严重脱手套损伤后下肢保存1例

Q4 Medicine

Trauma Case Reports Pub Date : 2025-04-15 DOI:10.1016/j.tcr.2025.101162

Zoltan Cibula , Maros Hrubina , Marian Melisik , Peter Lisy , Monika Cervencova

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引用次数: 0

摘要

下肢脱套损伤是相对罕见的。我们在此报告一例35岁的男性患者，他在车祸后左下肢脱臼受伤。尽管伤势严重，我们还是选择了肢体保留。方法患者表现为小腿前房室大面积软组织缺损伴神经血管损伤。骨头是完整的。重建手术包括反复彻底清创、血运重建、负压伤口治疗和整形手术。治疗很复杂，需要骨科、整形外科和血管外科医生的合作。结果与结论手术后5年，患者能够完全承受患肢的重量，并经历轻度疼痛和慢性腓骨神经麻痹。结果令人满意。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Lower limb preservation after severe degloving injury: a case report

Background

Degloving injuries to the lower extremities are relatively rare. We herein report a case of 35-year-old male patient, who sustained a mangled degloving injury to the left lower extremity after a car accident. Despite the severity of the injury, we opted for limb salvage.

Methods

The patient presented with a large soft-tissue defect in the anterior compartment of the calf with neurovascular injury. The bones were intact. Reconstructive surgery involves repeated radical debridement, revascularisation, negative-pressure wound therapy, and plastic surgery. Treatment was complex and carried out in collaboration with orthopaedic, plastic, and vascular surgeons.

Results and conclusions

Five years after surgery, the patient was able to fully bear weight on the affected extremity and experience mild pain and chronic fibular nerve palsy. The outcomes were satisfactory.

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.