Source of Support: None, Conflict of Interest: None
Trauma or ablative surgery in the shoulder region for malignant tumours may result in a forequarter amputation, disarticulation at shoulder or lead to a loss of a large segment of bones and muscles of the shoulder girdle. Such major loss presented several problems to the patient like functional and cosmetic loss and danger of mechanical damage to the remaining part of upper extremity. The problems are more distressing if the dominant upper limb is involved. Sophisticated upper limb prostheses have been developed for such patients but they are expensive and difficult to maintain. A mechanical device is more suited to Indian patients and conditions. At the Artificial Limb Centre Poona, modified prostheses and orthoses have been designed to solve some of the problems of these patients with a loss in the dominant upper extremity.