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Prosthetic Leg: To Cover or Not to Cover?

Posted by Bryan Potok, CPO on

When I first started my career as a Prosthetist in the late 90s, most—if not all—of my patients preferred to cover their prosthetic legs. Leaving prosthetic legs bare wasn’t the standard, to say the least. Covering prosthetic limbs and hiding the fact that one is a prosthetic wearer was the trend. 

A prosthetic leg cover designed by Alleles Design Studio Image by Alleles Design Studio

If someone chose to wear their prosthesis without a cover at that time, it was usually done out of convenience rather than a way to express their mettle. As a Prosthetist, I typically lean towards uncovered prosthetic legs because adjusting and realigning a prosthesis is even more difficult with a cover in the way. In fact, during the last decade, many a prosthetic cover were left damaged due to repeated removal to access the prosthetic components. Because of this, prosthetic covers are usually the last thing applied after receiving a new prosthetic leg. 

A badge of pride

Today, more and more people are choosing to bare their prosthetic legs and let the world know that they have surpassed great challenges. Prosthetic limbs are not seen as a source of shame but of pride.  

Cindy Charlton, a triple amputee, said it best in an article she wrote for Amputee Coalition:

“I want people to know that I wear prostheses. And, as much as I hate to admit it, it comes from a sense of pride, almost like being proud of some sort of accomplishment. As any lower-extremity amputee knows, there is a great deal of accomplishment and pride when you learn how to walk with a prosthetic leg. But even more than that, I want people to know that I have survived, and I want them to think, ‘Wow! If she can survive and accomplish that, then maybe I can survive and overcome the obstacles in my life.’ I want people to know that the human spirit is formidable, that any adversity and challenge is not too great to conquer.”

Because of this perspective shift, numerous amputees have graced news headlines. We have Brenna Huckaby, the first amputee to pose on the cover of Sports Illustrated; Shaholly Ayers, the first amputee model to walk the runway in New York Fashion Week; and Sen. Tammy Duckworth who made history as the first double amputee senator to cast a vote on the Senate floor with her newborn baby. 

Along with this perspective shift comes the various leg designs that express the personality of the wearer, from full carbon graphite look to 3D printed covers. 

Endless options

Back in the 90s, prosthetic-wearers only had more or less two options for a prosthetic cover: they can choose either a foam cover with cosmetic hosiery or a “life-like” silicone skin. Today, the possibilities are endless with fashion-forward 3D-printed covers from Alleles or Unyq, both of which take cosmesis—the art of making artificial limbs look lifelike—to a whole new level. 

3D-printed covers in various designs and color choices are available through your prosthetist. You can also get your prosthetic socket airbrushed by Prosthetic Ink. Dan Horkey, the founder of Prosthetic Ink, does fantastic work. 

The question of whether to cover or not to cover boils down to individual preference. But when it comes to getting the best of both worlds—in the sense of providing cover and style that reflects your uniqueness—3D-printed covers are your best bet. So, go forth and celebrate your unique style without sacrificing comfort. 

We’d love to know what your preference is. Share it with us in the comments section below. 

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9 comments


  • It really depends on my mood. Initially, I told my that I had no desire to try to make my prosthetic look like a real leg. Why pretend?

    Then, I found that table legs at restaurants left scuffs on my expensive equipment, and agreed to options from Alleles. I have one which is very open, which I put LED lights into for the holidays, and one that is silver. If I wear dress pants, I cover, so my cuffs freak at the right point. But, since I wear shorts 80% of the time, I usually go with a socket onto which I’ve laminated a custom fabric image using a piece from AmpuTshirts on Etsy.

    Rex Burruss on

  • RBKA 8/8/2016 I wear an Alleles cover for protection , I have a sleeveless elevated vacuum suspension system and a VERY active job ( fork lifts & pallet jacks ) it’s more economical to break & replace a $500 cover then a $40K leg , and the fact that they are beautiful and Girly in a mans job doesn’t hurt one bit :D

    dee southard on

  • Personally, I like embossing the socket of my BK Prosthesis with a picture from my past. In the summertime I don’t have to think twice about wearing shorts out in public. I’ve been an amputee since the late 70s so I have adapted to this way of life. If people want to look, so be it, if not, so be it. I am, what I am.

    Bobb Wright on

  • I had my amputation in 1971 and was anxious to appear “normal”. Just a few years ago, I opted for the new type of prosthesis which was not made to be covered so I went with that. I’m proud of what I have achieved and no longer care about the appearance.

    Jettie Sue Holmes on

  • Bare it all.
    I am particularly concerned about curious young children . . . I want them to be comfortable and I encourage questions from them. As said, the human spirit is undaunted – I want people to know that.

    Peg on


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