Skip to main content

Advertisement

Log in

Use of ring fixator in the management of degloving injuries of lower limb

  • Technical Note
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

High-velocity trauma causes degloving injuries of extremities. Management depends upon the viability of the degloved flap. The degloved area must be covered either with flaps or with split skin grafts. Various methods have been described to provide skin coverage. However, graft uptake depends upon the surgical expertise, graft quality, graft bed circulation and of course immobilization of the grafted area, especially across joints. We describe here a simple technique, which eventually helps graft bed preparation, eases application of graft tissue, facilitates graft care and allows passive mobilization of joints as well.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Milcheski DA, Ferreira MC, Nakamoto HA, Tuma P Jr, Gemperli R (2010) Degloving injuries of lower extremity–proposal of a treatment protocol. Rev Col Bras Cir 37(3):199–203

    Article  PubMed  Google Scholar 

  2. Corps BV, Littlewood M (1996) Full-thickness skin replacement after traumatic avulsion. Br J Plast Surg 19(3):229–233

    Google Scholar 

  3. Kalisman M, Wexler MR, Yeschua R, Neuman Z (1978) Treatment of extensive avulsions of skin and subcutaneous tissues. J Dermatol Surg Oncol 4(4):322–327

    PubMed  CAS  Google Scholar 

  4. Keagy RD, Head JR Jr, Kroft AE (1968) Severe avulsion injury of the lower extremity skin. JAMA 206(7):1567–1568

    Article  PubMed  CAS  Google Scholar 

  5. Arnez ZM, Khan U, Tyler MP (2010) Classification of soft-tissue degloving in limb trauma. J Plast Reconstr Aesthet Surg 63(11):1865–1869

    Article  PubMed  CAS  Google Scholar 

  6. Huemer GM, Schoeller T, Dunst KM, Rainer C (2004) Management of a traumatically avulsed skin-flap on the dorsum of the foot. Arch Orthop Trauma Surg 124(8):559–562

    Article  PubMed  Google Scholar 

  7. Dahl MT, Gulli B, Berg T (1990) Complications of limb lengthening. A learning curve. Clin Orthop 301:10–18

    Google Scholar 

  8. Paley D (1990) Problems, obstacles and complications of limb lengthening by the Ilizarov technique. Clin Orthop 250:81–104

    PubMed  Google Scholar 

  9. Collinge CA, Goll G, Seligson D, Easley KJ (1994) Pin tract infections: silver vs. uncoated pins. Orthopedics 17(5):445–448

    PubMed  CAS  Google Scholar 

  10. Moroni A, Vannini F, Mosca M, Giannini S (2002) State of the art review: techniques to avoid pin loosening and infection in external fixation. J Orthop Trauma 16(3):189–195

    Article  PubMed  Google Scholar 

  11. Davies R, Holt N, Nayagam S (2005) The care of pin sites with external fixation. J Bone Jt Surg Br 87(5):716–719

    Article  CAS  Google Scholar 

Download references

Conflict of interest

No conflict of interest exists.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Laxman Rijal.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rijal, L., Nepal, P., Ansari, T. et al. Use of ring fixator in the management of degloving injuries of lower limb. Eur J Orthop Surg Traumatol 23, 493–496 (2013). https://doi.org/10.1007/s00590-012-1014-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-012-1014-z

Keywords

Navigation