A finite element model to assess transtibial prosthetic sockets with elastomeric liners.

People with transtibial amputation often experience skin breakdown due to the pressures and shear stresses that occur at the limb-socket interface. The purpose of this research was to create a transtibial finite element model (FEM) of a contemporary prosthesis that included complete socket geometry,...

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Publicado en:Medical & Biological Engineering & Computing Vol. 56; no. 7; pp. 1227 - 1241
Autores principales: Cagle, John C., Reinhall, Per G., Allyn, Kate J., McLean, Jake, Hinrichs, Paul, Hafner, Brian J., Sanders, Joan E.
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2018
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      pub: Springer Nature
      place: New York, New York
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        atl: A finite element model to assess transtibial prosthetic sockets with elastomeric liners.
      aug:
        au:
          Cagle, John C.
          Reinhall, Per G.
          Allyn, Kate J.
          McLean, Jake
          Hinrichs, Paul
          Hafner, Brian J.
          Sanders, Joan E.
        affil: Department of Bioengineering, University of Washington, Seattle, WA, USA
      sug:
        subj:
          Models, Theoretical
          Prosthesis Design
          Finite Element Analysis
          Tibia Physiology
          Polymers Pharmacodynamics
          Male
          Stress, Mechanical
          Reproducibility of Results
          Magnetic Resonance Imaging
          Human
          Male
      ab: People with transtibial amputation often experience skin breakdown due to the pressures and shear stresses that occur at the limb-socket interface. The purpose of this research was to create a transtibial finite element model (FEM) of a contemporary prosthesis that included complete socket geometry, two frictional interactions (limb-liner and liner-socket), and an elastomeric liner. Magnetic resonance imaging scans from three people with characteristic transtibial limb shapes (i.e., short-conical, long-conical, and cylindrical) were acquired and used to develop the models. Each model was evaluated with two loading profiles to identify locations of focused stresses during stance phase. The models identified five locations on the participants' residual limbs where peak stresses matched locations of mechanically induced skin issues they experienced in the 9 months prior to being scanned. The peak contact pressure across all simulations was 98 kPa and the maximum resultant shear stress was 50 kPa, showing reasonable agreement with interface stress measurements reported in the literature. Future research could take advantage of the developed FEM to assess the influence of changes in limb volume or liner material properties on interface stress distributions. Graphical abstract Residual limb finite element model. Left: model components. Right: interface pressures during stance phase.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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