Techniques and survival incidence for revascularization of degloved fingers

Kayalar, Murat; Kaplan, İbrahim; Sügün, Tahir Sadık; Ademoglu, Yalcin

doi:10.1177/1753193417724680

Cited by 6 publications

(1 citation statement)

References 30 publications

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“…Assessment, preservation, and ischemic time play a critical role, and every case should be urgently referred to a center with microsurgical expertise. Surgical options in the hands of an expert include replantation, terminalization of the stump, toe-to-finger transfer, and pollicization of digits [ 5 , 6 ]. The surgery of choice varies from case to case to provide the best outcome for the patient.…”

Section: Discussionmentioning

confidence: 99%

Harnessing the Degloved Palm in Crush Injury Management

Ilenghoven,

Ibrahim,

Mohd Yussof

2024

Cureus

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Degloving injuries of the upper limbs, common in industrial settings, pose significant reconstructive challenges. The injury's severity dictates the approach, from primary closure and skin grafting to complex free tissue transfer. Proper preparation of both the wound bed and degloved tissue is crucial, as the degloved tissue can serve as an effective biological dressing. Furthermore, salvaging this tissue and preparing it as a full-thickness skin graft can lead to good graft take-up and healing. This case report presents a 23-year-old male who sustained a severe crush and degloving injury to his right hand from heavy machinery. Using meticulous debridement and careful preparation of the degloved tissue, we achieved optimal wound management and coverage. This case highlights the critical role of preparation technique in achieving successful outcomes and underscores the potential benefits of using the degloved tissue prior to complex reconstructive scenarios, offering valuable insights for clinical practice.

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Section: Discussionmentioning

confidence: 99%