Technical note: Computer-manufactured inserts for prosthetic sockets. Issue 8 (August 2016)

• Record Type: Journal Article
• Authors: Sanders, Joan E.; McLean, Jake B.; Cagle, John C.; Gardner, David W.; Allyn, Katheryn J.
• Is Part Of: Medical engineering & physics. Volume 38:Issue 8(2016:Aug.)
• Page Start: 801
• Page End: 806
• Publication Date: 2016-08
• Subjects: Amputee -- Trans-tibial -- Volume loss -- Accommodation -- CAD/CAM -- Residual limb -- Socket; Biomedical engineering -- Periodicals; Biomedical Engineering -- Periodicals; Physics -- Periodicals; Génie biomédical -- Périodiques; Biomedical engineering; Electronic journals; Periodicals; 610.28
• DOI: 10.1016/j.medengphy.2016.04.019
• Languages: English
• ISSNs: 1350-4533

Abstract

Highlights: A technique is described for computer manufacturing solid, plastic, socket inserts. Inserts settled into the sockets over time the prosthesis was worn. Fabrication quality after 4 weeks of use averaged less than 0.03 mm radial error. Incorporating insert design into prosthetic software packages may be useful. Abstract: The objective of this research was to use computer-aided design software and a tabletop 3-D additive manufacturing system to design and fabricate custom plastic inserts for trans-tibial prosthesis users. Shape quality of inserts was tested right after they were inserted into participant's test sockets and again after four weeks of wear. Inserts remained properly positioned and intact throughout testing. Right after insertion the inserts caused the socket to be slightly under-sized, by a mean of 0.11 mm, approximately 55% of the thickness of a nylon sheath. After four weeks of wear the under-sizing was less, averaging 0.03 mm, approximately 15% of the thickness of a nylon sheath. Thus the inserts settled into the sockets over time. If existing prosthetic design software packages were enhanced to conduct insert design and to automatically generate fabrication files for manufacturing, then computer manufactured inserts may offer advantages over traditional methods in terms of speed of fabrication, ease of design, modification, and record keeping.