@article{10787d24b31f48a68f687b7a523e6d52,
title = "Reconstruction of complete circumferential degloving injury of a digit with a sensate medial sural artery perforator flap",
abstract = "Complete circumferential degloving injury of the digits usually results in a large cutaneous defect with tendinous structures, bone and joint exposure. When revascularization is not possible, a thin and adequately sized flap is required to resurface the defect, restore finger function, and prevent amputation. This report presents our experience with reconstruction of the entire circumferential degloving injury of the digit using a free sensate medial sural artery (MSA) perforator flap. The donor site was covered with split-thickness skin graft (STSG) and healed without complications. Furthermore, the MSA flap was thin and did not interfere with finger movements. The patients could attain smooth finger contours, acceptable function results, and adequate protective sensation after reconstruction. Patient satisfaction for the resurfaced digit scored 9 on a 10-point visual analogic pain intensity scale. This method may provide a valuable alternative for reconstruction of entire circumferential avulsion injury of the digit. {\textcopyright} 2013 JMS.",
keywords = "Degloving injury, Digit, Free medial sural flap, Sensate flap, adult, article, case report, end to end anastomosis, finger amputation, finger injury, human, human tissue, index finger, male, radial artery, radial nerve, sensate medial sural artery perforator flap, skin sensation, sural nerve, tissue flap, vascular pedicle",
author = "Chin-Ta Lin and Kuang-Ling Ou and Shyi-Gen Chen and Tim-Mo Chen and Shun-Cheng Chang",
note = "Export Date: 21 March 2016 通訊地址: Chang, S.-C.; Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-gong Road, Taipei 114, Taiwan; 電子郵件： aarondakimo@yahoo.com.tw 參考文獻: Urbaniak, J.R., Evans, J.P., Bright, D.S., Microvascular management of ring avulsion injuries (1981) J Hand Surg, 6, pp. 25-30; Beasley, R.W., Principles of soft tissue replacement for the hand (1983) J Hand Surg, 8, pp. 781-784; Martin, C., Gonzales del Pino, J., Controversies in the treatment of fingertip amputations (1998) Clin Orthop, pp. 63-73; Foucher, G., Koury, R.K., Digital reconstruction with hand flaps (1997) Clin Plast Surg, 24, pp. 1-32; Ishiko, T., Nakaima, N., Suzuki, S., Free posterior interosseous artery perforator flap for finger reconstruction (2009) J Plast Reconstr Aesthet Surg, 62, pp. e211-215. , doi: 10.1016/j.bjps.2009.01.065; Chen, S.L., Chou, G.H., Chen, T.M., Wang, H.J., Salvage of completely degloved finger with a posterior interosseous free flap (2001) Br J Plast Surg, 54, pp. 69-71; Adani, R., Castagnetti, C., Landi, A., Degloving injuries of the hand and fingers (1995) Clin Orthop Relat Res, 314, pp. 19-25; Yamauchi, T., Yajima, H., Kizaki, K., Kobata, Y., Fukui, A., Tamai, S., Sensory reconstruction in sensate radial forearm flap transfer J Reconstr Microsurg 2000, 16, pp. 593-595; Yu, P., Selber, J., Perforator patterns of the anteromedial thigh flap (2011) Plast Reconstr Surg, 128, pp. 151e-157e; Lin, C.H., Lin, C.H., Lin, Y.T., Hsu, C.C., Ng, T.W., Wei, F.C., The medial sural artery perforator flap: A versatile donor site for hand reconstruction (2011) J Trauma, 70, pp. 736-743. , doi: 10.1097/ TA.0b013e318203179e; Inigo, F., Gargollo, C., Secondary coverage of the hand using a dorsalis pedis plus first web space free flap (1992) J Reconstr Microsurg, 8, pp. 461-465; Woo, S.H., Choi, B.C., Oh, S.J., Seul, J.H., Classification of the first web space free flap of the foot and its applications in reconstruction of the hand (1999) Plast Reconstr Surg, 103, pp. 508-517; Javaid, M., Cormack, G.C., Anterolateral thigh free flap for complex soft tissue hand reconstructions (2003) J Hand Surg, 28 B, pp. 21-27; Ulrich, D., Pallua, N., Treatment of avulsion injury of three fingers with a compound thoracodorsal artery perforator flap including serratus anterior fascia (2009) Microsurgery, 29, pp. 556-559. , doi: 10.1002/micr.20650; Atzei, A., Pignatti, M., Udali, G., Cugola, L., Maranzano, M., The distal lateral arm flap for resurfacing of extensive defects of the digits (2007) Microsurgery, 27, pp. 8-16; Logan, A., Elliot, D., Foucher, G., Free toe pulp transfer to restore traumatic digital pulp loss (1985) Br J Plast Surg, 38, pp. 497-500; Morrison, W.A., Thumb and fingertip reconstruction by composite microvascular tissue from the toes (1992) Hand Clin, 8, pp. 537-550; Rui, Y., Mi, J., Shi, H., Zhang, Z., Yan, H., Free great toe wrap-around flap combined with second toe medial flap for reconstruction of completely degloved fingers (2010) Microsurgery, 30, pp. 449-456. , doi: 10.1002/ micr.20777; Wang, X., Mei, J., Pan, J., Chen, H., Zhang, W., Tang, M., Reconstruction of distal limb defects with the free medial sural artery perforator flap (2013) Plast Reconstr Surg, 131, pp. 95-105. , doi: 10.1097/ PRS.0b013e3182729e3c; Adani, R., Busa, R., Castagnetti, C., Castagnini, L., Caroli, A., Replantation of degloved skin of the hand (1998) Plast Reconstr Surg, 101, pp. 1544-1551; Tremolada, C., Ponzielli, P., Candiani, P., Donati, L., The subcutaneous laterodigital reverse flap (1998) Plast Reconstr Surg, 101, pp. 1070-1074; Adani, R., Marcoccio, I., Tarallo, L., Fregni, U., The reverse heterodigital neurovascular island flap for digital pulp reconstruction (2005) Tech Hand Up Extrem Surg, 9, pp. 91-95; Vuppalapati, G., Oberlin, C., Balakrishnan, G., Distally based dorsal hand flaps: Clinical experience, cadaveric studies and an update (2004) BJPS, 57, pp. 653-667; Yamada, N., Ui, K., Uchinuma, E., The use of a thin abdominal flap in degloving finger injuries (2001) Br J Plast Surg, 54, pp. 434-438; Lee, W.P.A., Salyapongse, A.N., Thumb reconstruction (2005) Green's Operative Hand Surgery, pp. 1865-1912. , Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, editors, 5th ed. 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year = "2013",
doi = "10.6136/JMS.2013.33(6).357",
language = "English",
volume = "33",
pages = "357--360",
journal = "Journal of Medical Sciences",
issn = "1011-4564",
publisher = "國防醫學院",
number = "6",
}