Jae-Hyuk Shin; Ho-Guen Chang; Cheol-Jung Yang; Jungtae Ahn

doi:10.12671/jkfs.2015.28.4.245

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Case Report
Salvage Therapy from Traumatic Ischemic Finger Necrosis via Prostaglandin E1 Assisted Conservative Treatment: A Case Report: Jae-Hyuk Shin, M.D., Ph.D., Ho-Guen Chang, M.D., Ph.D., Cheol-Jung Yang, M.D., Jungtae Ahn, M.D.; Journal of the Korean Fracture Society 2015;28(4):245-249.
DOI: https://doi.org/10.12671/jkfs.2015.28.4.245
Published online: October 19, 2015

Department of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.

^*Department of Orthopaedics and Traumatology, Cheju Halla General Hospital, Jeju, Korea.

Address reprint requests to: Ho-Guen Chang, M.D., Ph.D. Department of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, 7 Keunjaebong-gil, Hwaseong 18450, Korea. Tel: 82-31-8086-2891, Fax: 82-31-8086-2438, jshin2100@gmail.com

• Received: July 8, 2015 • Revised: August 24, 2015 • Accepted: August 24, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Prostaglandin E1 (PGE-1) is a potent vasodilator, which also inhibits platelet aggregation, affects the blood flow viscosity, and fibrinolysis. The compound also excerts anti-inflammatory effects by inhibiting the monocyte and neutrophil function. PGE-1 has been widely administered following microvascular flap surgery, along with perioperative antithrombotic agents such as low molecular weight heparin or aspirin, showing excellent results. We report a case showing successful salvage recovery from post-traumatic ischemic necrosis of the finger via PGE-1 assisted conservative treatment.
Key words: Finger, Ischemia, Necrosis, Prostaglandin E1, Salvage therapy

None.

REFERENCES

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Fig. 1

Initial crushing injury to the index finger. Circulation and sensation were negative at the distal phalangeal part of the injured finger. (A, B) Preoperative image. (C) Intraoperative image.

Fig. 2

At postoperative two weeks, the index finger showed gangrenous necrosis distally from the proximal interphalangeal joint level. During the follow-up period with prostaglandin E1 assisted conservative treatment at postoperative 7 weeks, at 8 weeks, and at 11 weeks, the wound healing proceeded, and the necrotic tissue decreased. At postoperative 14 weeks, the Salvage-therapy reconstruction was complete. (A) 2 weeks, (B) 7 weeks, (C) 8 weeks, (D) 11 weeks, and (E) 14 weeks, postoperatively.

Fig. 3

At postoperative 4 months, the finger was Salvage-reconstructed. Pulp hypotrophy was noted but the partially maintained active range of motion enabled active cupholding (see the main text).

Figure & Data

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Salvage Therapy from Traumatic Ischemic Finger Necrosis via Prostaglandin E1 Assisted Conservative Treatment: A Case Report

J Korean Fract Soc. 2015;28(4):245-249. Published online October 31, 2015

DOI: https://doi.org/10.12671/jkfs.2015.28.4.245

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Salvage Therapy from Traumatic Ischemic Finger Necrosis via Prostaglandin E1 Assisted Conservative Treatment: A Case Report

Fig. 1 Initial crushing injury to the index finger. Circulation and sensation were negative at the distal phalangeal part of the injured finger. (A, B) Preoperative image. (C) Intraoperative image.

Fig. 2 At postoperative two weeks, the index finger showed gangrenous necrosis distally from the proximal interphalangeal joint level. During the follow-up period with prostaglandin E1 assisted conservative treatment at postoperative 7 weeks, at 8 weeks, and at 11 weeks, the wound healing proceeded, and the necrotic tissue decreased. At postoperative 14 weeks, the Salvage-therapy reconstruction was complete. (A) 2 weeks, (B) 7 weeks, (C) 8 weeks, (D) 11 weeks, and (E) 14 weeks, postoperatively.

Fig. 3 At postoperative 4 months, the finger was Salvage-reconstructed. Pulp hypotrophy was noted but the partially maintained active range of motion enabled active cupholding (see the main text).

Fig. 1

Fig. 2

Fig. 3

Salvage Therapy from Traumatic Ischemic Finger Necrosis via Prostaglandin E1 Assisted Conservative Treatment: A Case Report