Indian Journal of Plastic Surgery
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 REVIEW ARTICLE
Year : 2011  |  Volume : 44  |  Issue : 2  |  Page : 227--236

Degloving injuries of the hand


Institute for Hand and Reconstructive Microsurgery, Government Stanley Hospital, Royapuram, Chennai, India

Correspondence Address:
G Karthikeyan
40/6, Ashtalakshmi Apartments, V Trust Cross Street, Mandaveli, Chennai - 600 028, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.85344

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Avulsion of skin from the hand or fingers is an injury that has a dramatic presentation. The entire musculo-skeletal unit of the finger is intact, and the patient can often move the parts of his naked hand quite normally. The challenge for the reconstructive surgeon lies in resurfacing the hand or finger with a good quality pliable sensate skin cover while preserving the movements and function of the hand. Traditionally, skin grafting has been the standard method of reconstruction in such injuries. However, skin grafting does have many disadvantages, too. This article deals with the features of such injuries, management protocols and other reconstructive options available in the armamentarium of the hand surgeon.






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