Aesthetic hand prosthesis: gadget or therapy? Presentation of a new classification.

Aesthetic prostheses must fulfill a functional as well as an aesthetic role. The function of these prostheses may be perceived as an additional passive support, or as an instrument of social function and an aid to the patient. This functional role has been observed in the continued use of these prostheses over several years. We reviewed our experience with prescription, fitting and follow-up care in 2847 patients. Classification of these patients was based on their age, level of amputation (with or without functional pinch) and cause of amputation. Analysis of the data ratifies our indications for prosthesis fitting. The long-term wearing of these aesthetic prostheses confirms their use as therapeutic tools. Copyright 2001 The British Society for Surgery of the Hand.