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Evaluating Pedicled Groin Flap Reconstruction in Hand Degloving Injuries: A Retrospective Analysis
Saleh Abualhaj1,2, Yazan S Al-Zamer3, Lina Al-Shadfan4
1General Surgery Department, Faculty of Medicine, Al-Balqa Applied University, Salt, Jordan.
Journal of Hand Surgery Global Online
|December 8, 2025
Summary
Pedicled groin flap reconstruction is a reliable option for hand degloving injuries, achieving good outcomes. Factors like smoking and venous congestion impact complication rates, necessitating careful patient selection and surgical technique for successful flap viability.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Hand Surgery
Background:
- Degloving injuries of the hand and fingers often require complex reconstructive techniques.
- Pedicled groin flaps offer a potential solution for soft tissue coverage in these challenging injuries.
Purpose of the Study:
- To evaluate the clinical outcomes of pedicled groin flap coverage for hand degloving injuries.
- To identify factors associated with postoperative complications and flap viability.
Main Methods:
- A retrospective review of 23 patients who underwent pedicled groin flap reconstruction for hand degloving injuries (2015-2024).
- Analysis of patient demographics, surgical details, complication rates, aesthetic outcomes, and functional recovery.
- Statistical analysis to identify factors associated with complications.
Main Results:
- Successful flap reconstruction in 91.3% of cases with acceptable aesthetic and functional outcomes (mean QuickDASH score 18.1).
- Complications occurred in 34.8%, including partial flap necrosis (26.1%).
- Intraoperative venous congestion, smoking, additional procedures, and smaller defect size were associated with higher complication rates (P < .05).
Conclusions:
- Pedicled groin flap reconstruction is a reliable and accessible method for hand degloving injuries, yielding good functional and aesthetic results.
- Managing risk factors such as smoking and ensuring adequate venous outflow are crucial for minimizing complications.
- This technique is particularly valuable in resource-limited settings.
