Three-flap cover for total hand degloving.
Re-surfacing after a total hand degloving injury is one of the most difficult management problems in hand surgery. We present one such case that was managed using three flaps for cover. The radial forearm flap is very thin and pliable, resulting in satisfactory coverage of first web space and the thumb remnant, and facilitates a mobile thumb. The groin-hypogastric flap covered the remnant fingers admirably. The patient had a good first web and could use the hand to lift objects and hold a pen to write legibly within 2 months of the injury.
Doctor
Azmat M
AM
Department of Plastic Reconstructive Surgery and Burns, St Johns Medical College Hospital, Bangalore 560 034, Karnataka, India. azmatdoc@hotmail.com
Mathew
Jimmy
J
Ellur
Sunderraj
S
Ananthram
Anusham A
AA
D000062:Accidents, Occupational; D000328:Adult; D062109:Dermatologic Surgical Procedures; D005385:Fingers / Q000601:surgery; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D017534:Radial Artery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin / Q000293:injuries*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D013997:Time Factors; D015599:Trauma Severity Indices; D014953:Wrist / Q000601:surgery