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Parachute Method: A Novel Method to Retrieve a Stuck Degloved Finger.

作者信息

Periasamy Madhu, Asokan Kumanan, Mohan Monusha, Muthukumar Vamseedharan, Venkatramani Hari, Sabapathy S Raja

机构信息

Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Plast Surg. 2022 Oct 31;55(3):307-310. doi: 10.1055/s-0042-1744455. eCollection 2022 Jun.

Abstract

An entrapped finger is a relatively uncommon domestic injury. When the finger gets stuck proximal to the proximal interphalangeal joint, the resultant distal edema and inappropriate attempts at retrieval can result in circumferential degloving of the skin and injury to the neurovascular structures. We report a technique that can be used in such circumstances. Strategically placed skin sutures are used to get the skin through the constricting ring, and retrieval is aided by a cut finger glove that wraps the finger and can be lubricated. This non-cutting technique is named as the parachute technique since the withdrawn skin sutures look like the strings of the parachute. This technique is valuable when the finger gets stuck in an idli plate, a common South Indian kitchen utensil, where there is difficulty of access to cutting equipment and where inappropriate attempts at retrieval can result in skin injury making further attempts more difficult.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6131/9622326/5f1ad99be619/10-1055-s-0042-1744455-i2151293-1.jpg

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本文引用的文献

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"On Arrival Block"-Management of Upper Extremity Trauma with Resuscitation in the Operating Room.
Plast Reconstr Surg Glob Open. 2020 Oct 29;8(10):e3191. doi: 10.1097/GOX.0000000000003191. eCollection 2020 Oct.
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An unusual form of 'finger stuck in a hole' injury in a child.
Indian J Plast Surg. 2012 Sep;45(3):585-6. doi: 10.4103/0970-0358.105991.
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Another simple method for ring removal.另一种简单的取环方法。
Anesthesiology. 1995 Nov;83(5):1133-4. doi: 10.1097/00000542-199511000-00037.
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Removal of a tight ring by the rubber band.用橡皮筋去除紧箍环。
J Hand Surg Br. 1991 May;16(2):225-6. doi: 10.1016/0266-7681(91)90186-r.

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