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. 2011 May;44(2):227-36.
doi: 10.4103/0970-0358.85344.

Degloving injuries of the hand

R Krishnamoorthy  1 , G Karthikeyan
Affiliations

Degloving injuries of the hand

R Krishnamoorthy et al. Indian J Plast Surg. 2011 May.

Abstract

Avulsion of skin from the hand or fingers is an injury that has a dramatic presentation. The entire musculo-skeletal unit of the finger is intact, and the patient can often move the parts of his naked hand quite normally. The challenge for the reconstructive surgeon lies in resurfacing the hand or finger with a good quality pliable sensate skin cover while preserving the movements and function of the hand. Traditionally, skin grafting has been the standard method of reconstruction in such injuries. However, skin grafting does have many disadvantages, too. This article deals with the features of such injuries, management protocols and other reconstructive options available in the armamentarium of the hand surgeon.

Keywords: Degloving injury; flap; hand injury; hand surgery; reconstruction.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Degloving injury of the hand
Figure 2
Figure 2
Degloving injury of the palm
Figure 3
Figure 3
Replantation
Figure 4
Figure 4
Revascularisation
Figure 5
Figure 5
Technique of crossed arterial anastomosis
Figure 6
Figure 6
Skin grafted hand and fingers
Figure 7
Figure 7
Amputation of marginal finger
Figure 8
Figure 8
Groin flap for single finger reconstruction
Figure 9
Figure 9
Quadrant flap in reconstruction
Figure 10
Figure 10
Abdominal pocketing method of reconstruction
Figure 11
Figure 11
Thumb reconstruction by the osteoplastic method
See this image and copyright information in PMC

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