title: Vacuum-assisted closure, dermal regeneration template and degloved cryopreserved skin as useful tools in subtotal degloving of the lower limb.
abstract: The standard management of degloving injuries involves either immediate grafting with the avulsed skin or full- or split-thickness grafts at a later date. Alternative methods include pedicle and free flaps and revascularisation. The authors present an innovative technique of treating degloving injuries with cryopreserved split-thickness skin grafts harvested from degloved flap, artificial dermal replacement and vacuum-assisted closure (VAC therapy). To the authors' knowledge, this is the first reported case of such bilaminar reconstruction of a degloving injury.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Florence, Largo Palagi 1, 50100 Florence, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Dini
authors.forename: Fabio
authors.initials: F
authors.lastname: Quercioli
authors.forename: Andrea
authors.initials: A
authors.lastname: Mori
authors.forename: Gianmaria Federico
authors.initials: GF
authors.lastname: Romano
authors.forename: Alessandro Quattrini
authors.initials: AQ
authors.lastname: Lee
authors.forename: Tommaso
authors.initials: T
authors.lastname: Agostini
mesh_terms: D000328:Adult; D015925:Cryopreservation / Q000379:methods; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply / Q000293:injuries / Q000601:surgery*; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000379:methods; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D017695:Soft Tissue Injuries / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing