PMC4367060_01
Pretreatment dorsal aspect of the hand
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F1
Examination indicated amputated thumb at the middle phalanx [Figure 1].
PMC4367060_02
Dental stone model of the left hand with amputed thumb
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F2
This impression was poured with Dental stone (Kalrock, Kalabhai Karson, Mumbai, India) to obtain the cast [Figure 2].
PMC4367060_03
Try-in of the wax pattern of thumb prosthesis
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F3
During try-in, the length and fit of the wax pattern was verified and checked for harmony with the adjacent fingers [Figure 3].
Mold after dewaxing
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F4
Reduction of 1-1.5 mm was done on the stump all around and was reoriented on the obtained mold [Figure 4].
Color matching with the contralateral thumb
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F5
Color matching of the dorsal and ventral surface was done separately in natural light [Figure 5].
PMC4367060_04
Custom made acrylic nail
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F6
The size and position of the acrylic nail were established, cynoacrylate adhesive was then applied on the under surface of the nail for bonding with a silicone surface [Figure 6].
Posttreatment photograph with final prosthesis
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F7
The fit and appearance of the prosthesis were checked in the patient [Figure 7] and the patient was instructed about the maintenance of the prosthesis.