Abstract
We report a case of combined hand trauma in the form of circumferential degloving injury of the hand with full thickness friction burns of the hand, forearm and the distal part of the upper arm. On exploration the hand was found avascular with loss of vital structures and full thickness burns. As a salvage procedure the hand was embedded in the subcutaneous tissue of the abdomen for 4 weeks and after that elevated as an inferiorly based flap on the bilateral superficial inferior epigastric arteries. Two weeks later the hand was freed by division of the base of the flap bilaterally. The details and description of the injury, the procedure and the outcome are discussed.
Highlights
Deep Burns and degloving injuries are known devastating types of trauma to the hand
We embedded the hand in the subcutaneous tissue of the abdomen and later on raised it based on the bilateral superficial inferior epigastric artery (SIEA) flap
The SIEA flap was used by many reconstructive surgeons to cover defects of the hand but in different ways
Summary
Deep Burns and degloving injuries are known devastating types of trauma to the hand. Combination of both with avascularity of the hand represent a surgical challenge. Many cases necessitate amputation of the hand. The patient’s opinion, social and working requirements should be taken into consideration in the management of these cases. We report a case with a bad combination of both types of injury and its management
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