Prosthetic knees represent a prevalent solution for above-knee amputation rehabilitation. However, satisfying the ambulation requirements of users while achieving their comfort needs in terms of lightweight, bionic, shock-absorbing, and user-centric, remains out of reach. Soft materials seem to provide alternative solutions as their properties are conducive to the comfort aspect. Unfortunately, the pronounced flexibility restricts the application of soft robots on prosthetic knees regarding morphological computation and weight-bearing performance. Here, we innovate a soft prosthetic knee for transfemoral amputees, addressing current challenges through the integration of origami technology and bioinspired weight-bearing principle, achieving its lightweight, compactness, low cost, and simple fabrication. The soft knee can hold the weight of a human (more than 75 kg), perform biomimetic polycentric flexion, absorb impacts during walking (absorbing 11.5% to 17.3% more impact forces), and actively support amputees to walk across ramps, stairs, and obstacles. The efficacy of the proposed design has been corroborated through bench-top and ambulation experiments. The proposal might lead to a paradigm shift in the lower limb prosthetic design.
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http://dx.doi.org/10.1038/s41467-024-55201-1 | DOI Listing |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11685968 | PMC |
PLoS One
January 2025
Laboratory for Biomechanics and Biomaterials, Department of Orthopedic Surgery, DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Prosthetic gait differs considerably from the unimpaired gait. Studying alterations in the gait patterns could help to understand different adaptation mechanisms adopted by these populations. This study investigated the effects of induced stiff-knee gait (SKG) on prosthetic and healthy gait patterns and the capabilities of predictive simulation.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
December 2024
Sezione di Chirurgia Protesica ad Indirizzo Robotico, Unità di Traumatologia Dello Sport, UOC Ortopedia e Traumatologia, Brescia, Italy.
Purpose: The application of robotics in revision arthroplasty particularly from unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA), is underexplored. The purpose of this study is to describe the surgical technique of an imageless robotic system used in the revision of UKA to TKA and to evaluate short- to mid-term outcomes.
Methods: This prospective study includes 35 patients treated from May 2020 to July 2023.
Nat Commun
December 2024
Department of Advanced Manufacturing and Robotics, College of Engineering, Peking University, Beijing, China.
Prosthetic knees represent a prevalent solution for above-knee amputation rehabilitation. However, satisfying the ambulation requirements of users while achieving their comfort needs in terms of lightweight, bionic, shock-absorbing, and user-centric, remains out of reach. Soft materials seem to provide alternative solutions as their properties are conducive to the comfort aspect.
View Article and Find Full Text PDFRev Bras Ortop (Sao Paulo)
November 2024
Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil.
The reported case describes a traumatic anterior knee dislocation of a previous asymptomatic knee after a posterior cruciate-retaining primary knee arthroplasty. The described patient accidentally rolled over her knee six years after the surgical intervention. Anterior traumatic dislocation after knee arthroplasty is an uncommon event often leading to prosthetic's components revision due to its associated ligament injuries.
View Article and Find Full Text PDFSci Rep
December 2024
Department of Orthopedic Surgery, The First Hospital of Hebei Medical University, NO. 89 Donggang Road, Shijiazhuang, 063000, Hebei, P. R. China.
The risks and benefits associated with simultaneous bilateral unicompartmental knee arthroplasty (UKA) continue to engender contentious debate. The aim of this study was to compare the clinical outcomes of simultaneous bilateral and unilateral UKA. A retrospective review was performed between 2019 and 2022 on 280 patients (130 simultaneous bilateral vs.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!