This case study compares a transfemoral amputee's gait while using the existing Ossur Total Knee 2000 and our novel 3D printed anatomically scalable transfemoral prosthetic knee. The anatomically scalable transfemoral prosthetic knee is 3D printed out of a carbon-fiber and nylon composite that has a gear-mesh coupling with a hard-stop weight-actuated locking mechanism aided by a cross-linked four-bar spring mechanism. This design can be scaled using anatomical dimensions of a human femur and tibia to have a unique fit for each user. The transfemoral amputee who was tested is high functioning and walked on the Computer Assisted Rehabilitation Environment (CAREN) at a self-selected pace. The motion capture and force data that was collected showed that there were distinct differences in the gait dynamics. The data was used to perform the Combined Gait Asymmetry Metric (CGAM), where the scores revealed that the overall asymmetry of the gait on the Ossur Total Knee was more asymmetric than the anatomically scalable transfemoral prosthetic knee. The anatomically scalable transfemoral prosthetic knee had higher peak knee flexion that caused a large step time asymmetry. This made walking on the anatomically scalable transfemoral prosthetic knee more strenuous due to the compensatory movements in adapting to the different dynamics. This can be overcome by tuning the cross-linked spring mechanism to emulate the dynamics of the subject better. The subject stated that the knee would be good for daily use and has the potential to be adapted as a running knee.
The human ankle is crucial to mobility as it counteracts the forces and moments created during walking. Around 85% of the 1.7 million people in the United States living with limb loss are transtibial (below knee) and transfemoral (above knee) amputees who are missing their ankle and require a prosthetic. This paper presents the Compliant and Articulating Prosthetic Ankle (CAPA) foot, a solution that uses torsional springs to store and release energy at three different locations on the mechanism, assisting in forward motion. The CAPA foot utilizes 3D printing and allows for the full ankle range of motion in the sagittal plane. Testing was performed with the CAPA foot on the Computer Assisted Rehabilitation Environment on an able-bodied person wearing a prosthetic simulator. Compared to the conventional non-articulating Solid Ankle Cushioned Heel foot, the CAPA foot is shown to better mimic the ground reaction forces and ankle angles of a healthy gait.
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