Designing a Digital Toolchain for Prosthetics: a Retrospective

From 2014 until 2020, I participated in the development of a novel CAD/CAM system for lower-limb prosthetic sockets for use in Lower and Middle Income Countries (LMIC) orthopaedic clinical settings. This article provides an overview of the value principles that guided that work and the ways in which we attempted to support the clinical needs of our prosthetists and others in the clinical contexts. It will highlight how the health economic framework that is key to this special issue well describes the design choices we made in order to attend to the multiple levels of concerns and stakeholders we identified as key to success.