Mb. Silverthorn et Ds. Childress, PARAMETRIC ANALYSIS USING THE FINITE-ELEMENT METHOD TO INVESTIGATE PROSTHETIC INTERFACE STRESSES FOR PERSONS WITH TRANS-TIBIAL AMPUTATION, Journal of rehabilitation research and development, 33(3), 1996, pp. 227-238
A finite element (FE) model of the below-knee residual limb and prosth
etic socket was created to investigate the effects of parameter variat
ions on the interface stress distribution during static stance. This m
odel was based upon geometric approximations of anthropometric residua
l limb geometry. The model was not specific to an individual with ampu
tation, but could be scaled to approximate the limb of a particular su
bject. Parametric analyses were conducted to investigate the effects o
f prosthetic socket design and residual limb geometry on the residual
limb/prosthetic socket interface stresses. Behavioral trends were illu
strated via sensitivity analysis, The results of the parametric analys
es indicate that the residual limb/prosthetic socket interface stresse
s are affected by variations in both prosthetic design and residual li
mb geometry. Specifically, the analyses indicate: 1) the residual limb
/prosthetic liner interface pressures are relatively insensitive to th
e socket stiffness; 2) the stiffness of the prosthetic liner influence
s the interface stress distribution for both the unrectified and patel
lar-tendon-bearing (PTB) rectified models-the external load state appe
ars to influence the interface pressure distribution, while the prosth
etic socket rectification appears to influence the interface shear str
ess distribution; 3) the interface pressures are very sensitive to the
prosthetic rectification; 4) the shape and relative bulk of soft tiss
ue may significantly influence the interface pressure distribution; 5)
the interface pressure distribution is also influenced by the residua
l limb length; and 6) the stiffness/compliance of the residual limb so
ft tissues may significantly alter the interface pressure distribution
.