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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 1/2016

Open Access 01-02-2016 | Case Report

Extended distally based DMCA flap in combination with autologous amputate skin transplantation as a salvage procedure for ring avulsion injury

Authors: Till Wagner, Nicholas Slater, Dietmar Ulrich

Published in: European Journal of Plastic Surgery | Issue 1/2016

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Abstract

A 23-year-old male student presented to our clinic with a traumatic complex ring avulsion of his right dominant index finger. Clinical evaluation revealed a complete distal amputation of the DIP joint with a laceration of the soft tissue at the middle phalanx and a rupture of the FDP-2-tendon far proximally. We hereby present the patient’s clinical outcome after reconstruction with a distally based extended DMCA-II flap. To our own knowledge, this is the first report of an extended distally based DMCA flap for coverage of a class IVd ring avulsion injury in combination with autologous amputate skin transplantation.
Level of Evidence: Level V, therapeutic study.
Literature
1.
2.
Gregory H, Heitmann C, Germann G (2007) The evolution and refinements of the distally based dorsal metacarpal artery (DMCA) flaps. J Plast Reconstr Aesthet Surg 60(7):731–739CrossRefPubMed
3.
Rawles RB, Deal DN (2013) Treatment of the complete ring avulsion injury. J Hand Surg 38(9):1800–1802CrossRef
4.
Ozaksar K, Toros T, Sugun TS, Kayalar M, Kaplan I, Ada S (2012) Finger replantations after ring avulsion amputations. J Hand Surg, Europe 37(4):329–335CrossRef
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Adani R, Marcoccio I, Castagnetti C, Tarallo L (2003) Long-term results of replantation for complete ring avulsion amputations. Ann Plast Surg 51(6):564–568CrossRefPubMed
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Brooks D, Buntic RF, Kind GM, Schott K, Buncke GM, Buncke HJ (2007) Ring avulsion: injury pattern, treatment, and outcome. Clin Plast Surg 34(2):187–195
Metadata
Title
Extended distally based DMCA flap in combination with autologous amputate skin transplantation as a salvage procedure for ring avulsion injury
Authors
Till Wagner
Nicholas Slater
Dietmar Ulrich
Publication date
01-02-2016
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Plastic Surgery / Issue 1/2016
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-015-1164-4

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