Phased reconstruction of a whole-hand degloving injury with tissue flaps carrying nerves: a case report
10.3760/cma.j.cn441206-20240301-00057
- VernacularTitle:带神经的组织瓣分期修复全手脱套伤1例
- Author:
Lizhen DAI
1
;
Shiyu ZOU
1
;
Yizhi ZHANG
1
;
Pinkun CHEN
1
;
Chunsheng XIAO
1
;
Lifeng MA
1
;
Kelie WANG
1
Author Information
1. 深圳市龙岗区骨科医院手外科，深圳 518116
- Publication Type:Journal Article
- Keywords:
Degloving injury;
Hand;
Tissue flap;
Transfer;
Reconstruction
- From:
Chinese Journal of Microsurgery
2024;47(6):694-697
- CountryChina
- Language:Chinese
-
Abstract:
In December 2018, a 21-year old male with a whole-hand degloving injury was treated in the Department of Hand Surgery, Longgang District Orthopaedic Hospital. Two hallux nail flaps were used to reconstruct the right thumb, index finger and the first web. The wounds on middle, ring and little fingers were reconstructed with syndactyly by a left anterolateral thigh flap (ALTF). A right ALTF was used to reconstruct the donor sites in both feet. After 2 surgeries for finger splitting, the pulps of right middle, ring and little fingers were reconstructed with the pulps of the right middle, ring and little fingers together with the lateral flaps of the second toes of both feet and left third toe. After 4 years of follow-up, nails of the thumb and index finger were realistic and the shape of the fingers was satisfactory. There was no wear or ulceration in the finger pulps. The holding function was good with the TPD at 4-6 mm. There was no blisters or ulcers in both feet. The flap was soft. Only linear scars remained on both thighs.
