Carrying a pillion passenger with an above-knee amputation can be done safely, but it does require a few important adaptations and precautions to avoid serious risks.
The main danger arises from the prosthetic foot slipping off the footpeg while travelling. If the prosthesis catches on moving parts of the bike or contacts the ground, the result can be extremely dangerous, and such incidents have occurred in the past.
The simplest way to prevent this is to replace the pillion footpegs with footplates. The footplate on the prosthetic side should ideally have either:
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A raised rim around the heel and toe areas, or
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A light Velcro strap to hold the foot in place.
If using a strap, it’s crucial that it be light enough to separate in the event of an accident or if the bike is dropped, to avoid causing further injury.
Comfort is another key consideration. Depending on the type of prosthesis and the level of amputation, the standard footpeg position may be too high or awkward. In such cases, it can be lowered using a custom adapter plate, avoiding any need for frame welding and allowing for easy reversal to standard when selling the bike.
Because many amputees experience lower back strain due to changes in gait and posture, fitting a pillion backrest with lumbar support can also improve comfort and stability.
If the cost of these adaptations is a concern, the NABD Adaptation Grant Scheme can help cover expenses for pillion passengers with disabilities, just as it does for riders.
Finally, remember that the rider is legally responsible for the safety of any pillion passenger. It is therefore essential that all necessary adaptations are in place before carrying a disabled passenger to ensure both comfort and safety on the road.



