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Gaceta Médica Espirituana
versión On-line ISSN 1608-8921
Resumen
GUTIERREZ LOPEZ, Audrey; GOMEZ AGUILA, Tom Michel y CHOY FERNANDEZ, Eldys. Heberprot P in serious hand injury and bipedicular graft to the abdomen. Case report. Gac Méd Espirit [online]. 2020, vol.22, n.3, pp. 111-118. Epub 03-Dic-2020. ISSN 1608-8921.
Background:
Heberprot P is a therapy that contributes to the repairing of damaged tissues. Its use in orthopedic injuries of the upper limbs is very recent and of little publication.
Objective:
To describe the evolution of a patient with a serious injury to the back of the right hand in which the Heberprot P was used, followed by a pedicle graft.
Case report:
Patient who suffered an accident with a serious right hand injury. Clinical and imaging diagnosis was made with skin loss, subcutaneous cellular tissue and fracture of the fourth and fifth metacarpals, a surgical procedure was applied. It evolved torpidly with deep infection, loss of extensor tendons and bone exposure, it was decided to start treatment with Heberprot P to stimulate granulation tissue; 21 days later, the bone structures were covered, the tendons and skin coverage were operated with a bipedicular graft to the abdomen with a favorable evolution. The patient returned to her social and work activity at 10 months.
Conclusions:
Heberprot P accelerated tissue healing, associated with remote flaps, facilitated a satisfactory evolution and avoided amputation, decreased hospital stay, and also favored return to social and work life.
Palabras clave : Heberprot P; Granulation and injuries; HAND INJURIES; TENDON INJURIES; GRANULATION TISSUE; SURGICAL FLAPS; transplantation; ACCIDENTAL INJURIES; serious accidental injury; graft.