Nailbed debridement of the finger degloving injury: two case reports

Year 2021, Volume: 12 Issue: 1, 28 - 30, 18.03.2021

Kazuya Kashiyama

https://doi.org/10.33706/jemcr.831213

Abstract

Degloving injury is a serious trauma of the fingers. It is difficult to establish an adequate extent of debridement at the time of initial surgery. Therefore, additional surgery for necrotic areas related to circulatory failure is required in many cases. In this study, we performed replantation for degloving injury of 3 fingers in 2 patients, and obtained findings regarding nailbed debridement on initial surgery. Considering nailbed hemodynamics, when performing replantation for degloving injury, in which the nailbed remains, being adhered to the distal phalanx, but not to an amputated finger, debridement of the nailbed and distal phalanx region to which the nailbed is adhered to on initial surgery may facilitate the avoidance of unnecessary surgery, shortening the treatment period and leading to early rehabilitation.

Keywords

debridment, replantation, degloving

References

• 1. Bamba R, Malhotra G, Bueno RA, Jr., Thayer WP, Shack RB. Ring Avulsion Injuries: A Systematic Review. Hand (N Y). 2018;13(1):15-22.
• 2. Adani R, Pataia E, Tarallo L, Mugnai R. Results of replantation of 33 ring avulsion amputations. J Hand Surg Am. 2013;38(5):947-56.
• 3. Wolfram-Gabel R, Sick H. Vascular networks of the periphery of the fingernail. J Hand Surg Br. 1995;20(4):488-92.
• 4. Flint MH. Some observations on the vascular supply of the nail bed and terminal segments of the finger. Br J Plast Surg. 1955;8(3):186-95.
• 5. Endo T, Kojima T, Hirase Y, Willams V. Vascular Anatomy of the Distal Digital Segment. JJpnPRS. 1991;11(9):700-5.