The use of a thin abdominal flap in degloving finger injuries

Yamada, Naoto; K, Ui; Uchinuma, Eiju

doi:10.1054/bjps.2001.3611

Cited by 16 publications

(13 citation statements)

References 9 publications

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“…The grafts tend to be hyperpigmented and not acceptable cosmetically. Usually, pedicled flaps offer much better reconstruction than skin grafts, but these flaps have a thick layer of subcutaneous fat, which results in a puffy and bulky shape [7]. They need secondary procedures such as flap thinning to make them more useful if necessary [8].…”

Section: Discussionmentioning

confidence: 99%

Clinical Application of Split-Thickness Skin with Pedicle for Finger Wounds

Zhang

Tan

Fang

et al. 2018

BioMed Research International

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Background Skin grafts and pedicled flaps are the traditional methods of reconstructing injuries; both have some disadvantages. Here, we introduce a new clinical application of split-thickness skin with pedicle for repairing finger wounds. Methods We present the new method of split-thickness skin with pedicle used on 12 patients (18 fingers) between 2012 and 2016. The graft was sketched on the abdomen at random according to the shape of the wounds on a skin area of 1.0 × 1.0 cm–8.0 × 1.5 cm. The pedicle was divided at 7–22 days. Results During the follow-up time of 13–20 months, there were no reported cases of skin necrosis; 17 fingers obtained primary healing except 1, which required a dressing change. Conclusion The split-thickness skin with pedicle proved to be valuable in the treatment of finger wounds and has the advantages of both pedicled flaps and free skin grafting.

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Section: Discussionmentioning

confidence: 99%

Clinical Application of Split-Thickness Skin with Pedicle for Finger Wounds

Zhang

Tan

Fang

et al. 2018

BioMed Research International

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“…In the hand or arm such injuries are commonly caused by the limb being crushed between rollers, while in the leg they may result from the shearing effect of a vehicle wheel passing over the limb in a run-over accident. Degloving tissue injuries can interrupt large vessels and the continuity of capillary beds [8,11,17]. Edema soon forms, increasing the distance oxygen needs to diffuse from functioning capillaries.…”

Section: Discussionmentioning

confidence: 99%

Degloving Injury

2005

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European Journal of Trauma Ab stractBackground: Degloving is a potentially serious injury in which an extensive area of skin is torn from its underlying attachments and thereby deprived of its blood supply. Case Study: Two cases of degloving injury are described, one occurring as a result of the shearing effect of a vehicle wheel passing over the limb in a run-over accident and one caused by a ring of the fourth-hand finger. The degloved skin must be grafted with the help of plastic surgery either by removing the subcutaneous fat from the damaged skin and applying it as a free graft or by taking a graft from elsewhere. Conclusion: Degloved skin is dead and should be replaced as if it were a free skin graft. A number of plastic surgical procedures are available at the moment. IntroductionDegloving injuries cause stripping of skin and underlying tissues from the bones, usually of the hands or feet, as occurs in run-over accidents, wringer or industrial roller injuries [3,22,46,48]. These two cases of degloving injury of the lower limb and the fourth finger of the right hand, respectively, are presented in order to describe this rare and potentially very serious injury of soft tissue.

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“…It is a tremendous challenge for microsurgeon to reconstruct degloving injury of the fingers with intact bone and tendon remained in the finger. 1,2 Several cases of salvage of degloved skin by microsurgical replantation has been reported in the literature. 3,4 It has been considered that replantation of the degloved skin represents the best solution and must be attempted early.…”

mentioning

confidence: 99%

“…3 However, the majority of these injured digits are not suitable for replantation and would need secondary reconstruction with other options. 1,2,[5][6][7][8][9][10][11][12][13][14][15][16] Various flaps have been proposed in the literature, such as groin flap, random abdominal flap and local pedicled flaps, 1,[12][13][14] for reconstruction of the degloved fingers. Meanwhile, with the advent of microsurgery, fascial free flaps, fasciocutaneous sensitive flap, posterior interosseous free flaps, or even innervated arterialized venous flaps have been introduced for reconstruction.…”

mentioning

confidence: 99%

Free great toe wrap‐around flap combined with second toe medial flap for reconstruction of completely degloved fingers

Rui¹,

Mi²,

Shi³

et al. 2010

Microsurgery

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Surgical procedure of great toe wrap-around flap combined with second toe medial flap free transfer for reconstructing completely degloved fingers was introduced. The treatment outcomes were evaluated. 10 fingers in 7 cases were involved in this series. The great toe wrap-around flap with dorsalis pedis skin covered the dorsal and most palmar side of the injured finger. The second toe medial flap covered the proximal palmar portion of the finger. The combined flap was revascularized with nerve repair. Rehabilitation started two weeks postoperatively. All flaps survived except one was partial failure due to distal phalange necrosis. Recipient areas achieved primary wound healing in 9 fingers. Skin graft at donor site achieved primary survival except delayed healing in one case. All patients were followed-up from 34 to 76 months. The appearance of reconstructed fingers was satisfactory. Nail growth well except that one nail was the atrophic and another was defect. Range of active motion in the metacarpophalangeal joint was from 60° to 80° and the proximal interphalange joint was 40° to 70°. Two-point discrimination was between 8 mm and 12 mm. All patients walked with no interference. There was no pain and no swelling at donor site. According to the results, this procedure is recommended to reconstruct total degolving finger which has intact phalanges and tendons.

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The use of a thin abdominal flap in degloving finger injuries

Cited by 16 publications

References 9 publications

Clinical Application of Split-Thickness Skin with Pedicle for Finger Wounds

Clinical Application of Split-Thickness Skin with Pedicle for Finger Wounds

Degloving Injury

Free great toe wrap‐around flap combined with second toe medial flap for reconstruction of completely degloved fingers

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