Husain Zeeshan S, Fallat Lawrence M
Oakwood Healthcare System.
J Foot Ankle Surg. 2003 Nov-Dec;42(6):371-6. doi: 10.1053/j.jfas.2003.09.005.
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.
一名43岁男性因足部严重软组织缺损，接受了经跖骨截肢术及伤口护理，以治疗创伤性脱套伤。在办公室每周进行两次锐性清创，持续4周后，发现皮肤向内生长极少。随后实施蛆虫疗法，进行了48小时的一次治疗以及72小时的第二次治疗，以帮助减少过度纤维化，并无痛地清创组织，露出颗粒状基底。在接下来的6周里，每天更换敷料，成功实现了伤口完全闭合，无需任何额外干预。在随访过程中，未出现并发症，患者已借助拐杖恢复行走。
