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DESIGN PROCEDURE AND RULES TO CONFIGURE LOWER LIMB PROSTHESIS

机译:配置程序和规则以配置下肢假肢

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Modular lower limb prosthesis is composed by custom-fit parts, such as the socket containing the residual limb, and standard components available on market, such as knee or foot. For both custom and standard parts the support offered by existing design tools is not efficient or integrated enough and, as a result, most prosthetists do not use computer-aided tools and still rely only on their personal expertise. This paper presents an approach to design and configure complete lower limb prosthesis for transfemoral and transtibial amputees, using patient's digital data (e.g., residual limb model acquired by MRI) and specification sheets of components. The ultimate goal is to realise a virtual laboratory where the technicians can design lower limb prosthesis guided step by step by the system. We have identified key patient's characteristics guiding the prosthetist during the four main steps of the production process: acquiring patient's data, socket modelling, standard components selection and prosthesis assembly and check. The developed innovative framework integrates different tools to guide the technicians during each design task providing specific knowledge and rules. Thus, it allows a quicker and easier definition of the virtual prosthesis, on which virtual test could be performed (e.g., pressure distribution on residual limb, gait evaluation) in order to be able to realize the definitive prosthesis at the first attempt. The results have been evaluated and validated with the technical staff of a certified orthopaedic laboratory.
机译:模块化下肢假体是通过在市场可用的自定义配合部件,例如含有残肢的插座,以及标准组件,诸如膝盖或脚组成。对于定制和标准的部分由现有的设计工具提供的支持效率不高或集成不够,作为一个结果,最义肢不使用电脑辅助工具,只对他们的个人专长仍然依赖。本文提出一种方法来设计和配置完成下肢假体为大腿和小腿截肢者,使用患者的数字数据(由MRI获取例如,残肢模型)和组件的规格说明书。最终的目标是实现一个虚拟实验室,技术人员可以设计下肢假体引导步步由系统。我们已经确定了重点病人的特性在生产过程中的四个主要步骤指导假肢:采集患者的数据,插座造型,标准组件选择和假体组装和检查。所开发的创新架构整合了不同的工具,每一个设计任务提供特定的知识和规则的过程中指导技术人员。因此,它允许虚拟假体,在其上的虚拟测试可能以能够实现在第一次尝试的权威性假体来执行(在残肢,步态评价例如压力分布)的更快,更容易定义。结果进行了评估,并与经过认证的整形外科实验室的技术人员验证。

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