Presenter: John W. Michael, Clinician and prosthetist/orthotist educator from the USA, will present a session for practising prosthetists on complex clinical cases of upper limb amputees.

This lecture uses digital photos and video to present a series of “virtual patients” who present with an unusual or complicated clinical picture that includes a unilateral upper limb deficiency. The audience is able to “see” each patient’s residual limb and a summary of pertinent clinical findings. The discussions that follow illustrate the specific biomechanical problems presented by each individual, along with their personal rehabilitation goals. The specific approach taken to successfully fit each patient will be presented along with the results of follow-up regarding the long-term outcome. Alternative methods of treatment are also discussed, and the relative advantages and disadvantages reviewed.