Innovations in Additive Manufacturing for Socket Fabrication: An Overview

Linda Ziyadatul Faiza, Wahyu Caesarendra, Wahyu Dwi Lestari

Abstract


Additive Manufacturing (AM) has transformed the prosthetics industry, particularly in socket production, which plays a critical role in the comfort, fit, and functionality of prosthetic limbs. This article examines the latest advancements in AM technologies and their applications in socket fabrication. Key techniques like stereolithography (SLA), selective laser sintering (SLS), and fused deposition modeling (FDM) have facilitated the production of highly personalized, lightweight, and durable prosthetic sockets. These methods not only improve design precision but also allow for the use of biocompatible, flexible materials, enhancing both comfort and functionality. Digital design tools have streamlined the production process, reducing lead times and costs, while improving accuracy and repeatability in socket manufacturing. This review explores the current state of AM in prosthetic socket development, emphasizing the benefits, challenges, and future directions of this fast-evolving field. By analyzing recent research and case studies, the article provides insights into how AM is reshaping prosthetics, offering more accessible solutions for individuals needing prosthetic limbs. It also discusses the challenges of material selection, regulatory considerations, and the potential for scaling production for broader use.

Keywords


Additive manufacturing, prosthetic, prosthetic limbs, prosthetic materials, socket fabrication

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References


M. Asif, M.I. Tiwana, U.S. Khan, W.S. Qureshi, J. Iqbal, N. Rashid, et al., "Advancements, trends and future prospects of lower limb prosthesis," IEEE Access. vol. 9, pp. 85956–85977, 2021, doi: 10.1109/ACCESS.2021.3086807.

S. Turner, S. Jain, A. Patel, M.O. Hopkins, and A.H. McGregor, "A visual feedback tool for quantitative pressure monitoring in lower-limb prosthetic sockets," Prosthesis, vol. 3, no. 4, pp. 394–405, 2021, doi: 10.3390/prosthesis3040035.

E. Zappia, "Towards robust prosthetic socket design through simulated pressure casting," 2023. https://eprints.soton.ac.uk/486574/1/Final_Thesis.pdf.

B.M. Oldfrey, D.Z.M. Ramirez, M. Miodownik, M. Wassall, N. Ramstrand, and M.S. Wong, et al., "A scoping review of digital fabrication techniques applied to prosthetics and orthotics: Part 1 of 2—Prosthetics," Prosthetics Orthot. Int., pp. 1-16, 2024, doi: 10.1097/PXR.0000000000000351.

Y. Wang, Q. Tan, F. Pu, D. Boone, and M. Zhang, "A review of the application of additive manufacturing in prosthetic and orthotic clinics from a biomechanical perspective," Engineering, vol. 6, no.11, pp. 1258–1266, 2020, doi: 10.1016/j.eng.2020.07.019.

D. Solav, K.M. Moerman, A.M. Jaeger, and H.M. Herr, "A framework for measuring the time-varying shape and full-field deformation of residual limbs using 3-D digital image correlation," IEEE Trans. Biomed. Eng., vol. 66, no. 10, pp. 2740–2752, 2019, doi: 10.1109/TBME.2019.2895283.

L. Paternò, M. Ibrahimi, E. Rosini, G. Menfi, V. Monaco, E. Gruppioni, et al., "A. menciassi, residual limb volume fluctuations in transfemoral amputees," Sci. Rep., vol. 11, no. 1, pp. 1–11, 2021, doi: 10.1038/s41598-021-91647-9.

R. Safari, "Lower limb prosthetic interfaces: Clinical and technological advancement and potential future direction," Prosthet. Orthot. Int., vol. 44, no. 6, pp. 384–401, 2020, doi: 10.1177/0309364620969226.

L. Paternò, M. Ibrahimi, E. Gruppioni, A. Menciassi, and L. Ricotti, "Sockets for limb prostheses: A review of existing technologies and open challenges," IEEE Trans. Biomed. Eng., vol. 65, no.9, pp. 1996–2010, 2018, doi: 10.1109/TBME.2017.2775100.

