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.
From the Departments of Plastic and Reconstructive Surgery at the Chi Mei Foundation Hospital and the Chang Gung Memorial Hospital. Received for publication February 1, 1995; revised May 30, 1995.
Wen-Ming Hsu, M.D.
Department of Plastic Surgery Chi Mei Foundation Hospital 901, Chung Hwa Road Yung Kang Shien, Tainan, Taiwan