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- W3032723834 abstract "ObjectiveTo investigate the surgical procedures and the clinical results of repairing degloving injury of the distal finger.MethodsBetween January 2010 and May 2014, 34 patients (34 fingers) with degloving injury of the distal finger were treated. There were 24 males and 10 females with ages ranging from 21 to 60 years (mean, 35 years). The time from injury to operation was 1 to 8 hours (mean, 4.5 hours). Affected fingers included index finger in 7 cases, middle finger in 15 cases, ring finger in 9 cases, and little finger in 3 cases. Twelve cases were complicated with fracture of the distal phalanx. The defect area ranged from 2.0 cm×1.8 cm to 3.0 cm×2.5 cm. Modified reverse island flap based on the dorsal branch of the digital artery was used to cover the defects of the distal finger caused by the degloving injury. The flap shaped like the humps of a camel (double hump flap). Full thickness skin graft from the forearm was used to cover the donor site.ResultsBlister and scabs occurred in 8 cases, and two of them were revised by second intention. The other flaps and skin grafts survived uneventfully. The patients were follow-up for 6 to 20 months (mean, 9.3 months). All the flaps presented satisfactory appearance and texture, and the flexion and extension function of affected fingers nearly returned to normal. Two-point discrimination ranged from 6.2 to 9.1 mm at the last follow-up. According to the functional assessment criteria of the upper limb formulated by the Hand Surgery Society of the Chinese Medical Association, the results were excellent in 24 cases, good in 8 cases, and fair in 2 cases, the excellent and good rate being 94.1%.ConclusionModified reverse island flap based on the dorsal branch of the digital artery, namely the double-hump flap, is a simple and safe, easy-to-operate and effective method for treating degloving injury of the distal finger.Key words: Finger injuries; Surgical flaps; Degloving injury; Proper digital artery" @default.
- W3032723834 created "2020-06-05" @default.
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- W3032723834 date "2017-06-10" @default.
- W3032723834 modified "2023-09-24" @default.
- W3032723834 title "Transfer of double hump flap from the same finger for repair of distal finger degloving injury" @default.
- W3032723834 doi "https://doi.org/10.3760/cma.j.issn.1005-054x.2017.03.011" @default.
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