Preservation of function following complete degloving injuries to the hand: use of simultaneous groin flap, random abdominal flap, and partial-thickness skin graft.
Early total wound coverage is effectively achieved in complete degloving injuries to the hand and digits by preliminary skeletal narrowing and shortening, volar partial-thickness skin grafting, and application of a long, axial-pattern attached groin flap to the dorsum of the hand and remaining phalanges. If the thumb has been skeletonized by the initial trauma, simultaneous use of a circumferential random-pattern abdominal flap ensures complete coverage and earlier mobilization. THis combination of techniques is effective in preservation of pinch power and control, hook function of the medial portion of the hand, and general grasp and release attitudes.
D000005:Abdomen; D000673:Amputation, Traumatic / Q000601:surgery; D005383:Finger Injuries / Q000601:surgery; D005385:Fingers / Q000601:surgery; D005500:Follow-Up Studies; D006225:Hand / Q000503:physiopathology; D006230:Hand Injuries / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods; D010502:Perineum; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000534:rehabilitation; D013524:Surgical Flaps