Degloving injuries occur when there is sufficient tangential force to a body surface to disrupt the structures connecting skin and subcutaneous tissues to the superficial fascia. There may also be associated injuries to the underlying soft tissues, bone, nerves and vessels. The injury may be so severe that the limb is non-viable and requires amputation. Our patient sustained a severe lower limb degloving injury after an accident where the leg was caught and dragged along the platform by a train. There was insufficient skin to cover a below knee amputation stump. So, the dermal regeneration template Integra(r) was used in association with a sensate neurovascular fasciocutaneous pedicled flap salvaged from the non-viable lower leg to reconstruct the defect and avoid the need for an above knee amputation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.bjps.2009.02.074 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The misleading terminology of minor amputation of the lower limb.
Eur J Trauma Emerg Surg
January 2025
Department of Foot and Ankle Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389, Frankfurt, Germany.
Purpose: A pronounced loss of function of the lower limb of various origins, especially with an infection-related course, may require a minor (MIN) or major (MAJ) amputation of the lower limb. Our aim was to contrast the underlying etiology, including previous trauma, surgical procedure, and the subsequent function.
Methods: Between 2012 and 2022, 366 lower limb amputations were considered.
Alterations in Muscle Coordination to Reduce Knee Joint Loading for People with Limb Loss.
Ann Biomed Eng
January 2025
Department of Bioengineering, Imperial College London, London, UK.
Purpose: People with unilateral transtibial amputation experienced a higher incidence of knee osteoarthritis due to abnormal movement patterns. This study aimed to explore alternations in muscle coordination to reduce mechanical burdens in their daily activities.
Methods: Five males with unilateral transtibial amputation were recruited.
Distal realignment and medial patellofemoral complex reconstruction for the correction of patellofemoral instability in a patient with transtibial amputation.
Acta Ortop Mex
January 2025
Hospital Israelita Albert Einstein, Sao Paulo, Brazil. Department of Orthopedics and Traumatology, University of Sao Paulo, Sao Paulo, Brazil.
Patellofemoral instability (PFI) is a multifactorial condition typically observed following initial traumatic patellar dislocation. PFI depends on various factors such as limb alignment, bony structure, and the integrity of static and dynamic stabilizers. Patients with below-knee amputation have a higher risk of experiencing PFI.
View Article and Find Full Text PDFHow To Improve Patient Selection in Individuals With Lower Extremity Amputation Using a Bone-anchored Prosthesis.
Clin Orthop Relat Res
January 2025
Department of Rehabilitation, Radboud University Medical Center, Nijmegen, the Netherlands.
Background: Many patients with a lower limb socket-suspended prothesis experience socket-related problems, such as pain, chronic skin conditions, and mechanical problems, and as a result, health-related quality of life (HRQoL) is often negatively affected. A bone-anchored prosthesis can overcome these problems and improve HRQoL, but these prostheses have potential downsides as well. A valid and reliable tool to assess potential candidates for surgery concerning a favorable risk-benefit ratio between potential complications related to bone-anchored prostheses and improvements in HRQoL is not available yet.
View Article and Find Full Text PDFSingle-Institution Experience With Nononcologic Total Femoral Replacement.
Arthroplast Today
February 2025
Department of Orthopedic Surgery, University of California, Los Angeles, Santa Monica, CA, USA.
Background: Revision hip and knee arthroplasty volume continues to rise, and total femur replacement (TFR) remains a key salvage option in patients with extensive bone loss. Prior research has demonstrated mixed results of this procedure, and this study aimed to characterize the outcomes of nononcologic TFR in one of the largest single-center modern series.
Methods: A retrospective analysis was conducted on 23 nononcologic TFR procedures performed on 22 patients between 2012 and 2021.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!