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