Treatment of Finger degloving injury with acellular dermal matrices: functional and aesthetic results

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Publication date: Available online 22 May 2019

Source: Journal of Plastic, Reconstructive & Aesthetic Surgery

Author(s): M. Maruccia, P.C. Marannino, R. Elia, D. Ribatti, R. Tamma, E. Nacchiero, Oscar J. Manrique, G. Giudice

ABSTRACT

Introduction

Finger degloving injuries (FDIs) represent a challenge in hand surgery. When replantation is not possible, several techniques including loco-regional flaps, pocket abdominal flaps and free flaps have been described as methods to provide skin cover and avoid finger shortening. The aim of this study is to present our experience with acellular dermal matrices (ADMs) in the treatment of FDI.

Materials and methods

We retrospectively reviewed the charts of 18 patients who presented with FDI and were treated with ADM between December 2015 and July 2017. Surgical outcomes, including complications, were analysed, and patients-centred assessments were performed at 12 months of follow-up.

Results

The follow-up period ranged from 10 to 20 months. All patients showed a good integration and vascularization of the ADM. All the fingers covered with ADM were firm and soft, with a slim and satisfactory appearance at a mean follow-up of 12 months. No limitations in tendon sliding were observed at dynamic sonography one year after surgery.

Conclusion

Acellular dermal matrices could be regarded as a viable option when dealing with finger degloving injuries, if replantation is not possible and finger length is to be preserved. Based on these results, the surgical treatment of FDI with ADM is a viable option, producing good functional outcomes and a cosmetic appearance.