Here, we discuss 2 patients who had crush syndrome and deep complex tissue injuries in multiple fingers with extremely poor prognoses.
One patient showed symptoms suggestive of post-traumatic stress disorder. The patients had sequestrums and skin ulcers that required 4 months to heal. Both patients were in their 70s, and they lacked awareness of the need and motivation to undergo rehabilitation.
In conclusion, in patients with crushed hands, adequate debridement and early wound healing are crucial; in addition, it is necessary to correctly evaluate the severity of the condition and carefully design a plan for rehabilitation/reconstruction depending on the severity of the syndrome. Moreover, elderly patients may show a decline in basal physical activity, motivation for rehabilitation, and awareness of the need for rehabilitation. Therefore, it is important to set a treatment goal as early as possible for patients with crushed hands.