J Reconstr Microsurg 2011; 27(5): 299-302
DOI: 10.1055/s-0031-1278708
© Thieme Medical Publishers

A Case of Degloving Injury of the Whole Hand Reconstructed by a Combination of Distant Flaps Comprising an Anterolateral Thigh Flap and a Groin Flap

Hiroya Senda1 , Hidenori Muro2 , Satoshi Terada2 , Hideki Okamoto3
  • 1Department of Orthopaedic Surgery, Rinko Hospital, Aichi Prefecture, Japan
  • 2Department of Orthopaedic Surgery, Ogaki Municipal Hospital, Gifu Prefecture, Japan
  • 3Department of Orthopaedic Surgery, Nagoya City University, Aichi Prefecture, Japan
Further Information

Publication History

Publication Date:
18 May 2011 (online)

ABSTRACT

A case of degloving injury of the whole hand reconstructed by a combination of an anterolateral thigh (ALT) flap and a groin flap applied as a pedicled distant flap was reported. Despite complications of congestion of the ALT flap and superficial infection, both flaps were severed at 4 weeks after transplantation, and a useful hand was finally reconstructed. The combination of a pedicled groin flap and an ALT flap is not optimal for reconstruction of a whole-hand degloving injury but is considered to be an available procedure for covering a large skin defect without microsurgical procedures.

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Hiroya SendaM.D. 

Department of Orthopaedic Surgery, Rinko Hospital. Nagoya-shi Minato ward

Meiko 2-9-43, Aichi Prefecture, Japan

Email: hiroya-s@fa2.so-net.ne.jp