Treatment of degloving injury of three fingers with an anterolateral thigh flap

The degloving injuries of the digits and palm remain a persistent challenge. We used an anterolateral thigh flap to treat an 18-year-old, right-handed male worker with degloving injuries of the index, middle and ring fingers. The flap was designated to wrap the entire circumference of three fingers...

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Bibliographic Details
Published in:Chinese journal of traumatology 2011-04, Vol.14 (2), p.126-128
Main Authors: YU, Guang, LEI, Hong-yu, GUO, Shuang, YU, Hao, HUANG, Jian-hua
Format: Article
Language:English
Subjects:
Adolescent
Finger injuries
Finger Injuries - surgery
Humans
Machine injury
Male
Surgical Flaps
受伤
手指
数字和
治疗
皮瓣
皮肤移植
组织缺损
脱套
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Summary:The degloving injuries of the digits and palm remain a persistent challenge. We used an anterolateral thigh flap to treat an 18-year-old, right-handed male worker with degloving injuries of the index, middle and ring fingers. The flap was designated to wrap the entire circumference of three fingers sustaining degloving injury and to form mitten-hand. The total lengths of the distal phalanxes of three fingers were retained almost complete. The donor defect was covered with split-thickness skin graft. Three months after the first operation, roentgenograms revealed terminal phalanxex resorption in three injured fingers, and the surgical syndactyly between the middle and ring finger was separated at the same time. One month later, the syndactyly between the index and middle fingers was also separated. Good coverage of the soft tissue defects with good function and appearance was achieved. Therefore, we considered that the length of the degloved finger could be preserved using free flap.
ISSN:1008-1275
DOI:10.3760/cma.j.issn.1008-1275.2011.02.015