A preliminary investigation was conducted to characterize the magnitude and distribution of volume change in transtibial residua at two time intervals: upon prosthesis removal and at 2 week intervals. Six adult male unilateral transtibial amputee subjects, between 0.75 and 40.0 years since amputation, were imaged 10 times over a 35-minute interval with a custom residual limb optical scanner. Volume changes and shape changes over time were assessed. Measurements were repeated 2 weeks later. Volume increase on socket removal for the six subjects ranged from 2.4% to 10.9% (median 6.0% ± standard deviation 3.6%). Rate of volume increase was highest immediately upon socket removal and decreased with time (five subjects). In four subjects, 95% of the volume increase was reached within 8 minutes. No consistent proximal-to-distal differences were detected in limb cross-sectional area change over time. Limb volume differences 2 weeks apart ranged from −2.0% to 12.6% (0.6% ± 5.5%) and were less in magnitude than those within a session over the 35-minute interval (five subjects). Multiple mechanisms of fluid movement may be responsible for short-term volume changes, with different relative magnitudes and rates in different amputees.Abbreviations: A/P = anterior/posterior, CSA = crosssectional area, M/L = medial/lateral, MRI = magnetic resonance imaging, OSS = optical surface scanner, PTB = patellar tendon bearing, SD = standard deviation, SXCT = spiral x-ray computed tomography, 3-D = three-dimensional, TSB = total surface bearing, TT = transtibial.

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The mechanical properties of 15 elastomeric liner products used in limb prosthetics were evaluated under compressive, frictional, shear, and tensile loading conditions. All testing was conducted at load levels comparable to interface stress measurements reported on transtibial amputee subjects. For each test configuration, materials were classified into four groups based on the shapes of their response curves. For the 15 liners tested, there were 10 unique classification sets, indicating a wide range of unique materials. In general, silicone gel liners classified within the same groups thus were quite similar to each other. They were of lower compressive, shear, and tensile stiffness than the silicone elastomer products, consistent with their lightly cross-linked, high-fluid content structures. Silicone elastomer products better spanned the response groups than the gel liners, demonstrating a wide range of compressive, shear, and tensile stiffness values. Against a skin-like material, a urethane liner had the highest coefficient of friction of any liner tested, although coefficients of friction values for most of the materials was higher than interface shear:pressure ratios measured on amputee subjects using Pelite liners. The elastomeric liner material property data and response groupings provided here can potentially be useful to prosthetic fitting by providing quantitative information on similarities and differences among products.

Quantification of the change in shape of a residual limb over time is relevant to the fitting of an external prosthesis. Three algorithms were developed and evaluated to align residual limb shapes: iterative closest points (ICP), mean absolute difference, and weighted surface normals/mean absolute difference. Evaluations were conducted by aligning residual limb shapes with known deformations and transformations with their original shapes. Results showed that ICP did not perform well in that it tended to favor a global distribution of local shape difference rather than localization of the error. The mean absolute difference algorithm performed well as long as the shape difference was localized to one region. Weighted mean surface normals/absolute difference provided the best alignment results, performing well both if shape changes were localized and if they were globally distributed. Mean alignment errors for this method were less than 0.285 mm for each of the three translation directions and less than 0.357 degrees for each of the three rotation directions. This algorithm could be helpful to patients, prosthetists, and researchers developing treatments to overcome the detrimental fitting effects of residual limb shape change.