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J Foot Ankle Surg. 2003 Nov-Dec;42(6):371-6.

Maggot therapy for wound debridement in a traumatic foot-degloving injury: a case report.

Author information

1
Oakwood Healthcare System.

Abstract

A 43-year-old man was treated for a traumatic degloving injury to his foot with a transmetatarsal amputation and wound care because of the extensive soft tissue loss. After biweekly sharp debridements in the office for 4 weeks, very minimal skin ingrowth was noted. Maggot therapy was then implemented for a 48-hour treatment and a second treatment for 72 hours to help reduce excessive fibrosis and to painlessly debride the tissues to expose the granular base. Daily dressing changes for the next 6 weeks successfully allowed complete wound closure without any additional interventions. During the follow-up course, no complications were encountered and the patient has returned to ambulation with the use of a cane.

PMID:
14688781
DOI:
10.1053/j.jfas.2003.09.005
[Indexed for MEDLINE]

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