Skip to main content

Study of Individualized Leg Orthoses Made by 3D Printing of Composite Material

  • Chapter
  • First Online:
Innovations in Biomedical Engineering 2023

Abstract

Individualized orthopedic supplies are currently produced mostly by manual means – using negative and positive casts of patients’ limbs and manual work of orthotic technicians. This is neither quick nor cheap, and thus availability of specialized orthotics for people with special needs is low. The progressive development of medical technology and medicine allows to increase the level of personalization of medical procedures and implement an individual approach to each case and patient. Modern, digital process, based on 3D scanning, CAD and 3D printing, brings more possibilities, but is also difficult to perform correctly and requires highly qualified engineers. A possible solution is design automation – with use of intelligent CAD models it is possible to greatly reduce time and level of skills needed from the designer of an individualized orthopedic device. The paper focuses on developing therapeutic leg orthosis for a 4-year old patient. The orthosis was built using the automated workflow of AutoMedPrint system, developed at Poznan University of Technology. Both legs were 3D scanned and the obtained data was merged to obtain a target corrected geometry of the legs. Then, the orthoses were automatically designed and adjusted to the special needs of the patient. It was then 3D printed using FDM process with ABS materials and composite ABS with carbon fiber and tested with the patient with positive results, enabling to improve the therapeutic process and compare the differences between the two materials.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Choo, Y.J., Chang, M.C.: Commonly used types and recent development of ankle-foot orthosis: a narrative review. Healthcare 9, 1046 (2021). https://doi.org/10.3390/HEALTHCARE9081046

    Article  Google Scholar 

  2. Cha, H.Y., et al.: Ankle-Foot Orthosis Made by 3D Printing Technique and Automated Design Software. Republic of Korea, Hindawi (2017)

    Book  Google Scholar 

  3. Shahar, F.S., Sultan, M.T.H., Shah, A.U.M., Safri, S.N.A.: A comparative analysis between conventional manufacturing and additive manufacturing of ankle-foot orthosis | applied science and engineering progress. Appl. Sci. Eng. Progr. 13, 96–103 (2020). https://doi.org/10.14416/j.asep.2020.03.002

    Article  Google Scholar 

  4. Chen, R.K., Jin, Y., Wensman, J., Shih, A.: Additive manufacturing of custom orthoses and prostheses—a review. Addit. Manuf. 12, 77–89 (2016). https://doi.org/10.1016/j.addma.2016.04.002

    Article  Google Scholar 

  5. Górski, F., Wichniarek, R., Kuczko, W., Żukowska, M., Rybarczyk, J., Lulkiewicz, M.: Evaluation of a prototype system of automated design and rapid manufacturing of orthopaedic supplies. In: Gorski, F., Rychlik, M., Păcurar, R. (eds.) Advances in Manufacturing III: Volume 5 - Biomedical Engineering: Research and Technology Innovations, Industry 4.0, pp. 1–15. Springer International Publishing, Cham (2022). https://doi.org/10.1007/978-3-030-99769-4_1

    Chapter  Google Scholar 

  6. Górski, F., et al.: Design and additive manufacturing of an individualized specialized leg orthosis. In: Gorski, F., Rychlik, M., Păcurar, R. (eds.) Advances in Manufacturing III: Volume 5 - Biomedical Engineering: Research and Technology Innovations, Industry 4.0, pp. 31–44. Springer International Publishing, Cham (2022). https://doi.org/10.1007/978-3-030-99769-4_3

    Chapter  Google Scholar 

  7. Fox, J.R., Lovegreen W.: Lower Limb Orthoses. Atlas of Orthoses and Assistive Devices, pp. 239–246 (2019). https://doi.org/10.1016/B978-0-323-48323-0.00022-6

  8. Górski, F., Wichniarek, R., Kuczko, W., Żukowska, M.: Study on properties of automatically designed 3D-printed customized prosthetic sockets. Materials 14, 5240 (2021). https://doi.org/10.3390/ma14185240

