Degloving

[Needle D]

Pt got his hand too close to the paper rollers he was working on. Lucky for our pt the girl working with him was quick to get to the kill switch. The hand was not pulled into the rollers so there is no crush injury to worry about. However, the skin from the thumb and lateral index finger all the way down to the palm of the hand was ripped from the bone and pulled into the machine. So...

What do you do for initial tx?

What are the key points for treating a degloving?

And from the Docs around here what are some ideas for definitive tx for this injury?

I have the pics of the hand post op that I will post after the thread gets rolling.