In recent years, 3D printing gained considerable attention in the orthopedic sector. This work evaluates the feasibility of producing orthopedic scoliosis braces by 3D printing, comparing performance and costs with classical thermoforming procedures. Critical parameters, such as manufacture time, mechanical properties, weight, and comfort are carefully considered. Polyethylene terephthalate glycol-modified (PETG) was selected among the several filaments materials present on the market. Printed samples were analyzed with electronic microscope, tensile, and impact tests and compared with thermoformed polyethylene (PE) and polypropylene (PP) samples. Moreover, a cost analysis was carried out for the specific application. The thermoformed brace of a volunteer patient affected by scoliosis was reproduced using reverse-engineering techniques. The model was then printed as a single piece and postprocessed by an expert orthotist. Subsequently, the patient wore the brace in a pilot case to compare comfort and mechanical effectiveness. Results show that the 3D printing fabrication method is able to provide a valid alternative to the current fabrication methods, being also very competitive in terms of costs. The morphological analysis does not show critical defects in 3D printed samples, while the mechanical tests highlighted their anisotropy, with an overall brittleness of PETG samples in the direction orthogonal to the fibers. However, in terms of mechanical stresses, a back brace should never reach the polymer yield stress, otherwise the shape would be modified and the therapeutic effect could be compromised. Finally, the patient reported the perception of improved support and no significant comfort differences compared with the thermoformed brace.

In recent years, many research studies have focused on the application of 3D printing in the production of orthopaedic back braces. Several advantages, such as the ability to customise complex shapes, improved therapeutic effect and reduced production costs place this technology at the forefront in the ongoing evolution of the orthopaedic sector. In this work, four different materials, two of them poly(lactic acid) (PLA) and two of them poly(ethylene terephthalate glycol) (PETG), were characterised from a thermal, mechanical, rheological and morphological point of view. Our aim was to understand the effects of the material properties on the quality and functionality of a 3D-printed device. The specimens were cut from 3D-printed hemi-cylinders in two different orientation angles. Our results show that PETG-based samples have the best mechanical properties in terms of elastic modulus and elongation at break. The PLA-based samples demonstrated typical brittle behaviour, with elongation at break one order of magnitude lower. Impact tests demonstrated that the PETG-based samples had better properties in terms of energy absorption. Moreover, 3D-printed PETG samples demonstrated a better surface finishing with a more homogenous fibre–fibre interface. In summary, we demonstrate that the right choice of material and printing conditions are fundamental to satisfy the quality and functionality required for a scoliosis back brace.

This work reports the design, fabrication, and validation of a modular ergonomic saddle for rehabilitation cycling, developed through a combined additive manufacturing approach. The saddle consists of a metallic support produced by Laser Powder Bed Fusion (LPBF) in AISI 316L stainless steel and a polymeric ergonomic covering fabricated via Selective Laser Sintering (SLS) using thermoplastic polyurethane (TPU). A preliminary material screening between TPU and polypropylene (PP) was conducted, with TPU selected for its superior elastic response, energy dissipation, and more favourable SLS processability, as confirmed by thermal analyses. A series of gyroid lattice configurations with varying cell sizes and wall thicknesses were designed and mechanically tested. Cyclic testing under both stress- and displacement-controlled conditions demonstrated that the configuration with 8 mm cell size and 0.3 mm wall thickness provided the best balance between compliance and stability, showing minimal permanent deformation after 10,000 cycles and stable force response under repeated displacements. Finite Element Method (FEM) simulations, parameterized using experimentally derived elastic and density data, correlated well with the mechanical results, correlated with the mechanical results, supporting comparative stiffness evaluation. Moreover, a cost model focused on the customizable TPU component confirmed the economic viability of the modular approach, where the metallic base remains a reusable standard. Finally, the modular saddle was fabricated and successfully mounted on a cycle ergometer, demonstrating functional feasibility.