title: Custom-made silicone hand prosthesis: A case study.
abstract: Up to now, a cosmetic glove was the most common method for managing transmetacarpal (TMC) and carpometacarpal (CMC) amputations, but it is devoid of markings and body color. At this amputation level, it is very difficult to fit a functional prosthesis because of the short available length, unsightly shape, grafted skin, contracture and lack of functional prosthetic options. A 30-year-old male came to our clinic with amputation at the 1st to 4th carpometacarpal level and a 5th metacarpal that was projected laterally and fused with the carpal bone. The stump had grafted skin, redness, and an unhealed suture line. He complained of pain projected over the metacarpal and suture area. The clinical team members decided to fabricate a custom-made silicone hand prosthesis to accommodate the stump, protect the grafted skin, improve the hand's appearance and provide some passive function. The custom silicone hand prosthesis was fabricated with modified flexible wires to provide passive interphalangeal movement. Basic training, care and maintenance instructions for the prosthesis were given to the patient. The silicone hand prosthesis was able to restore the appearance of the lost digits and provide some passive function. His pain (VAS score) was reduced. Improvement in activities of daily living was found in the DASH questionnaire and Jebsen-Taylor Hand Function test. A silicone glove is a good option for more distal amputations, as it can accommodate any deformity, protect the skin, enhance the appearance and provide functional assistance. This case study provides a simple method to get passively movable fingers after proximal hand amputation.
authors: National Institute for the Orthopaedically Handicapped, Under Ministry of Social Justice and Empowerment, Government of India, B-T Road, Bon Hooghly, 700090 Kolkata, India. Electronic address: smitank7@gmail.com.
authors: S
authors: S
authors: Nayak
authors: National Institute for the Orthopaedically Handicapped, Under Ministry of Social Justice and Empowerment, Government of India, B-T Road, Bon Hooghly, 700090 Kolkata, India.
authors: P K
authors: PK
authors: Lenka
authors: National Institute for the Orthopaedically Handicapped, Under Ministry of Social Justice and Empowerment, Government of India, B-T Road, Bon Hooghly, 700090 Kolkata, India.
authors: A
authors: A
authors: Equebal
authors: National Institute for the Orthopaedically Handicapped, Under Ministry of Social Justice and Empowerment, Government of India, B-T Road, Bon Hooghly, 700090 Kolkata, India.
authors: A
authors: A
authors: Biswas
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000671:Amputation, Surgical / Q000534:rehabilitation*; D000672:Amputation Stumps; D005385:Fingers; D006225:Hand; D006801:Humans; D008297:Male; D059408:Pain Management; D010147:Pain Measurement; D019736:Prostheses and Implants; D011474:Prosthesis Design / Q000379:methods*; D012828:Silicones
chemical_list: D012828:Silicones
keywords: Amputation carpo-métacarpienne; Carpometacarpal amputation; Cosmetic; Cosmétique; DASH; EVA; Fonction; Function; Prothèse en silicone; Psychologie; Psychology; Silicone prosthesis; VAS