Salvage in a case of ring avulsion injury with an immediate second-toe

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wrap-around flap. Khouri RK. Diehl GJ. Journal of Hand Surgery - St Louis. [JC:ia9] 17(4):714-8, 1992 Jul. A nonreplantable complete degloving injury to the small finger of a young woman was treated with the immediate microsurgical transfer of a second -toe wrap-around flap. One year after the operation, the donor foot was free of symptoms, and the reconstructed finger had an excellent cosmetic appearance, a range of motion of 0/90 degrees at both the metacarpophalangeal and the proximal interphalangeal joints, and a two -point discrimination of 6 mm. In selected patients, when the degloved skin envelope cannot be revascularized and when the skeletal and tendinous units are still intact, an immediate second-toe wrap-around flap may be a good alternative to amputation.