Abstract
Avulsion of fingers are common industrial incidents and small skin flap injuries of one or more fingers are emergency room problems encountered daily [1]. Avulsion of skin from the underlying structures is usually a result of trauma, and has a dramatic presentation. Besides the possibility of injury to other structures, there may be a problem with viability of the skin involved. The degloving injury is more significant in the hand injury. Reconstruction of a single degloved finger can be performed with local flaps and tubed pedicle flaps [2,3]. However, it is not easy to wrap the entire circumference of the finger by using a local flap. Avulsions of multiple fingers is a severe injury that is more difficult to reconstruct. Some authors use the Millard ‘crane principle’ and bury the digits in the abdominal fat for 2 weeks with secondary skin grafting [4]. A tubed groin flap can also be used to reconstruct the injury [5]. However, it requires the hand to be attached to the groin for least 2 weeks, which is awkward and makes hand therapy difficult. Another possibility for reconstruction is the radial forearm flap, which is a fascia-only flap with skin graft on the fascia [6]. A degloved finger can also be reconstructed with a toe wrap-around flap [7] or an innervated arterialised venous flap from the dorsum of the foot [8]. We present a reconstruction of a traumatic degloving injury of the finger using a pedicled split-thickness skin graft from the abdominal wall to treat five cases (11 fingers) between June 2010 and September 2010, and the results were satisfactory. The aim
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