Abstract

Purpose Develop a technology of manufacturing silicone sockets for functional hand prosthesis. Methods The technology of fabricating sockets for functional hand prosthesis made of high temperature vulcanization (HTV) silicone was developed and tested for the first time in the practice of domestic prosthetics, including the traditional stages of molding, positive reproduction, and manufacturing of sockets. However, there are technological peculiarities in each of the stages that enable to manufacture a comfortable individual full-contact socket for hand prosthesis made of silicone that was successfully used in active and functional prostheses and prostheses with external power in patients with congenital and amputation hand defects. Results The technology has a number of advantages over traditional ones, as it provides comfortable conditions for full contact and partial loading of the residual segment of a clubshaped hand stump in the liner socket of the prosthesis. These properties of the liner socket allow the production of the most skeletonized carrying socket made of composite material for reliable attachment of the components of functional hand prostheses to it. Conclusion Successful trials of the liner sockets of the hand prosthesis made from HTV silicone created the conditions for a wider application of this silicone brand in the manufacture of a new generation of sockets for upper and lower limb prosthesis.

Highlights

  • Develop a technology of manufacturing silicone sockets for functional hand prosthesis

  • The technology of fabricating sockets for functional hand prosthesis made of high temperature vulcanization (HTV) silicone was developed and tested for the first time in the practice of domestic prosthetics, including the traditional stages of molding, positive reproduction, and manufacturing of sockets

  • There are technological peculiarities in each of the stages that enable to manufacture a comfortable individual full-contact socket for hand prosthesis made of silicone that was successfully used in active and functional prostheses and prostheses with external power in patients with congenital and amputation hand defects

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Summary

A.V. Kruglov

Ortetika North-West Scientific and Practical Center for Rehabilitation and Prosthetics, St. Разработать технологию изготовления силиконовой приемной гильзы функционального протеза кисти. Разработана и впервые в практике отечественного протезирования апробирована технология изготовления вкладной приемной гильзы функционального протеза кисти из высокотемпературного (HTV) силикона, включающая традиционные этапы изготовления: слепок, позитив, изготовление приемной гильзы. Однако в каждом из этапов присутствуют технологические особенности, которые позволяют изготовить комфортную индивидуальную вкладную полноконтактную гильзу протеза кисти из силикона, которая успешно использована при изготовлении активных, рабочих и протезов с внешним источником энергии для пациентов с врожденными и приобретенными дефектами кисти. Эти свойства вкладной гильзы дают возможность изготовления максимально скелетированной несущей гильзы из композитных материалов для надежного крепления к ней комплектующих элементов функциональных протезов кисти. Успешная апробация приемных гильз протеза кисти из HTV силикона создала условия для более широкого применения этой марки силикона при изготовлении нового поколения вкладных гильз протезов верхних и нижних конечностей. Purpose Develop a technology of manufacturing silicone sockets for functional hand prosthesis

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