Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft

Summary:. Various types of thin flaps have been used for reconstruction in cases of complete circumferential degloving injuries of digits (Urbaniak classification class III). The omental flap has extensive, pliable, and well-vascularized tissue and helps prevent bone resorption of the distal phalang...

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Autores principales:	Motomu Suito, MD, Naoki Abe, MD, Chihiro Hirasawa, MD, Tetsuya Aisaka, MD, Hiroshi Sakai, MD, PhD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/47f3699705434029b5427299a29a5fbb
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spelling	oai:doaj.org-article:47f3699705434029b5427299a29a5fbb2021-11-25T07:57:34ZReconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft2169-757410.1097/GOX.0000000000003901https://doaj.org/article/47f3699705434029b5427299a29a5fbb2021-10-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003901https://doaj.org/toc/2169-7574Summary:. Various types of thin flaps have been used for reconstruction in cases of complete circumferential degloving injuries of digits (Urbaniak classification class III). The omental flap has extensive, pliable, and well-vascularized tissue and helps prevent bone resorption of the distal phalange that can result from avascular necrosis. A 31-year-old right-handed man with class III left thumb injury and compartment syndrome of the left forearm was treated successfully with a free omental flap wrapped around the thumb and then covered with a tubular split-thickness skin graft. The postoperative course was good, except that the distal third of the phalange of the thumb was resected because of insufficient omentum volume transplanted to the thumb tip resulting from omental volume bias in the distal part of the thumb. Bone scintigraphy 1 year after injury showed technetium-99m accumulation in the remaining two-thirds of the distal phalange, although there was no blood supply before the reconstruction. The advantages of our treatment method are that the thickness of the reconstructed digits can be adjusted by the amount of the omental flap. Skin grafting can be simplified; and with multiple digital injuries, separated fingers can be reconstructed in a single operation by wrapping each digit with a divided omental flap. Use of the free omental flap and tubular split-thickness skin graft is a therapeutic reconstruction option for Urbaniak class III injury.Motomu Suito, MDNaoki Abe, MDChihiro Hirasawa, MDTetsuya Aisaka, MDHiroshi Sakai, MD, PhDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 10, p e3901 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Motomu Suito, MD Naoki Abe, MD Chihiro Hirasawa, MD Tetsuya Aisaka, MD Hiroshi Sakai, MD, PhD Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft
description	Summary:. Various types of thin flaps have been used for reconstruction in cases of complete circumferential degloving injuries of digits (Urbaniak classification class III). The omental flap has extensive, pliable, and well-vascularized tissue and helps prevent bone resorption of the distal phalange that can result from avascular necrosis. A 31-year-old right-handed man with class III left thumb injury and compartment syndrome of the left forearm was treated successfully with a free omental flap wrapped around the thumb and then covered with a tubular split-thickness skin graft. The postoperative course was good, except that the distal third of the phalange of the thumb was resected because of insufficient omentum volume transplanted to the thumb tip resulting from omental volume bias in the distal part of the thumb. Bone scintigraphy 1 year after injury showed technetium-99m accumulation in the remaining two-thirds of the distal phalange, although there was no blood supply before the reconstruction. The advantages of our treatment method are that the thickness of the reconstructed digits can be adjusted by the amount of the omental flap. Skin grafting can be simplified; and with multiple digital injuries, separated fingers can be reconstructed in a single operation by wrapping each digit with a divided omental flap. Use of the free omental flap and tubular split-thickness skin graft is a therapeutic reconstruction option for Urbaniak class III injury.
format	article
author	Motomu Suito, MD Naoki Abe, MD Chihiro Hirasawa, MD Tetsuya Aisaka, MD Hiroshi Sakai, MD, PhD
author_facet	Motomu Suito, MD Naoki Abe, MD Chihiro Hirasawa, MD Tetsuya Aisaka, MD Hiroshi Sakai, MD, PhD
author_sort	Motomu Suito, MD
title	Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft
title_short	Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft
title_full	Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft
title_fullStr	Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft
title_full_unstemmed	Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft
title_sort	reconstruction of completely circumferentially degloved thumb using omental flap and tubular split-thickness skin graft
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/47f3699705434029b5427299a29a5fbb
work_keys_str_mv	AT motomusuitomd reconstructionofcompletelycircumferentiallydeglovedthumbusingomentalflapandtubularsplitthicknessskingraft AT naokiabemd reconstructionofcompletelycircumferentiallydeglovedthumbusingomentalflapandtubularsplitthicknessskingraft AT chihirohirasawamd reconstructionofcompletelycircumferentiallydeglovedthumbusingomentalflapandtubularsplitthicknessskingraft AT tetsuyaaisakamd reconstructionofcompletelycircumferentiallydeglovedthumbusingomentalflapandtubularsplitthicknessskingraft AT hiroshisakaimdphd reconstructionofcompletelycircumferentiallydeglovedthumbusingomentalflapandtubularsplitthicknessskingraft
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Reconstruction of Completely Circumferentially Degloved Thumb Using Omental Flap and Tubular Split-thickness Skin Graft

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