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Abstract
Between 1990 and 1994 a study was carried out of 32 patients who had degloving injuries
of the limbs. There were three types of injuries: type I, nine patients with severely
damaged skin and subcutaneous tissue; type II, 13 patients whose skin and subcutaneous
tissue were moderately damaged, but subcutaneous veins were still identifiable; and
type III, 10 patients whose skin and subcutaneous tissue were moderately damaged and
venous back flow was observed. The patients in type I were treated by extensive debridement
and the flaps were used for free full and split thickness skin grafting. In type II,
arterialization of the venous system of the flaps was performed and successful perfusion
was observed in nine patients. In type III, venous anastomoses were performed and
all had good results. Revascularization of the flaps in types II and III degloving
injuries of the limbs gave good results. The raw surface which needed skin grafting
was minimized and the course of treatment and morbidity were decreased.
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References
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Article info
Publication history
Accepted:
January 21,
1997
Footnotes
☆Presented at the 6th Congress of the International Federation of Societies for Surgery of the Hand, Helsinki, Finland, 3–7 July 1995.
Identification
Copyright
© 1997 Published by Elsevier Inc.
