title: [Salvage of a leg avulsion injury by vacuum negative pressure therapy: a case report].
abstract: We present the case of a 51-year-old woman who suffered an avulsion injury of the right leg in a car accident. In a first time, the simple suture with tiny debridement of the flaps is a failure and lead to a nearly complete necrosis. In a second time, a total avulsion of the devitalized skin is realised and a circumferential VAC system is placed on the wound. Four cycles of vacuum therapy and twelve days later, a split-thickness skin mesh-graft is applied on the leg. This one has a very good take and allows the patient to stand up one month after the initial accident. This example underlines the role of cleaning and pro-budding of the negative therapy after the salvage of a leg avulsion.
authors.affiliation: Service de Chirurgie Viscérale, Unité de Chirurgie Plastique, Centre Hospitalier René-Dubos, 6, avenue de l'Ile-de-France, 95303 Pontoise, France. nicolaszwillinger@hotmail.com
authors.forename: N
authors.initials: N
authors.lastname: Zwillinger
authors.forename: S
authors.initials: S
authors.lastname: Carette
authors.forename: B
authors.initials: B
authors.lastname: Lorenceau
mesh_terms: D000063:Accidents, Traffic; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000209:etiology / Q000601:surgery*; D023821:Limb Salvage; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D012086:Reoperation; D016038:Skin Transplantation; D016896:Treatment Outcome