Article

The fitting of short finger stumps with silicone prosthesis
is a challenge because of the suboptimal finger-prosthesis contact due to length
and distal tapering of digital stumps. The purpose of this report was to describe
and evaluate the Micropore()-polyvinyl chloride tube technique for fitting short
finger stumps. Technique: For a total of 10 patients, short finger stumps were
fitted using the technique. A short length of polyvinyl chloride tube, trimmed
and contoured to fit, was secured on the distal stump tip with Micropore tape.
The prosthesis was worn over the polyvinyl chloride tube extension. Three
different fitting methods were evaluated: fitting with and without the
Micropore-polyvinyl chloride tube technique, and with the use of skin adhesive on
the stump. Discussion: All patients achieved a very secure prosthetic fit with
the Micropore-polyvinyl chloride tube technique. No incidences of prosthesis
slippage were reported at the longest follow-up of 30 months. The
Micropore-polyvinyl chloride tube technique is an effective method for fitting
short finger stumps. Clinical relevance The Micropore-polyvinyl chloride tube
technique presents a nonsurgical method for fitting short finger stumps. It can
help avert late outcomes whereby patients, after having undergone surgery to
enable fitting, found they no longer need prosthesis.

Langue : ANGLAIS