Bundling method to treat extensive thumb fingertip pulp incisions -- a case report.

Metoda spajanja za lečenje ekstenzivnih rezova pulpe vrha palca.

Introduction. Thumb fingertip injuries, often combined with phalanx fracture or torn ligament, are very common. The focus of treatment is on how to rebuild the function and shape of the thumb. Single thumb fingertip pulp injury is more common. However, due to the diverse type of injury, no uniform treatment guideline is described in the literature. Case report. A patient with extensive thumb fingertip pulp incisions, which looked like multiple parallel wounds, was admitted to our Emergency Department. We used the method of bundling to maintain the shape of the fingertip. A single suture to pass through all the incisions was performed and then the suture was tied outside the skin. After that, we bandaged them with sterile bandages. Finally, good contour and fingertip function were restored. Conclusion. We successfully used the bundling method to treat patient with extensive thumb fingertip pulp incisions. [ABSTRACT FROM AUTHOR]

Uvod. Povrede vrha palca, često kombinovane sa frakturom falange ili pokidanim ligamentima, veoma su česte. Fokus u lečenju je na obnovi funkcija i oblika palca. Povreda pulpe vrha palca je još češća povreda. Međutim, zbog raznolikosti tipa povreda, u literaturi ne postoje jedinstvene smernice za lečenje takvih povreda. Prikaz bolesnika. Pacijent sa povredom tipa opsežne incizije pulpe vrha palca, sa izgledom multiplih paralelnih rana, lečen je na našem Odeljenju urgentne medicine. Da bi održali oblik vrha prsta, koristili smo metodu spajanja. Koristili smo jedan šav da bismo prošli kroz sve rezove, a zatim smo vezali šav izvan kože. Posle toga prst je previjan sterilnim zavojima. Na kraju, prstu je vraćena pravilna kontura i obnovljena je funkcija vrha prsta. Zaključak. Uspešno smo koristili metodu spajanja za lečenje pacijenta sa opsežnim rezovima pulpe vrha palca. [ABSTRACT FROM AUTHOR]