C. Sakib-Uz-Zaman, and M.A.H. Khondoker, "Polymer-based additive manufacturing for orthotic and prosthetic devices: Industry outlook in Canada," Polymers (Basel), vol. 15, no.6, pp. 1506, 2023, doi: 10.3390/polym15061506.

J. Barrios-Muriel, F. Romero-Sánchez, F.J. Alonso-Sánchez, and D.R. Salgado, "Advances in orthotic and prosthetic manufacturing: A technology review," Materials (Basel), vol. 13, 2020, doi: 10.3390/ma13020295.

Z. Al-Dulimi, M. Wallis, D.K. Tan, M. Maniruzzaman, and A. Nokhodchi, "3D printing technology as innovative solutions for biomedical applications," Drug Discov. Today, vol. 26, pp. 360–383, 2021, doi: 10.1016/j.drudis.2020.11.013.

R. Kumar, M. Kumar, and J.S. Chohan, "The role of additive manufacturing for biomedical applications: A critical review," J. Manuf. Process, vol. 64, pp. 828–850, 2021, doi: 10.1016/j.jmapro.2021.02.022.

A. Bhatia, and A.K. Sehgal, "Additive manufacturing materials, methods and applications: A review," Mater. Today Proc., vol. 81, pp. 1060–1067, 2021, doi: 10.1016/j.matpr.2021.04.379.

A. Abdudeen, J.E. Abu Qudeiri, A. Kareem, and A.K. Valappil, "Latest developments and insights of orthopedic implants in biomaterials using additive manufacturing technologies," J. Manuf. Mater. Process, vol. 6, 2022, doi: 10.3390/jmmp6060162.

R. Velu, F. Raspall, and S. Singamneni, "3D printing technologies and composite materials for structural applications," in Green Composites for Automotive Applications, Eds. G.Koronis, A. Silva, Singapore: Woodhead Publishing, 2019, pp.171-196, doi: 10.1016/B978-0-08-102177-4.00008-2.

C.B. Williams, F. Mistree, and D.W. Rosen, "A Functional classification framework for the conceptual design of layered manufacturing technologies", in Proc. ASME 2008 Int. Des. Eng. Tech. Conf. Comput. Inf. Eng. Conf., 2018, pp. 1–14.

Q. Wang, N. Mitsumura, Q. Chen, A. Sarkar, H. Kurokawa, K. Sekiguchi, et al., "Investigation of condensation reaction during phenol liquefaction of waste woody materials," Int. J. Sustain. Dev. Plan., vol. 9, pp. 658–668, 2014 doi: 10.2495/SDP-V9-N5-658-668.

S.H. Masood, and W.Q. Song, "Development of new metal/polymer materials for rapid tooling using fused deposition modelling," Mater, Des. vol. 25, pp. 587–594, 2004, doi: 10.1016/j.matdes.2004.02.009.

M. Mohammed, T. Adam, A.M. Mohammed, J.K. Oleiwi, and B.O. Betar, "A systematic review of natural fiber-reinforced polymer composites in prosthetic socket fabrication," Al Rafidain J. Eng. Sci., vol. 2, pp. 99–106, 2024, doi: 10.61268/dnr76d24.

Y.R. Nagarajan, F. Farukh, A. Buis, and K. Kandan, "Single polymer composites : An innovative solution for lower limb prosthetic sockets," Prosthesis, vol. 6, no.3, pp. 457–477, 2024.

N.K. Faheed, Q.A. Hamad, and J.K. Oleiwi, "Tensile and stress analysis of hybrid composite prosthetic socket reinforced with natural fibers," J. Renew. Mater., vol. 10, pp. 1989–2013, 2022, doi: 10.32604/jrm.2022.017573.

