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Three-flap cover for total hand degloving
Azmat M Doctor1, Jimmy Mathew, Sunderraj Ellur
1Department of Plastic Reconstructive Surgery and Burns, St Johns Medical College Hospital, Bangalore 560 034, Karnataka, India. azmatdoc@hotmail.com
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 7, 2009
Summary
Managing total hand degloving injuries is challenging. This case study demonstrates successful reconstruction using three flaps, restoring hand function within two months.
Area of Science:
- Reconstructive surgery
- Hand surgery
- Microsurgery
Background:
- Total hand degloving injuries present significant reconstructive challenges.
- Restoring function and cosmesis requires innovative surgical approaches.
Observation:
- A case of total hand degloving injury managed with multiple flaps.
- Utilized radial forearm flap for thumb and first web space coverage.
- Employed groin-hypogastric flap for coverage of remaining digits.
Findings:
- The radial forearm flap provided thin, pliable coverage, enabling thumb mobility.
- Groin-hypogastric flap ensured adequate coverage of the finger remnants.
- The patient achieved functional recovery, including object manipulation and legible writing, within 2 months.
Implications:
- Multi-flap reconstruction is a viable strategy for complex hand degloving injuries.
- This approach can lead to significant functional restoration and improved quality of life.
- Highlights the versatility of free flaps in challenging soft tissue defects.
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