Massive de-gloving thigh injury treated by vacuum therapy, dermal regeneration matrix and lipografting.
Frequently lower limb injuries are caused by road and work accidents. The young age of those affected coupled with the anatomical and functional peculiarities of this part of the body with regards to social life during adolescence make the treatment of the leg wound complex and challenging. We present two cases of young girls, victims of serious road accidents who were treated initially with frequent wound washings, vacuum therapy to stimulate granulation tissue, then dermal regeneration matrix (INTEGRA®) and split-thickness skin grafts. After one year, both patients treated with lipofilling have shown improved cosmetic results allowing a new social life.
Plastic and Reconstructive Unit, Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, Varese - Università degli studi dell'Insubria, Como and Varese, Italy.
Mario
M
Cherubino
Stefano
S
Scamoni
Igor
I
Pellegatta
Francesca
F
Maggiulli
Anna
A
Minuti
Luigi
L
Valdatta
D062088:Acellular Dermis; D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D005260:Female; D006801:Humans; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D017695:Soft Tissue Injuries / Q000628:therapy*; D013848:Thigh / Q000293:injuries*; D014945:Wound Healing