A.D. Castro-Franco, M. Siqueiros-Hernández, V. García-Angel, I. Mendoza-Muñoz, L.E. Vargas-Osuna, and H.D. Magaña-Almaguer, "A review of natural fiber-reinforced composites for lower-limb prosthetic designs," Polymers (Basel), vol. 16, 2024, doi: 10.3390/polym16091293.

M. Ramezani, and Z. Mohd Ripin, "4D printing in biomedical engineering: advancements, challenges, and future directions," J. Funct. Biomater., vol. 14, 2023, doi: 10.3390/jfb14070347.

A. Kantaros, E. Soulis, F.I.T. Petrescu, and T. Ganetsos, "Advanced composite materials utilized in FDM/FFF 3D printing manufacturing processes: The case of filled filaments," Materials (Basel), vol. 16, 2023, doi: 10.3390/ma16186210.

E. Gashawtena, B. Sirahbizu, and A. Kidane, "Review on alternate materials for producing low cost lower limb prosthetic socket," J. Mater. Sci. Eng., vol. 10, pp. 1–62021.

D.A. Türk, H. Einarsson, C. Lecomte, and M. Meboldt, "Design and manufacturing of high-performance prostheses with additive manufacturing and fiber-reinforced polymers," Prod. Eng., vol. 12, pp. 203–213, 2018, doi: 10.1007/s11740-018-0799-y.

J.M. Jafferson, and D. Chatterjee, "A review on polymeric materials in additive manufacturing," Mater. Today Proc., vol. 46, pp. 1349–1365, 2021, doi: 10.1016/j.matpr.2021.02.485.

E. Stenvall, G. Flodberg, H. Pettersson, K. Hellberg, L. Hermansson, M. Wallin, et al., "Additive manufacturing of prostheses using forest-based composites," Bioengineering, vol. 7, pp. 1–18, 2020, doi: 10.3390/bioengineering7030103.

N.M. Nurazzi, M.R.M. Asyraf, S.F. Athiyah, S.S. Shazleen, S.A. Rafiqah, M.M. Harussani, et al., "A review on mechanical performance of hybrid natural fiber polymer composites for structural applications," Polymers (Basel), vol. 13, pp. 1–47, 2021, doi: 10.3390/polym13132170.

S. Gupta, K.J. Loh, and A. Pedtke, "Sensing and actuation technologies for smart socket prostheses," Biomed. Eng. Lett., vol. 10, pp. 103–118, 2020, doi: 10.1007/s13534-019-00137-5.

S.T. Ko, F. Asplund, and B. Zeybek, "A scoping review of pressure measurements in prosthetic sockets of transfemoral amputees during ambulation: Key considerations for sensor design," Sensors, vol. 21, 2021, doi: 10.3390/s21155016.

P. Varaganti, and S. Seo, "Recent advances in biomimetics for the development of bio-inspired prosthetic limbs," Biomimetics, vol. 9, no. 5, 2024.

M.R. Karim, M.I.H. Siddiqui, A.K. Assaifan, M.O. Aijaz, and I.A. Alnaser, "Nanotechnology and prosthetic devices: Integrating biomedicine and materials science for enhanced performance and adaptability, J. Disabil. Res., vol. 3, pp. 1–10, 2024, doi: 10.57197/jdr-2024-0019.

S. Wendels, and L. Avérous, "Biobased polyurethanes for biomedical applications," Bioact. Mater., vol. 6, pp. 1083–1106, 2021, doi: 10.1016/j.bioactmat.2020.10.002.

J.M. Zuniga, "3D printed antibacterial prostheses," Appl. Sci. vol. 8, pp. 1–10, 2018, doi: 10.3390/app8091651.

H.L. Ornaghi, F.M. Monticeli, and L.D. Agnol, "A review on polymers for biomedical applications on hard and soft tissues and prosthetic limbs," Polymers, vol. 15, no. 9, 2023, doi: 10.3390/polym15194034.

