Department of Emergence Medicine, Başaksehir Çam and Sakura City Hospital, İstanbul-Türkiye.
Çanakkale Mehmet Akif Ersoy State Hospital, Çanakkale-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2023 Jul;29(7):764-771. doi: 10.14744/tjtes.2023.96702.
Fingertip amputations are common injuries presenting to the emergency room. However, all amputations do not have a chance of replantation, and composite graft is among the salvage treatments in this case. This treatment is both easy to apply and economical. Our study compares the success and cost of composite grafting in the emergency and operating rooms.
Thirty-six patients who met the criteria were included in the study. The decision on the repair site was made by the sur-geon according to patient compliance and the intensity of the emergency clinic. Demographic and disease information of the patients were recorded. P<0.05 was accepted as the significance level.
Twenty-two cases were pediatric patients. Eighteen cases of crush injuries and 22 cases were treated in the emergency room. There was no significant difference in terms of complications, need for additional intervention, and short fingers related to interventions performed in the emergency room and operating room. Interventions in the emergency department were significantly lower in cost and shorter hospitalization times. There was no significant difference in terms of patient satisfaction.
Composite grafting is a simple and reliable method in fingertip injuries and gives satisfactory results in terms of patient satisfaction. In addition, composite graft application in fingertip injuries in the emergency department will both reduce the cost and prevent hospital infections that may occur due to the reduction in hospitalization.
指尖离断伤是常见的急诊损伤。然而，并非所有的断指都有再植的机会，复合植皮是这种情况下的一种挽救治疗方法。这种治疗方法既容易实施，又经济实惠。我们的研究比较了急诊室和手术室进行复合植皮的成功率和成本。
符合标准的 36 名患者被纳入研究。修复部位的选择由外科医生根据患者的依从性和急诊的紧急程度决定。记录患者的人口统计学和疾病信息。P<0.05 被认为具有统计学意义。
22 例为儿童患者。18 例为挤压伤，22 例在急诊室治疗。在急诊室和手术室进行的干预措施中，并发症、需要额外干预以及与干预相关的短指方面没有显著差异。在成本和住院时间方面，急诊室的干预措施显著降低。患者满意度方面没有显著差异。
复合植皮是一种简单可靠的指尖损伤治疗方法，在患者满意度方面效果满意。此外，在急诊室应用复合植皮治疗指尖损伤，既可以降低成本，又可以预防因住院时间缩短而可能发生的医院感染。
