Spoiler alert! There is no “best” upper limb prosthesis. There may be a best upper limb prosthesis for you, but there is no overall best. Wonder why?  

Because different devices serve the goals of different people. Some people really enjoy the cool robotic look of a multi-articulating myoelectric device, and they don’t do dusty or heavy-duty work, so for them, that is the best prosthesis. Others love the ruggedness of a body-powered or passive-positional device, and they need something that can get dirty on the job, so that is the best prosthesis for them. If someone wants their limb difference to be less obvious, a custom silicone restoration might be the best prosthesis. And of course, let’s not forget activity-specific devices that help our patients lift weights, ride bikes, kayak, play Frisbee golf, go fishing, play pool, go hunting, do yoga, exercise, go bowling, etc. … 

How can you know which is the best prosthesis for you, especially when you may not have any idea what’s out there? It’s not like prostheses are advertised on TV. In fact, it's unlikely you’ll see anyone with a limb difference on TV (though wouldn’t it be nice if that changed?). Well, our Upper Limb Library provides you with a lot of information about what devices are available. Our clinical team, which is made up of our prosthetists and therapists, can also lead you through your options.

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This is the time to think about what you want. Don’t be afraid to dream big. In an ideal world, what would your prosthesis be able to do? How would it look? What are your goals, at work and at home? Do you have hobbies or is there a new hobby you’d like to explore? Keep in mind that life with a prosthesis is a journey your needs may change with time, you may need more than one device to help you pursue your goals, or technology may change. For instance, our patient Kiersten really liked her first prosthesis, a bebionic. "My first myoelectric hand was great. I really enjoyed wearing it. But I did have to turn it off if I wanted to, say, pick up a glass. I didn’t want to drop a glass if I accidentally moved a muscle and the hand automatically opened. But with my newer hand, the TASKA CX, I just use my other hand to hit the lock button on the back plate of the hand, and it locks. When I unlock, it’s still in the same position whereas before, when my previous hand turned back on, it would return to the home position each time. I’d have to make sure I could put down or drop whatever I was carrying. But with the TASKA CX, I don’t have to worry about that. It also turns on a lot faster with just a quick click."

While it's good to have ideas about what would best serve you best, it’s also key to be flexible, for several reasons. One is that while you are the expert on your body and your needs, our prosthetists and therapists are the experts on upper limb prosthetics. Our patient Shane, pictured below, has a partial amputation of his pinky and ring fingers, and was able to adapt to a different plan than what he initially had in mind. “Originally, I was convinced that I needed a Naked Prosthetic device for my ring finger. And I thought for sure, I don’t want anything else, that’s my only option. My Arm Dynamics prosthetist discussed the pros and cons with me, and I actually went a completely different route.” Shane learned that other options were available, and it turned out that a Point Designs Digit was better for him. So, he has a passive-positional Point Designs Digit on his residual ring finger, and a body-powered Naked Prosthetics device on his residual pinky finger. Passive devices like Point Designs prosthetic fingers mean that Shane manipulates the grip of the finger with his sound hand or by pressing it on his leg or a nearby surface.

Shane Main

Here’s another reason to be flexible: your insurance company may also come into play when looking at your options. Sometimes it isn’t particularly difficult to get what you need/what you’re looking for, and other times it can be a long-term process with denials, appeals and, possibly, compromises. Our team can guide you through all of that, including how to advocate for yourself.

The world of upper limb prosthetics is pretty vast, and it’s expanding all the time. You don’t need to sift through all of it to find the perfect device that’s what we’re here for. If you or someone you know would like to learn more about what may be the best prosthesis for you, please contact us. Not only do we pair you with a prosthesis that will be functional and work well for your situation, but our occupational therapists also teach you how to use it. We can’t say which is the best prosthesis, but in our opinion, the best option for upper limb prosthetic care is, well, us.

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