[Aseptic bone necrosis following reimplantation of a degloving finger].
We report a case of microsurgical replantation of a degloved finger in a manual worker. Four months following replantation, avascular necrosis of the middle and distal phalanges was apparent. Amputation at the level of the proximal phalanx was performed. Re-plantation is the solution of choice for such degloving injuries, but a different flap can be used if replantation is not possible. Avascular necrosis of bone is an unfrequent complication, but surgeons should be aware of it.
Obert
L
L
Service de chirurgie orthopédique traumatologique plastique, assistance main, CHU Jean Minjoz, 25000 Besançon, France.
Corral
H P
HP
Gérard
F
F
Jarry
A
A
Garbuio
P
P
Tropet
Y
Y
D000062:Accidents, Occupational; D000328:Adult; D000671:Amputation, Surgical / Q000379:methods; D005383:Finger Injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000009:adverse effects / Q000379:methods; D010020:Osteonecrosis / Q000209:etiology* / Q000473:pathology; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000379:methods; D013524:Surgical Flaps