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Partial hand loss on both hands: how are the prostheses planned?

Silobionic Clinical & Fabrication Team · · 4 min read

Both hands hanging naturally below knitted sleeves, wearing silicone prostheses
Short answer

Even when both hands are affected, each hand can have a different type of prosthesis shaped to what remains. Our customer had a single-segment finger prosthesis for the right thumb and an easy-to-wear glove-type hand prosthesis for the left hand, where parts of the fingers remained. Both areas were awkwardly shaped and sensitive, so we checked shape and comfort carefully from the check-socket stage on.

Two hands, two different situations

Our customer had lost the right thumb and part of the left palm, so both hands needed a prosthesis. Even on the same person, what remained on each hand was different, and one approach would not suit both.

Right handLeft hand
What remainedThumb stump healed close against the palmMiddle finger, part of the palm and short remnants of other fingers
ChallengeHard to give the thumb a natural angleStill tender and sensitive
Chosen typeSingle-segment finger prosthesisGlove-type hand prosthesis (easy to put on and take off)

Our customer knew these were difficult areas and was anxious through the check-socket stage and right up to delivery day. Our team, too, saw it as a case where the result could not be promised at the outset, and checked at every step.

What we checked for on difficult areas

  • Thumb angle — the thumb stump sits against the palm, so we shaped the prosthesis to follow that position while still looking natural on the hand.
  • Pressure — the left hand was still sensitive, so soft silicone was used to avoid pressing hard on the affected area.
  • Putting it on alone — since it is worn every day, we chose a glove-type for the left hand that our customer could put on without help.
A translucent trial socket worn on the hand, resting on a colour chart
The check-socket (temporary trial socket) stage

Delivery day

Trying on the finished prostheses, our customer was delighted with how the fingers looked, and especially liked how comfortable the soft silicone felt. Turning to the family member who had come along and saying, “This is my hand,” is a moment our team still remembers.

The right hand below a knitted cuff, wearing a single-segment silicone thumb prosthesis
Right thumb: a single-segment finger prosthesis

What does a cosmetic prosthesis do?

The main purpose of a cosmetic silicone prosthesis is to restore appearance. As in this case, it can also act as a cover that shields a still-sensitive area from knocks. Getting used to a changed hand takes a different path for everyone, and we cannot say a prosthesis will ease symptoms such as phantom limb pain — please speak to your doctor or a rehabilitation specialist.

A hand seen from the side, wearing a silicone hand prosthesis and hanging naturally
Side view of the prosthesis being worn

Good to know before your consultation

When both hands are made together, each may need a different type, and sensitive areas can mean extra fittings. The standard process is three visits, about 4–6 weeks from consultation to delivery; fabrication takes 7–10 days for a finger and about 15 days for a full hand. Results vary from person to person. If you are coming from abroad, send photos of both hands in advance and we will plan your schedule in an online consultation in English.

Frequently asked questions

Can prostheses for both hands be made at the same time?

Yes. As with this customer, both can be made in the same process, with the type chosen separately for each hand.

Can I have a prosthesis if my affected area is still painful?

We decide after seeing it in person. For sensitive areas we design with soft silicone to reduce pressure; please discuss the pain itself with your doctor.

What is the difference between a single-segment and a glove-type prosthesis?

A single-segment prosthesis replaces the end segment of one finger; a glove-type covers the hand like a glove. The choice depends on the shape and extent of what remains.

Does a prosthesis help with phantom limb pain?

We cannot say that a prosthesis will ease phantom limb pain. If you have symptoms, please speak to your doctor or a rehabilitation specialist.

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