Modified method of scalp fixation promotes survival of complete scalp avulsion replantation

Modified method of scalp fixation promotes survival of complete scalp avulsion replantation Key Clinical MessageA 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.