指尖部損傷の保存療法

PGE₁軟膏を用いたアルミホイル被覆療法

抄録

We have treated 20 cases of finger tip injury using PGE₁ ointment and occlusive dressing, during the period from Jan 1996 to Apr 1997. Their mean age was 45 years (ranging from 2 to 64 years). The level of injury was classified according to Sasaki's classification. Four cases were in level 1, 7 cases were in level 2, 4 cases were in level 3, 1 case was in level 4, and 4 cases were in level 7. At first, we performed sufficient irrigation, debridement, hemostasis, and resection of protruded bone. At several days later, we applied gentamicin ointment mixed with PGE₁ and covered this by sterilized aluminium foil as occlusive dressing. Then once a week as required, we re-irrigated the wound with osvan and changed the sterilized aluminium foil. The duration until regeneration of new skin in cases of a finger tip injury involving bone injury (level 2-4) was 22.6±7.7 days. Compared with previous reports, this term was shorter. We concluded that the teatment of finger tip injury using PGE₁ ointment and occlusive dressing was able to reduce the term of treatment.