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Open AccessArticle

Analysis of Pressure Distribution in Transfemoral Prosthetic Socket for Prefabrication Evaluation via the Finite Element Method

1
Department of Bio-Science and Engineering, Shibaura Institute of Technology, Tokyo 135-8548, Japan
2
Department of Supporting Prosthetic Orthotics, Niigata University of Health and Welfare, Niigata 950-3102, Japan
3
Department of Prosthetic and Orthotics, University of Human Arts and Science, Iwatsuki Ward 339-0077, Japan
4
Department of Science and Engineering, Tokyo Denki University, Tokyo 120-8551, Japan
*
Author to whom correspondence should be addressed.
Bioengineering 2019, 6(4), 98; https://doi.org/10.3390/bioengineering6040098
Received: 6 August 2019 / Revised: 24 September 2019 / Accepted: 16 October 2019 / Published: 24 October 2019
(This article belongs to the Special Issue Assessments and Advances in Bone Regeneration, Therapies and Healing)
In this study, we estimated and validated the pressure distribution profile between the residuum and two types of prosthetic sockets for transfemoral amputees by utilizing a finite element analysis. Correct shaping of the socket for an appropriate load distribution is a critical process in the design of lower-limb prosthesis sockets. The pressure distribution profile provides an understanding of the relationship between the socket design and the level of subject comfortability. Estimating the pressure profile is important, as it helps improve the prosthesis through an evaluation of the socket design before it undergoes the fabrication process. This study focused on utilizing a magnetic resonance imaging (MRI)-based three-dimensional (3D) model inside a predetermined finite element simulation. The simulation was predetermined by mimicking the actual socket-fitting environment. The results showed that the potential MRI-based 3D model simulation could be used as an estimation tool for a pressure distribution profile due to the high correlation coefficient value (R2 > 0.8) calculated when the pressure profiles were compared to the experiment data. The simulation also showed that the pressure distribution in the proximal area was higher (~30%) than in the distal area of the prosthetic socket for every subject. The results of this study will be of tremendous interest for fabricators through the use of a finite element model as an alternative method for the prefabrication and evaluation of prosthetic sockets. In future prosthetic socket fabrications, less intervention will be required in the development of a socket, and the participation of the subject in the socket-fitting session will not be necessary. The results suggest that this study will contribute to expanding the development of an overall prefabrication evaluation system to allow healthcare providers and engineers to simulate the fit and comfort of transfemoral prosthetics. View Full-Text
Keywords: prosthetic socket; finite element method; finite element analysis; transfemoral residuum; biomechanics; 3D model prosthetic socket; finite element method; finite element analysis; transfemoral residuum; biomechanics; 3D model
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Jamaludin, M.S.; Hanafusa, A.; Shinichirou, Y.; Agarie, Y.; Otsuka, H.; Ohnishi, K. Analysis of Pressure Distribution in Transfemoral Prosthetic Socket for Prefabrication Evaluation via the Finite Element Method. Bioengineering 2019, 6, 98.

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