Journals / Journal of Emergency Medicine Case Reports / 2026 / Cilt: 12 Sayı: 1

Nailbed debridement of the finger degloving injury: two case reports

Pages
28–30
Publication Date
2021-03-18
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Considering nailbed hemodynamics, when performing replantation for degloving injury, in which the nailbed remains, being adhered to the distal phalanx, but not to an amputated finger, debridement of the nailbed and distal phalanx region to which the nailbed is adhered to on initial surgery may facilitate the avoidance of unnecessary surgery, shortening the treatment period and leading to early rehabilitation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Degloving injury is a serious trauma of the fingers.
📊
Key Findings & Data:In this study, we performed replantation for degloving injury of 3 fingers in 2 patients, and obtained findings regarding nailbed debridement on initial surgery.
💡
Conclusion & Impact:Considering nailbed hemodynamics, when performing replantation for degloving injury, in which the nailbed remains, being adhered to the distal phalanx, but not to an amputated finger, debridement of the nailbed and distal phalanx region to which the nailbed is adhered to on initial surgery may facilitate the avoidance of unnecessary surgery, shortening the treatment period and leading to early rehabilitation.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:debridment · replantation · degloving

Abstract

Degloving injury is a serious trauma of the fingers. It is difficult to establish an adequate extent of debridement at the time of initial surgery. Therefore, additional surgery for necrotic areas related to circulatory failure is required in many cases. In this study, we performed replantation for degloving injury of 3 fingers in 2 patients, and obtained findings regarding nailbed debridement on initial surgery. Considering nailbed hemodynamics, when performing replantation for degloving injury, in which the nailbed remains, being adhered to the distal phalanx, but not to an amputated finger, debridement of the nailbed and distal phalanx region to which the nailbed is adhered to on initial surgery may facilitate the avoidance of unnecessary surgery, shortening the treatment period and leading to early rehabilitation.

🔖

Cite This Article

Kashiyama, K. (2021). Nailbed debridement of the finger degloving injury: two case reports. Journal of Emergency Medicine Case Reports, Cilt: 12 Sayı: 1, 28–30. https://doi.org/10.33706/jemcr.831213

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (5)

  1. Bamba R, Malhotra G, Bueno RA, Jr., Thayer WP, Shack RB. Ring Avulsion Injuries: A Systematic Review. Hand (N Y). 2018;13(1):15-22.
  2. Adani R, Pataia E, Tarallo L, Mugnai R. Results of replantation of 33 ring avulsion amputations. J Hand Surg Am. 2013;38(5):947-56.
  3. Wolfram-Gabel R, Sick H. Vascular networks of the periphery of the fingernail. J Hand Surg Br. 1995;20(4):488-92.
  4. Flint MH. Some observations on the vascular supply of the nail bed and terminal segments of the finger. Br J Plast Surg. 1955;8(3):186-95.
  5. Endo T, Kojima T, Hirase Y, Willams V. Vascular Anatomy of the Distal Digital Segment. JJpnPRS. 1991;11(9):700-5.