Frequent lower limb amputations caused by the growing incidence of vascular diseases and traumatic injuries currently represent a significant global problem. A properly constructed and adjusted prosthetic device is a key to the reintegration of these patients into their family, social, and working environments.The main objective of the submitted article is to provide a clear summary of the principles regarding the lower limb prosthesis construction, highlight the fundamental principles and rules to be applied to the assembly in the assembly stand, and the static and dynamic assessment of a prosthesis. The article also briefly points out the necessity of proper construction of a prosthetic socket and in the concluding part it describes unfavourable consequences of the failure to adhere to the structural lines and improper adjustment of components during the gait
This work is devoted to the research of porous titanium alloy structures suitable for use in biomedical applications. Mechanical properties were examined on six series of samples with different structures and porosity via static compressive test to identify the type of structure suitable for elimination of the “stress shielding” effect. In addition, high porosity is desirable due to the overgrowth of bone tissue into the internal structure of the implant. The samples were made of titanium alloy Ti6Al4V by using selective laser melting (SLM) additive manufacturing. The series of samples differ from each other in pore size (200, 400, and 600 µm) and porous structure topology (cubic or trabecular). The actual weight of all samples, which plays an important role in identifying other characteristics, was determined. Compressive tests were focused on the detection of maximum stress. The highest porosity and thus the lowest weight were achieved in the samples with a trabecular structure and 600 µm pore size. All tested samples reached optimal values of maximum stress and tensile strength. The most appropriate mechanical properties were observed for samples with a 200 µm pore diameter and cubic structure.
The paper deals with the problem of a biomechanical solution for human locomotion after amputation of a lower limb. With an inappropriately designed transtibial prostheses socket, the interaction between the socket and the stump occurs, leading to increased friction and subsequent surface damage to the soft tissue. In individual types of transtibial prostheses, locations are defined which can be loaded and which cannot be loaded. On the basis of the study of the anterior side of the stump, three loadable and two non-loadable areas were monitored using the TACTILUS tactile pressure sensor (Sensor Products Inc., Madison, New Jersey, USA). Methods of measuring individual values were proposed for the purpose of sensing the pressure in the socket and the liner interface, the stump and the liner interface. Each method includes the methodological preparation of the patient, the preparation of the room, the preparation of the measuring system, and the subsequent method of data processing. In the submitted paper, 11 stumps were non-invasively monitored. The method of assessing the pressure exerted on the stumps was focused on the monitoring of the pressure distribution in the selected areas. The results obtained by the pressure measurements were statistically processed. In both cases of the pressure system placement, the p-value was higher than 0.05; therefore, we can state that the sets are equal