Salvage of the skin envelope in complex incomplete avulsion injury of thumb with venous arterializaiton: A case report

Lin, Yu-Hsien; Jeng, Chu-Hsu; Hsieh, Cheng-Han; Lin, Hwang-Chi

doi:10.1002/micr.20790

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…Lin et al . recently described a case of incomplete avulsion injury of thumb at the dorsal aspect was successfully salvaged by means of vein arterialization 7. In our case, we extended this technique to the treatment of complete degloving injury to the ring finger.…”

Section: Discussionmentioning

confidence: 82%

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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Section: Discussionmentioning

confidence: 82%

Replantation of a circumferentially degloved ring finger by venous arterializations

Wang

Ping

Zhou

2013

IJOO

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“…When the skin has been physiologically degloved, but is still attached to the body, it can be vascularised by either arterial anastomosis, venous anastomosis or both, as the situation warrants, and this procedure is called revascularisation[45] [Figure 3]. Thus, replacing the degloved part and vascularising it by microvascular anastomosis gives back the patient skin and a soft tissue cover in good quality and quantity.…”

Section: Surgical Optionsmentioning

confidence: 99%

Degloving injuries of the hand

Krishnamoorthy¹,

Karthikeyan²

2011

Indian J Plast Surg

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Avulsion of skin from the hand or fingers is an injury that has a dramatic presentation. The entire musculo-skeletal unit of the finger is intact, and the patient can often move the parts of his naked hand quite normally. The challenge for the reconstructive surgeon lies in resurfacing the hand or finger with a good quality pliable sensate skin cover while preserving the movements and function of the hand. Traditionally, skin grafting has been the standard method of reconstruction in such injuries. However, skin grafting does have many disadvantages, too. This article deals with the features of such injuries, management protocols and other reconstructive options available in the armamentarium of the hand surgeon.

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“…In the case which the skin is still attached to the body but has been physically degloved and nourishing vessels were damaged, it can be re-vascularized by either arterial or venous anastomosis or both. 4 - 6 Thereby quality and color of skin can be maintained. 1 , 4 However, there are some incidents when these options are no longer possible.…”

Section: Introductionmentioning

confidence: 99%

Degloving Injuries of Upper Extremity: A Strategy with Full Thickness Skin Mesh

Weinand

2018

wjps

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Degloving injuries of the upper extremity during work are rare nowadays, because of effective worker protection devices. However, these devastating injuries still occur today during motor vehicle car accidents and surgeons have to be aware of the possibilities of wound coverage for these large, contaminated wounds. We present two cases of degloving injuries of the hand and entire forearm using degloved skin as meshed full thickness skin graft to cover the entire wound. Two patients were admitted to our hospital, presenting large degloving injuries of the entire forearm and hands. Both patients sustained their injuries by being dragged by moving trains and presented additional fractures of the metacarpal bones and in both cases the little finger had to be amputated. The degloved skin was cleansed and meshed as a full thickness skin graft 1:3, using a Brennen Mesher. In both patients, complete wound coverage was achieved using the degloved skin as meshed full thickness skin graft. Attachment to the wound was achieved by vacuum closure device, however, ninety percent of the graft did attach. In both cases, shrinking of the full thickness skin grafts was noted. Both of them received physiotherapy and gained nearly complete function of the injured hand and wrist. When larger parts of skin are lost in degloving injuries meshing the degloved skin as full thickness skin grafts good wound coverage of larger, contaminated defects can be achieved.

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Salvage of the skin envelope in complex incomplete avulsion injury of thumb with venous arterializaiton: A case report

Cited by 6 publications

References 11 publications

Replantation of a circumferentially degloved ring finger by venous arterializations

Replantation of a circumferentially degloved ring finger by venous arterializations

Degloving injuries of the hand

Degloving Injuries of Upper Extremity: A Strategy with Full Thickness Skin Mesh

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