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KMID : 0358819890160020313
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 2 p.313 ~ p.317
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MICROVASCULAR MANAGEMENT OF RING AVULSION INJURIES
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Lee Dong-Lark
Oh Suk-Joon
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Abstract
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Ring avulsion injuries range in severity from simple abrasion to complete degloving or amputation. Four patients with this specific injury in whom the affected digits were nonviable are reported. They were one finger with arterial injury, one finger with venous injury, one finger with incomplete amputation, one finger with complete amputation. All digits operated on survived and demonstrated near normal appearance and function. Revascularization of digit with only vascular injuries results in as close to a normal digit as possible. Since failure to operate results in digital loss, this situation creates a strong indication for microvascular repair. And the decision of complete degloving or amputation is depended not only patient’s age, sex, occupation but also patient’s wish.
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