Arch Hand Microsurg.  2022 Mar;27(1):54-61. 10.12790/ahm.21.0132.

Hyperbaric oxygen therapy and prostaglandin usage for shred injury of the fingers: a case report

• Kim H
• Oh JR

• KMID: 2526649
• DOI: http://doi.org/10.12790/ahm.21.0132

Abstract

A 53-year-old woman came to the emergency department because her right hand had been stuck in a potato-shredding machine for 30 minutes. The 2nd, 3rd, and 4th fingers were shredded into multiple slices deep into the phalangeal bone, which showed good circulation, and the wounds were cleaned with massive saline irrigation. The slices of each finger were put together to re-form the finger, which was sutured with nylon, and the circulation of the fingers remained good. Three weeks of gentamicin, cefazolin, and hyperbaric oxygen therapy were used for acute traumatic ischemia since color change of the fingers was observed. Six weeks of prostaglandin was used to promote recovery of circulation. The patient was able to grasp with minimal pain and to perform flexion and extension, and the wound completely healed. Radiography showed the bone union process, and digital infrared thermal imaging showed relatively good circulation.

Keyword

Shred injury; Hyperbaric oxygenation; Prostaglandins; Vertical manner; Primary repair