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Related Experiment Video

Updated: Jun 18, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

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.

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Published on: July 4, 2019

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.