Introduction: Tourniquet syndrome caused by a constricting band is common, and can be removed either by intact removal or by division. Finding a doorknob as the constrictor is rare and challenging to manage due to its bulky size, larger area of contact with the skin surface, and difficult access to the constricting site. The optimal removal technique has not yet been established.
Case Series: This case series explored two different techniques–cutting with a metal saw, and intact removal using guidewire technique which uses the guidewire from a central venous catheter. The first case was an 8-year-old boy who presented with his right index finger stuck to a doorknob, and the team utilized a metal saw to cut open the doorknob in order to release the finger. The second case was a 10-year-old boy also with his right index finger stuck in the doorknob. The team used the guidewire technique and successfully removed the doorknob intact.
Conclusion: While both techniques resulted in successful removal with minimal soft tissue injury, the former was more tedious, traumatizing, time-consuming and required technical help that is not immediately available. This can potentially cause delay in removal of the constrictor. We believe that intact removal using our technique is superior to cutting the doorknob because it is simple, cost-effective and ultimately a low risk and time-saving procedure.

Keywords: Constricting band, Doorknob, Guidewire technique, Tourniquet syndrome