![Page 1: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/1.jpg)
CADCAM Technology in
Prosthetics and Orthotics –
A Review on Efficiency, Efficacy
and Training Capability
aJax Lau
Prosthetist-Orthotist
Prosthetic & Orthotic Department, PWH
HA Convention 2014
![Page 2: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/2.jpg)
Prosthetics & Orthotics
Design and Fitting Process
◦ Application of Biomechanics for
treatment and restore function
Via
◦ Interface pressure, Alignment, Location of
force application & shaping
And
◦ Increase comfort
![Page 3: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/3.jpg)
Conventional Methods of Shape
Capture
Manual Casting
![Page 4: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/4.jpg)
Latest Methods of Shape Capture
Digital Imaging
◦ Mechanical
◦ Optical (e.g. IR scanning)
![Page 5: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/5.jpg)
Simple Measurement
◦ Circumference, distance
◦ Marking bony landmarks
![Page 6: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/6.jpg)
Non-contact & Non-invasive Measurement
![Page 7: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/7.jpg)
Conventional Prosthetic & Orthotic
Design
Manual Rectification and
modification
![Page 8: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/8.jpg)
Latest Design Method using
CADCAM
Computer Aided Design (CAD)
![Page 9: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/9.jpg)
Computer Aided Design
Compare shape with X-ray
film
Accurate force application
Comparison of finished
design
![Page 10: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/10.jpg)
Computer Aided Design
Modification to avoid pressure
![Page 11: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/11.jpg)
Computer Aided Design
Many different rectification tools
![Page 12: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/12.jpg)
Computer Aided Design
Merge, Duplication, Expansion
◦ For complex design
![Page 13: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/13.jpg)
Latest Fabrication using CADCAM
Computer Aided
Manufacturing (CAM)
![Page 14: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/14.jpg)
![Page 15: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/15.jpg)
![Page 16: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/16.jpg)
CADCAM Efficiency & Efficay
Reduced time of manual works
Simplified production procedures
Increase time for patient care
Increase efficacy by accurate force application
Data and design comparison
Possibility for outcome measure
Evidence base practice
Evaluation of treatment protocol
![Page 17: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/17.jpg)
COMPARISON WITH SPINAL BRACE
DESIGN AND FABRICATION
i.e. Decreased time for design and rectification process
=> increased time for pt’s care, & training on the use of rehab
devices
Conventional CADCAM
Casting 30mins 10mins
Orthotic Design 60mins 15mins
Positive Model
Fabrication 60mins 15mins
Completed
Case/ year ~180 400+
Waiting Time 4-5 months 6 weeks
![Page 18: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/18.jpg)
Comparison with Conventional
Method
Cost effectiveness in long run
◦ Automation for design and fabrication
Document anatomical & volumetric changes
Provide reference for baseline and progress of
treatment regimen
Simulate final design to optimize outcome
![Page 19: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/19.jpg)
Training Capability
Step-by-step virtual learning
Data library to retrieve special case,
interested case for study
![Page 20: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/20.jpg)
Future Development
3D Printing (CAM)
Orthotic Devices
External Prosthetic Limb
Prosthetic Implant design and
fabrication
![Page 21: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/21.jpg)
Future Development
For surgical planning and outcome
◦ Guided surgery devices
![Page 22: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/22.jpg)
Latest Application for 3D Printing
http://www.medgadget.com/2014/03/womans-native-skull-
replaced-with-3d-printed-plastic-
model.html?utm_source=feedburner&utm_medium=feed&utm_c
ampaign=Feed%3A+Medgadget+%28Medgadget%29
![Page 23: CADCAM Technology in Prosthetics and Orthotics – A Review ...€¦ · CADCAM Efficiency & Efficay Reduced time of manual works Simplified production procedures Increase time for](https://reader036.vdocuments.us/reader036/viewer/2022071214/60423df4e2a93533f51a07b2/html5/thumbnails/23.jpg)
Thank You