title: Maggot therapy for wound debridement in a traumatic foot-degloving injury: a case report.
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.
authors.affiliation: Oakwood Healthcare System.
authors.forename: Zeeshan S
authors.initials: ZS
authors.lastname: Husain
authors.forename: Lawrence M
authors.initials: LM
authors.lastname: Fallat
mesh_terms: D000818:Animals; D003646:Debridement / Q000379:methods*; D018409:Foot Injuries / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007814:Larva; D008297:Male; D017695:Soft Tissue Injuries / Q000503:physiopathology / Q000628:therapy*; D014945:Wound Healing