There are differences in the approach, acceptance, and management of the upper limb amputee versus the lower-extremity amputee.

The upper limb prosthesis does not replace the sensory function of the hand and is best used as a mechanical tool (76). The hand is used to explore the environment and to manipulate objects within it. The hand needs to reach the body and pre­cisely approach an object, grasp, and then release it. Acceptance of the prosthesis is variable (77). Frequently, the exposed skin of a deficient limb is preferable to an encased limb. Stump sensation may even be enhanced to compensate for the loss of prehensile area (78).