Severe Lower Extremities Degloving Injuries - Medical Problems and Treatment Results

• Authors: Piotr Wójcicki , Władysław Wojtkiewicz , Piotr Drozdowski
• Languages of publication: EN

Abstracts

EN

Degloving injuries consist in detachment of skin and subcutaneous tissue from underlying fascia and muscles. They mostly address total surface of extremities or trunk, resulting in high morbidity and mortality. Their treatment, due to severity of the injury, high percentage of serious concomitant injuries and massive blood loss is time - consuming and its results are often unfavourable. The authors present results of treatment of three cases of patients with degloving injuries of the lower extremities and trunk. The patients presented poor healing prognosis connected with the extension of the injury. A complicated course of treatment was described. In all patients skin grafts healed well, resulting in acceptable aesthetic and functional outcome.

Keywords

EN

degloving injury; Morell-Lavallée injury; skin graft

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 5
• Pages: 276-282

Dates

published

1 - 5 - 2011

online

24 - 6 - 2011

Contributors

author

Piotr Wójcicki

author

Władysław Wojtkiewicz

• Intensive Care Unit, Medical Centre in Polanica-Zdrój

author

Piotr Drozdowski

• Department of Plastic Surgery, Medical Centre in Polanica-Zdrój

References

• Arnez ZM et al.: Classification of soft-tissue degloving in limb trauma. J Plast Reconstr Aesthet Surg 2010; 63(11): 1865-69.
• Guo J, Li J, Lu KH: Observation of microvascular casting of avulsion injured skin flap under electron microscope. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 1999; 13(2): 119-21.
• Powers ML, Hatem SF, Sundaram M: Morel-Lavallée lesion. Orthopedics 2007; 30(4): 322-23.
• Hidalgo DA: Lower extremity avulsion injuries. Clin Plast Surg 1986; 13(4): 701-10.[PubMed]
• Kudsk KA, Sheldon GF, Walton RL: Degloving Injuries of the Extremities and Torso. J Trauma 1981; 21(10): 835-39.[PubMed]
• Cohen SR, LaRossa D, Ross III AJ et al.: A Trilaminar Skin Coverage Technique for Treatment of Severe Degloving Injuries of the Extremities and Torso. Plast Reconstr Surg 1990; 86(4): 780-84.[Crossref]
• Oztuna V, Eskandari MM, Unal S et al.: The effect of pentoxifylline in treatment of skin degloving injuries: An experimental study. Tuba Karabacak Injury. Int J Care Injured 2006; 37: 638-41.
• Jeng SF, Hsieh CH, Kuo YR et al.: Technical Refinement in the Management of Circumferentially Avulsed Skin of the Leg. Plast Reconstr Surg 2004; 114(5): 1225-27.[Crossref][PubMed]
• Jeng SF, Wei FC: Technical refinement in the management of circumferentially avulsed skin of the leg. Plast Reconstr Surg 1997; 100(6): 1434-41.[Crossref][PubMed]
• Nogueira A, Martínez MJ, Arriaga MJ et al.: Delayed Full-Thickness Autografting of Cryopreserved Avulsed Skin in Degloving Injuries of the Extremities. Plast Renonstr Surg 2001; 107(4): 1009-13.
• Waikakul S: Revascularisation of degloving injuries of the limbs. Injury 1997; 28(4): 271-74[Crossref]
• Lee WC, Kuo LC, Chen CW et al.: Closed internal degloving injury with conservative treatment. Am J Emerg Med 2008; 26: 254.
• Hudson DA, Knottenbelt JD, Krige JE: Closed degloving injuries: results following conservative surgery. Plast Reconstr Surg 1992; 89: 853-55.
• Brem MH, Blanke M, Olk A et al.: Der "Vacuum-assisted closure and instillation-" (VAC™-Instill-)Verband Extremitätenerhalt bei drittgradig offener superinfizierter Femurfraktur mit massivem Knochen- und Weichteildefekt. Unfallchirurg 2008; 111: 122-25.
• Hossenzeideh AZ: Full - Thickness Skin Avulsion of Right Lower Leg Following Car Accident Trauma. Pakistan Journal of Biological Sciences 2008; 119(10): 1401-04.

Identifiers

DOI

10.2478/v10035-011-0043-3