A new method of management of pure degloving injuries has been presented. Return of the distally based flap to its bed without longitudinal tension, use of a temporary biological dressing to protect exposed structures, and early, delayed repair of the residual defect are suggested. The improved survival of the flap and earlier rehabilitation of the patient have been gratifying.
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References
1.
ELLIOTTR. A.Jr, and HOEHNJ. G. (1973). Use of Commercial Porcine Skin For Wound Dressings.Plastic and Reconstructive Surgery52: 401–405.
2.
ENTINM. A. (1955). Roller And Wringer Injuries. Clinical and Experimental Studies.Plastic and Reconstructive Surgery15: 290–312.
3.
LONDONP. S., and CLARKER. (1959) Severe Accidental Flaying. A Plea for Initial Conservatism.The Journal of Bone & Joint Surgery41B: 658–670.
4.
McGREGORI. A. (1970). Degloving Injuries.The Hand2: 130–133.
5.
ROBINSOND. W., and MASTERSF. W. (1967). Severe avulsion injuries of the extremities including the degloving type.Surgical Clinics of North America47: 379–388.