Department of Plastic and Reconstructive Surgery, University of Florence, Largo Palagi 1, 50100 Florence, Italy.
Injury. 2012 Jun;43(6):957-9. doi: 10.1016/j.injury.2011.03.020. Epub 2011 Apr 13.
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.
脱套伤的标准处理方法包括立即用撕脱的皮肤进行移植，或在以后的某个时间用全厚或中厚皮片进行移植。替代方法包括带蒂和游离皮瓣以及再血管化。作者提出了一种用从脱套瓣上切取的冷冻保存的中厚皮片、人工真皮替代物和真空辅助闭合（VAC 治疗）来治疗脱套伤的创新技术。据作者所知，这是首例报道的这种脱套伤双层重建的病例。
