Unlabelled: Soft-tissue injuries of the foot and ankle can vary from crushing to penetrating mechanisms. Degloving injuries of the lower extremity are the result of an entrapment between a fixed surface and a moving object. These injuries pose significant morbidity and potential complications (eg, infection) to the patient if prompt wound coverage is not initiated. The authors present a case of an extensive degloving injury to the foot, ankle, and lower leg from a forklift accident. With the collaborative effort of the podiatry and plastic surgery teams, the patient underwent serial debridements, application of a small-intestine submucosa wound matrix, negative-pressure wound therapy, and skin grafting. This case presentation demonstrates the benefit of procedure staging and early wound coverage for improved patient outcomes.
Level Of Evidence: Therapeutic Level IV, Case Study.
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Article Synopsis
- A case report highlights the critical need for comprehensive pre-operative evaluation of soft tissue degloving injuries to avoid complications, as shown in a 55-year-old woman's case after a traffic accident.
- Initially misdiagnosed, she faced worsening symptoms leading to a CT scan that revealed foreign objects necessitating emergency surgery.
- Post-surgery, the removal of these foreign bodies resolved her infection and ensured effective wound healing, reinforcing the importance of thorough assessments and precise surgical techniques in managing facial injuries.
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