Eur J Plast Surg (2016) 39:397–398 DOI 10.1007/s00238-015-1179-x LETTER TO THE EDITOR Combined anterolateral chest and medial arm flap for treatment of degloving injuries of four digits 1 1 1 Hysni M Arifi & Hasan R Ahmeti & Shkelzen B Duci & 1 1 1 Violeta K Zatriqi & Zejn A Buja & Shkelqim H Derguti Received: 18 September 2015 /Accepted: 21 December 2015 /Published online: 12 January 2016 Springer-Verlag Berlin Heidelberg 2016 Sir, arm. The defect on the ulnar side of the middle digit was Wound coverage of the defects after a complete degloving closed directly. injury of the hand and fingers is one of the most difficult prob- Twelve weeks later, the index-middle syndactyly was sep- lems in hand surgery. Important structures such as tendons, arated without skin grafts. Several other minor operations, including defatting, were required to obtain a good appearance bones, and nerves are exposed during these injuries and will necrose if not covered adequately . Defects of the hand as- (Fig. 3). sociated with exposed tendons and bones may be covered by One year after the initial surgery, the patient had a hand local, distant, or free flaps, depending on the general condition with
European Journal of Plastic Surgery – Springer Journals
Published: Jan 12, 2016
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