Novel approaches to fitting and implanting finger and nail prosthetics

• Published in: International journal of artificial organs Vol. 44; no. 12; pp. 1021 - 1028
• Main Authors: Elsheikh, Mogeeb Elrahman Abduelrahman Ahmed, Horowitz, Max E, Vandersea, James, Giladi, Aviram M
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01-12-2021; Wichtig Editore s.r.l
• Subjects: Amputation Stumps; Amputees; Artificial Limbs; Assembly; Design; Finger; Fingers; Humans; Metal sheets; Prostheses; Prosthesis Design; Prosthesis Fitting; Prosthetics; nail; Finger socket; lanced sheet; snap fit
• DOI: 10.1177/03913988211018227
• EISSN: 1724-6040
• ISSN: 0391-3988

Purpose:
This work presents unique designs for prosthetic restoration of the distal finger. We first discuss fitting a prosthetic nail in order to restore the cosmetic deficit caused by partial or complete nail injury. This concept is inspired from snap fit and lanced sheet metal technology. We also discuss new approaches to designing and fitting a full fingertip prosthetic with a special suspension and a socket for more complete cosmetic fingertip restoration.
Methods:
The designs utilize the compliance and higher strain level of hinges to fit the prosthesis with either the residual nail or to the distal-most aspect of the amputated fingertip. These techniques require preparation of the residual nail to match the fabricated nails well as design of a snap fit nail prosthetic. The socket and suspension design of the full fingertip prosthetic is formed with a spring shape and has an open end to allow proper molding, fit, and suspension.
Results:
The introduced approaches simplify the assembly steps and propose unique, cosmetically appropriate, and potentially less irritating prosthetic options compared to what has been previously used. The socket of the finger has an ability to expand and can be worn on any stump size.
Conclusion:
Low cost, fewer parts, ease of assembly and user friendly are the main attributes of the introduced designs. Future work to finalize these designs and trial them in humans is needed.