Progressive socket designs incorporate anatomic contouring to improve comfort, stability, suspension, range of motion, and, ultimately, function. Advancements in materials science have contributed to the continuing evolution of these designs. The progressive upper extremity practitioner should possess an understanding of the spectrum of socket designs and material characteristics in order to effectively address an individual’s unique physical presentation and occupational goals. This article demonstrates how integration of optimal anatomically contoured socket designs and materials significantly improves rehabilitation outcomes, exemplified through four case studies involving three anatomically contoured socket designs and one elevated vacuum design.
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