Your browser doesn't support javascript.
loading
Long-term Follow-up of Hand-degloving Injury Treated by Conventional Methods.
Ishii, Hana; Moriya, Koji; Narisawa, Hiroko; Tsubokawa, Naoto; Maki, Yutaka; Shimada, Kenichi.
Afiliación
  • Ishii H; From the Department of Plastic and Reconstructive Surgery, Kanazawa Medical University Hospital, Ishikawa, Japan.
  • Moriya K; Niigata Hand Surgery Foundation, Niigata, Japan.
  • Narisawa H; Niigata Hand Surgery Foundation, Niigata, Japan.
  • Tsubokawa N; Niigata Hand Surgery Foundation, Niigata, Japan.
  • Maki Y; Niigata Hand Surgery Foundation, Niigata, Japan.
  • Shimada K; Niigata Hand Surgery Foundation, Niigata, Japan.
Plast Reconstr Surg Glob Open ; 12(5): e5777, 2024 May.
Article en En | MEDLINE | ID: mdl-38699283
ABSTRACT
Despite medical advances, degloving injury remains one of the most difficult traumatic injuries to treat. The conventional method for treating degloving injury of the hand is reconstruction with a groin flap. However, few reports have described the mid- or long-term functional and aesthetic outcomes after a hand reconstruction with a groin flap. This case report describes a 68-year-old woman with no specific medical history who presented with a severe degloving injury of the right hand, caused by a roller machine. The area of skin loss was covered with a pedicled groin flap that was separated after 3 weeks. Five years after the reconstruction, she had poor functional and aesthetic outcomes. The Japanese Society for Surgery of the Hand version of the Quick Disabilities of the Arm, Shoulder and Hand score was 57.5; the Hand20 score was 60; and the Michigan Hand Outcomes Questionnaire score was 37.5. The static two-point discrimination of the index and middle fingers was more than 15 mm, and Semmes-Weinstein monofilament examination showed that the sensation thresholds of these fingers were purple and blue. The range of motion was 10-degree angle of extension and 60-degree angle of flexion for the metacarpophalangeal joints of the index and middle fingers. Grip strength was 0.0 kg; pulp pinch strength of the index and middle fingers was 1.1 and 0.8 kg, respectively; and side pinch of the index and middle fingers was 0.1 and 0.7 kg, respectively.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Plast Reconstr Surg Glob Open Año: 2024 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Plast Reconstr Surg Glob Open Año: 2024 Tipo del documento: Article País de afiliación: Japón
...