Above-Elbow (Transhumeral) Prosthesis
Above-elbow prosthetics that replace both elbow and forearm function.
Above-Elbow (Transhumeral) Prosthesis
A transhumeral, or above-elbow, prosthesis is required when amputation occurs above the elbow, meaning the device must replace elbow function as well as the forearm and hand. This adds mechanical and control complexity compared with below-elbow solutions, since elbow flexion, forearm rotation and hand function all need to be addressed.
Depending on residual limb length and the individual's goals, solutions can include body-powered elbows and terminal devices, myoelectric systems, or hybrid combinations that use different control strategies for the elbow and hand.
This solution is often discussed for:
- Amputation above the elbow joint
- A need to replace both elbow bending and hand/terminal device function
- Interest in body-powered, myoelectric or hybrid control systems
- Residual limb suitable for a supportive socket and harness or suspension system
Start with the person's needs, goals, existing situation and practical requirements.
Discuss the appropriate solution category, fitting considerations and customization options.
Fitting, training, adjustments and follow-up can be discussed as part of the individual pathway.
You don't need to know the product name first.
Residual humeral length and shoulder strength for control
How elbow, forearm rotation and terminal device functions will be coordinated
Weight of the overall prosthesis versus the strength needed to operate it
Suspension method — harness, suction socket, or a combination
A realistic functional training plan given the added mechanical complexity
Common questions about above-elbow (transhumeral) prosthesis.
Generally yes, since it needs to replace elbow function in addition to the forearm and hand, which adds components. Component choice and design can be discussed to balance function against weight and comfort.
Many systems allow switching control focus between the elbow and terminal device, and some advanced systems support more simultaneous control. The right setup depends on residual muscle signals and personal goals.
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