Repair of a degloving injury of the thumb with a combined dorsal great toenail flap and dorsalis pedis flap: a case report

Many methods for the repair of degloving injuries of the thumb have been reported, but none are entirely satisfactory. Herein, we report a method in which the injury is divided into the dorsal and palmar area for repair. A great toenail flap is used to repair the dorsal injury to restore the nail de...

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Published inArchives of orthopaedic and trauma surgery Vol. 133; no. 10; pp. 1455 - 1458
Main Authors Ju, Ji-hui, Hou, Rui-xing
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2013
Springer Nature B.V
Subjects
Case reports
Free Tissue Flaps - transplantation
Handsurgery
Humans
Male
Medicine
Medicine & Public Health
Nails - transplantation
Orthopedics
Reconstructive Surgical Procedures - methods
Soft Tissue Injuries - surgery
Thumb - injuries
Thumb - surgery
Toes - surgery
Young Adult
Wrap-around flap
Toe
Injury
Surgery
Thumb
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Summary:Many methods for the repair of degloving injuries of the thumb have been reported, but none are entirely satisfactory. Herein, we report a method in which the injury is divided into the dorsal and palmar area for repair. A great toenail flap is used to repair the dorsal injury to restore the nail defect, and a dorsalis pedis flap is used to repair the palmar injury. The described technique provides good restoration of morphology and aesthetic outcome, good functional and sensory recovery, and is associated with minimal donor-site morbidity.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0936-8051
1434-3916
DOI:10.1007/s00402-013-1807-5