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Salvage of the skin envelope in complex incomplete avulsion injury of thumb with venous arterializaiton: A case report
Author(s) -
Lin YuHsien,
Jeng ChuHsu,
Hsieh ChengHan,
Lin HwangChi
Publication year - 2010
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20790
Subject(s) - medicine , avulsion , degloving , avulsion injury , microsurgery , shunting , phalanx , surgery , hand injury , replantation , thumb
Abstract Treatment of an avulsion or degloving injury of the hand is a difficult but not unusual operation for plastic reconstructive or hand surgeons. The avulsion may be salvaged by arteriovenous shunting technique. We present a patient with incomplete avulsion injury of the distal phalanx of thumb. Arteriovenous shunting was created and the wound reconstructed primarily under venous arterialization. The avulsed skin envelope was survived well and functional status was improved. © 2010 Wiley‐Liss, Inc. Microsurgery 30:469–471, 2010.