Modular Prosthetic Design for Transtibial Child Amputees

Author(s):  
Brendan M. Hickey ◽  
Samuel T. Woo ◽  
Sally F. Shady

Lower limb deficiencies and below knee amputations are the most common form of deficiency that may arise from disease or trauma, and returning a patient close to a normal quality-of-life requires prosthetics, which can be quite challenging. Children present even further difficulty to prosthetists and physicians than adults. Although the underlying prosthetic principles for adults are the same for children, additional considerations must be made for practicality, such as downsizing while maintaining its degree of complexity, and frequent appointments to account for the rapid growth of an adolescent. This review article will evaluate the current state-of-the-art in the field of transtibial-amputee prosthetics, review the insurance coverage a typical family would face, and suggest potential improvements to children’s biomimetic prostheses that aid in reducing the frequency of health care provider intervention.


2019 ◽  
Vol 5 (2) ◽  
pp. 85-94 ◽  
Author(s):  
Mohammed S. Alqahtani ◽  
Abdulsalam Al-Tamimi ◽  
Henrique Almeida ◽  
Glen Cooper ◽  
Paulo Bartolo

Abstract Orthoses (exoskeletons and fracture fixation devices) enhance users’ ability to function and improve their quality of life by supporting alignment correction, restoring mobility, providing protection, immobilisation and stabilisation. Ideally, these devices should be personalised to each patient to improve comfort and performance. Production costs have been one of the main constraints for the production of personalised orthoses. However, customisation and personalisation of orthoses are now possible through the use of additive manufacturing. This paper presents the current state of the art of additive manufacturing for the fabrication of orthoses, providing several examples, and discusses key research challenges to be addressed to further develop this field.



2019 ◽  
Vol 16 (156) ◽  
pp. 20190259 ◽  
Author(s):  
Xing Gao ◽  
Manon Fraulob ◽  
Guillaume Haïat

In recent decades, cementless implants have been widely used in clinical practice to replace missing organs, to replace damaged or missing bone tissue or to restore joint functionality. However, there remain risks of failure which may have dramatic consequences. The success of an implant depends on its stability, which is determined by the biomechanical properties of the bone–implant interface (BII). The aim of this review article is to provide more insight on the current state of the art concerning the evolution of the biomechanical properties of the BII as a function of the implant's environment. The main characteristics of the BII and the determinants of implant stability are first introduced. Then, the different mechanical methods that have been employed to derive the macroscopic properties of the BII will be described. The experimental multi-modality approaches used to determine the microscopic biomechanical properties of periprosthetic newly formed bone tissue are also reviewed. Eventually, the influence of the implant's properties, in terms of both surface properties and biomaterials, is investigated. A better understanding of the phenomena occurring at the BII will lead to (i) medical devices that help surgeons to determine an implant's stability and (ii) an improvement in the quality of implants.





2020 ◽  
pp. 1599-1631
Author(s):  
Stathis Th. Konstantinidis ◽  
Ellen Brox ◽  
Per Egil Kummervold ◽  
Josef Hallberg ◽  
Gunn Evertsen ◽  
...  

The population is getting older, and the resources for care will be even more limited in the future than they are now. There is thus an aim for the society that the seniors can manage themselves as long as possible, while at the same time keeping a high quality of life. Physical activity is important to stay fit, and social contact is important for the quality of life. The aim of this chapter is to provide a state-of-the-art of online social exergames for seniors, providing glimpses of senior users' opinions and games limitations. The importance of the motivational techniques is emphasized, as well as the impact that the exergames have to seniors. It contributes to the book objectives focusing on current state and practice in health games for physical training and rehabilitation and the use of gamification, exploring future opportunities and uses of gamification in eHealth and discussing the respective challenges and limitations.



Author(s):  
Stathis Th. Konstantinidis ◽  
Ellen Brox ◽  
Per Egil Kummervold ◽  
Josef Hallberg ◽  
Gunn Evertsen ◽  
...  

The population is getting older, and the resources for care will be even more limited in the future than they are now. There is thus an aim for the society that the seniors can manage themselves as long as possible, while at the same time keeping a high quality of life. Physical activity is important to stay fit, and social contact is important for the quality of life. The aim of this chapter is to provide a state-of-the-art of online social exergames for seniors, providing glimpses of senior users' opinions and games limitations. The importance of the motivational techniques is emphasized, as well as the impact that the exergames have to seniors. It contributes to the book objectives focusing on current state and practice in health games for physical training and rehabilitation and the use of gamification, exploring future opportunities and uses of gamification in eHealth and discussing the respective challenges and limitations.



2001 ◽  
Vol 25 (1) ◽  
pp. 14-20 ◽  
Author(s):  
J. H. B. Geertzen ◽  
J. D. Martina ◽  
H. S. Rietman

Ten years after the ISPO consensus conference on amputation surgery, a search of relevant publications in the Rehabilitation-prosthetics-literature over the years 1990–2000 was performed. The main key-words in this research were: “lower limb, amputation, human and rehabilitation”. One hundred and four (104) articles were assessed by reading and from these the authors selected 24 articles. These articles are summarised, under several subheadings in this review article, focussing especially on quality of life, functional outcome and predictive factors.



1992 ◽  
Vol 37 (2) ◽  
pp. 173-173
Author(s):  
C. R. Snyder
Keyword(s):  




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