Abstract
Complete circumferential degloving injury of the digits usually results in a large cutaneous defect with tendinous structure and bone and joint exposure. When revascularization is not possible, a thin and adequately sized flap is required to resurface the defect, restore finger function, and prevent amputation. In this report, we present our experience with reconstruction of the entire circumferential degloving injury of the digit using a free sensate anteromedial thigh (AMT) fasciocutaneous flap. The donor site was closed primarily and healed without complications. The postoperative course was uneventful and the patient could achieve good key pinch, grasping function, acceptable static 2-point discrimination, and adequate protective sensation. Patient satisfaction with the resurfaced digit was 9 on a 10-point visual analogic scale (VAS). This method may be a valuable alternative for reconstruction of the entire circumferential avulsion injury of the digit.
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