Myoelectric Fitting at the Level of Wrist Disarticulation

WILLIAM R. NICHOL, CPO AND LORI WIEBE, OT(C)*Winnipeg, Manitoba


Prosthetic management of the wrist-disarticulation amputee presents some unique problems, particularly when a young child is involved. First, there is the question: "Should these patients, who have long, partially functional amputation limbs, be fitted with myoelectric prostheses?" and if so, "at what age?" Second, if it is decided to proceed with the fitting of a prosthesis, "How do you overcome problems such as inadequate suspension and unacceptable .appearance?", as there is often a minimal amount of area to accommodate the necessary components.

The approach at the Rehabilitation Centre for Children, Winnipeg, to the management of children with distal upper-limb amputation, problems which have .been encountered when fitting such patients and some solutions which have evolved over the past few years were presented.

*Rehabilitation Centre for Children, 633 Welling Crescent, Winnipeg, Manitoba R3M 0A8 Canada