Hand of a Superhero

Kevin Liles for The New York Times Ethan Brown, 8, of Opelika, Ala., was born with two fingers missing on his left hand. Now he wears a Cyborg Beast in black and red, his school colors. It looks like Ironman or Spider-Man, he said. The materials for a 3-D-printed prosthetic hand can cost as little as $20.=

Dawson Rivermans parents tried to help him make the best of it.

Born without fingers on his left hand, Dawson struggled to perform even the simplest tasks, like tying his shoes or holding a ball. God made you special in this way, his parents told him. But by age 5, Dawson was demanding tearfully to know why.

The Rivermans, of Forest Grove, Ore., could not afford a high-tech prosthetic hand for their son, and in any event they are rarely made for children. Then help arrived in the guise of a stranger with a three-dimensional printer.

He made a prosthetic hand for Dawson, in cobalt blue and black, and it did not cost his family a thing. Now the 13-year-old can ride a bike and hold a baseball bat. He hopes to play goalkeeper on his soccer team.

Hes realizing he can do things with two hands and not have to try to figure out how do them, said his mother, Dawn Riverman.

The proliferation of 3-D printers has had an unexpected benefit: The devices, it turns out, are perfect for creating cheap prosthetics. Surprising numbers of children need them: One in 1,000 infants is born with missing fingers, and others lose fingers and hands to injury. Each year, about 9,000 children receive amputations as a result of lawn mower accidents alone.

State-of-the-art prosthetic replacements are complicated medical devices, powered by batteries and electronic motors, and they can cost thousands of dollars. Even if children are able to manage the equipment, they grow too quickly to make the investment practical. So most do without, fighting to do with one hand what most of us do with two.

E-nable, an online volunteer organization, aims to change that. Founded in 2013 by Dr. Jon Schull, the group matches children like Dawson in need of prosthetic hands and fingers with volunteers able to make them on 3-D printers. Designs may be downloaded into the machines at no charge, and members who create new models share their software plans freely with others.

The materials for a 3-D-printed prosthetic hand can cost as little as $20 to $50, and some experts say they work just as well, if not better, than much costlier devices. Best of all, boys and girls usually love their D.I.Y. prosthetics.

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Hand of a Superhero

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