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Foot Ankle Spec. 2013 Apr;6(2):150-3. doi: 10.1177/1938640012473147. Epub 2013 Jan 24.

Management of degloving injuries of the lower extremity: a case report of a forklift injury.

Author information

1
Jewish Hospital & St Mary's Healthcare Podiatric Residency Program, University of Louisville, Louisville, KY 40202, USA. lbzagrocki@yahoo.com

Abstract

Soft-tissue injuries of the foot and ankle can vary from crushing to penetrating mechanisms. Degloving injuries of the lower extremity are the result of an entrapment between a fixed surface and a moving object. These injuries pose significant morbidity and potential complications (eg, infection) to the patient if prompt wound coverage is not initiated. The authors present a case of an extensive degloving injury to the foot, ankle, and lower leg from a forklift accident. With the collaborative effort of the podiatry and plastic surgery teams, the patient underwent serial debridements, application of a small-intestine submucosa wound matrix, negative-pressure wound therapy, and skin grafting. This case presentation demonstrates the benefit of procedure staging and early wound coverage for improved patient outcomes.

LEVEL OF EVIDENCE:

Therapeutic Level IV, Case Study.

PMID:
23349380
DOI:
10.1177/1938640012473147
[Indexed for MEDLINE]
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