Kosin Med J.  2021 Dec;36(2):144-147. 10.7180/kmj.2021.36.2.144.

Usefulness of Kaloderm® in Finger Tip Necrosis : A Case Report

• Yoon CM
• Lee SC
• Choi JA

• KMID: 2524657
• DOI: http://doi.org/10.7180/kmj.2021.36.2.144

Abstract

We experienced a case of crush injury of the hand for which we performed a flap surgery and treated the necrotic parts placement using cultured allogeneic keratinocytes (Kaloderm^® ) with good results. The patient was a 31-year-old woman whose left middle finger was caught in a door, causing a crush injury. Although primary repair was performed, a 2 × 2.5-cm-sized necrosis developed, and a V-Y advancement flap was performed after the removal of dead tissues. However, a 1 × 2-cm-sized partial necrosis occurred and was treated using Kaloderm ^® . After the use of Kaloderm^® , the patient’s wound was healed, and no complications, except for mild pain, were observed for 1 year after the surgery. If a necrotic site appears after flap placement of fingertip, its treatment is difficult. If used well, Kaloderm^® may be a good option for necrosis of the fingertips and other areas that are difficult to cure.

Keyword

Allogeneic; Finger; Keratinocyte

Figure

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  Fig. 1 Preoperative view.

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  Fig. 2 Patient’s photograph 2 days after V-Y advancement flap.

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  Fig. 3 Postoperative photograph at 1 year follow-up, no significant complications were observed.

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