Key Clinical Message
A complete scalp avulsion injury is rare but extremely challenging to treat. Due to the dense blood vessel bundles present in the scalp, replantation failure may occur if there is a subcutaneous hematoma. The method of scalp fixation is crucial for replantation to be successful. We successfully treated a total scalp avulsion injury using a modified scalp fixation method, coupled with microsurgical anastomosis, to avoid subcutaneous hematoma effectively and achieved a satisfactory outcome with a follow-up of nine years postoperatively.
Keywords: Scalp fixation, Microsurgical replantation, Complete scalp avulsion, Case report