Customised Silicone Finger Prosthesis for Functional and Cosmetic Rehabilitation of Amputated Fingers

Introduction: The primary functions of hands are to grip, hold, and move objects. A hand gesture is the most visible form of nonverbal communication. Finger amputation results in both functional and psychological impairments. Silicone prostheses offer an aesthetic and non-invasive rehabilitation option. A patient with finger defects has high expectations for their prosthesis, which can lead to significant psychological distress in addition to an immediate loss of grip strength. Case Description and Procedure: In this case series, both young males with traumatic amputation of the distal phalanges were rehabilitated using a customized silicone prosthesis by sculpting the wax pattern with intricate details. The prosthesis was fabricated using impressions of the contralateral fingers, medical-grade HTV silicone, and a finger ring was incorporated to assist with retention and to obscure junction lines. Conclusion: Both the case reports emphasize that silicone finger prostheses, when anatomically and chromatically customized, can restore esthetics, passive function and improve patient satisfaction after traumatic digit loss.