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Case Reports: Reminder of important clinical lesson
Reconstruction of multiple fingertip crush injuries with full-thickness skin grafting
  1. Erica Kholinne1,2,
  2. Claudia Santosa2,
  3. Ira Juliet Anestessia1 and
  4. Muchtar1
  1. 1Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia
  2. 2Orthopedic Surgery, St. Carolus Hospital, Jakarta, Indonesia
  1. Correspondence to Dr Erica Kholinne; erica{at}trisakti.ac.id

Abstract

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.

  • Orthopaedics
  • Plastic and reconstructive surgery
  • Orthopaedic and trauma surgery

https://doi.org/10.1136/bcr-2022-253446

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    Footnotes

    • Contributors Supervised by EK. The patient was under the care of EK. Report was written by CS, IJA and M.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.