J Korean Orthop Assoc.
1987 Apr;22(2):505-508. 10.4055/jkoa.1987.22.2.505.
Avulsed Index Finger Reconstruction with a Free Neurovascular Flap from the Big Toe
- KMID: 2445659
- DOI: http://doi.org/10.4055/jkoa.1987.22.2.505
Abstract
- Degloving injuries of the fingers result in avulsion of skin and subcutaneous tissue from the underlying deep fascia, the arterial supply is embarrassed and necrosis may result. Theoretically primary microvascular replantation may be a complete solution, however, the prognosis in terms of both immediate and long term function following avulsed digits is poor. The ideal reconstruction aims at retension of mobility and restoration of a skin cover that is adherent, has a sensibility approaching the norm, and is free from pain. A method of finger reconstruction for an avulsion injury using a free neurovascular wrap-around flap from the big toe may be a choice of treatment for both esthetic and functional aspects.
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