He wili niho a i ʻole ʻO ka mea hana lima he mea paʻa lima, mea mīkini i hoʻohana ʻia e hana i nā ʻano hana niho maʻamau, e like me ka wehe ʻana i ka palaho, ka hoʻopiha piha ʻana, ka hana ʻana i nā niho niho, a me ka hoʻololi ʻana i nā prostheses.