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Sheet Plastics and Thermoforming

Thermoforming is a common practice in P&O to fabricate test sockets, flexible sockets, orthoses, and other products. It may be used with various types and thicknesses of thermoplastic sheets. Plastic selection is dependent on many different factors as described in the chart and in the text below.

Material

Structure

Density (g/cm3)

Tensile
Strength (ksi)

Elong.
(%)

Flexural Modulus
(ksi)

Izod Impact
ft-lb/in

Fatigue*
(MPa)

Additional notes

Use in P&O

ASTM Method D 792 D 638 D 638 D 790 D 256
Polyethylene Terephthalate Glycol (PETG) (e.g.,Vivak) Am 1.27 7.7 140 310 High stiffness 1.7
  • Clear/transparent
  • Notch sensitive – avoid stress risers
Test sockets
 Polypropylene (PP) Cr 0.9 5.4 200 225 1.2
  • Blemishes easily – avoid touching surface when hot
  • Notch sensitive – cut circumferentially to relieve stress
  • May warp – leave vacuum on 2x melting time
  • Shrinkage 1.5-2%
Lower limb orthoses
Copolymer (CP) – a PP and PE blend Cr 0.9 5 200 135 6 24
  • Blemishes easily
  • Creep
  • Exhibits signs of crazing
  • Shrinkage 1.5-2%
Lower limb and Spinal orthoses
High Density Polyethylene (HDPE) ≤95% Cr 0.95 4 100 200 No fracture 19
  • Blemishes easily
  • High creep
  • High shrinkage 3-3.5%
Prefab devices
Low Density Polyethylene (LDPE) 60% Cr 0.92 1.4 500 30    Low stiffness No fracture
  • Blemishes easily
  • Creep
  • Shrinkage 1.5-3%
Flexible inner, pediatric AFOs, upper splints
Material

Structure

Density (g/cm3)

Tensile
Strength (ksi)

Elong.
(%)

Flexural Modulus
(ksi)

Izod Impact
ft-lb/in

Fatigue*
(MPa)

Other

 Use in P&O

Ethylene Vinyl Acetate (EVA) – a CP of ethylene and vinyl acetate

(proflex, orfitrans, northvane)

Semi-Cr 0.9-1.13 3.6 2.5
Very low
  • Blemishes easily
  • High creep
  • High elasticity and flexibility, with elongation at break ranging from 500% to 900%
  • Good impact resistance and toughness, even at low temps
  • Excellent stress-crack resistance
Flexible inner sockets
Surlyn Ionomer Am 0.94 2.1-5.4 400 4-8 6
  • Blemishes easily
  • High creep
Flexible inner liners
Acrylonitrile Butadiene Styrene (ABS) Am 1.05 4.3 20 300 6.6 16
Dummy parts
Thermoplastic Elastomer (TPE) Semi-Cr and Am 1.7 31
Foot orthoses
Polycarbonate Am 345 12-16
  • Hydrophilic, rigid, sensitive to acetone
Face masks
Kydex – acrylic and PVC Am 335
very stiff
18
  • Abrasion resistant
  • Can be formed without vacuum
Spinal orthoses
Procomp Lower limb orthoses
Material

Structure

Density (g/cm3)

Tensile
Strength (ksi)

Elong.
(%)

Flexural Modulus
(ksi)

Izod Impact
ft-lb/in

Fatigue*
(MPa)

Other

 Use in P&O

 

  • Structure: Crystalline (Cr) polymers have highly ordered, repeating molecular arrangements that form distinct crystal structures, resulting in materials with sharp melting points (Tm), high strength, and low permeability.
  • Semi-crystalline (Semi-Cr) polymers contain both crystalline regions (ordered domains) and amorphous regions (disordered areas), giving them a balance of properties like moderate flexibility and strength with a melting temperature range rather than a sharp point.
  • Amorphous (Am) polymers have completely random, disordered molecular arrangements with no crystalline structure, making them more flexible, transparent, and exhibiting a glass transition temperature (Tg) instead of a distinct melting point.

Justify your reasoning for selecting materials using these properties

Stiffness, i.e., elastic modulus. Flexural rigidity equals the elastic modulus (E) multiplied by the area moment of inertia (I), e.g., geometry.

  • Consider how much bending the plastic must be resist.

Tensile Strength – Resistance of a material to breaking under tension.

  • Consider how much tension the plastic will need to resist, e.g., at location of screws.

Izod Impact Strength – Resistance to fracture when subjected to a sudden impact load

  • Consider how the patient may create impact forces on the device, e.g., jumping or stepping over curbs/steps.

Creep or cold flow (viscosity) – tendency of a solid material to slowly move or deform under the influence of mechanical stress

  • Consider areas that need to withstand sustained loads, e.g., windows of lower limb sockets.

Glass transition temperature (Tg) – Temperature at which an amorphous polymer changes from a hard/glassy state to a soft/leathery state, or vice versa.

  • Consider the fabrication methods. Amorphous plastics have a large operational range (as compared to semi-crystallines), allowing the ability to bubble form. Additionally, Tg is related to the tensile strength, impact resistance, modulus of elasticity, and its operational temperature range.

Coefficient of friction – amount of friction between two objects 

  • Consider the neighboring materials and/or part body part.

Molecular Weight – the total mass of all the atoms in a molecule

  • Consider the type of printer and intended use of the component part. The lower the molecular weight the more runny the material is when in the melt state making it easier to extrude, however it stretches more when forming, and is less fatigue resistant and less impact resistant.

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Lab Safety, Tools, and Techniques in Prosthetics and Orthotics Copyright © by Sue Spaulding; Amanda Barizo; Susan Kapp; and bryan roehr. All Rights Reserved.