Abstract
We treated a case of hand trauma associated with marrow exposure, using a bag-type negative pressure dressing together with an atomized basic fibroblast growth factor (bFGF) preparation.
The patient was a 79-year-old man, who had a defect of the skin, soft tissue and dorsal part of the bone of finger IV, with marrow exposure. We started a bag-type negative pressure treatment together with an atomized bFGF preparation, observing the surface of the wound once a day. Therapeutic exercise was done to prevent any joint contracture. Excellent granulation was evident on the 25th day, and this was subsequently covered by a skin graft. Currently, the state of the skin is excellent, and the patient has no obstacle to daily living activity.
