Page 48 - Read Online

Kim et al. Plast Aesthet Res 2017;4:41-8 Plastic and
DOI: 10.20517/2347-9264.2016.94
Aesthetic Research

www.parjournal.net
Original Article Open Access

Pressures secondary to circumferential

digital dressings in clay models

Han Joon Kim, Kun Hwang
Department of Plastic Surgery, Inha University School of Medicine, Incheon 22332, South Korea.

Correspondence to: Dr. Kun Hwang, Department of Plastic Surgery, Inha University School of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332,
South Korea. E-mail: jokerhg@inha.ac.kr

How to cite this article: Kim HJ, Hwang K. Pressures secondary to circumferential digital dressings in clay models. Plast Aesthet Res 2017;4:41-8.

Dr. Kun Hwang is currently a Fellowship Professor, Department of Plastic Surgery, Inha University School of
Medicine and Inha University Hospital. More information could be found at: http://orcid.org/0000-0002-1994-2538.

ABSTRACT
Article history: Aim: With little manipulation, compression bandages placed circumferentially around the
Received: 30-10-2016 digit can be rolled up the digit, creating a tourniquet effect. The aim of this study was
Accepted: 20-01-2017 to elucidate the pressures induced by self-adherent bandages applied circumferentially
Published: 22-03-2017 around the fingers. Methods: After fabricating various clay finger models using the live
finger as a model, the pressure of each self-adherent bandage was measured at the level of
Key words: the proximal phalanx. Two different self-adherent bandages were applied with variables
Pressure, of different levels of tightness, number of wraps, and whether each was rolled up or not.
fingers, Pressure was measured using a digital measuring device at a standardized location.
compression bandages, Results: The measured pressure of 3 wraps along the adult finger model was higher than
occlusive dressings 1 wrap or 2 wraps, and untightened bandages had lower pressures than those of tightened
bandages. The pressures of the unrolled bandages were lower than those of rolled up
bandages, and pressures along the live finger of the rolled up group were higher than those
in the adult finger model. Additionally, measured pressures from the child finger model
were higher than those from the adult model. Conclusion: Precautions should be taken to
prevent rolling up dressing materials, especially in children.

INTRODUCTION alone. Three million of these injuries involved one or
more fingers, of which 1.3 million (44%) were diagnosed
The hands and fingers are common sites of injury, as finger lacerations. [1] To minimize the morbidity
accounting for an estimated 4.8 million injured persons associated with these injuries, digital tourniquets are
treated in US hospital emergency departments in 2001 necessary to provide a bloodless environment to
Quick Response Code:
This is an open access article distributed under the terms of the Creative Commons Attribution-
NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work
non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

For reprints contact: service@oaepublish.com

© 2017 OAE Publishing Inc. www.oaepublish.com 41