Finger fractures are usually still casted with plaster bandages. However, to avoid acampsia of the finger joints, flexibility exercises are necessary. Further disadvantages of the rigid plaster bandages are insufficient breathability and water resistance, weightiness and the necessity to apply wet and pliable plaster bandages to the injured patient. This article describes how individually designed hand orthoses without these disadvantages are attainable. With scans, modern software like STL editors (STL: Standard Tessellation Language) or CAD systems (CAD: Computer Aided Design) and additive manufacturing, complex, light weight and breathable structures are possible. Contrary to the solely mechanical art of casting with plaster, the new approach requires expertise in data processing and additive manufacturing seldom found in medical facilities. But this opens opportunities for service providers.