The salvage of a degloved hand skin flap by arteriovenous shunting

W. M. Hsu*, F. C. Wei, C. H. Lin, H. C. Chen, C. C. Chuang, H. T. Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

35 Scopus citations


Nine cases of hand degloving injuries were treated successfully with arteriovenous shunting technique. Of these nine cases, four were degloved from the wrist level and one from the forearm, three were degloved at the palm and one at the dorsum of the hand. All injuries resulted in distally based skin flaps, which were either superficial to the palmar fascia or within the subcutaneous layer. Lack of active bleeding from the periphery of the avulsed flaps substantiated circulatory compromise before revascularization. Survival of the avulsed flaps was achieved by directing the proximal arterial flow into the venous channel within the avulsed skin flaps. The postoperative care and rehabilitation were straightforward, and functional results were satisfactory.

Original languageEnglish
Pages (from-to)146-150
Number of pages5
JournalPlastic and Reconstructive Surgery
Issue number1
StatePublished - 1996
Externally publishedYes


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