MME  Vol.4 No.4 , November 2014
Development of a Multiple Degree of Freedom Knee Disarticulation Prosthesis with Active Leg Length Variation
ABSTRACT
This paper presents a novel design for a knee disarticulation prosthesis. In this design, three hydraulic cylinders form the supporting structure and provide the damping effect at the same time. That way the novel knee joint offers two fundamental advantages compared to the state of the art. First, the combination of a supporting structure and damping element reduces the weight of the prosthesis. Secondly, the use of several cylinders allows the actuation of further degrees of freedom. Additional degrees of freedom can be used to vary the leg length within the gait cycle and hence to optimize the gait behavior.

Cite this paper
Denkena, B. , Eckl, M. and Brouwer, D. (2014) Development of a Multiple Degree of Freedom Knee Disarticulation Prosthesis with Active Leg Length Variation. Modern Mechanical Engineering, 4, 207-221. doi: 10.4236/mme.2014.44020.
References
[1]   Hagberg, E., Berlin, O.K. and Renstrom, P. (1992) Function after Through-Knee Compared with Below-Knee and Above-Knee Amputation. Prosthetics and Orthotics International, 16, 168-173.

[2]   Behr, J., Friedly, J., Molton, I., Morgenrot, D., Jensen, M.P. and Smith, D.G. (2009) Pain and Pain-Related Interference in Adults with Lower-Limb Amputation: Comparison of Knee-Disarticulation, Transtibial and Transfemoral Surgical Sites. Journal of Rehabilitation & Development, 46, 963-972.
http://dx.doi.org/10.1682/JRRD.2008.07.0085

[3]   Greitemann, B. (2005) Kniegelenknahe Amputationen. In: Wirth, J.C. and Zichner, L., Eds., Orthopädie und Orthopädische Chirurgie, Georg Thieme Verlag, Stuttgart, 481-491.

[4]   Baumgartner, R.F. (1979) Knee Disarticulation versus Above-Knee Amputation. Prosthetics and Orthotics International, 3, 15-19.

[5]   Mensch, G. (1983) Physiotherapy Following Through-Knee Amputation. Prosthetics and Orthotics International, 7, 79-87.

[6]   Stark, G. (2004) Overview of Knee Disarticulation. American Academy of Orthotists & Prosthetists, 16, 130-137.

[7]   O’Connor, R.S. (1999) Prosthesis for Long Femur and Knee Disarticulation Amputation. Patent 5895430, USA.

[8]   Kramer, S., Srinivasan, S. and Swanson, V. (1998) Knee Joint Mechanism for Knee Disarticulation Prosthesis. Patent 5746774, USA.

[9]   Denkena, B., Simon, S. and Zager, H. (2011) Knee Exarticulation Prosthesis for Use as Hydraulic Knee Joint Prosthesis for Human Leg, Has Hydraulic Assemblies Causing Motion of Artificial Replacement Member of Leg Sections around Rotary Axis by Movement in Opponent Arrangement. Patent DE102009056074A1, Germany.

[10]   ISO10328:2006 (2006) Prosthetics-Structural Testing of Lower-Limb Prostheses-Requirements and Test Methods.

[11]   Perry, J. and Burnfield, J. (1992) Gait Analysis: Normal and Pathological Function. Slack, New York.

[12]   Whittle, M.W. (1996) Gait Analysis: An Introduction. Butterworth-Heinemann Ltd., Oxford.

[13]   Al-Hamadi, A., Andres, S., Berndt, D., Calow, R., Lehmann, C., Michaelis, B., Schünemann, S. and Urbansky, U. (2004) 3D-Bewegungsanalyse in der “Neuro-Medizintechnik”. Ph.D. Dissertation, Otto-von-Guericke-Universität Magdeburg, Magdeburg.

[14]   Gotze, C., Sippel, C., Rosenbaum, D., Heckenberg, L. and Steinbeck, J. (2003) Objective Measures of Gait Following Revision Hip Arthroplasty. First Medium-Term Results 2.6 Years after Surgery. Zeitschrift für Orthopädie und ihre Grenzgebiete, 141, 201-208.

[15]   Seichert, N., Erhart, P. and Senn, E. (1997) Die Etablierung der instrumentierten Ganganalyse (IGA) als Verfahren zur unmittelbaren klinikrelevanten Gangbeurteilung. Darstellung der propulsiven und bremsenden Muskelaktivitäten beim Gehen. Physikalische Medizin, Rehabilitationsmedizin, 7, 1-11.
http://dx.doi.org/10.1055/s-2008-1061850

[16]   Kramers-de Quervain, I.A., Stüssi, E. and Stacoff, A. (2008) Ganganalyse beim Gehen und Laufen. Schweizerische Zeitschrift für Sportmedizin und Sporttraumatologie, 56, 35-42.

[17]   Leuchte, S. and Luchs, A. (2006) How Symmetrical or Asymmetrical Is the Physiological Gait in Respect of Age? Journal of Physical and Rehabilitation Medicine, 16, 96-102.

[18]   Holscher, C. (2009) Auswirkungen Von Hohen Tibialen Umstellungs-Osteotomien auf den Gang und die KniegelenksBelastung. Ph.D. Dissertation, Medizinische Fakultät der Westfälischen Wilhelms-Universität Münster, Münster.

[19]   Fletcher, R. (1987) Practical Methods of Optimization. John Wiley & Sons Limited, West Sussex.

[20]   Gill, P.E., Murray, W. and Wright, M. (1982) Practical Optimization. Emerald Group Publishing Limited, London.

[21]   Sneddon, I.N. (1995) Fourier Transforms. Dover Publications, Inc., New York.

[22]   Clarke, J.A. (1985) Energy Simulation in Building Design. Butterwort-Heinemann, Oxford.

[23]   Crane Co., NY. (1982) Flow of Fluids through Valves, Fittings and Pipes. Metric Edition-SI Units, Technical Paper No. 410M, Crane Co., New York.

[24]   Macia, N.F. and Thaler, G.J. (2005) Fluid Systems-Hydraulic. In: Macia, N.F. and Thaler, G.J., Eds., Modeling & Control of Dynamic Systems, Thomson Delmar Learning, Clifton Park, 91-95.

 
 
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