Background/Objectives: A cam-driven hydraulic prosthetic ankle was designed to overcome the weaknesses of commercial prostheses and research prototypes, which largely fail to mimic the energy-recycling behaviour of an intact ankle, resulting in poor walking performance for lower-limb prosthesis users. Methods: This novel device exploits miniature hydraulics to capture the negative work performed during stance, prior to push-off, in a hydraulic accumulator, and return positive work during push-off for forward body propulsion. Two cams are used to replicate intact ankle torque profiles based on experimental data. The design process for the new prosthesis used a design programme, implemented in MATLAB, based on a simulation of the main components of the prosthetic ankle. Results: In this paper, we present the design programme and explain how it is used to determine the cam profiles required to replicate intact ankle torque, as well as to size the cam follower return springs. Moreover, a constraint-based preliminary design investigation is described, which was conducted to size other key components affecting the device’s size, performance, and energy efficiency. Finally, the feasible design alternatives are compared in terms of their energy losses to determine the best design with regard to minimising both energy losses and device size. Conclusions: Such a design approach not only documents the design of a particular novel prosthetic ankle, but can also provide a systematic framework for decomposing complex design challenges into a series of sub-problems, providing a more effective alternative to heuristic approaches in prosthetic design.
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