Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis

Background: Participants in Sierra Leone received a Fused Filament Fabrication (FFF)-printed transtibial prosthetic socket. Follow-up was conducted on this group over a period of 21 months. To investigate the failure of some of the FFF-printed transtibial sockets, further strength investigation is d...

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Main Authors: Merel van der Stelt, Fianna Stenveld, Thom Bitter, Thomas J. J. Maal, Dennis Janssen
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Prosthesis
Subjects:
Online Access:https://www.mdpi.com/2673-1592/4/4/48
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author Merel van der Stelt
Fianna Stenveld
Thom Bitter
Thomas J. J. Maal
Dennis Janssen
author_facet Merel van der Stelt
Fianna Stenveld
Thom Bitter
Thomas J. J. Maal
Dennis Janssen
author_sort Merel van der Stelt
collection DOAJ
description Background: Participants in Sierra Leone received a Fused Filament Fabrication (FFF)-printed transtibial prosthetic socket. Follow-up was conducted on this group over a period of 21 months. To investigate the failure of some of the FFF-printed transtibial sockets, further strength investigation is desired. Methods: A finite element (FE) analysis provided an extensive overview of the strength of the socket. Using follow-up data and FE analyses, weak spots were identified, and the required optimization/reinforcement of the socket wall was determined. Results: Five sockets with a 4 mm wall thickness were tested by five participants. The strength of the 4 mm prosthetic socket seemed to be sufficient for people with limited activity. The 4 mm sockets used by active participants failed at the patella tendon or popliteal area. One socket with a wall thickness of 6 mm was used by an active user and remained intact after one year of use. An FE analysis of the socket showed high stresses in the patella tendon area. An increased wall thickness of 7 mm leads to a decrease of 26% in the stress corresponding to the observed failure in the patella tendon area, compared to the 4 mm socket. Conclusions: Follow-up in combination with an FE analysis can provide insight into the strength of the transtibial socket. In future designs, both the patella tendon and popliteal area will be reinforced by a thickened trim line of 7 mm. A design with a thickened trimline of 7 mm is expected to be sufficiently strong for active users. Another follow-up study will be performed to confirm this.
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spelling doaj.art-1a38421f40c540c783b7653e0593bc002023-11-24T17:41:26ZengMDPI AGProsthesis2673-15922022-10-014458959910.3390/prosthesis4040048Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element AnalysisMerel van der Stelt0Fianna Stenveld1Thom Bitter2Thomas J. J. Maal3Dennis Janssen43D Lab Radboudumc, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsMechanical Engineering, University of Twente, 7522 NB Enschede, The NetherlandsOrthopedic Research Lab, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands3D Lab Radboudumc, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsOrthopedic Research Lab, Radboud University Medical Center, 6525 GA Nijmegen, The NetherlandsBackground: Participants in Sierra Leone received a Fused Filament Fabrication (FFF)-printed transtibial prosthetic socket. Follow-up was conducted on this group over a period of 21 months. To investigate the failure of some of the FFF-printed transtibial sockets, further strength investigation is desired. Methods: A finite element (FE) analysis provided an extensive overview of the strength of the socket. Using follow-up data and FE analyses, weak spots were identified, and the required optimization/reinforcement of the socket wall was determined. Results: Five sockets with a 4 mm wall thickness were tested by five participants. The strength of the 4 mm prosthetic socket seemed to be sufficient for people with limited activity. The 4 mm sockets used by active participants failed at the patella tendon or popliteal area. One socket with a wall thickness of 6 mm was used by an active user and remained intact after one year of use. An FE analysis of the socket showed high stresses in the patella tendon area. An increased wall thickness of 7 mm leads to a decrease of 26% in the stress corresponding to the observed failure in the patella tendon area, compared to the 4 mm socket. Conclusions: Follow-up in combination with an FE analysis can provide insight into the strength of the transtibial socket. In future designs, both the patella tendon and popliteal area will be reinforced by a thickened trim line of 7 mm. A design with a thickened trimline of 7 mm is expected to be sufficiently strong for active users. Another follow-up study will be performed to confirm this.https://www.mdpi.com/2673-1592/4/4/48designFFF-printedtranstibial prosthesissocketsfollow-upfinite element analysis
spellingShingle Merel van der Stelt
Fianna Stenveld
Thom Bitter
Thomas J. J. Maal
Dennis Janssen
Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis
Prosthesis
design
FFF-printed
transtibial prosthesis
sockets
follow-up
finite element analysis
title Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis
title_full Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis
title_fullStr Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis
title_full_unstemmed Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis
title_short Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis
title_sort design evaluation of fff printed transtibial prosthetic sockets using follow up and finite element analysis
topic design
FFF-printed
transtibial prosthesis
sockets
follow-up
finite element analysis
url https://www.mdpi.com/2673-1592/4/4/48
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AT thombitter designevaluationoffffprintedtranstibialprostheticsocketsusingfollowupandfiniteelementanalysis
AT thomasjjmaal designevaluationoffffprintedtranstibialprostheticsocketsusingfollowupandfiniteelementanalysis
AT dennisjanssen designevaluationoffffprintedtranstibialprostheticsocketsusingfollowupandfiniteelementanalysis