Wang Xun, Zhang Ping, Zhou Youqing
Department of Hand Surgery, Zhangjiagang 3 Hospital, Suzhou, China.
Indian J Orthop. 2013 Jul;47(4):422-4. doi: 10.4103/0019-5413.114939.
Treatment of ring degloving injuries of the finger is one of the most demanding problems in hand surgery. Replantation has been advocated as the best solution if the vessels belonging to the degloved skin are not irreversibly destroyed. We present a case involving a ring finger with circumferentially avulsed skin. Debridement under microscopy showed that the peeled skin did not retain any arteries, but did have various superficial veins of good caliber. The neurovascular bundles of the finger remained in situ and did not appear to be disrupted. The degloved finger survived uneventfully by venous arterialization, retaining excellent function and appearance.
手指环形脱套伤的治疗是手外科中最具挑战性的问题之一。如果脱套皮肤所属的血管没有受到不可逆转的破坏，再植术被认为是最佳解决方案。我们报告一例涉及环指皮肤环形撕脱的病例。显微镜下清创显示，撕脱的皮肤没有保留任何动脉，但有各种管径良好的浅静脉。手指的神经血管束保持原位，似乎没有受到破坏。通过静脉动脉化，脱套的手指顺利存活，保留了良好的功能和外观。
