The management of the complete ring avulsion injury

J Hand Surg Br. 1991 Nov;16(4):413-4. doi: 10.1016/0266-7681(91)90015-g.

Abstract

The complete ring avulsion injury presents a difficult choice between microvascular repair and further amputation. The former is technically difficult and the latter leaves an undesirable result. We describe an alternative method whereby a thinned groin flap is applied to volar surface and sides of the finger and a full-thickness skin graft covers the dorsum. This provides good quality cover to the volar aspect and avoids bulk on the dorsum.

MeSH terms

  • Amputation, Traumatic / surgery*
  • Finger Injuries / physiopathology
  • Finger Injuries / surgery*
  • Finger Joint / physiopathology
  • Humans
  • Range of Motion, Articular
  • Skin Transplantation / methods*
  • Surgical Flaps / methods*