D. Fico, D. Rizzo, R. Casciaro, and C.E. Corcione, "A review of polymer-based materials for fused filament fabrication (FFF): Focus on sustainability and recycled materials," Polymers. vol. 14, no. 3, pp. 465, 2022, doi: 10.3390/polym14030465.

I.A. Khilji, C.R. Chilakamarry, A.N. Surendran, K. Kate, and J. Satyavolu, "Natural fiber composite filaments for additive manufacturing: A comprehensive review," Sustainability, vol. 15, pp. 16171, 2023, doi: 10.3390/su152316171.

A. Fry, and P. Greenhalgh, "Development process for the use of 3D technology in the manufacturing of custom-made prosthetic arm sockets," 2013, doi: 10.12968/s1478-2774(23)50185-x.

S.K. Powell, R.L.J. Cruz, M.T. Ross, and M.A. Woodruff, "Past, present, and future of soft-tissue prosthetics: advanced polymers and advanced manufacturing," Adv. Mater., vol. 32, pp. 1–21, 2020, doi: 10.1002/adma.202001122.

Ngo, D. Tuan, A. Kashani, G. Imbalzano, K. Nguyen, and D. Hui. "Additive manufacturing (3D printing): A review of materials, methods, applications and challenges." Composites Part B: Engineering, vol. 143, pp. 172-196, 2018.

Fiedor, Paweł, and Joanna, "A new approach to micromachining: High-precision and innovative additive manufacturing solutions based on photopolymerization technology," Materials, pp. 2951, 2020, doi: 10.3390/ma13132951.

Patterson, E. Albert, L. Sherri, Messimer, and A.F. Phillip, "Overhanging features and the SLM/DMLS residual stresses problem: Review and future research need," Technologies, vol. 5, no. 2, pp. 15, 2017, doi: 10.3390/technologies5020015.

Sola, and Antonella, "Materials requirements in fused filament fabrication: a framework for the design of next‐generation 3D printable thermoplastics and composites," Macromolecular Materials and Engineering, vol. 307, no. 10, pp. 2200197, 2022, doi: doi:10.1002/mame.202200197.

L. Musa, N.K. Kumar, S.Z. Abd Rahim, M.S.M. Rasidi, A. E. W.Rennie, R. Rahman, et al., "A review on the potential of polylactic acid based thermoplastic elastomer as filament material for fused deposition modelling." J. Mater. Res. Technol., vol. 20, pp. 2841-2858, 2022, doi: 10.1016/j.jmrt.2022.08.057.

J. M. Reverte, M.Á. Caminero, J.M. Chacón, E. García-Plaza, P.J. Núñez, and J.P. Becar, "Mechanical and geometric performance of PLA-based polymer composites processed by the fused filament fabrication additive manufacturing technique," Materials, vol. 13, pp. 1924, 2020, doi: 10.3390/ma13081924.

S. Kim, S. Yalla, S. Shetty, and N.J. Rosenblatt, "3D printed transtibial prosthetic sockets: A systematic review," PLoS One, vol. 17, pp. 0275161, 2022, doi: 10.1371/journal.pone.0275161

M. van der Stelt, L. Verhamme, C.H. Slump, L. Brouwers, and T.J.J. Maal, "Strength testing of low-cost 3D-printed transtibial prosthetic socket," Proc. Inst. Mech. Eng. H, no. 236, pp. 367–375, 2022, doi: 10.1177/09544119211060092.

D. Freeman, and L.C.P. Wontorcik, "Stereolithography and prosthetic test socket manufacture: a cost/benefit analysis," J Prosthet Orthot, vol. 10, pp. 17–20, 1998.

N. Herbert, D. Simpson, W. D. Spence, and W. Ion, "A preliminary investigation into the development of 3-D printing of prosthetic sockets," J Rehabil Res Dev, vol. 42, 2005, doi: 10.1682/JRRD.2004.08.0134.

