Treatment of a degloved hand injury by arteriovenous anastomosis: a case report.
It goes without saying that the optimal therapy for reconstruction of degloving injuries is to employ the tissues that were avulsed. However, it is difficult to evaluate the circulation and viability of avulsed tissues, and in the case of conservative treatment it is quite common for the avulsed tissues to become necrotic. This often necessitates a second reconstructive operation. We report a case of degloving injury of the hand. We performed reconstruction by arteriovenous anastomosis of a superficial vein in the avulsed skin flap and a superficial vein of the hand with the radial artery. We were thereby able to arterialize and salvage the avulsed skin flap on the back and palm of the hand, and the results were cosmetically and functionally satisfactory.
Takeuchi
M
M
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical College, Japan.
Sasaki
K
K
Nozaki
M
M
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D005260:Female; D006225:Hand / Q000098:blood supply*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D017534:Radial Artery / Q000601:surgery; D012039:Regional Blood Flow / Q000502:physiology; D012086:Reoperation; D017695:Soft Tissue Injuries / Q000601:surgery*; D014680:Veins / Q000601:surgery; D014945:Wound Healing / Q000502:physiology