WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1401
11
1
gregorian
2023
2
1
12
1
online
1
fulltext
en
Groin Flap for Reconstruction of Traumatic Degloving Hand Injury: A Report of 5 Cases
تخصصي
Special
گزارش مورد
case report
<span style="font-size:11pt"><span style="line-height:200%"><span calibri="" style="font-family:"><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Degloving is a type of avulsion injury that leads to the separation of the skin from its underlying tissues. It is usually caused by industrial machinery through smashing or traction mechanisms, where the patient typically tries to avoid severe trauma by pulling their hand off, resulting in this particular injury. Although free flaps have now become the standard of treatment in many institutions, the lack of this possibility makes pedicled flaps a good reconstructive option, with advantages such as low donor-site morbidity, low procedure costs, and relatively easy dissection of the flap. Since the description of the pedicled groin flap technique by McGregor and Jackson, this reconstructive option has become a versatile flap for the coverage of wounds on the hand and distal forearm. This axial-patterned cutaneous flap is based on the superficial circumflex arteriovenous system, which can provide soft-tissue coverage for moderate-to-severe injuries, especially those caused by work accidents. This article aims to describe our experience in treating five different cases of traumatic degloving hand injuries using a groin flap for coverage, with excellent aesthetic and functional results. Two of these cases resulted from degloving after a traction accident, one from a firework explosion, one from a gunshot, and finally, one as a result of an electric wound.</span></span></span></span></span></span><br>
Degloving, Groin Flap, Skin Coverage, Circumflex Artery, Hand Reconstruction
63
71
http://wjps.ir/browse.php?a_code=A-10-799-4&slc_lang=en&sid=1
Jose De Jesus Orozco-
Grados
100319475328460013948
100319475328460013948
No
1. Plastic and Reconstructive Surgery Department, Hospital Angeles Queretaro, Queretaro, Mexico
Jorge Carrillo
Cordova
100319475328460013949
100319475328460013949
No
1. Plastic and Reconstructive Surgery Department, Hospital Angeles Queretaro, Queretaro, Mexico
Jose Antonio Garcia
Garcia
: josegarciagarcia@hsph.harvard.edu
100319475328460013950
100319475328460013950
No
2. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, USA
Dania Y. Baez
Armenta
100319475328460013951
100319475328460013951
Yes
3. General Surgery Department, Queretaro General Hospital, Mexico
Abraham Arroyo
Gonzalez
100319475328460013952
100319475328460013952
No
4. Orthopedic Surgery Department, Hospital Santiago de Queretaro, Queretaro, Mexico
Daniel Chacon
Galvis
100319475328460013953
100319475328460013953
No
5. General Surgery Department, Dr. Manuel Gea Gonzalez General Hospital, Mexico City, Mexico