Soft Tissue Management of Degloving Wounds: Two Cases

Abstract

A 34-year-old male struck by a steel ball was transferred to our trauma center. He suffered from a right ulnar fracture and a right femoral degloving injury sized approximately 20 × 30 cm, with a contaminated wound (Fig. 1-1.). After adequate debridement and irrigation, defatting with scalpels and the VERSAJET system (Smith and Nehew) was performed, followed by multiple small incisions for drainage of full-thickness skin graft to cover the denuded area (Fig. 1-2.). Negative-pressure wound therapy as applied after covering with Bactigras (Smith and Nehew). After 3 days, large necrotic areas were observed (Fig. 1-3.). At postoperative day 9, debridement and STSG were performed. At the 20-days follow-up postoperatively, the appearance had reduced to an acceptable level (Fig. 1-4). CASE II