    Article  Google Scholar 

  9. Zou, D., et al.: Experimental and computational analysis of composite ankle-foot orthosis. J. Rehabil. Res. Dev. 51, 1525 (2014). https://doi.org/10.1682/JRRD.2014-02-0046

    Article  Google Scholar 

  10. Kluczyński, J., et al.: The examination of restrained joints created in the process of multi-material FFF additive manufacturing technology. Materials 13, 903 (2020). https://doi.org/10.3390/ma13040903

    Article  Google Scholar 

  11. Sabahi, N., Chen, W., Wang, C.-H., Kruzic, J.J., Li, X.: A review on additive manufacturing of shape-memory materials for biomedical applications. JOM 72(3), 1229–1253 (2020). https://doi.org/10.1007/s11837-020-04013-x

    Article  Google Scholar 

  12. Górski, F., Wichniarek, R., Kuczko, W., Żukowska, M., Lulkiewicz, M., Zawadzki, P.: Experimental studies on 3D printing of automatically designed customized wrist-hand orthoses. Materials 13(18), 4091 (2020). https://doi.org/10.3390/ma13184091

    Article  Google Scholar 

  13. Haleem, A., Javaid, M.: 3D scanning applications in medical field: a literature-based review. Clin. Epidemiol. Glob. Health 7, 199–210 (2019). https://doi.org/10.1016/j.cegh.2018.05.006

    Article  Google Scholar 

  14. Cuellar, J.S., Smit, G., Zadpoor, A.A., Breedveld, P.: Ten guidelines for the design of non-assembly mechanisms: the case of 3D-printed prosthetic hands. Proc. Inst. Mech. Eng. Part H: J. Eng. Med. 232(9), 962–971 (2018). https://doi.org/10.1177/0954411918794734

    Article  Google Scholar 

  15. Cabrera, I.A., et al.: Smartphone telemedicine: a novel workflow for creating prosthetic sockets using semi-automated photogrammetry. TechRxiv. Preprint. 1, 7 (2020). https://doi.org/10.36227/techrxiv.12704984

    Article  Google Scholar 

  16. Keleş, Ö., Anderson, E.H., Huynh, J.: Mechanical reliability of short carbon fiber reinforced ABS produced via vibration assisted fused deposition modeling. Rapid Prototyp. J. 24, 1572–1578 (2018). https://doi.org/10.1108/RPJ-12-2017-0247

    Article  Google Scholar 

  17. Bochnia, J., Blasiak, M., Kozior, T.: A comparative study of the mechanical properties of FDM 3D prints made of PLA and carbon fiber-reinforced PLA for thin-walled applications. Materials 14(22), 7062 (2021). https://doi.org/10.3390/ma14227062

    Article  Google Scholar 

  18. Raj, R., et al.: Numerical and experimental mechanical analysis of additively manufactured ankle-foot orthoses. Materials 15(17), 6130 (2022). https://doi.org/10.3390/MA15176130

    Article  Google Scholar 

Download references

Acknowledgements

The studies were realized with a support from Polish National Center for Research and Development, in the scope of the LIDER program (grant agreement no. LIDER/14/0078/L-8/16/NCBR/2017). Part of the studies were realized in scope of the grant entitled “European network for 3D printing of biomimetic mechatronic systems”, supported by EEA grants (Project No: 21-COP-0019). The studies were approved by an appropriate ethical committee.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Justyna Rybarczyk .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rybarczyk, J., Kuczko, W., Wichniarek, R., Górski, F., Żukowska, M. (2024). Study of Individualized Leg Orthoses Made by 3D Printing of Composite Material. In: Gzik, M., Paszenda, Z., Piętka, E., Tkacz, E., Milewski, K., Jurkojć, J. (eds) Innovations in Biomedical Engineering 2023. Lecture Notes in Networks and Systems, vol 875. Springer, Cham. https://doi.org/10.1007/978-3-031-52382-3_7

Download citation

Publish with us

Policies and ethics