Sharaf El Dein, A., El Habaa, G., Abel Mofeed, A., Seif, O. (2025). Outcomes of Pedicled Tubed Groin Flaps in Coverage of Circumferential Degloving Skin Loss of Fingers. The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), 205-212. doi: 10.21608/ejprs.2025.444131
Ahmed Khaled Sharaf El Dein; Gamal Ibrahim El Habaa; Ayman Abel Mofeed; Ola Seif. "Outcomes of Pedicled Tubed Groin Flaps in Coverage of Circumferential Degloving Skin Loss of Fingers". The Egyptian Journal of Plastic and Reconstructive Surgery, 49, 3, 2025, 205-212. doi: 10.21608/ejprs.2025.444131
Sharaf El Dein, A., El Habaa, G., Abel Mofeed, A., Seif, O. (2025). 'Outcomes of Pedicled Tubed Groin Flaps in Coverage of Circumferential Degloving Skin Loss of Fingers', The Egyptian Journal of Plastic and Reconstructive Surgery, 49(3), pp. 205-212. doi: 10.21608/ejprs.2025.444131
Sharaf El Dein, A., El Habaa, G., Abel Mofeed, A., Seif, O. Outcomes of Pedicled Tubed Groin Flaps in Coverage of Circumferential Degloving Skin Loss of Fingers. The Egyptian Journal of Plastic and Reconstructive Surgery, 2025; 49(3): 205-212. doi: 10.21608/ejprs.2025.444131
Outcomes of Pedicled Tubed Groin Flaps in Coverage of Circumferential Degloving Skin Loss of Fingers
The Plastic Surgery Unit, General Surgery Department, Faculty of Medicine, Benha University
Abstract
Background: Avulsion of skin from the hand or fingers is an injury that has a dramatic presentation with significant challenge in reconstructive surgery due to the hand’s intricate anatomy and essential functional role. One of the main considerations in fingers reconstruction is the choice of an appropriate flap. Among the various flaps used in hand reconstruction, the pedicled groin flap has gained significant attention. Objectives: The purpose of this study is to assess outcomes of groin pedicled tubed flaps as a method of reconstruction of circumferential degloving skin of fingers in terms of flap survival, sensibility, range of motion, aesthetic outcomes and wrist functions after flap separation. Subjects and Methods: This study was conducted on 20 patients who were recruited from the emergency room in Benha University Hospital presented during the period from September 2023 to September 2024 with finger’s circumferential degloving skin loss, Urbaniak class III and were treated by tubed groin flap. Assessment of the postoperative wrist, elbow and shoulder function according to DASH score questionnaire, flap survival, sensibility, range of motion, aesthetic outcomes. Results: There were 15 (75%) males and 5 (25%) females, their age ranged from 28-53 years. 13 cases (65%) presented after motor vehicle accidents, 4 cases (20%) after industrial accidents and 3 cases (15%) with avulsion injury. The duration of surgery ranged from 2-2.5 hours, and duration of treatment till complete healing of hand and groin wounds ranged from 42-77 days. Only 1 case (5%) had flap failure, marginal flap < br />Necrosis happened in 2 cases (10%), groin wound infection in 1 case (5%). Conclusion: This study demonstrated the efficacy of tubed Groin flaps in the reconstruction of circumferential skin loss of fingers, which simple procedure, easy to be learnt, and short operative time duration and minimal effect on wrist function.
Höllwarth M.E.: Soft Tissue Trauma. In: Pediatric Surgery: General Pediatric Surgery, Tumors, Trauma and Transplantation. Springer, p. 735-743, 2021. 2- Hamouya A., Barbato B., Beauthier-Landauer V. and Hémon C.: Complete ring finger avulsion: Review of 16 years of cases at a Hand Emergency Unit. Hand Surg. Rehabil, 2018. 3- Kadry H.M., El Sharkawy O., El Essawy N. and Taha A.A.: Back to Groin; Re-Knocking the Door…. The Egyptian Journal of Plastic and Reconstructive Surgery, 44 (4): 487-94, 2020. 4- Mishra J.K., Sahu S.A., De M., et al.: Pedicled anterolateral thigh flap: A versatile flap for complex regional defect reconstruction. GMS Interdiscip Plast. Reconstr. Surg. DGPW, 12, 2023. 5- Jabaiti S., Ahmad M. and AlRyalat S.A.: Reconstruction of upper extremity defects by random pedicle abdominal flaps: Is it still a valid option? Plast Reconstr Surg. Glob. Open., 8 (3), 2020. 6- Goertz O., Kapalschinski N., Daigeler A., et al.: The effectiveness of pedicled groin flaps in the treatment of hand defects: Results of 49 patients. J. Hand Surg. Am., 37 (10): 2088- 94, 2012. 7- Liu H., Guo T., Wang B., Wu F., Zhang W., Xu T., et al.: A two-stage surgery for completely degloving injury of multiple fingers: A retrospective cohort study. Journal of Hand and Microsurgery, 100151, 2024. 8- Smith P.J., Foley B., McGregor I.A., et al.: The anatomical basis of the groin flap. Plast. Reconstr. Surg., 49: 41-7, 1972. 9- Amouzou K.S., Berny N, El Harti A., et al.: The pedicled groin flap in resurfacing hand burn scar release and other injuries: A five-case series report and review of the literature. Ann Burns Fire Disasters, 30 (1): 57-61, 2017. 10- Acharya A.M., Ravikiran N., Jayakrishnan K.N., et al.: The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest. J. Orthop., 16 (4): 369-376, 2019. 11- Jacobson L., Skladman R., Tuggle C.T., et al.: Pedicled groin flap for reconstruction of combined first webspace and dorsal hand contracture. Eplasty, 22, 2022. 12- Romana Parvin1*, Mohd Fazle Rubby2 and Mohammad Abul Kalam Azad3, MD.: Toriqul Islam4 and MD Shahidul Islam Farhad5: “Groin Flap” for Reconstruction of Defects on Dorsum of the Hand. Annals of International Medical and Dental Research E-ISSN: 2395-2822 | P-ISSN: 2395-2814 2021. 13- Wael Ayad, Gamal Ibrahim El-Habaa, Emad Eldeen Mostafa Abdelhafez, Mostafa Saeed Abdeen, Ola Ahmed Seif and Ahmed Abdelrahim Shoulah: Egypt, J. Plast. Reconstr. Surg., Vol. 48, No. 2, April: 99-109, 2024. 14- Krishnamoorthy R. and Karthikeyan G.: Indian Journal of Plastic Surgery May-August Vol 44 Issue 2, 2011. 15- Imran Adeel, Ghazanfar Ali, Tahir Iqbal Mirza and Muhammad Jalil Malik: Med. Forum, Vol. 32, No. 4 95 April, 2021. 16- Zyluk A.: Outcomes of coverage of the soft tissue defects in the hand with a groin flap; Pol Przegl Chir., 95 (2): 32– 38, 2023. 17- PFISTER G., RANC C. and MATHIEU L.: Delayed management of a ring finger injury by a thinned and tubed groin flap in a forward surgical unit BMJ Mil Health, 170: 82-83, 2024.
View on SCiNiTO
Top