Replantation of a degloved hand with added arteriovenous anastomoses: report of two cases.

Rodríguez-Lorenzo, Andrés; Lin, Cheng-Hung; Lin, Chih-Hung; Ching, Wei-Cheng; Lin, Yu-Te · J Hand Surg Am · 2009

case_report · Level V

Where this comes from

Abstract

Revascularization of the degloved skin is generally accepted as the best option for the management of totally degloved hands. Nevertheless, the selection of vessels for anastomoses is usually difficult in this situation, and insufficient perfusion of the degloved hand skin is common after arterial repair. We present 2 cases of patients who sustained totally degloved hand injuries. Favorable outcomes of replantation were achieved with added arteriovenous anastomoses between the dorsal veins of the degloved hand skin and the digital arteries.

Medical subject headings

Anatomy