Related Experiment Video
Updated: Jul 5, 2025
07:59
Murine Full-thickness Skin Transplantation
Published on: January 2, 2017
20.2K
A Degloved Hand Was Resurfaced with Sandwich Flaps
Ahmadreza Afshar1, Ali Tabrizi1, Ali Aidenlou1
1Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
World Journal of Plastic Surgery
|January 16, 2024
Summary
A severe degloving hand injury was treated using a novel "hand sandwich" flap technique. This method successfully reconstructed the hand, restoring function and form.
Area of Science:
- Reconstructive surgery
- Microsurgery
- Trauma surgery
Background:
- Degloving injuries of the hand are complex and challenging to treat.
- Complete degloving necessitates extensive tissue coverage to preserve hand function.
Observation:
- A 35-year-old male sustained a complete degloving injury to his right hand from a machinery accident.
- The injury involved the fingers, thumb, and palmar/dorsal surfaces of the hand.
Findings:
- A unique "hand sandwich" technique was employed using paired random flaps from the left arm and chest wall to cover the denuded hand and fingers.
- The thumb was reconstructed using separate paired random flaps.
- The final reconstruction resulted in a functional "mitten" hand with specific flap dimensions (dorsal: 15x13 cm, palm: 10x10 cm, thumb: 7x6 cm).
Implications:
- This flap technique offers a viable solution for extensive hand degloving injuries.
- The "hand sandwich" approach demonstrates successful tissue reconstruction and functional restoration in severe trauma cases.
- This case highlights innovative surgical strategies for limb salvage in critical hand injuries.
