Experimental 3D printed re-entrant auxetic and honeycomb spinal cages based on Ti-6Al-4 V: Computer-Aided design concept and mechanical characterization.

[Display omitted] • Spinal interbody cages adapted for an auxetic, and honeycomb using standard CAD software operations and manufactured with SLM. • Auxetic-based cages exhibit higher strength properties than honeycomb-based cages. • The stiffness of the auxetic cages is comparable to stiffness of human cortical bone. • The honeycomb cages exhibit lower value of Young's modulus closer to that for vertebrae. This paper presents a method for modeling a biomedical device by adaptation a commercially available interbody cage for an auxetic metamaterial and honeycomb structure using standard operations in Computer-Aided design software. The mechanical properties of experimental prototypes of Ti-6Al-4 V cages made by selective laser melting using computer modeling (finite element analysis), static and low-cycle fatigue compression tests (up to 3500 cycles) are characterized. 3D printed cells with structures with an angle of inclination between cell edges of less than 90˚ (auxetic metamaterial) are shown to exhibit higher static compressive strength and fatigue resistance than cells based on structures with an angle of inclination greater than 90˚ (honeycomb structure). The changes in the inclination angle differently affect to the porosity and consequently to mechanical behavior of auxetic metamaterial and honeycomb structure. The Young modulus of the auxetic-based interbody cage is 6.68 ± 0.28 GPa and comparable to the elastic modulus of human cortical bone. The honeycomb-based cage exhibits lower values of Young modulus (1.19 ± 0.03 GPa) close to that of trabecular bone and vertebrae. Importantly, the auxetic-based cage is not destroyed after 3500 cycles under 14 kN load with residual deformations ≤ 1 % (0.21 ± 0.10 mm displacements). [ABSTRACT FROM AUTHOR]