Traumatic finger amputations significantly impair hand function and aesthetic appearance. Conventional prosthetic options are often limited when the residual stump is inadequate for secure prosthesis retention. Osseointegrated dental implants offer a promising alternative for anchoring custom-made prostheses. This case series presents three patients: Patient 1 was a 23-year-old male with traumatic disarticulation at the proximal interphalangeal joint of the right ring finger; Patient 2 was a 40-year-old male with traumatic amputation of the right index finger at the level of the middle phalanx; and Patient 3 was a 26-year-old female with traumatic amputation of the right middle finger at the level of the head of the middle phalanx. Each patient underwent preoperative radiographic evaluation to assess the quantity and quality of the residual bone and to determine the appropriate implant length and diameter. A two-stage surgical approach was employed, consisting of initial implant placement followed by attachment of healing abutments and subsequent prosthetic fitting. All patients achieved satisfactory osseointegration and favorable functional outcomes, with good prosthetic stability and cosmetic results. One patient developed a superficial infection around the abutment, which resolved with oral antibiotic therapy. Osseointegrated implants represent a viable alternative for digital amputees when reconstructive procedures are contraindicated, providing reliable retention, enhanced functionality, and a natural appearance.
Almigdad et al. (Sun,) studied this question.