Myoelectrics for the Achiria and Partial Hand Amputee
H. R. GALWAY, MD, S. HUBBARD, DIP. P and OT, BSC, ANDR. DAKPA, CP(C)*
Successful provision of myoelectric prostheses to children with belowelbow amputations has led to a similar demand for the achiria and partial hand amputee. Consequently, The Hugh MacMillan Medical Centre has provided myoelectric prostheses to a significant number of these patients. The fitting approach is a break with tradition and it is therefore considered appropriate to review our experience. Our subject group of 36 children consists of 15 achirias, and 21 partial hand (adactylia, aphalangia) amputees. Twenty-four are male and 12 female. Age at time of fitting ranges from 15 months to 19.5 years with a mean age of 9.3 years. Follow-up time is 4 months to 7.7 years with an average of 3 years. Ten children have discontinued use while the other 26 have wearing patterns which vary from full-time wear to occasional social use. Radiological material in combination with appropriate case reports highlight the indications for fitting, problems encountered, and prosthetic modifications required.
*The Hugh MacMillan Medical Centre, 350 Rumsey Road, Toronto, Ontario M4G 1R8