Comparative Biomechanical and Manufacturing Analysis of 3D-Printed PETG Transtibial Sockets: Standard vs. Adjustable RevoFit Designs

Authors

DOI:

https://doi.org/10.65204/djes.v3i3.936

Keywords:

additive manufacturing, adjustable socket, Biomechanics, gait analysis, RevoFit socket, PETG, 3D printing

Abstract

The present study aims to evaluate the effects of conventional 3D-printed PETG transtibial sockets and adjustable RevoFit designs on gait quality, symmetry, functional ability, and clinical outcomes through a comparative biomechanical and manufacturing approach. A comparative study using a single-subject study design was performed on a male transtibial amputee patient with an age of 30 years, weighing 87 kg, and measuring 183 cm in height. The socket designs were made using 3D printing technology with PETG material. Ground reaction forces, center of pressure path, and loading rates were measured using force plate analysis. Gait analysis was performed using the walk quality index, symmetry, and spatiotemporal analysis. Functional capacity was measured using the six-minute walk test.The performance parameters showed that the RevoFit socket performed better than the other parameters. The Walk Quality Index showed an improvement from 89.9 to 92.9 on the intact side and 96.8 (standard) to 98.9 (RevoFit) on the prosthetic side. The overall Symmetry Index showed an improvement of 9.4%, increasing from 81.2 to 88.8. The walking speed showed an improvement of 4.4%, increasing from 1.36 ± 0.08 to 1.42 ± 0.08 m/s. The General Symmetry Index showed an improvement from 85.4 to 90.5 for the 6MWT, while the overall distance showed an improvement from 380.0 to 410.2 meters (7.9% improvement). The RevoFit socket showed a balanced loading pattern and a decrease in the number of peak pressure asymmetries, as shown by the force plate analysis.

References

Owen, M. K., & DesJardins, J. D. (2020). Transtibial prosthetic socket strength: the use of ISO 10328 in the comparison of standard and 3D-printed sockets. JPO: Journal of Prosthetics and Orthotics, 32(2), 93-100.

Kadhim, F.M., Chiad, J.S., Flayyih, M.A"Comfortable Design of Adjustable Dimension Prosthetic Socket: Finite Element Case Study",Journal of Engineering and Sustainable DevelopmentOpen source preview, 2026, 30(1), pp. 60–65.

Kim, S., Yalla, S., Shetty, S., & Rosenblatt, N. J. (2022). 3D printed transtibial prosthetic sockets: A systematic review. Plos one, 17(10), e0275161.

M. Stelt et al., "Design Evaluation of FFF-Printed Transtibial Prosthetic Sockets Using Follow-Up and Finite Element Analysis," *Prosthesis*, vol. 4, no. 4, pp. 48, 2022. DOI: 10.3390/prosthesis4040048

Y. Sun et al., "A shape-performance synergistic strategy for design and additive manufacturing of continuous fiber reinforced transfemoral prosthetic socket," 2024. DOI: 10.1016/j.compositesb.2024.111518

R. Chen et al., "Additive manufacturing of custom orthoses and prostheses-A review," *Additive Manufacturing*, 2016. DOI: 10.1016/J.ADDMA.2016.04.002

A. Marinopoulos et al., "AM lower-limb prosthetic socket: Using FEA for improved mechanical performance," *Materials Today: Proceedings*, 2022. DOI: 10.1016/j.matpr.2022.09.535

Össur, "RevoFit Adjustable Socket System: Clinical and Technical Documentation," (Referenced in clinical practice and volume management literature)

Hassan, S. S., et al. (2025). "Optimization of PETG 3D printing parameters for the design and development of biocompatible bone implants." Frontiers in Bioengineering and Biotechnology.

E. Nickel et al., "Strength Testing of Definitive Transtibial Prosthetic Sockets Made Using 3D-Printing Technology," *JPO Journal of Prosthetics and Orthotics*, 2020. DOI: 10.1097/JPO.0000000000000294

A. Marinopoulos et al., "Mechanical performance of 3D printed prosthetic sockets: An experimental and numerical study," *Procedia Structural Integrity*, 2022. DOI: 10.1016/j.prostr.2022.12.114

A. Marinopoulos et al., "Structural integrity of 3D-printed prosthetic sockets: Experimental study for paediatric applications," *Journal of Materials Research and Technology*, 2023. DOI: 10.1016/j.jmrt.2023.03.192

D. Dolgikh et al., "Introducing microarchitecture into 3D-printed prosthesis socket: Pressure distribution and mechanical performance," *Medical Engineering & Physics*, 2023. DOI: 10.1016/j.medengphy.2023.104075

S. Kim et al., "Structural integrity of custom-designed additive manufactured prosthetic sockets compared to traditional sockets," *Results in Materials*, 2024. DOI: 10.1016/j.rinma.2024.100549

V. Kavuri et al., "Specific strength of additively manufactured below-knee prosthetic sockets with ventilation designed through topology optimization," *Rapid Prototyping Journal*, 2025. DOI: 10.1108/rpj-09-2024-0407

V. Gubbala et al., "Design and development of patient-specific prosthetic socket for lower limb amputation," 2021. DOI: 10.21595/MSEA.2021.22012

Al-Maliky, F.T., Chiad, J.S. “Study and analysis the flexion moment in active and passive knee prosthesis using back propagation neural network predictive” Journal of the Brazilian Society of Mechanical Sciences and Engineeringthis link is disabled, 2022, 44(11), 533

Rajan, K., Samykano, M., Kadirgama, K., Harun, W. S. W. & Rahman, M. M. Fused deposition modeling: Process, materials, parameters, properties, and applications. Int. J. Adv. Manuf. Technol. 120, 1531. https://doi.org/10.1007/s00170-022-08860-7 (2022).

Ahmad, N. N., Wong, Y. H. & Ghazali, N. N. N. A systematic review of fused deposition modeling process parameters. Soft Sci. 2, 11. https://doi.org/10.20517/ss.2022.08 (2022).

Valvez, S., Silva, A. P., & Reis, P. N. (2022). Optimization of printing parameters to maximize the mechanical properties of 3D-printed PETG-based parts. Polymers, 14(13), 2564.

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Published

2026-08-26