Vacuum-assisted closure, dermal regeneration template and degloved cryopreserved skin as useful tools in subtotal degloving of the lower limb |
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Authors: | Dini Mario Quercioli Fabio Mori Andrea Romano Gianmaria Federico Lee Alessandro Quattrini Agostini Tommaso |
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Institution: | Department of Plastic and Reconstructive Surgery, University of Florence, Largo Palagi 1, 50100 Florence, Italy. |
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Abstract: | The standard management of degloving injuries involves either immediate grafting with the avulsed skin or full- or split-thickness grafts at a later date. Alternative methods include pedicle and free flaps and revascularisation. The authors present an innovative technique of treating degloving injuries with cryopreserved split-thickness skin grafts harvested from degloved flap, artificial dermal replacement and vacuum-assisted closure (VAC therapy). To the authors' knowledge, this is the first reported case of such bilaminar reconstruction of a degloving injury. |
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