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It's been asked a number of times but I don't have any plans to add them.
That's vanilla behaviour and this mod does not make any changes to it. A Prosthetic Arm which is also vanilla replaces the shoulder, arm, hand and fingers. If the shoulder is still attached the game might be stupidly considering you replacing the limb rather than giving them a full new limb. There could also be something with Ideology or Traits where they don't like non natural things. It could also maybe be due to the Prosthetic Arm having a worse efficiency than a normal arm.
I haven't dabbled much with patching up NPC pawns with prosthetics so I'm not sure about the specifics of what is allowed and what isn't. There should be a mod or two floating around to remove the restriction if need be although I don't know the name of any offhand.
If a prisoner has a missing arm, and I surgically attach a prosthetic arm, I am getting unhappy faction: harmful surgery performed on member.
Like in vanilla Archotech items can only be found or purchased. They can't be crafted.
I didn't add a prosthetic jaw because the denture already provides 80% efficiency which is exactly what the prosthetic jaw should have if properly balanced around the vanilla numbers. Check your medical area is clean, well lit, has a good bed, your doctor has good manipulation and they aren't high on drugs. If all of that is fine you might be lucking out and hitting the 2% chance to fail operations.