title: Salvage of the skin envelope in complex incomplete avulsion injury of thumb with venous arterializaiton: a case report.
abstract: Treatment of an avulsion or degloving injury of the hand is a difficult but not unusual operation for plastic reconstructive or hand surgeons. The avulsion may be salvaged by arteriovenous shunting technique. We present a patient with incomplete avulsion injury of the distal phalanx of thumb. Arteriovenous shunting was created and the wound reconstructed primarily under venous arterialization. The avulsed skin envelope was survived well and functional status was improved.
authors.affiliation: Department of Surgery, Division of Plastic Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
authors.forename: Yu-Hsien
authors.initials: YH
authors.lastname: Lin
authors.forename: Chu-Hsu
authors.initials: CH
authors.lastname: Jeng
authors.forename: Cheng-Han
authors.initials: CH
authors.lastname: Hsieh
authors.forename: Hwang-Chi
authors.initials: HC
authors.lastname: Lin
mesh_terms: D005260:Female; D005383:Finger Injuries / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation; D013933:Thumb / Q000098:blood supply* / Q000293:injuries*