Hyperbaric Oxygen Therapy and Prostaglandin usage for Shred Injury in the Fingers: A Case Report

Abstract

A 53-year-old woman came to the emergency department because her right hand had been stuck in a potato-shredding machine for 30 minutes. The 2nd, 3rd, and 4th fingers were shredded into multiple slices deep into the phalangeal bone, which showed good circulation, and the wounds were cleaned with massive saline irrigation. The slices of each finger were put together to form the finger, which was sutured with nylon, and the circulation of the fingers remained good. Three weeks of gentamicin, cefazolin, and hyperbaric oxygen therapy were used for acute traumatic ischemia since the color change of fingers was observed. Six weeks of prostaglandin was used for circulation recovery. The patient was able to grasp with minimal pain and do flexion and extension, and the wound was completely healed. Radiography showed the bone union process, and the digital infrared thermal imaging test showed relatively good circulation.