Relevance The work deals with the challenging problems of improving the function and aesthetic appearance of the finger stumps using a surgical technology of osseointegration. Purpose To present preliminary results of osseointegration with the use of titanium implants and exoprostheses for finger stumps. Material and methods Osseointegration was performed in order to improve the function and aesthetic appearance of 17 phalangeal finger stumps in 8 patients at the age of 15 to 57 years who underwent treatment at the FSBI RISC for RTO of the RF ministry of health in 2014. Results Osseointegration that was assessed with clinical and radiographic methods, bench tests, and DASH scale resulted in positive short-term outcomes. Conclusion Osseointegrated finger prostheses for defects at the phalangeal level improve hand functions and appearance within a short period of time. The method of osseointegration is strategically important for management of large limb segment amputations and high levels of truncation. It is relevant to develop domestic implants that will optimize treatment terms, its results, and further prosthetic application.