Management of the soft tissue extremity degloving injuries with the full-thickness grafts obtained from the avulsed flap

Pilancı, Özgür; Saydam, Funda Aköz; Başaran, Karaca; Datlı, Aslı; Güven, Erdem

doi:10.5505/tjtes.2013.64928

Cited by 10 publications

(5 citation statements)

References 17 publications

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“…In this case, we employed a novel approach using amniotic liquid allografts to promote wound healing, and the patient demonstrated remarkable progress throughout the course of treatment. Preservation of skin tissue and subsequent skin grafting is very important in the treatment of these patients [8], but due to the variable clinical presentation, there is no single line of treatment that is conducted with every patient undergoing a degloving treatment [9]. However, a general guideline of debridement and closure is generally followed.…”

Section: Discussionmentioning

confidence: 99%

Management and Novel Treatment of Degloving Soft Tissue Injuries: A Case Report

Raza,

Whaley,

Shakir

2023

Cureus

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Degloving soft tissue injuries (DSTIs) are injuries usually due to trauma sustained parallel to the body, shearing off skin and soft tissue from the underlying muscle and bone. Most commonly due to workplace and traffic accidents, DSTIs can occur due to a variety of traumas, resulting in a wide spectrum of clinical presentations. Treatment is often prolonged and complex, which requires the intervention of a multidisciplinary healthcare team to provide the most optimal outcomes. In this case, we report an 89-yearold male presenting with a lower left leg degloving injury due to a single motor vehicle accident (MVA). Initial surgery and observation were performed to determine the vascular structure, and subsequent debridement was performed to assess the viability of the tissue. Aggressive weekly debridement with stem cell injections and membrane wraps were used to stimulate healing in the patient. Once completed, a skin flap was grafted, which led to the patient completing his healthcare plan within six months. This case serves as an example of an effective healthcare team providing unified care to their patients to increase their mobility and quality of life.

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Section: Discussionmentioning

confidence: 99%

Management and Novel Treatment of Degloving Soft Tissue Injuries: A Case Report

Raza,

Whaley,

Shakir

2023

Cureus

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“…Free tissue transfer, such as the latissimus dorsi or anterolateral thigh flap, provides well vascularised, pliable tissue; however, the extent of the injury can make successful anastomosis away from the zone of trauma challenging. Alternatively, defatting and subsequent replacement of the avulsed skin to the underlying wound bed, as a full thickness skin graft from the degloved skin has been reported [6].…”

Section: Discussion/conclusionmentioning

confidence: 99%

Reconstructive challenges in major degloving injuries

Harris¹

2022

J Clin Images Med Case Rep

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“…Ultrasound can be used for locating a subcutaneous collection of fluid. 24 25 We managed 12(42.8%) by secondary intention.…”

Section: Discussionmentioning

confidence: 99%

Degloving Injury: Evaluation and Management

Mumtaz

Shah²,

Kayani³

et al. 2022

PAFMJ

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Objective: To study the frequency, clinical presentation, management and outcome of degloving soft-tissue injuries. Study Design: Case series. Place and Duration of Study: Department of Surgery, Federal General Hospital, Islamabad Pakistan, from Jan 2018 to Dec 2019. Methodology: This study included 28 consecutive patients with degloving injuries. Patients with degloving injuries of the soft tissue were included. Initial assessments of all patients were done according to advanced trauma life support. Regular clinical examination for abnormalities such as excessive local pain that was out of line with the intensity of the trauma, extensive ecchymosis or hematomas, and especially, local and regional hypermobility of the skin, capillary refill and perfusion of the area. Results: Out of 28 patients, there were 25 males (9.28%) and three females (10.72%). The mean age was 33.07±9.04 years with a range of 6-50 years. The thigh was the most frequently involved area by degloving injury (25.00%). The back was involved in 17.85% of patients. Leg (10.71%) and foot (10.71%) were involved in 21.42% of patients. From the management point of view, 42.85% of patients had some form of debridement and healing by secondary intention, 17.85% patients were managed conservatively, and 10.71 % of the patients' primary closure was successful. Conclusion: Degloving soft-tissue injury is debilitating and, if not taken care may lead to ischemia necrosis, infection and septicemia of the tissues, which needs extensive debridement, prolonged use of broad-spectrum antibiotics, which result in disability and protracted course of rehabilitation.

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Management of the soft tissue extremity degloving injuries with the full-thickness grafts obtained from the avulsed flap

Cited by 10 publications

References 17 publications

Management and Novel Treatment of Degloving Soft Tissue Injuries: A Case Report

Management and Novel Treatment of Degloving Soft Tissue Injuries: A Case Report

Reconstructive challenges in major degloving injuries

Degloving Injury: Evaluation and Management

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