The Role of Amputation and Myoelectric Prosthetic Fitting in Traumatic Adult Brachial Plexus Injury.

Elective amputation with myoelectric prosthesis fitting is an emerging option for adults with complete traumatic brachial plexus injury who fail to regain functional grasp after nerve reconstruction. Recent advances in surgical signal creation and prosthetic technology enable select patients to achieve reliable prosthetic control, improved function, and enhanced quality of life. Careful multidisciplinary evaluation, intensive signal training, and tailored rehabilitation are essential for success. While neuropathic pain often persists, most patients report high prosthesis use and satisfaction. Ongoing research is needed to optimize prosthetic control, pain management, and long-term outcomes in this challenging population.