Reasons for prosthetic rejection by children with unilateral congenital transverse forearm total deficiency

Lisa V. Wagner, Anita M. Bagley, Michelle James

Research output: Contribution to journalArticle

11 Scopus citations


As many as half of children with unilateral congenital transverse forearm total deficiency (UCTFTD) choose not to wear a prosthesis. In a multicenter study, 489 children and young adults aged 2 to 20 years with UCTFTD and their parents were tested for satisfaction, quality of life, and function. One hundred sixty-eight (34%) of those tested had chosen not to wear a prosthesis. Subjects and parents were asked the open-ended question "What are the reasons for not wearing a prosthesis?" and were allowed to give more than one response. Of the 135 subjects who had chosen not to wear a prosthesis and who responded to the question, the reason most frequently (53%) given was that the prosthesis did not help function. Forty-nine percent reported they stopped wearing it because the prosthesis was uncomfortable. Currently, upper-extremity prosthetic management for children with UCTFTD is a matter of controversy, with some clinicians advocating the need for prostheses to accomplish bilateral hand tasks, particularly in the scheme of normal development. Responses from children who do not wear a prosthesis may aid practitioners in re-evaluating the prosthetic role and potentially improve prosthetic options.

Original languageEnglish (US)
Pages (from-to)51-54
Number of pages4
JournalJournal of Prosthetics and Orthotics
Issue number2
StatePublished - Apr 2007



  • Comfort
  • Function
  • Prosthesis
  • Rejection
  • Satisfaction

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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