The Custom Silicone Interface: Clinical Applications and Observations

Abstract

Silicone interfaces have been utilized in the field of prosthetics in a multitude of applications over the last three decades. From suspension techniques to the enhancement of comfort and protection of atypical or diseased residual limbs, silicone has become an integral part of the prosthetic system. Beyond the field of prosthetics, the use of silicone has become a mainstay in wound management, scar maturation, and in the overall promotion of healing in the world of occupational and physical therapy. Extreme cases such as severe burns and or extensive skin grafts have forced many practitioners to consider utilizing silicone interfaces to protect fragile skin. Clinically, as we incorporate custom silicone into the mainstream design of the “standard” upper extremity prosthesis, we are beginning to see unexpected benefits with the usage of this material on otherwise healthy skin. All of the therapeutic benefits of silicone are now being combined with normal prosthetic usage including limb healing and scar tissue maturation and management. This presentation will provide a historical look at the applications of silicone in the fields of prosthetics and occupational / physical therapy as well as consider unique applications in upper extremity prosthetics.