Consealing Amputation- A Case Report on Finger Prosthesis

Abstract

Fingertip amputations, particularly involving the distal phalanges, represent a common yet debilitating form of hand injury that severely impacts manual function, aesthetics, and psychosocial well-being. One growing cause of such injuries is trauma from motorcycle spoke wheels during improper cleaning practices. This case report outlines the prosthetic rehabilitation of a 23-year-old male patient with an Allen’s Level IV partial amputation of the left index finger. A novel approach tired hereby incorporating fiber reinforced glass tape during the prosthesis fabrication process to enhance structural strength, achieve aesthetic realism, and ensure functional retention post-insertion. This highlights the value of customized silicone finger prostheses as a viable non-invasive solution for restoring aesthetics and basic hand function in patients averse to surgical options.

Keywords:

Amputation, fiber-glass tape, Index Finger, Silicone Prosthesis

References

Jerome JTJ. Reconstruction of motorcycle spoke wheel injury fingertip amputations with reposition flap technique: a report of 40 cases. Eur J Trauma Emerg Surg. 2020;46:1–6. doi:10.1007/s00068-020-01462-6.

Kumar KH, Chacko N, Kapoor K, Mohan S. Implant retained silicone finger prosthesis with customized abutment and a telescopic attachment: a case report. IOSR J Dent Med Sci. 2024;23(6):1–5.

Peterson SL, Peterson EL, Wheatley MJ. Management of fingertip amputations. J Hand Surg Am. 2014;39(10):2093–2101. doi:10.1016/j.jhsa.2014.04.025.

Meier RH. History of arm amputation, prosthetic restoration, and arm amputation rehabilitation. New York: Demos Medical Publishing; 2010.

Pillet J. The aesthetic hand prosthesis. Orthop Clin North Am. 1981;12:961–70.

Aydin C, Karakoca S, Yilmaz H. Implant-retained digital prostheses with custom-designed attachments: a clinical report. J Prosthet Dent. 2007;97(3):191–5.

Cervelli V, Bottini DJ, Arpino A, et al. Bone-anchored implant in cosmetic finger reconstruction. Ann Chir Plast Esthet. 2008;53:365–7.

Doppen P, Solomons M, Kritzinger S. Osseointegrated finger prostheses. J Hand Surg Eur. 2009;34(1):29–34.

Aydin C, Nemli SK, Yilmaz H. Outcomes with implant-retained finger prostheses. Prosthet Orthot Int. 2012;36(1):102–8. doi:10.1177/0309364612449850.

Jacob PC, Shetty KH, et al. Silicone finger prosthesis: a clinical report. J Prosthodont. 2012;21(7):573–7. doi:10.1111/j.1532-849X.2012.00886.