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1407 E. Michigan Ave., Jackson 517-784-1142 770 Riverside Ave., Suite 101, Adrian 517-263-3310
CHAPTER XXVI - Double Arm Amputations
The amputation of both arms is a deplorable loss and presents the strongest appeal to the artificial limb maker. The subject is absolutely dependent upon others unless artificial arms are applied. He is neither able to feed himself, prepare his food, dress himself, or perform labor of any kind. Something must be done to better his unfortunate condition. If not, he is obliged to remain dependent upon some kindly disposed friend or relative. Anything that will help him in his condition, no matter how little, will be a benefit and will materially lessen the burden on others.

Cut V 1 represents the amputation of both forearms, leaving stumps that are long and powerful. Cut V 2 represents double forearm amputations, stumps short. Cut V 3 shows artificial arms applied. Artificial arms, under control of long and powerful stumps, will enable the wearer to prepare his food at the table, convey it to his mouth, perform labor of a great variety, carry articles of considerable weight, write a legible hand, open and close a door, and attend to the adjustment of his own attire to a reasonable degree.

When the stumps are short, the range of utility is correspondingly lessened.

The use of spring thumbs is always desirable in double arm amputations, and unless otherwise instructed, we assume that they are wanted and construct the hands accordingly.

Cut V 4 represents double arm amputations, one immediately above the wrist, and the other above the elbow. Cut V 5 represents similar cases, with artificial arms applied.

Cut V 6 represents amputations of the right hand at the wrist and the left arm at the shoulder. A pair of artificial arms were applied to this case with gratifying results.

The right artificial arm was under control of the natural elbow. The left was secured to the stump by straps with a locking attachment at the elbow and clamp at the wrist. Considerable labor was capable of being performed by the right, the left arm depending upon a strap passing around the body for flexion and extension of the elbow.

Cut V 7 represents a young man with both arms amputated above the elbows, the result of a railroad accident. Cut V 8 shows him with a pair of artificial arms applied. As may be surmised, the arms were of very limited use, but, nevertheless, they mitigated his affliction to a compensating degree. By the working of his right shoulder, he was able to bring the artificial forearm to right angles. In this position it would remain, providing a means by which articles could be laid on the forearm and carried. His left arm could be flexed by means of the stump, which was long and powerful. When at extension, a pail, basket, or valise could be carried, and other services performed. The arms rescued him from a life of absolute idleness.

Cut V 9 represents a man who, while attending his duties on a railroad, was overtaken by a severe storm, and before he could reach shelter, both feet and hands were frozen. It was necessary to amputate the right hand between the thumb and wrist and the left at the base of the fingers and thumb. The great toe was removed from the right foot, and the left leg amputated a little above the ankle. The same cut shows a pair of artificial hands and an artificial left leg suitable for the case. Cut V 10 represents the limbs applied. Each hand had moving thumbs, which were connected with levers, operated by the forearm. When the stumps were flexed the levers would force the thumbs against the index and middle fingers. When the stumps were extended this pressure was released, and the thumb was permitted to withdraw. An artificial leg was applied to the left side. By these appliances this person was rendered capable of earning his livelihood.

Comment from follow-up survey
Everyone was very nice to me and very helpful. I am very satisfied with the Orthotics. My foot Dr. made the comment that the Orthotics were nicely done. I was always treated with respect.