Active Hands have designed the Limb Difference aid specifically for those who have fingers or parts of hands missing. To use them you do need a wrist so that the aid has something to pull against. The D-Ring aids can be used without any hand parts and can clip onto a karabiner. We can make bespoke aids (extra charges may occur) if you find that none of our products are suitable for you. Please visit our webpage for bespoke aids.