A Balance Between Body Power And Electric Prosthesis For An Above Elbow Patient

Over the period of the last four years it has been possible to monitor in greater detail a pattern ofsupply of myoelectric prosthesis to patients within the Trent Region The pattem of supply of myoelectric prosthesis has changed from being one of congenital below elbow amputations with just a few above elbow amputations. The numbers are now roughly half congemtal below elbow and half adult above elbow using different inyoelectric control systems and combination of body powered elbows to maximise efficiency of use (See Tables 1 and 2). The addition of power source to tbe patients prosthesis has never been considered in isolation, but as an integral part of the rehabilitation programme, the patient often taking manysmall steps before achieving use of a myoelectric prosthesis. The supply of prostheses in Trent Region is Private Contractors worldng along side the Consultant and Therapist who work for the National Health Service. The private contractors tender for a contract every 3 years at which time all component prices are decided together wah a maintenance cost to service limbs already supplied to clients Each Region (there are 14 In the U.K) has a yearly budget whicla is strictly adhered to Ts to our knowledge has not affected the supply of prostheses It does mean we look for good value for money.