Lower-Limb Prosthetic Technologies in the Developing World
Open Access
- 1 December 2010
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Prosthetics and Orthotics International
- Vol. 34 (4), 378-398
- https://doi.org/10.3109/03093646.2010.520060
Abstract
In the mid-1990s, a number of key publications and meetings of experts identified major technical issues associated with prosthetic technologies intended for developing countries. These included inadequate durability of prosthetic feet, poor socket quality and prosthetic fit, improper alignment of prostheses, and inferior function of components. To examine the progress that has been made since then in addressing these issues, a comprehensive review of literature was performed. In total, 106 articles were selected and included in the review. The review examined prosthetic technologies categorized into feet and ankles, knees, sockets and suspension, and matehals, structures, and alignment methods. Moreover, publications were categorized as technical development, clinical (lab-based) testing, or clinical field testing studies. The results reveal important work that has been carried out to develop and implement standardized outcome measures during field testing, allowing various existing prosthetic technologies to be evaluated in terms of their use, function, durability, and other factors. Progress has also been made toward addressing the aforementioned limitations of prosthetic technologies, however, more research and development is required. This includes improving the durability of the external cosmetic features of prosthetic feet, developing more functional prosthetic knee joints, and simplifying fabrication techniques to further improve outcomes associated with socket fit and prosthetic alignment. Research and development collaborations between developed and developing countries, and the dissemination of ongoing research, development, and evaluation activities are essential to the advancement of prosthetic technologies in these regions.Keywords
This publication has 46 references indexed in Scilit:
- Preliminary Experiences with the CIR Casting System for Transtibial Prosthetic SocketsProsthetics and Orthotics International, 2009
- Mechanical testing of prosthetic feet utilized in low-income countries according to ISO-10328 standardProsthetics and Orthotics International, 2007
- Clinical Field Testing of Vulcanized Jaipur Rubber Feet for Trans-Tibial Amputees in Low-Income CountriesProsthetics and Orthotics International, 2007
- The Effects of Prosthetic Foot Roll-Over Shape Arc Length on the Gait of Trans-Tibial Prosthesis UsersProsthetics and Orthotics International, 2006
- Clinical Field Testing of Polyurethane Feet for Trans-Tibial Amputees in Tropical Low-Income CountriesProsthetics and Orthotics International, 2006
- Clinical Field Testing of Vulcanized Rubber Feet for Trans-Tibial Amputees in Tropical Low-Income CountriesProsthetics and Orthotics International, 2006
- The 'Shape&Roll' Prosthetic Foot: I. Design and Development of Appropriate Technology for Low-Income CountriesMedicine, Conflict and Survival, 2004
- Technical noteProsthetics and Orthotics International, 2003
- Alignment of transtibial prostheses based on rollover shape principlesProsthetics and Orthotics International, 2003
- ISPO consensus conference on appropriate orthopaedic technology for low-income countriesProsthetics and Orthotics International, 2001