Kholinne Erica, Santosa Claudia, Anestessia Ira Juliet
Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia
Orthopedic Surgery, St. Carolus Hospital, Jakarta, Indonesia.
BMJ Case Rep. 2023 Apr 25;16(4):e253446. doi: 10.1136/bcr-2022-253446.
Fingertip crush injuries are commonly encountered as a result of workplace accidents causing significant morbidity. The primary goal of reconstruction is to restore function and sensibility, as well as a faster return to work. We reported a patient with multiple fingertip injuries presented 5 days following the initial injury. Copious irrigation and excisional debridement were performed, followed by a full-thickness skin graft harvested from the volar wrist. At the 4-month follow-up, all of the reconstructed fingertips achieved good functionality without any pain or sensory impairment. The length was well preserved and static two-point discrimination was comparable with the contralateral side. Full-thickness skin grafts may provide an excellent alternative reconstruction option in the management of multiple fingertip crush injuries.
指尖挤压伤在工作场所事故中很常见，会导致严重的发病率。重建的主要目标是恢复功能和感觉，以及更快地重返工作岗位。我们报告了一名多处指尖损伤的患者，在初次受伤后5天就诊。进行了大量冲洗和切除清创，随后从掌侧腕部取了全厚皮片。在4个月的随访中，所有重建的指尖都获得了良好的功能，没有任何疼痛或感觉障碍。长度保存良好，静态两点辨别力与对侧相当。在多处指尖挤压伤的处理中，全厚皮片可能是一种极好的替代重建选择。
