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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Forearm Skin Degloving. A case report

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  • presenting/speaker Abdelaziz Boulahouache - Orthopedic Surgery Center, Bouira, Algeria
  • Mohamed Lamine Lardjane - Orthopedic Surgery Center Boudouaou, Boumerdes, Algeria
  • Rachid Hadad - Orthopedic Surgery Center Boudouaou, Boumerdes, Algeria
  • Zoubir Belkheyar - Lestre Clinic, Paris, France

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-885

doi: 10.3205/19ifssh0180, urn:nbn:de:0183-19ifssh01808

Published: February 6, 2020

© 2020 Boulahouache et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Skin degloving is well known in hand as "ring finger" with bad prognosis. It usually leads to finger necrosis and amputation. Recently some replantation were done with mild results.

We aim to report a rare case of forearm degloving, with bonne, nerves, and tendons injuries. The skin was freed from muscles in removed-glove-shape with its fascia, leaving bear muscles, from elbow to the wrist. It was caused by violent car accident and the patient was passenger in the front seat. We call the mécanisme "car-door-forearm

Methods: The skin was cleaned, and reimplanted as skin thin graft, after removing the whole fascia we fixed the associated lesions in the same time

Results and Conclusions: At the follow up of three years and half, the graft had completely healed with good function of the whole upper limb. The range of movement was good too with good hand function in terms of grip, pinch, and strength.

Our good results in this rare case are encouraging. We can propose this procedure in such cases unless the skin is not too much damaged by the crash, and the underneath muscles are good enough likes to that the origin of the ongoing graft vessels. The associated injury reparation as a whole in the same time is a requirement in such case for the sake of limb salvage, and good function as the final purpose to this surgery.