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Our
upper extremity care includes finger,
partial hand, hand, wrist disarticulation,
below-elbow, above-elbow, shoulder-disarticulation,
and forequarter amputees. Advances
in electronics, micro-chip technology,
specialized terminal devices, and lightweight, contoured sockets have
brought dramatic improvements to upper extremity prosthetics. Our
upper-extremity specialists are dedicated to helping you discover the
combination of componentry that will best meet your needs.
The socket is the critical first component
in all our upper extremity prosthetic
designs. Each socket is custom contoured
to fit the bone, muscle, vascular and
nerve areas of the residual limb. The
result is a socket that has total contact
and even pressure with all the surfaces
of the residual limb. That means greater
comfort, increased muscle function, better
suspension and greater range of motion.
The conventional
or body-powered prosthesis uses
a harness to suspend the arm and
fastens around the patient’s
upper torso. A cable extends from
the harness to a mechanical hand,
hook or elbow; exaggerated upper
body movements activate the cable,
which controls the prosthesis.
A much different
approach is seen in the electrically-powered
prosthesis where motors open and
close the hand, flex and extend
the elbow, or rotate the wrist.
This type of prosthesis is often
referred to as myoelectric. By
contracting muscles in the residual
limb, the patient activates the motor
in the elbow, wrist or hand. The
most advanced myoelectric arms have
proportional control hands and flex
wrists.
One exciting
new technology allows the patient
to connect the arm to their own
computer and, using a special software
program for technical troubleshooting, make
minor adjustments on their prosthesis. It
is also possible for the prosthetist
to be involved by way of computer
modem when more complex analysis
and adjustments are necessary.
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