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CASE ONE |
Summary: A 25-year-old male fell off a ladder sustaining a ring avulsion injury beginning at the junction of the distal one third, proximal two-third level of the proximal phalanx.
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Following failed venous reconstruction with vein grafts, leeches were applied and color improved dramatically. Application continued every 4 to 6 hours. 5 days postoperatively, active range of motion was begun. 8 days postoperatively, venous flow was sufficiently restored. |
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3 weeks postoperatively, a skin graft was performed. 6 weeks postoperatively, following treatment with active and passive movement as well as coban taping, the finger has a TAM of 224 degrees. |
Procedure illustrated in case one was performed successfully by Dr. D.H. Lalonde, B.Sc, M.Sc.,M.D., FRCSC Plastic and Reconstructive Surgery, St.John, N.B., Canada.
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| To Case 2 |
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