scholarly journals Management of Heel Pad Degloving Injury After Severe Foot Crush Injury: A Case Report Study

Cureus ◽  
2021 ◽  
Author(s):  
Dimitrios Giotis ◽  
Chris Kotsias ◽  
Sotiris Plakoutsis ◽  
Michael-Alexander Malahias ◽  
Christos Konstantinidis
Keyword(s):  
Case Report ◽  
Crush Injury ◽  
Heel Pad ◽  
Degloving Injury

scholarly journals Remedial repair of extensive distal muscle secondary necrosis due to high level crush injury of the upper thighs: a case report

2021 ◽  
Vol 10 (9) ◽  
pp. 10108-10113
Author(s):  
Jie Zhang ◽  
Zaiwen Guo ◽  
Mingming Song ◽  
Jiandong Su ◽  
Bingwei Sun
Keyword(s):  
Case Report ◽  
Crush Injury ◽  
Secondary Necrosis ◽  
Distal Muscle ◽  
High Level

The Bilobed Racquet Flap or Extended Seagull Flap for Thumb Reconstruction: A Case Report

2018 ◽  
Vol 23 (01) ◽  
pp. 128-131
Author(s):  
José Couceiro ◽  
Mariangeles De la Red-Gallego ◽  
Luis Yeste ◽  
Higinio Ayala ◽  
Manuel Sanchez-Crespo ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Thumb Reconstruction ◽  
Degloving Injury ◽  
Dorsal Metacarpal Artery ◽  
The Subject ◽  
Tissue Defects

The treatment of extensive soft tissue defects in the thumb with dorsal metacarpal artery flaps has been previously reported in the literature. Island flaps from the dorsum of the index and long fingers have been the subject of many reports and studies. However, when the defect involves the whole thumb, a 360° circumferential defect, standard first or second dorsal metacarpal artery flaps are usually insufficient. There are fewer reports on the use of bilobed flaps for this application and we have found no reports on the use of bilobed racquet flaps or extended seagull flaps as treatment for this condition. We report the salvage of a thumb degloving injury with use of a bilobed racquet flap.

scholarly journals Crush Injury-induced Finger Compartment Syndrome: A Case Report and Literature Review

Cureus ◽  
2020 ◽  
Author(s):  
Francisco Schwartz-Fernandes ◽  
Emily McDermott ◽  
Jared Culp
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Compartment Syndrome ◽  
Crush Injury

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

2021 ◽  
Vol 36 (2) ◽  
pp. 144-147
Author(s):  
Chung-Min Yoon ◽  
Seung Cheol Lee ◽  
Ji-An Choi
Keyword(s):  
Case Report ◽  
Primary Repair ◽  
Middle Finger ◽  
Advancement Flap ◽  
Crush Injury ◽  
Flap Surgery ◽  
Mild Pain ◽  
Partial Necrosis ◽  
Finger Tip ◽  
Left Middle

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<sup>®</sup> ) 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 <sup>®</sup> . After the use of Kaloderm<sup>®</sup> , 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<sup>®</sup> may be a good option for necrosis of the fingertips and other areas that are difficult to cure.

scholarly journals Intraoperative Local Administration of Platelet-Rich Plasma (PRP) during Neurolysis Surgery for the Treatment of Digital Nerve Crush Injury

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Akira Ikumi ◽  
Yuki Hara ◽  
Eriko Okano ◽  
Sho Kohyama ◽  
Norihito Arai ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Case Report ◽  
Peripheral Nerve ◽  
Platelet Rich Plasma ◽  
Crush Injury ◽  
Local Administration ◽  
Therapeutic Effects ◽  
Digital Nerve ◽  
Nerve Crush ◽  
Nerve Crush Injury

The digital nerves are important for normal hand function. In addition to conventional therapies such as neurolysis, direct repair, and auto/allografts, new treatments administering growth factors and cells for promoting nerve regeneration exist. Platelet-rich plasma (PRP), an autologous product with proven therapeutic effects for musculoskeletal disorders, is a new treatment option for peripheral nerve injury. We hypothesized that PRP could stimulate healing of digital nerve injuries. In the current case report, intraoperative local administration of PRP was performed during neurolysis surgery for a healthy 28-year-old woman with digital nerve crush injury. Five weeks postinjury, surgery was performed due to severe uncontrollable neuropathic pain and no sensory nerve action potential derivation of the index finger. Therapeutic effects were assessed by physical examination, visual analog scale for pain, and nerve conduction study. Postoperatively, early neuropathic pain relief and good functional recovery were obtained with no PRP-related adverse events. This case report demonstrates the therapeutic potential of intraoperative PRP to enhance the healing process of nerve crush injury in the acute phase and to decrease the neuropathic pain, thus enhancing healing of peripheral nerve crush injury.

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