Degloving injuries of the hand

Krishnamoorthy, R. V.; Karthikeyan, G

doi:10.4103/0970-0358.85344

Cited by 52 publications

(38 citation statements)

References 6 publications

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“…[11] Scalp,[12] upper limb,[3] heel,[13] degloving injuries may cause significant blood loss and hemodynamic instability. In particular, one should keep this in mind with scalp injuries that degloving injuries involving the external genitalia,[14] though uncommon, can be life threatening, with incapacitating and psychologically devastating consequences.…”

Section: Introductionmentioning

confidence: 99%

The therapeutic challenges of degloving soft-tissue injuries

Latifi

Hennawy

El‐Menyar

et al. 2014

J Emerg Trauma Shock

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Background:Degloving soft-tissue injuries are serious and debilitating conditions. Deciding on the most appropriate treatment is often difficult. However, their impact on patients’ outcomes is frequently underestimated.Objectives: We aimed to study the incidence, clinical presentation, management and outcome of degloving soft-tissue injuries.Materials and Methods:We conducted a narrative traditional review using the key words; degloving injury and soft-tissue injuries through search engines PubMed, Science Direct, and Scopus.Results:There are several therapeutic options for treating degloving soft-tissue injuries; however, no evidence-based guidelines have been published on how to manage degloving soft-tissue injuries, although numerous articles outline the management of such injuries.Conclusion:Degloving soft-tissue injuries are underreported and potentially devastating. They require early recognition, and early management. A multidisciplinary approach is usually needed to ensure the effective rehabilitation of these patients.

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Section: Introductionmentioning

confidence: 99%

The therapeutic challenges of degloving soft-tissue injuries

Latifi

Hennawy

El‐Menyar

et al. 2014

J Emerg Trauma Shock

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“…It lies in resurfacing the hand or finger with good quality, pliable sensate skin cover, while preserving the movements and function of the hand [3]. Traditionally, skin grafts or pedicled flaps are used, but they both have some inevitable disadvantages.…”

Section: Discussionmentioning

confidence: 99%

“…Its survival depends on the nutrition of the recipient site wound, which is variable. So a negative pressure in the form of suction is used under the graft and a positive pressure is applied with a bulky dressing and compression to maintain good contact with the bed to ensure a graft take [3]. The pedicled flap is more widely used to reconstruct the injury, which is safe and well established [4, 5].…”

Section: Introductionmentioning

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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“…Traditionally, denuded fingers were resurfaced with local flaps or tubed pedicle flaps,8 but the functional and esthetic results have been unsatisfactory. Free great toe wrap-around flap combined with second toe medial flap can lead to more acceptable results for the degloved finger,9 but this technique fails to obtain optimal function and good shape as compared with those obtained with replantation.…”

Section: Discussionmentioning

confidence: 99%

Replantation of a circumferentially degloved ring finger by venous arterializations

Wang

Ping

Zhou

2013

IJOO

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Treatment of ring degloving injuries of the finger is one of the most demanding problems in hand surgery. Replantation has been advocated as the best solution if the vessels belonging to the degloved skin are not irreversibly destroyed. We present a case involving a ring finger with circumferentially avulsed skin. Debridement under microscopy showed that the peeled skin did not retain any arteries, but did have various superficial veins of good caliber. The neurovascular bundles of the finger remained in situ and did not appear to be disrupted. The degloved finger survived uneventfully by venous arterialization, retaining excellent function and appearance.

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Degloving injuries of the hand

Cited by 52 publications

References 6 publications

The therapeutic challenges of degloving soft-tissue injuries

The therapeutic challenges of degloving soft-tissue injuries

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

Replantation of a circumferentially degloved ring finger by venous arterializations

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