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Interface pressure profile analysis for patellar tendon-bearing socket and hydrostatic socket

Wybrane pełne teksty z tego czasopisma
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Conventionally, patellar tendon-bearing (PTB) sockets, which need high dexterity of prosthetist, are widely used. Lack of chartered and experienced prosthetist has often led to painful experience of wearing prosthesis and this will in turn deter the patients to wear the prosthesis, which will further aggravate stump shrinkage. Thus, the hydrostatic socket which demands relatively lower level of fabricating skill is proposed to replace the PTB socket in order to produce the equivalent, if not better, quality of support to the amputee patients. Both sockets' pressure profiles are studied and compared using finite element analysis (FEA) software. Three-dimensional models of both sockets were developed using MIMICS software. The analysis results showed that hydrostatic socket did exhibit more uniform pressure profiles than that of PTB socket. PTB socket showed pressure concentration near the proximal brim of the socket and also at the distal fibula. It was also found that the pressure magnitude in hydrostatic socket is relatively lower than that of PTB socket.
Rocznik
Strony
37--43
Opis fizyczny
Bibliogr. 34 poz., rys., tab.
Twórcy
autor
autor
  • Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia
Bibliografia
  • [1] ABU OSMAN N.A., SPENCE W.D., SOLOMONIDIS S.E., PAUL J.P., WEIR A.M., Transducers for the determination of the pressure and shear stress distribution at the stump/socket interface of trans-tibial amputees, Proceedings of Institution of Mechanical Engineers. Part B, Journal of Engineering Manufacture, 2009 (in press; DOI 10.1243/09544054JEM 1820).
  • [2] BUIS A.W.P., CONVERY P., Calibration problems encountered while monitoring stump/socket interface pressures with force sensing resistors: techniques adopted to minimize inaccuracies, Prosthetics and Orthotics International, 1997, 21, 179–182.
  • [3] CONVERY P., BUIS A.W.P., Socket/stump interface dynamic pressure distributions recorded during the prosthetic stance phase of gait of a trans-tibial amputee wearing a hydrocast socket, Prosthetics and Orhtotics International, 1999, 23, 107–112.
  • [4] CONVERY P., BUIS A.W.P., Conventional patellar tendon bearing (PTB) socket/stump interface dynamic pressure distributions recorded during the prosthetic stance phase of gait of a trans-tibial amputee, Prosthetics and Orthotics International, 1998, 22, 193–198.
  • [5] CONVERY P., BUIS A.W.P., Socket/stump interface dynamic pressure distributions recorded during the prosthetic stance phase of gait of a trans-tibial amputee wearing a hydrocast socket, Prosthetic and Orthotics International, 1993, 23, 107–112.
  • [6] FERGASON J., SMITH D.G.S., Socket consideration for the patient with a trans-tibial amputation, Clinical Orthopedics and Related Research, 1999, 361, 76–84.
  • [7] GOH J.C.H., LEE P.V.S., CHONG S.Y., Stump/socket pressure profiles of the pressure cast prosthetic socket, Clinical Biomechanics, 2003, 18, 237–243.
  • [8] GOH J.C.H., LEE P.V.S., CHONG S.Y., Comparative study between patellar-tendon-bearing and pressure cast prosthetic sockets, Journal of Rehabilitation Research and Development, 2004, Vol. 41, No. 3B, 491–501.
  • [9] GOH J.C.H., LEE P.V.S., TOH S.L., OOI C.K., Development of an integrated CAD–FEA process for below-knee prosthetic sockets, Clinical Biomechanics, 2005, 20, 623–629.
  • [10] GOLBRANSON F.L., WIRTA R.W., KUNCIR E.J., Volume changes occurring in post-operative below knee residual limbs, J. Rehabil. Res. Dev., 1988, 25, 11–8.
  • [11] HIGHSMITH M.J., KAHLE J.T., Prosthetic socks: simple, relatively inexpensive and critically important, inMotion Volume 16/Issue 2/March/April 2006.
  • [12] JIA X.H., ZHANG M., LEE W.C.C., Load transfer mechanics between trans-tibial prosthetic socket and residual limb – dynamic effects, Journal of Biomechanics, 2004, 37, 1371–1377.
