PMC5395855_01
Preoperative situation demonstrating extensive soft tissue laceration by corn grinding machinery (left). Postoperative view after irrigation and debridement with partial soft tissue closure (right).
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Fig1
There was a partial degloving injury to his left palm (Figures 1 and 2).
Preoperative radiographs showing proximal interphalangial joint fracture dislocations of left index, long, and ring fingers and proximal phalanx fracture of the thumb.
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PMC5395855_01_13037_2015_61_Fig2_HTML.jpg
Fig2
There was a partial degloving injury to his left palm (Figures 1 and 2).
Day 14 showing full thickness necrosis of the volar aspect of the long finger and a deep infection at the volar base of the ring finger and distal palm (left). Postoperative aspect after long finger resection and filet flap coverage of volar defect with dorsal skin from long finger (right).
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PMC5395855_01_13037_2015_61_Fig3_HTML.jpg
Fig3
At his first follow-up appointment two weeks post-operatively, he showed no sign of systemic infection but was noted to have an extensive necrosis involving part of his left long finger and the palmar skin graft (Figure 3).
Follow up after 6 months showing healed soft tissues free of signs of infection.
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Fig4
Though his antibiotic regimen was not restarted (as he had nearly completed his planned course), he remained free of infection and healed well (Figure 4).