Abstract
Introduction
This article aims to expand the microsurgical treatment options for extremity degloving
injuries with perforator artery repairs of the specific degloved angiosomes in upper
and lower extremity.
Methods
Fourteen perforator arteries were repaired in seven patients. Four of them had circumferential
degloving and 3 of them have non circumferential degloving injury. All had repair
of the perforator arteries of the specific degloved segments. Four patients had additional
vein repairs but none of the patients had AV shunts.
Results
All perforators provided adequate arterial supply to their specific angiosomes with
some necrotic areas in neighboring angiosomes.
Conclusions
Perforator artery repair within the degloved tissues provides a direct arterial supply
successfully even if one could not find an intact venous plexus.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Microvascular surgery in degloving injuries: an experimental study.Br J Plast Surg. 1978; 31: 117-120
- Degloving injuries.Hand. 1970; 2: 130-133
- Classification of soft-tissue degloving in limb trauma.J Plast Reconstr Aesthet Surg. 2010; 63: 1865-1869
- Skin cover in hand injuries.Curr Orthop. 2008; 22: 1-8
- Management of soft tissue extremity degloving injuries with full-thickness grafts obtained from the avulsed flap.Ulus Travma Acil Cerrahi Derg. 2013; 19: 516-520
- The salvage of a degloved hand skin flap by arteriovenous shunting.Plast Reconstr Surg. 1996; 98: 146-150
- Microsurgical arterialization of degloving injuries of the upper limb.J Hand Surg. 2012; 37A: 825-831
- Revascularization of degloving injuries of the limbs.Injury. 1997; 28: 271-274
- A new classification to aid the selection of revascularization techniques in majordegloving injuries of the upper limb.Injury. 2013; 44: 331-335
- The extended anterolateral thigh flap: anatomical basis and clinical experience.PlastReconstr Surg. 2009; 123: 1245-1255
Article info
Publication history
Published online: October 25, 2019
Footnotes
This paper is part of a Supplement supported by the European Federation of Societies of Microsurgery (EFSM) and the Serbian Society for Reconstructive Microsurgery (SSRM).
Identification
Copyright
© 2019 Elsevier Ltd. All rights reserved.
