[Abdominal bipedicled subepidermal vascular-network flap in repair of degloving injury of hand].
OBJECTIVE
To evaluate the clinical result of repairing degloving injury of hand with abdominal bipedicled subdermal vascular-network flap in emergence.


METHODS
From 1994 to 1997, 19 cases with degloving injury of hand were treated with two flaps, one flaps with the inferior epigastric artery as pedicle, another with superficial epigastric artery. The two skin flaps were designed oppositely to cover the injured hands.


RESULTS
All the flaps survived. Followed up for 1 to 3 years, the contour of hands were fine. Extension of fingers was normal and opponers of thumbs was good. Range of flexion of metacarpo-phalangeal joints was from 45 to 60 degrees, and the proximal interphalangeal joints was from 10 to 25 degrees.


CONCLUSIONS
For the subdermal vascular network, the bipedicled flaps of abdomen in repair of degloving injury of hand have sufficient blood supply, strong resistance to infection, high survival rate, and good contour.
Li
Q S
QS
Orthopedic Center of Jinan Military Area, 146 Hospital of PLA, Linyi, Shandong, P. R. China 276001.
Feng
C C
CC
Chen
Y M
YM
D000293:Adolescent; D000328:Adult; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000098:blood supply*; D013524:Surgical Flaps