title: Use of ring fixator in the management of degloving injuries of lower limb.
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.
authors: Department of Orthopaedics, Civil Service Hospital, Minbhawan, Kathmandu, Nepal. laxmanrijal@gmail.com
authors: Laxman
authors: L
authors: Rijal
authors: Pravin
authors: P
authors: Nepal
authors: Tahir
authors: T
authors: Ansari
authors: Khima Nanda
authors: KN
authors: Joshi
authors: Anshumala
authors: A
authors: Joshi
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D006085:Graft Survival; D006801:Humans; D007103:Immobilization / Q000379:methods; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D009984:Orthopedic Fixation Devices; D012867:Skin; D016038:Skin Transplantation / Q000295:instrumentation / Q000379:methods; D017695:Soft Tissue Injuries / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply / Q000592:standards; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D013848:Thigh / Q000293:injuries / Q000601:surgery; D016896:Treatment Outcome