WORLD JOURNAL OF PLASTIC SURGERY
Fri, Apr 19, 2024
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Volume 12, Issue 1 (2023)
WJPS 2023, 12(1): 63-71 |
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Grados J D J O, Cordova J C, Garcia J A G, Armenta D Y B, Gonzalez A A, Galvis D C. Groin Flap for Reconstruction of Traumatic Degloving Hand Injury: A Report of 5 Cases. WJPS 2023; 12 (1) :63-71
URL: http://wjps.ir/article-1-1045-en.html
URL: http://wjps.ir/article-1-1045-en.html
Jose De Jesus Orozco- Grados1 
, Jorge Carrillo Cordova1 , Jose Antonio Garcia Garcia2 , Dania Y. Baez Armenta 3, Abraham Arroyo Gonzalez4 , Daniel Chacon Galvis5
, Jorge Carrillo Cordova1 , Jose Antonio Garcia Garcia2 , Dania Y. Baez Armenta 3, Abraham Arroyo Gonzalez4 , Daniel Chacon Galvis5
1- 1. Plastic and Reconstructive Surgery Department, Hospital Angeles Queretaro, Queretaro, Mexico
2- 2. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, USA
3- 3. General Surgery Department, Queretaro General Hospital, Mexico
4- 4. Orthopedic Surgery Department, Hospital Santiago de Queretaro, Queretaro, Mexico
5- 5. General Surgery Department, Dr. Manuel Gea Gonzalez General Hospital, Mexico City, Mexico
2- 2. Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, USA
3- 3. General Surgery Department, Queretaro General Hospital, Mexico
4- 4. Orthopedic Surgery Department, Hospital Santiago de Queretaro, Queretaro, Mexico
5- 5. General Surgery Department, Dr. Manuel Gea Gonzalez General Hospital, Mexico City, Mexico
Abstract: (1088 Views)
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.
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