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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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  • 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

  • I would like to wear colorful “skins” on mine but so far haven’t been able to afford them.

    Greita on

  • Where can I see fun ideas for prosthetic covers?
    I know It could be better than a leg trying to look real

    Kelly Greenfield on

  • Always have my covered and have issues sometimes with it having to be cut to get to sdjustments. As I’m older I love this way of doing things. Will talk to my leg man about this. I too am proud of dealing with this leg and over coming people knowing I am an amputee. Keep up the information!

    Marlets BInninger on

  • I have a congenital upper extremity prosthesis and I think the same goes for us. I’m 50 and I felt that I had to cover up my prosthesis and straps. I think I may have interrupted it as shame or that it was ugly. I am going to try have to take on the pride of wearing my prosthesis with far more intention now.

    Mary on

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