侧向安装的动力髋关节假体的设计和原型验证。

IF 2 Q3 ENGINEERING, BIOMEDICAL Journal of Rehabilitation and Assistive Technologies Engineering Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI:10.1177/20556683241248584
Sarah Mroz, Natalie Baddour, Patrick Dumond, Edward D Lemaire
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引用次数: 0

摘要

随着动力假体的发展,假体技术也在不断进步,可以在缺乏原生解剖结构的情况下增强关节功能和运动能力。然而,目前还没有适用于髋部截肢者的动力解决方案,而且现有的大多数髋关节假体都安装在假体插座的前端,从而限制了活动范围。这项研究引入了一种新型侧向安装的动力髋关节(LMPHJ),可增强使用者的运动能力。LMPHJ 安装在假肢套筒的外侧,使髋关节更接近解剖旋转中心,同时确保使用者的安全和稳定。电机和电子元件位于大腿部位,在保持低调的同时将所需的髋关节力矩传递到机械关节旋转中心。我们设计并制造了一个原型,并通过修改 ISO 15032:2000 标准中规定的加载条件,完成了静态测试,使其达到了 100 千克人的失效测试水平,证明了该关节能够承受日常加载条件。使用假肢模拟器进行了功能测试,使健全的参与者能够成功地在平地上使用动力假肢行走。这验证了行走机械设计的有效性,并表明 LMPHJ 已准备就绪,可在下一阶段对髋关节离断的截肢者进行评估。
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Design and prototype validation of a laterally mounted powered hip joint prothesis.

Prosthetic technology has advanced with the development of powered prostheses to enhance joint function and movement in the absence of native anatomy. However, there are no powered solutions available for hip-level amputees, and most existing hip prostheses are mounted to the front of the prosthetic socket, thereby limiting range of motion. This research introduces a novel laterally mounted powered hip joint (LMPHJ) that augments user movement. The LMPHJ is mounted on the lateral side of the prosthetic socket, positioning the hip joint closer to the anatomical center of rotation while ensuring user safety and stability. The motor and electronics are located in the thigh area, maintaining a low profile while transmitting the required hip moment to the mechanical joint center of rotation. A prototype was designed and manufactured, and static testing was complete by modifying the loading conditions defined in the ISO 15032:2000 standard to failure test levels for a 100 kg person, demonstrating the joint's ability to withstand everyday loading conditions. Functional testing was conducted using a prosthesis simulator that enabled able-bodied participants to successfully walk with the powered prosthesis on level ground. This validates the mechanical design for walking and indicates the LMPHJ is ready for evaluation in the next phase with hip disarticulation amputee participants.

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