Novel Use of a One-stage Synthetic Dermal Substitute for the Treatment of a Class III Ring Avulsion Injury

We present a novel treatment of an Urbaniak class III ring avulsion injury using the application of one-stage synthetic dermal substitute. Ring avulsion injuries are uncommon and complicated injuries despite the small forces needed to produce a complete amputation. Most often the treatment involves...

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Vydáno v:Journal of hand surgery global online Ročník 7; číslo 3; s. 100714
Hlavní autoři: Porter, Sean, Druessel, Logan, Lee, Adrienne
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.05.2025
Elsevier
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ISSN:2589-5141, 2589-5141
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Shrnutí:We present a novel treatment of an Urbaniak class III ring avulsion injury using the application of one-stage synthetic dermal substitute. Ring avulsion injuries are uncommon and complicated injuries despite the small forces needed to produce a complete amputation. Most often the treatment involves an emergent trip to the operating room for revision amputation or salvage procedures including replantation. We illustrate and describe the treatment of a class III Urbaniak ring avulsion injury with application of one-stage synthetic dermal substitute. A review of the current literature, a description of the patients’ operative management, and a 1-year follow-up are provided.
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ISSN:2589-5141
2589-5141
DOI:10.1016/j.jhsg.2025.02.007