2023, Number 4
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Cir Plast 2023; 33 (4)
Low-cost three-dimensional printed finger prosthesis in a toe to hand transferred patient
Telich-Tarriba JE, Moscona-Nissan A, Guevara-Valmaña OI, Rangel-Rangel E, Santiago-Gorostieta MÁ
Language: Spanish
References: 25
Page: 181-186
PDF size: 275.27 Kb.
ABSTRACT
Traumatic finger amputations represent the most frequent lesion treated in hand surgery services. Although, they are not usually life-threatening, they often result in short and long-term disability, impaired quality of life and psychosocial and financial complications for the patients. Three-dimensional (3D) printing allows the precise design and creation of customized prosthetics, offering the possibility of reducing both production costs and manufacturing times. Nevertheless, its clinical use is still limited in Mexico. The objective of this article is to report our experience using a low-cost 3D printer to build a functional and affordable finger prosthesis in a patient with traumatic amputation of the thumb, index and middle finger. We modeled distinct prototypes of the prosthesis and made adjustments according to the feedback we got from the patient. Using the Fused Deposition Model Dremel 3D Idea Builder printer, and polylactic acid filaments as the main material, we built a model starting from 2 mm layers in a total time of 3.5 hours. The estimated cost of production was $10-15 USD. We documented high patient satisfaction through the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 scale and a significant increase in functionality and manual dexterity, according to the Box and Block Test. Implementation of three-dimensional printing of fingertip prosthesis is a highly cost-effective, individualized and an adaptable strategy for low-income people.
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