Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case report

Ring avulsion injuries pose difficult treatment decisions for hand surgeons. Urbaniak class III injuries have poor replantation rates, therefore other reconstructive options have to be explored. We present the case of a 39 year old fireman with a complete ring avulsion injury of the left ring finger...

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Main Authors: Shane Cullen, Kenneth Joyce, Christoph Theopold
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:JPRAS Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352587822000262
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author Shane Cullen
Kenneth Joyce
Christoph Theopold
author_facet Shane Cullen
Kenneth Joyce
Christoph Theopold
author_sort Shane Cullen
collection DOAJ
description Ring avulsion injuries pose difficult treatment decisions for hand surgeons. Urbaniak class III injuries have poor replantation rates, therefore other reconstructive options have to be explored. We present the case of a 39 year old fireman with a complete ring avulsion injury of the left ring finger that was reconstructed with a free temporoparietal fascial flap, covered with a split skin graft. At 6 months follow-up the patient had an excellent range of motion with acceptable aesthetic result but no sensation.
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spelling doaj.art-a21fef73e2fb4041bbb49cb09eb9bda32022-12-22T02:25:41ZengElsevierJPRAS Open2352-58782022-09-01334751Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case reportShane Cullen0Kenneth Joyce1Christoph Theopold2Corresponding author.; Dept of Plastic and Reconstructive Surgery, St James’ Hospital, James's St, Dublin 8, Dublin D08 NHY1, IrelandDept of Plastic and Reconstructive Surgery, St James’ Hospital, James's St, Dublin 8, Dublin D08 NHY1, IrelandDept of Plastic and Reconstructive Surgery, St James’ Hospital, James's St, Dublin 8, Dublin D08 NHY1, IrelandRing avulsion injuries pose difficult treatment decisions for hand surgeons. Urbaniak class III injuries have poor replantation rates, therefore other reconstructive options have to be explored. We present the case of a 39 year old fireman with a complete ring avulsion injury of the left ring finger that was reconstructed with a free temporoparietal fascial flap, covered with a split skin graft. At 6 months follow-up the patient had an excellent range of motion with acceptable aesthetic result but no sensation.http://www.sciencedirect.com/science/article/pii/S2352587822000262Ring avulsionDeglovingFinger amputationTemporoparietal flap
spellingShingle Shane Cullen
Kenneth Joyce
Christoph Theopold
Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case report
JPRAS Open
Ring avulsion
Degloving
Finger amputation
Temporoparietal flap
title Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case report
title_full Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case report
title_fullStr Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case report
title_full_unstemmed Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case report
title_short Temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury: A case report
title_sort temporoparietal fascial flap for primary reconstruction of complex ring avulsion injury a case report
topic Ring avulsion
Degloving
Finger amputation
Temporoparietal flap
url http://www.sciencedirect.com/science/article/pii/S2352587822000262
work_keys_str_mv AT shanecullen temporoparietalfascialflapforprimaryreconstructionofcomplexringavulsioninjuryacasereport
AT kennethjoyce temporoparietalfascialflapforprimaryreconstructionofcomplexringavulsioninjuryacasereport
AT christophtheopold temporoparietalfascialflapforprimaryreconstructionofcomplexringavulsioninjuryacasereport