Volume 7, Issue 3 (7-2018)                   wjps 2018, 7(3): 372-376 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Weinand C. Degloving Injuries of Upper Extremity: A Strategy with Full Thickness Skin Mesh. wjps. 2018; 7 (3) :372-376
URL: http://wjps.ir/article-1-425-en.html
University of Magdeburg
Abstract:   (3369 Views)
Degloving injuries of the upper extremity during work are rare nowadays, because of effective worker protection devices.  However, these devastating injuries still occur today during motor vehicle car accidents and surgeons have to be aware of the possibilities of wound coverage for these large, contaminated wounds.  We present two cases of degloving injuries of the hand and entire forearm using degloved skin as meshed full thickness skin graft to cover the entire wound. Two patients were admitted to our hospital, presenting large degloving injuries of the entire forearm and hands. Both patients sustained their injuries by being dragged by moving trains and presented additional fractures of the metacarpal bones and in both cases the little finger had to be amputated. The degloved skin was cleansed and meshed as a full thickness skin graft 1:3, using a Brennen Mesher.  In both patients, complete wound coverage was achieved using the degloved skin as meshed full thickness skin graft. Attachment to the wound was achieved by vacuum closure device, however, ninety percent of the graft did attach. In both cases, shrinking of the full thickness skin grafts was noted. Both of them received physiotherapy and gained nearly complete function of the injured hand and wrist. When larger parts of skin are lost in degloving injuries meshing the degloved skin as full thickness skin grafts good wound coverage of larger, contaminated defects can be achieved.
Full-Text [PDF 773 kb]   (14162 Downloads)    
Type of Study: case report | Subject: General
Received: 2018/06/3 | Accepted: 2018/11/2 | Published: 2018/11/2

Add your comments about this article : Your username or Email:

Send email to the article author

© 2020 All Rights Reserved | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb