Design of a Functional Splint for Rehabilitation of Achilles Tendon Injury Using Advanced Manufacturing (AM) Techniques. Implementation Study

The use of conventional immobilization splints can cause a lot of mishaps and discomfort in patients. In addition, it is common the generation of muscle, joint and vascular complications arising from the application of classic restraint devices in this phase of treatment. Currently, it is being observed that these problems could be solved with the use of Advanced Manufacturing techniques based on Additive Manufacturing (AM), industrial digitalization and reverse engineering for the realization of individualized immobilization splints. The present study proposes to give these splints a functional character in their design adapting them to a specific pathology, in this case to the partial rupture of Achilles tendon. It also provides a comparison against the use of conventional plaster splints as an improvement factor for their definitive implementation considering the initial sanitary use for which they were designed. In this way, there have been created therapeutic windows that allow the application of rehabilitation techniques, being the treatment that would be carried out developed in parallel. The designed splint has been made in FilaFlex and Polycarbonate, materials that guarantee comfort and resistance at the same time. In addition, an optimization in terms of material has been executed, lightening the splint and reducing environmental impact and manufacturing costs. As a result of this preliminary study, a prototype on scale printed in PLA has been generated.

[1]  A. Ruggiero,et al.  Musa textilis Cellulose Fibres in Biocomposites – An Investigation of Mechanical Properties and Microstructure , 2018 .

[2]  A. Ruggiero,et al.  Experimental comparison on tribological pairs UHMWPE/TIAL6V4 alloy, UHMWPE/AISI316L austenitic stainless and UHMWPE/AL2O3 ceramic, under dry and lubricated conditions , 2016 .

[3]  Fernando Blaya Haro,et al.  Monitoring of the additive manufacturing process for the use of biomaterials in medical field , 2018, TEEM.

[4]  Juan Antonio Juanes Méndez,et al.  A study evaluating the level of satisfaction of the students of health sciences about the use of 3D printed bone models , 2018, TEEM.

[5]  Richard J. Bibb,et al.  A review of wrist splint designs for additive manufacture , 2015 .

[6]  Juan Antonio Juanes Méndez,et al.  Design of an Orthopedic Product by Using Additive Manufacturing Technology: The Arm Splint , 2018, Journal of Medical Systems.

[7]  Alessandro Ruggiero,et al.  Experimental analysis of tribological behavior of UHMWPE against AISI420C and against TiAl6V4 alloy under dry and lubricated conditions , 2015 .

[8]  Richard J. Bibb,et al.  Comparing additive manufacturing technologies for customised wrist splints , 2015 .

[9]  J. R. Martín Electroterapia en fisioterapia , 2000 .

[10]  Jonathan Salvatore De Mattia,et al.  Does metal transfer affect the tribological behaviour of femoral heads? Roughness and phase transformation analyses on retrieved zirconia and Biolox® Delta composites , 2016 .

[11]  Fernando Blaya Haro,et al.  Study, Design and Prototyping of Oral Appliances to Treat Obstructive Sleep Apnea , 2018, TEEM.

[12]  Kena Zaragoza-Velasco,et al.  Ligamentos y tendones del tobillo: anatomía y afecciones más frecuentes analizadas mediante resonancia magnética , 2013 .

[13]  Emilio Gómez,et al.  Sensitivity study of the morphometric fitting on the pressure field inside ankle joints , 2015 .

[14]  I. A. Kapandji Comprar Fisiología Articular, Tomo 1: Miembro Superior (Reimpresión 2012, Nuevo Formato) 6ª Ed. | I. A. Kapandji | 9788498354584 | Panamericana , 2012 .

[15]  P. Kannus Structure of the tendon connective tissue , 2000, Scandinavian journal of medicine & science in sports.

[16]  A. Astudillo Indicaciones del ultrasonido musculoesquelético diagnóstico , 2013 .

[17]  P. Ohtonen,et al.  Epidemiology of Achilles tendon ruptures: Increasing incidence over a 33‐year period , 2015, Scandinavian journal of medicine & science in sports.

[18]  Mohammad Marufuzzaman,et al.  Additive manufacturing of biomedical implants: A feasibility assessment via supply-chain cost analysis , 2016 .

[19]  G. Beaupré,et al.  Mechanical properties of the human achilles tendon. , 2001, Clinical biomechanics.