Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing
The foot and ankle serve vital roles in weight bearing, balance, and flexibility but are susceptible to many diverse ailments, making treatment difficult. More commonly, Total Ankle Arthroplasty (TAA) and Total Talus Replacement (TTR) are used for patients with ankle degeneration and avascular necro...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Micromachines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-666X/14/11/2081 |
| _version_ | 1797458395000733696 |
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| author | Richa Gupta Kyra Grove Alice Wei Jennifer Lee Adil Akkouch |
| author_facet | Richa Gupta Kyra Grove Alice Wei Jennifer Lee Adil Akkouch |
| author_sort | Richa Gupta |
| collection | DOAJ |
| description | The foot and ankle serve vital roles in weight bearing, balance, and flexibility but are susceptible to many diverse ailments, making treatment difficult. More commonly, Total Ankle Arthroplasty (TAA) and Total Talus Replacement (TTR) are used for patients with ankle degeneration and avascular necrosis of the talus, respectively. Ankle prosthesis and orthosis are also indicated for use with lower limb extremity amputations or locomotor disability, leading to the development of powered exoskeletons. However, patient outcomes remain suboptimal, commonly due to the misfitting of implants to the patient-specific anatomy. Additive manufacturing (AM) is being used to create customized, patient-specific implants and porous implant cages that provide structural support while allowing for increased bony ingrowth and to develop customized, lightweight exoskeletons with multifunctional actuators. AM implants and devices have shown success in preserving stability and mobility of the joint and achieving fast recovery, as well as significant improvements in gait rehabilitation, gait assistance, and strength for patients. This review of the literature highlights various devices and technologies currently used for foot and ankle prosthesis and orthosis with deep insight into improvements from historical technologies, manufacturing methods, and future developments in the biomedical space. |
| first_indexed | 2024-03-09T16:36:30Z |
| format | Article |
| id | doaj.art-b0d4a556b6124d3d9d4f747b0107d0f3 |
| institution | Directory Open Access Journal |
| issn | 2072-666X |
| language | English |
| last_indexed | 2024-03-09T16:36:30Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Micromachines |
| spelling | doaj.art-b0d4a556b6124d3d9d4f747b0107d0f32023-11-24T14:56:29ZengMDPI AGMicromachines2072-666X2023-11-011411208110.3390/mi14112081Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and ManufacturingRicha Gupta0Kyra Grove1Alice Wei2Jennifer Lee3Adil Akkouch4Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USAWestern Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USAWestern Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USAWestern Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USADepartment of Orthopaedic Surgery and Medical Engineering Program, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI 49008, USAThe foot and ankle serve vital roles in weight bearing, balance, and flexibility but are susceptible to many diverse ailments, making treatment difficult. More commonly, Total Ankle Arthroplasty (TAA) and Total Talus Replacement (TTR) are used for patients with ankle degeneration and avascular necrosis of the talus, respectively. Ankle prosthesis and orthosis are also indicated for use with lower limb extremity amputations or locomotor disability, leading to the development of powered exoskeletons. However, patient outcomes remain suboptimal, commonly due to the misfitting of implants to the patient-specific anatomy. Additive manufacturing (AM) is being used to create customized, patient-specific implants and porous implant cages that provide structural support while allowing for increased bony ingrowth and to develop customized, lightweight exoskeletons with multifunctional actuators. AM implants and devices have shown success in preserving stability and mobility of the joint and achieving fast recovery, as well as significant improvements in gait rehabilitation, gait assistance, and strength for patients. This review of the literature highlights various devices and technologies currently used for foot and ankle prosthesis and orthosis with deep insight into improvements from historical technologies, manufacturing methods, and future developments in the biomedical space.https://www.mdpi.com/2072-666X/14/11/2081additive manufacturing3D printingtotal ankle arthroplastytotal talus arthroplastyankle prosthesispowered exoskeleton |
| spellingShingle | Richa Gupta Kyra Grove Alice Wei Jennifer Lee Adil Akkouch Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing Micromachines additive manufacturing 3D printing total ankle arthroplasty total talus arthroplasty ankle prosthesis powered exoskeleton |
| title | Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing |
| title_full | Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing |
| title_fullStr | Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing |
| title_full_unstemmed | Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing |
| title_short | Ankle and Foot Arthroplasty and Prosthesis: A Review on the Current and Upcoming State of Designs and Manufacturing |
| title_sort | ankle and foot arthroplasty and prosthesis a review on the current and upcoming state of designs and manufacturing |
| topic | additive manufacturing 3D printing total ankle arthroplasty total talus arthroplasty ankle prosthesis powered exoskeleton |
| url | https://www.mdpi.com/2072-666X/14/11/2081 |
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