Treatment of Degloved Fingers

Results of Ray Resection and Amputation for Ring Avulsion Injuries at the Proximal Interphalangeal Joint

“…Before the introduction of microsurgery, ring avulsion injuries were treated by a variety of methods, including skin grafts, near and distant pedicled flaps and amputation (Adani et al, 1996; Carroll, 1974; Flagg et al, 1977; Frederiks, 1973; Martin et al, 1990; McGeorge and Stilwell, 1991; Thompson et al, 1968; Tsai et al, 1984; Urbaniak et al, 1981). Progress in microsurgery then shifted the debate to the indications for replantation, rather than other treatment choices.…”

Nail degloving, a polyetiologic condition with 3 main patterns: A new syndrome

“…1 Nail avulsions have been reported from a loop of steel wire, by a wet cord while sailing, or by a ring caught when jumping off a trailer or a ladder. Crush injuries of the fingertip may be classified as tip-amputation, volar, dorsal, or circumferential injury (19 of 44 patients in the series of Tajima 2 ).…”

Ring Avulsion Injuries: A Systematic Review

“…Classically, these were treated with primary amputation, ray resection, or remote pedicled flaps from the groin or anterior pectoral region. 12,18,26,30,40 An amputated finger or extensive soft tissue loss would have been considered indications for a completion amputation. Today, however, with the refinement of microsurgical revascularization techniques, the ability to preserve a digit after a class III injury has vastly improved.…”

“…Prior to the advent of microsurgery, treatment options were limited to local soft tissue coverage and completion amputation. 10,12,18,40 The age of microsurgery introduced the concepts of revascularization and replantation to ring avulsion injuries. 16,43 The potential utilization of these techniques has initiated a debate on when to replant and when to amputate.…”