Finger salvage after door-press injury at Elizavetinskaya Hospital in St. Petersburg

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At Elizavetinskaya Hospital in St. Petersburg, a man faced a dire moment when he accidentally pressed his hand against a door and nearly lost a finger. The incident prompted an urgent ambulance response, and the patient arrived in the emergency department with a diagnosis of traumatic finger amputation. The local resident reported that his hand was pressed firmly against the door, creating a severe, life-altering injury that demanded swift, expert intervention. According to the hospital’s press service, the team swiftly assessed the damage, understanding that the finger’s survival depended on rapid, decisive action in the operating room and careful post-operative care. The medical staff framed the episode as a critical reminder of how quickly a seemingly ordinary moment can escalate into a serious hand injury that tests both skill and resolve.

The surgical team chose to approach the injury with meticulous attention to anatomy and tissue viability. The injured finger was stabilized using a skin-vascular flap and a flexor tendon to preserve as much natural structure as possible. In many similar cases, amputation is the straightforward option. However, the surgeons at Elizavetinskaya Hospital opted for a reconstruction strategy aimed at restoring both form and function, prioritizing the finger’s long-term utility over a quick decision. This choice reflects a broader principle in modern hand surgery: when feasible, preserving the finger can lead to better functional outcomes and a higher quality of life for the patient. The medical personnel involved spoke of balancing the urgency of the situation with the precise technical steps required to reapproximate tissues and maintain vascular supply, which is essential for healing and recovery. The hospital’s spokesperson, referencing the multidisciplinary collaboration among surgeons, nurses, and therapists, underscored that successful restoration hinges on careful planning, steady hands, and careful follow-up care.

According to Dr. Dmitry Moshkin, a physician at Elizavetinskaya Hospital, the extensor tendon from the affected finger was anchored to the phalanx, and sutures were placed through a meticulously formed bone channel. This method helps secure tendon alignment and promotes proper tendon glide during recovery. The reconstruction process required precise suturing and stabilization techniques designed to minimize scar tissue formation and optimize range of motion. The aim was clear: preserve sensation, maintain alignment, and keep the finger looking as natural as possible while restoring function. The patient remains under close medical supervision, with a detailed rehabilitation plan that will extend across weeks, if not months, to rebuild strength, dexterity, and coordinated movement. Clinicians emphasize that sustained, structured therapy is a critical companion to surgical repair, helping the patient relearn how to grip, grasp, and perform delicate tasks.

Once the finger was stabilized and the initial healing phase underway, clinicians projected that the recovery would be gradual. Aesthetically, the finger is expected to resemble the others, but the road to full functionality will include ongoing physical therapy and possibly adaptive exercises. The surgical team noted that outcomes like these depend not only on the operation itself but also on consistent follow-up care, protective measures, and patient commitment to rehabilitation. The goal is to maximize strength, flexibility, and the ability to perform everyday activities. While early signs are promising, the medical staff cautioned that rehabilitation can span several weeks and extend into months depending on the patient’s response, tissue healing, and adherence to therapeutic protocols. The patient, now under careful observation, should anticipate a structured schedule of evaluations and guided exercises to ensure stability and to minimize long-term deficits.

An unrelated incident in the same region previously involved a worker who sustained injuries to two fingers after a fall on a manhole cover. This reminder of workplace hazards reinforces the importance of immediate medical assessment for hand injuries and underscores the expertise required to decide between reconstruction and more definitive solutions in emergency settings. The hospital system continues to advocate for prompt care after any hand trauma, emphasizing that quick, accurate treatment can significantly influence outcomes and recovery trajectories for patients facing similar emergencies. Attribution: Elizavetinskaya Hospital press service.

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