  • [13] KAHLE J.T., Conventional and hydrostatic transtibial interface comparison, JPO, 1999, Vol. 11, No. 4/Fal, 85–91.
  • [14] KRISTINSSON O., Pressurized casting instruments, [in:] Proceedings of the 7th World Congress, International Society of Prosthetics and Orthotics, Chicago, 1992, USA.
  • [15] KRISTINSSON O., The ICEROSS concept: a discussion of philosophy, Prosthetics and Orthotics International, 1993, 17, 49–55.
  • [16] KROUSKOP T.A. et al., Computer aided design of a prosthetic socket for an above-knee amputee, Journal of Rehabilitation Research and Development, 1987, 24, 31–38.
  • [17] LEE P.V.S., GOH J.C.H., CHEUNG S.K., Biomechanical evaluation of the pressure cast (PCast) prosthetic socket for transtibial amputee, Proceedings of the World Congress on Medical Physics & Biomedical Engineering, Chicago (IL), 2002,
  • [18] LEE W.C.C., ZHANG M., JIA X.H., CHEUNG J.T.M., Finie element modeling of the contact interface between transtibial residual limb and prosthetic socket, Medical Engineering and Physics, 2004, 26 (8), 655–662.
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  • [20] MAURER J.-R., Prosthetic socket interface pressures: Customized calibration technique for the TEKSCAN F-socket system, Summer Bioengineering Conference, Florida, 2003.
  • [21] MURDOCH G., The Dundee socket for below knee amputation, Prosthetic International, 1965, 3, 12–14.
  • [22] QUESADA P., SKINNER H.B., Analysis of a below-knee patellartendon-bearing prosthesis: a finite element study, Journal of Rehabilitation Research and Development, 1991, 28 (3), 1–12.
  • [23] RADCLIFFE C.W., FOORT J., The patella-tendon-bearing below-knee prosthesis, Biomechanics laboratory, University of California, Berkeley, CA., 1961.
  • [24] RADCLIFFE C.W., Functional Considerations in the Fitting of Above-Knee Prostheses. Artificial Limbs, National Academy of Sciences, National Research Council, Wash. D.C., 1955, 2 (1).
  • [25] RADCLIFFE C.W., The biomechanics of below-knee prosthesis in normal, level, bipedal walking, Artificial Limbs, 1961, 6, 16–24.
  • [26] REYNOLDS D., Shape design and interface load analysis for below-knee prosthetic sockets (dissertation), London, 1998, University College.
  • [27] REYNOLDS D.P., LORD M., Interface load analysis for computer-aided design of below-knee prosthetic sockets, Med. Biol. Eng. Comput., 1992, 419–426.
  • [28] ROSENBERG R.J., TERRY R., Use of Copolymer for Interfaces in All Levels of Prosthetic Applications, 1991, 3 (1), 22–25
  • [29] SCHUCH C.M., Modern above-knee fitting practice (A report on the ISPO workshop on above-knee fitting and alignment techniques, May 15–19, 1987, Miami, U.S.), Posthet Orthot Int., 1988, 12, 77–90.
  • [30] SILVER-THORN M.B., CHILDRESS D.S., Parametric analysis using the finite element method to investigate prosthesic interface stresses for persons with trans-tibial amputation, Journal of Rehabilitation Research and Development, 1996, Vol. 33, No. 3, 227–238.
  • [31] SILVER-THORN M.B., STEEGE J.W., CHILDRESS D.S., A review of prosthetic interface stress investigation, Journal of Rehabilitation Research and Development, 1996, Vol. 33, No. 3, 253–266.
  • [32] SMITH D.G., Transtibial Amputations: Successes and Challenges, InMotion, 2003, Vol. 13, issue 4.
  • [33] STEEGE J.W., SCHNUR D.S., Van VORHIS R.L., ROVICK J.S., Finite element analysis as a method of pressure prediction at the below knee socket interface, [in:] Proceedings of the 10th Annual RESNA Conference, 1987, San Jose, CA. Washington, DC, RESNA Press, 39–44.
  • [34] ZHANG M., MAK A.F.T., ROBERTS V.C., Finite element modelling of a residual lower-limb in a prosthetic socket: a survey of the development in the first decade, Medical Engineering and Physics, 1998, 20, 360–373.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BPBB-0001-0040
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