Vacuum-assisted closure, dermal regeneration template and degloved cryopreserved skin as useful tools in subtotal degloving of the lower limb.

Abstract

The standard management of degloving injuries involves either immediate grafting with the avulsed skin or full- or split-thickness grafts at a later date. Alternative methods include pedicle and free flaps and revascularisation. The authors present an innovative technique of treating degloving injuries with cryopreserved split-thickness skin grafts harvested from degloved flap, artificial dermal replacement and vacuum-assisted closure (VAC therapy). To the authors' knowledge, this is the first reported case of such bilaminar reconstruction of a degloving injury.

• Authors: Mario Dini, Fabio Quercioli, Andrea Mori, Gianmaria Federico Romano, Alessandro Quattrini Lee, Tommaso Agostini
• Journal: Injury (Injury) Vol. 43 Issue 6 Pg. 957-9 (Jun 2012) ISSN: 1879-0267 [Electronic] Netherlands
• PMID: 21492856 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2011 Elsevier Ltd. All rights reserved.

Topics

• Adult
• Cryopreservation (methods)
• Humans
• Lower Extremity (blood supply, injuries, surgery)
• Male
• Negative-Pressure Wound Therapy (methods)
• Patient Satisfaction
• Plastic Surgery Procedures (methods)
• Skin Transplantation (methods)
• Soft Tissue Injuries (physiopathology, surgery)
• Treatment Outcome
• Wound Healing