title: Reconstruction of totally degloved fingers with a spiraled parallelogram medial arm free flap.
abstract: OBJECTIVE
  To investigate the results of resurfacing completely degloved digits using a parallelogram free flap from the medial arm in a spiral fashion.
  
  
  METHODS
  We reviewed the reconstruction of 26 digits in 21 patients with a parallelogram free flap from the medial arm in a spiral fashion following a non-replantable degloving injury.
  
  
  RESULTS
  The sizable perforator was observed consistently in the medial arm with 13 of 21 (62%) originating from the superior ulnar collateral artery, 6 of 21 (29%) directly from the brachial artery, and 2 of 21 (9%) from the superficial brachial artery. All the flaps but one, which sustained partial flap loss, survived uneventfully. Total active motion ranged from 93° to 145° and 112° to 154° in the cases with and without metacarpophalangeal joint involvement, respectively. The static 2-point discrimination test varied from 6 to 13 mm. No scar contracture was recorded in these patients. All the patients were satisfied with the overall results.
  
  
  CONCLUSIONS
  Resurfacing the defect in a spiral fashion is a valuable and reliable technique for the reconstruction of complete finger degloving injuries. The medial arm flap is a good candidate for this procedure, with satisfactory functional recovery and good aesthetic restoration.
  
  
  METHODS
  Therapeutic IV.
authors.affiliation: Department of Orthopedic Surgery, The Second Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
authors.forename: Zhenglin
authors.initials: Z
authors.lastname: Chi
authors.forename: Weiyang
authors.initials: W
authors.lastname: Gao
authors.forename: Hede
authors.initials: H
authors.lastname: Yan
authors.forename: Zhijie
authors.initials: Z
authors.lastname: Li
authors.forename: Xinglong
authors.initials: X
authors.lastname: Chen
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001132:Arm / Q000098:blood supply*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D016896:Treatment Outcome