Treatment of severe four finger crush avulsion injuries

Treatment of severe four finger crush avulsion injuries Polydigital crush avulsion injuries with complete loss of soft tissue, including nerves and vessels, where only bone and tendon structures are preserved need sophisticated treatment. Due to the complexity of the injury amputation should be avoided and the major aim is maintenance of maximum finger length by emergency soft tissue coverage, when replantation is impossible. Later reconstruction of sensation with good mechanical properties must be the ultimate aim. Two cases with a four finger crush avulsion injury are reported from the emergency situation through the subsequent secondary reconstruction to the final result. Soft tissue coverage required the full spectrum of hand surgical procedures ranging from local tissue transfer, to temporary pedicled flaps and microsurgical procedures. Possible treatment options are discussed at each step of the reconstruction. Finally, a treatment concept is presented both to ease the surgical approach for the inexperienced and to provide discussion for the experienced hand surgeon. European Journal of Plastic Surgery Springer Journals

Treatment of severe four finger crush avulsion injuries

Loading next page...
Copyright © 1999 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
Publisher site
See Article on Publisher Site

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial