“…Ring avulsion injuries with complete degloving and devascularization of fingers (Urbaniak Class III) remains challenging (Figures 1(a, b and c)). Surgical options include primary amputation or ray resection (Bamba et al., 2018; Segret et al., 2008), remote pedicled flaps and skin grafting with dermal substitute (Bamba et al., 2018), free flaps (Murphy and Tham, 2017) and replantation. Replantation is not only technically demanding due to the avulsion of soft tissues, but is also associated with long rehabilitation and disappointing functional outcomes (Bamba et al., 2018; Bonastre Juliá et al., 2020).…”