Reconstruction of complete circumferential degloving injury of a digit with a sensate medial sural artery perforator flap

Chin-Ta Lin, Kuang-Ling Ou, Shyi-Gen Chen, Tim-Mo Chen, Shun-Cheng Chang

Research output: Contribution to journalArticle

Abstract

Complete circumferential degloving injury of the digits usually results in a large cutaneous defect with tendinous structures, bone and joint exposure. When revascularization is not possible, a thin and adequately sized flap is required to resurface the defect, restore finger function, and prevent amputation. This report presents our experience with reconstruction of the entire circumferential degloving injury of the digit using a free sensate medial sural artery (MSA) perforator flap. The donor site was covered with split-thickness skin graft (STSG) and healed without complications. Furthermore, the MSA flap was thin and did not interfere with finger movements. The patients could attain smooth finger contours, acceptable function results, and adequate protective sensation after reconstruction. Patient satisfaction for the resurfaced digit scored 9 on a 10-point visual analogic pain intensity scale. This method may provide a valuable alternative for reconstruction of entire circumferential avulsion injury of the digit. © 2013 JMS.
Original languageEnglish
Pages (from-to)357-360
Number of pages4
JournalJournal of Medical Sciences (Taiwan)
Volume33
Issue number6
DOIs
Publication statusPublished - 2013
Externally publishedYes

Keywords

  • Degloving injury
  • Digit
  • Free medial sural flap
  • Sensate flap
  • adult
  • article
  • case report
  • end to end anastomosis
  • finger amputation
  • finger injury
  • human
  • human tissue
  • index finger
  • male
  • radial artery
  • radial nerve
  • sensate medial sural artery perforator flap
  • skin sensation
  • sural nerve
  • tissue flap
  • vascular pedicle

Fingerprint Dive into the research topics of 'Reconstruction of complete circumferential degloving injury of a digit with a sensate medial sural artery perforator flap'. Together they form a unique fingerprint.

  • Cite this