Soft Tissue Management of Degloving Wounds: Two Cases

Early Reconstructions of Complex Lower Extremity Battlefield Soft Tissue Wounds

BACKGROUND Severe lower extremity trauma as a devastating combat related injury is on the rise and this presents reconstructive surgeons with significant challenges to reach optimal cosmetic and functional outcomes. This study assessed early reconstructions of complex lower extremity battlefield soft tissue wounds. METHODS  This was a prospective case series study of battled field injur...

The Management of Ballistic Wounds of Soft Tissue

The Diagnostic and Therapeutic Challenges of Degloving Soft-Tissue Injuries

Degloving soft-tissue injuries are a form of avulsion of soft tissue, in which an extensive portion of skin and subcutaneous tissue detaches from the underlying fascia and muscles. Such injuries can affect every part of the body, but in particular the limbs (both upper and lower), trunk, face, and genitalia (Wójcicki, P., Wojtkiewicz, W. and Drozdowski, P., (2011)); [1,2,3] and can be associate...

Management of soft tissue extremity degloving injuries with full-thickness grafts obtained from the avulsed flap.

BACKGROUND A "degloving injury" is referred to as seperation of cutaneous tissue from the deeper structures of the body. Although many methods have been defined to reform the tissue integrity; defatting and readaptation of the avulsed flap still comprises one of the most effective methods. METHODS From 2000-2012, we treated a total of nine patients with avulsed extremities with defatting and ...

Soft tissue coverage of combat wounds.

Warfare-related open fractures with large soft tissue defects create a significant reconstructive challenge. The objective of this article is to review current and evolving treatment strategies for soft tissue coverage of warfare-induced extremity wounds. A review of previously published literature and current data evaluating combat-injured personnel requiring extremity flap reconstruction perf...