Replantation with Vessel Anastomosis for Treatment of Hand Degloving Injuries

A 43-year-old female suffered a degloving injury of her left hand in a printing machine during her work. She was admitted to our hospital 2 h after the injury. The skin was avulsed from the distal forearm to the fingertip (Fig. 7.1). The bone, joint, tendon, nerves of the thumb and fingers, and the intrinsic muscle remained relatively intact. Complete debridement was performed under axillary block anesthesia in the emergency room. Relative intact of the degloved skin was found. The dorsal skin and palmar skin were bruised. The proper digital arteries of the index, middle, ring, and small finger were amputated at the level of the distal interphalangeal joint, and their nerves were extracted at the wrist level. The proper digital arteries of the thumb were amputated at the level of the fingertip.