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Lower Limb Degloving Trauma Reconstruction: A Case Report.

Alan Armando Sosa-Vazquez1, Yeudiel Suro Santos2, Jorge Alejandro Serrato-Ruiz3

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Summary

Degloving injuries, often from traffic accidents, involve skin avulsion. This case highlights successful limb salvage using negative pressure therapy, dermal matrix, and skin grafts for a child with severe lower extremity trauma.

Keywords:
acellular dermisdegloving injuriesleg injuriesnegative-pressure wound therapyskin transplantation

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Area of Science:

  • Trauma surgery
  • Reconstructive surgery
  • Orthopedic surgery

Background:

  • Degloving injuries result from shear forces, commonly in traffic accidents.
  • These injuries cause significant tissue avulsion, leading to coverage deficits and potential limb loss.

Observation:

  • A six-year-old male sustained a severe degloving injury to the left lower extremity from a truck tire impact.
  • Initial management included debridement, surgical cleaning, and negative pressure wound therapy.

Findings:

  • The patient underwent reconstruction using a dermal matrix and partial-thickness skin grafts.
  • Successful coverage was achieved after creating a viable wound bed for grafting.

Implications:

  • This case demonstrates the effectiveness of a multi-stage reconstructive approach for severe degloving injuries.
  • Salvage of limbs with extensive degloving trauma is achievable with timely and appropriate surgical intervention.