Wrapping degloved fingers with a distal-based radial forearm perforator

Abstract

Degloving hand injuries present challenging situations to hand surgeons as they present with difficulties in reconstructive microsurgery, particularly in multiple digital injuries. Time is a limiting factor when multiple degloving finger amputations are present. Thus, we proposed a repair method for multiple degloving finger injuries that involves coverage with a distal-based reverse forearm flap of all injured fingers in a two-stage procedure. Early vigorous physical therapy after pedicle division of the flap at postoperative third week eliminates joint stiffness problems at wrist and metacarpophalangeal joints.

C1 [Coban, Yusuf Kenan; Ocuk, Ozcan; Bekircan, Kaan] Inonu Univ, Turgut Ozal Med Ctr, Dept Plast Reconstruct & Aesthet Surg, Malatya, Turkey.