Prosthetic Rehabilitation of an Amputated finger

Abstract

Along with functions like grasping and feeling, hands also have an esthetic impact and they can emphasize the beauty of a gesture or grace of a movement Finger and partial finger amputations are some of the most frequently encountered forms of partial hand loss.Whether the traumatic loss of limb or finger is due to war, congenital malformations, systemic diseases (diabetes), an industrial, domestic or vehicular accident, amputation leaves the individual with a long lasting emotional scar from the disfigurement.The concealment of the amputation with the help of reconstructive surgery or prosthesis usage can shield an amputee from social stigma and help improve emotional healing process.Fabrication of finger prosthesis is as much as an art as it is science. The traditional techniques of prosthesis fabrication as described in the review, via silicone and osseointegrated implant for anchorage of digital prosthesis serves an alternative to complex surgical procedures.

Updates of Ocular Prostheses. A review of biomaterials and design in anophthalmic socket

“…This had a hemispherical form, with the diameter of 2.5 cm and was made of a light material, probably bitum paste. Its surface was covered by a thin layer of gold, engraved with a central circle, representing the iris and gold lines patterned like sun rays [20,21]. In 1885, Mules P.H.…”

“…The main disadvantage of these types of non-porous ocular implants is represented by migration, which occurs more frequently than in porous implants, especially when there are muscles imbricated over the surface of the sphere [31,32]. Therefore, researchers have sought to cover these implants with different materials which facilitate the fixation of the extraocular muscles, such as polyester gauze or donor sclera, which also improve implant motility [21]. Nonintegrated implants include glass, silicone spheres [33] and PMMA [30].…”

“…A prosthesis used for ophthalmoplasty must have the following features: (1) retain the shape of the defective socket, (2) prevent collapse of the eye lid shape and accumulation of the fluid in the cavity, (3) provide proper muscle action of the eye lids, (4) maintain aesthetics: palpebral opening, coloration and gaze similar to the natural eye [29]. The prosthetic eye includes: oval whitish outer shell, which must imitate the sclera of the other eye and central round portion painted to look like the iris and pupil of the other eye [21]. In ocular prosthesis, iris button positioning is very important for the aesthetics ( fig.…”

Prosthetic Rehabilitation of Partially Amputated Finger With Customized Ring-a Case Report

“…Though advances in the microsurgical and plastic surgical reconstruction techniques have emerged, the reconstruction of the digits may not be successful for all patients and so rehabilitation has to be benefitted with a passive prosthesis. Though the passive prosthesis cannot perform function the purpose of prosthesis is to allow the patient to camouflage in the society 7 . According to Michael et al scoring of the finger model could improve the fitting of the prosthesis by mild compression of residual stump tissue 8 .…”

Replacement of Missing Hallux with Glove type Silicone Prosthesis- A Case Report

“…The primary purpose of prosthesis is to allow the patient to pass unnoticed, and concealment of prosthesis usage has been found to be an effective coping strategy. 8 Owing to the wider rate of acceptance, comfort, durability, stain resistance of customized silicone prostheses and patients unwillingness to go for any surgical procedure involving implants, the above-explained method of fabrication of prosthesis was opted. The additional functional benefits of silicone prostheses include desensitization and protection of the painful hypersensitive tissue at the amputation site by constant gentle pressure exerted over the affected area.…”