Abstract

The hand is a powerful tool and its loss causes a severe psychological and physical drawback. A considerable number of people each year suffer finger or partial finger amputations as a result of malignant disease, trauma, and congenital deformity.Prosthetic restoration is usually considered difficult for the whole or a part of the finger and it worsens if multiple fingers are involved. Additionally in patients with mixed connective tissue disorders with overlapping clinical features of scleroderma and arthritis any undue pressure from the artificial rings or vacuum fit of the prosthesis might cause further vasoconstriction that could worsen blood flow to extremities. This clinical report describes a simple and economical method for prosthetic rehabilitation of a patient with mixed connective tissue disease following digital loss using a custom made prosthesis with medical grade tissue adhesive as retentive aid.

Highlights

  • Mixed connective tissue disease (MCTD) is a systemic disease of unknown etiology affecting as many as 1 person in 40, often with a predilection for the female sex and seen in a group of patients with overlapping clinical features of lupus, scleroderma, polymyositis, and rheumatoid arthritis.[1]A defining feature of MCTD is the presence of antibodies against the U1-ribonucleoprotein (U1-RNP) complex.[1]

  • The prognosis for patients varies from a benign course to severe progressive disease

  • Fabrication of silicone finger prosthesis: a clinical report

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Summary

Introduction

Mixed connective tissue disease (MCTD) is a systemic disease of unknown etiology affecting as many as 1 person in 40, often with a predilection for the female sex and seen in a group of patients with overlapping clinical features of lupus, scleroderma, polymyositis, and rheumatoid arthritis.[1]A defining feature of MCTD is the presence of antibodies against the U1-ribonucleoprotein (U1-RNP) complex.[1]. Age, general medical condition of the patient, anatomic complexity, appearance of the area to be rehabilitated, complexity of the surgical procedure, and the patient’s refusal to undergo further surgery may contraindicate surgical reconstruction, resulting in a visible defect. The cost of these advances limits their use in most patients This clinical report describes a simple and economical method for prosthetic rehabilitation of a patient with mixed connective tissue disease following digital loss using a custom made glove type of prosthesis with medical grade tissue adhesive as retentive aid

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