Reconstruction after inappropriate lower limb open degloving injury management resulting in the necrotic wound: a case report

Abstract

Background: Trauma with shear mechanisms, which are typically the result of after trauma regarding traffic incidents, is the primary cause of degloving injuries. The condition is typified by the avulsion of skin and subcutaneous tissue, resulting in a deficiency in coverage and, in extreme situations, the loss of the limb involved. Case Presentation: A 58-year-old male was struck by a car and sustained a direct blow to his right lower leg from a rubber tire. The patient was hospitalized and did primary wound closure. A week later, the patient sought a second opinion in a different hospital due to necrotic tissue formation in his lower limb due to previous primary closure disregarding tissue vitality through split-thickness skin excision (STSE). Conclusion: This case reported management of necrotic tissue and reconstruction defect closure by skin graft through surgical cleaning and debridement. After establishing a viable grafting bed, split-thickness skin grafts were applied as covering.