The impact of microsurgery on the treatment of ring avulsion injuries
Image For Activity Cover
Availability
On-Demand
Credit Offered
No Credit Offered
"Author(s): Chiu, David T. W. M.D.; Matthew, Michael K. M.D.; Patel, Anup M.D., M.B.A.

Background: Treating ring avulsion injuries continues to challenge the reconstructive hand surgeon. The complex operation draws from plastic surgery and orthopedic surgery principles to provide soft-tissue coverage, skeletal fixation, tendon repair, and neurovascular reconstruction. Furthermore, the application of microsurgical techniques has enabled the revascularization and replantation of completely avulsed fingers.

Methods: A retrospective review of 22 consecutive ring avulsion injuries (seven amputations, five replantations, and 10 revascularizations) from 1987 to 2015 performed by a single senior surgeon (D.T.W.C.) was conducted.

Results: Of these 22 ring avulsions, 10 revascularizations, five replantations, and seven amputations (five because of clinical factors, and two because of patient request) were performed. None of the 15 replantations and revascularizations resulted in loss of the ring finger or necrosis of the revascularized tip.

Conclusions: With proper patient selection, appropriate level of injury identification, and meticulous surgical execution, the restoration of form and function to the hand is feasible in ring avulsion injuries.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Plastic and Reconstructive Surgery: December 2019 - Volume 144 - Issue 6 - p 1351-1357 doi: 10.1097/PRS.0000000000006276

For medical disclaimer, privacy policy, and system requirements click here."

Copyright © 2024 American Society of Plastic Surgeons

Powered By