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논문 기본 정보

자료유형
학술저널
저자정보
김진우 (광명성애병원 응급의학과) 신소미 (광명성애병원 응급의학과) 유진현 (광명성애병원 응급의학과) 노현웅 (광명성애병원 응급의학과) 김윤준 (광명성애병원 응급의학과) 곽동훈 (광명성애병원 응급의학과) 이경훈 (광명성애병원 응급의학과) 김형수 (광명성애병원 응급의학과) 최익창 (광명성애병원 응급의학과) 서민구 (광명성애병원 응급의학과)
저널정보
대한응급의학회 대한응급의학회지 대한응급의학회지 제34권 제2호
발행연도
2023.4
수록면
128 - 133 (6page)

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초록· 키워드

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Objective: Patients presenting with fingertip skin defect injuries without exposed bone can avail of two treatment options at the emergency department (ED). This study compared outcomes between dressing and composite graft (CG) using skin stump for patients visiting the ED with fingertip skin defect injuries without exposed bone. Methods: This was a single-center, retrospective, observational study. We reviewed 244 patients with fingertip skin defect injuries without exposed bone who visited the ED from September 2018 to February 2021. We compared the outcomes of the patients who were treated by CG using skin stump and those who received a dressing in the ED. Results: In all, 142 patients were treated by CG using skin stump, and 102 patients were given a dressing only. In the CG group, good outcomes were obtained in 140 patients, whereas additional skin graft treatment was required for two patients with bad outcomes. In the dressing group, 81 patients had good outcomes and 21 patients had bad outcomes which required additional skin graft treatment. Conclusion: Results of our study revealed that compared to traditional dressing, ED treatment for fingertip skin defects without exposed bone showed good outcomes when administered CG using skin stump. Hence, we recommend that instead of simple dressing, CG using skin stump is the preferred mode of treatment for patients presenting in the ED with fingertip skin defect injuries without exposed bone.

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