B. Rogers, S. Stephens, A. Gitter, G. Bosker, and R. Crawford, "Double-wall, transtibial prosthetic socket fabricated using selective laser sintering: A case study," J Prosthet Orthot, vol. 12, pp. 97–103, 2000.

L.H. Hsu, G. F. Huang, C.T. Lu, D.Y. Hong, and S.H. Liu, "The development of a rapid prototyping prosthetic socket coated with a resin layer for transtibial amputees," Prosthet. Orthot. Int., vol. 34, no. 1, pp. 37–45, Jan., 2010, doi: 10.3109/03093640902911820.

B. Rogers, G. Bosker, M. Faustini, G. Walden, R. R. Neptune, and R. Crawford, "Case report: Variably compliant transtibial prosthetic socket fabricated using solid freeform fabrication," J. Prosthet. Orthot., vol. 20, no. 1, pp. 1–7, Jan., 2008, doi: 10.1097/JPO.0b013e31815ea839.

D.M. Sengeh, and H. Herr, "A variable-impedance prosthetic socket for a transtibial amputee designed from magnetic resonance imaging data," J. Prosthet. Orthot., vol. 25, no. 3, pp. 129–137, Jul., 2013.

P. Liacouras, J. Garnes, N. Roman, A. Petrich, and G.T. Grant, "Designing and manufacturing an auricular prosthesis using computed tomography, 3-dimensional photographic imaging, and additive manufacturing: A clinical report," J. Prosthet. Dent., vol. 105, no. 2, pp. 78–82, Feb., 2011, doi: 10.1016/S0022-3913(11)60002-4.

P.C. Liacouras, D. Sahajwalla, M.D. Beachler, T. Sleeman, V.B. Ho, J.P. Lichtenberger, "Using computed tomography and 3D printing to construct custom prosthetics attachments and devices," 3D Print. Med., vol. 3, no. 1, pp. 1–7, Jan., 2017, doi: 10.1186/s41205-017-0016-1.

K.C. Tan, P.V.S. Lee, K.F. Tam, and S.L.Lye, "Automation of prosthetic socket design and fabrication using computer aided design/computer aided engineering and rapid prototyping techniques," in The First National Symposium of Prosthetics and Orthotics, pp. 19–22, Jun., 1998.

R.D. Bintara, Aminnudin, Z. Ida, F.R. Arbianto, and D. Prasetiyo, "The characteristic of overhang object to material usage on FDM 3D printing technology," Journal of Mechanical Engineering Science and Technology, vol. 3, no. 1, pp. 35–41, 2019, doi: 10.17977/um016v3i12019p035

M. Syaifuddin, H. Suryanto, and Suprayitno, "The effect of multi-extrusionprocessof polylactic acidontensile strength and fracture morphology of filament product," Journal of Mechanical Engineering Science and Technology, vol. 5, no. 1, pp. 62–72, Jul., 2021, doi: 10.17977/um016v5i12021p062.

F. Fadillah, H. Suryanto, and Suprayitno, "Study on effect of 3D printing parameters on surface roughness and tensile strength using analysis of variance," Journal of Mechanical Engineering Science and Technology, vol. 7, no. 2, pp. 96–105, Nov., 2023, doi: 10.17977/um016v7i22023p096.

W.D. Lestari, "Passive prosthetic ankle design based on Indonesian anthropometry," Journal of Mechanical Engineering Science and Technology, vol. 6, no. 1, pp. 1–8, Jul., 2022, doi: 10.17977/um016v6i12022p001.

W.D. Lestari, A.T. Danaryanto, A. Nugroho, R. Ismail, J. Jamari, and A.P. Bayuseno, "Wear property of machined ultra high molecular weight polyethylene (UHMWPE) acetabular liner product with CNC milling," Journal of Mechanical Engineering Science and Technology, vol. 5, no. 2, pp. 110–122, Nov., 2021, doi: 10.17977/um016v5i22021p110.




DOI: http://dx.doi.org/10.17977/um016v8i22024p287

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