Mac Gregor flap for injured ring finger in a child

Abstract

We report the case of an 11-year-old female child who injured her ring finger (ring on the 4th finger hung on a nail fixed to the wall during a jump). Clinical examination showed 4th finger degloving injury with exposure of bone and tendon system and 3rd phalanx amputation (A). Following consultation with the family, the finger was preserved and McGregor inguinal flap was performed for aesthetic and functional outcome. Emergency surgery was performed under general anesthesia, with the patient in a supine position and preparation of the right upper limb and right flank. McGregor inguinal flap was performed after anatomical identification of the flap to place on the pathway of the superficial iliac artery (B). After dissecting the flap, it was tubularized on the finger to cover it (C). The postoperative course was uneventful and after three weeks the flap was weaned under general anesthesia (D); the result after one month was very satisfactory (E).