title: Extended distally based DMCA flap in combination with autologous amputate skin transplantation as a salvage procedure for ring avulsion injury.
abstract: A 23-year-old male student presented to our clinic with a traumatic complex ring avulsion of his right dominant index finger. Clinical evaluation revealed a complete distal amputation of the DIP joint with a laceration of the soft tissue at the middle phalanx and a rupture of the FDP-2-tendon far proximally. We hereby present the patient's clinical outcome after reconstruction with a distally based extended DMCA-II flap. To our own knowledge, this is the first report of an extended distally based DMCA flap for coverage of a class IVd ring avulsion injury in combination with autologous amputate skin transplantation.
  
  
  METHODS
  Level V, therapeutic study.
authors: Department of Plastic and Reconstructive Surgery, Radboud University Hospital, Nijmegen, The Netherlands.
authors: Till
authors: T
authors: Wagner
authors: Department of Plastic and Reconstructive Surgery, Radboud University Hospital, Nijmegen, The Netherlands.
authors: Nicholas
authors: N
authors: Slater
authors: Department of Plastic and Reconstructive Surgery, Radboud University Hospital, Nijmegen, The Netherlands.
authors: Dietmar
authors: D
authors: Ulrich
keywords: DMCA flap; Finger amputation; Finger reconstruction; Ring avulsion