorrosion performance of metal.
RESUMEN
In laser powder bed fusion (L-PBF), most powders are not melted in the chamber and collected after the printing process. Powder reuse is appreciable without sacrificing the mechanical properties of target components. To understand the influences of powder reuse on mechanical performance, a nickel-based superalloy, IN738LC, was investigated. Powder morphology, microstructure and chemical compositions of virgin and reused powders were characterized. An increase in oxygen content, generally metallic oxides, was located on the surface of powders. Monotonic tensile and cyclic fatigue were tested. Negligible deterioration in strength and tensile ductility were found, while scattered fatigue performance with regard to fatigue life was shown. Deformation and fatigue crack propagation mechanisms were discussed for describing the powder degradation effects.
RESUMEN
Due to elevated temperatures and high vacuum levels in electron beam melting (EBM), spatter formation and accumulation in the feedstock powder, and sublimation of alloying elements from the base feedstock powder can affect the feedstock powder's reusability and change the alloy composition of fabricated parts. This study focused on the experimental and thermodynamic analysis of spatter particles generated in EBM, and analyzed sublimating alloying elements from Alloy 718 during EBM. Heat shields obtained after processing Alloy 718 in an Arcam A2X plus machine were analyzed to evaluate the spatters and metal condensate. Comprehensive morphological, microstructural, and chemical analyses were performed using scanning electron microscopy (SEM), focused ion beam (FIB), and energy dispersive spectroscopy (EDS). The morphological analysis showed that the area coverage of heat shields by spatter increased from top (<1%) to bottom (>25%), indicating that the spatter particles had projectile trajectories. Similarly, the metal condensate had a higher thickness of ~50 µm toward the bottom of the heat shield, indicating more significant condensation of metal vapors at the bottom. Microstructural analysis of spatters highlighted that the surfaces of spatter particles sampled from the heat shields were also covered with condensate, and the thickness of the deposited condensate depended on the time of landing of spatter particles on the heat shield during the build. The chemical analysis showed that the spatter particles had 17-fold higher oxygen content than virgin powder used in the build. Analysis of the metalized layer indicated that it was formed by oxidized metal condensate and was significantly enriched with Cr due to its higher vapor pressure under EBM conditions.
RESUMEN
Iron nanopowder could be used as a sintering aid to water-atomised steel powder to improve the sintered density of metallurgical (PM) compacts. For the sintering process to be efficient, the inevitable surface oxide on the nanopowder must be reduced at least in part to facilitate its sintering aid effect. While appreciable research has been conducted in the domain of oxide reduction of the normal ferrous powder, the same cannot be said about the nanometric counterpart. The reaction kinetics for the reduction of surface oxide of iron nanopowder in hydrogen was therefore investigated using nonisothermal thermogravimetric (TG) measurements. The activation energy values were determined from the TG data using both isoconversional Kissinger-Akahira-Sunose (KAS) method and the Kissinger approach. The values obtained were well within the range of reported data. The reaction kinetics of Fe2O3 as a reference material was also depicted and the reduction of this oxide proceeds in two sequential stages. The first stage corresponds to the reduction of Fe2O3 to Fe3O4, while the second stage corresponds to a complete reduction of oxide to metallic Fe. The activation energy variation over the reduction process was observed and a model was proposed to understand the reduction of surface iron oxide of iron nanopowder.