Concluded Case

What else could have been done for this case.. Experts please opine

Compound injury of thumb with just skin tag between the # dislocation of IP joint. Managed in emergency by K wire arthrodesis. Will share the clinical pic after 2nd dressing

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Concluded answer

Today's pic.. 5th pod.. After 2nd dressing.. Have taken advice from plastic surgeon too... Dry dressing applied today.. Viability??... Wait n watch

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The treatment to major extent depends upon the vascular status of the thumb pulp and distal injured end. As u say only a tag of skin was left at the injury site and there's injury at IPJ...mostly the vascularity of the pulp would have been hampered ... So orthopedically k wire and then either a tube groin flap or an abdominal flap for the pulp reconstruction, provided Revascularization not possible

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Can be treated by IM needle What was NV status?

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Looks good...soft tissue closure?

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Today's pic.. 5th pod.. After 2nd dressing.. Have taken advice from plastic surgeon too... Dry dressing applied today.. Viability??... Wait n watch

Today's pic

10th pod.... There's slight improvement as of now... Considering a partial amputation as an option
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The other view of the thumb..

SR done today for the same case.

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