Long term follow-up of a degloving injury of distal thumb repaired with a combined wrap-around flap of hallux nail flap and tibial flap of the second toe: A case report

VernacularTitle:同蒂甲瓣和第2趾胫侧皮瓣瓦合修复拇指末节脱套伤长期随访一例
Author: Shengzhe LIU ; Jihui JU ; Zhijin LIU ; Xiangnan ZHANG ; Junnan CHENG ; Ruixing HOU
From: Chinese Journal of Microsurgery 2021;44(2):234-236
CountryChina
Language:Chinese
Abstract: Degloving injury of distal thumb is common in hand surgery. Generally, the degloving tissue is severely damaged without conditions for replantation. It is often treated by methods of stump revision, local flap coverage, free second toe reconstruction, and so on. It inevitably leads to a shortening of distal phalanx, sacrifice of the whole toe and poor appearance after repair. The hallux nail flap is considered to be the best to treat this kind of injury. However, the traditional wrap-around flap excises the toe in a large range and has many complications in the donor site. In April, 2010, a case of degloving injury of the distal thumb was repaired with a combined wrap-around flap of the hallux nail flap and the tibial flap of the second toe. The patient was followed-up for 10 years in our hospital. Both of the appearance and function of the patient's thumb are well recovered.