In a recent above-elbow fitting, prosthetists at Allied OP and Open Bionics worked together to deliver a hybrid prosthetic configuration centered on functional use and patient choice.
Complex upper-limb cases can often require cross-clinic collaboration and practical technology. Angelo Russello, a senior prosthetist at Allied OP, is often referred upper-limb cases across multiple offices because of his extensive experience. A recent case involved an adult above-elbow amputee who expressed interest in the Hero PRO myoelectric hand after learning about the technology online.
“
“The idea was to give her flexibility. She can function with a hook day to day, but wanted to use a hand when it makes sense”
”
Because she presented with reduced function in her sound arm, a bionic hand would help with daily tasks that required grip and precision. However, the clinical evaluation showed limited viable control sites on her upper arm, ruling out a fully powered myoelectric elbow as well.
A hybrid approach offered a practical solution.
“The idea was to give her flexibility,” Angelo explained. “She can function with a hook day to day, but wanted to use a hand when it makes sense.”
The final configuration paired a body-powered hook with a myoelectric hand using our standard quick-disconnect wrist adapter, allowing the patient to switch terminal devices depending on the task.
Angelo worked closely with Daniel Green, clinician at our Open Bionics clinic in New York City, to review compatibility, fabrication considerations, and system setup.
“This was a strong collaboration from the start,” Daniel said. “Our professional relationship began with a referral and has quickly turned into ongoing communication around advanced bionic technology, training, and fabrication.”
Angelo led the clinical decision-making throughout the process, Daniel explained. “Our role was to support that process by reviewing compatibility and making sure the components worked together the way Angelo needed them to.”
The hybrid configuration also addressed common insurance coverage and fabrication constraints.
“The ability to support a true hybrid configuration is important,” Daniel said. “It allows clinicians to incorporate a myoelectric hand alongside body-powered options within one system.”
Using a single socket for both devices reduces the need for additional fabrication, and has shown to support long-term adoption.
“
“This approach makes it possible to support the patient with multiple options without requiring separate sockets”
”
“At the end of the day, the goal is to give someone a prosthesis they’ll actually use,” Green said. “This approach makes it possible to support the patient with multiple options without requiring separate sockets.”
If you’re curious to know how our bionic technology could help you reach your goals, ask your certified prosthetist about the Hero PRO.
We work with clinicians to support the best possible outcome. Connect with our team for training on our advanced bionic technology to know what’s available for your patients.
English 
USA 
German