Department of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy.
Int Wound J. 2013 Oct;10(5):534-8. doi: 10.1111/j.1742-481X.2012.01011.x. Epub 2012 Jun 7.
Management of severe limb trauma continues to challenge surgeons. Suitable treatment should be individualised for each patient, taking into consideration not only the wound extremity but also the associated injuries, age and socioeconomic status of the patient with the goal to recover function and to improve patient quality of life. The aim of this report is to present a severe degloving multiplane lower limb injury case in which a conservative treatment of the wound was performed with negative pressure therapy and dermal substitute, avoiding amputation and restoring limb function.
严重肢体创伤的处理仍然是外科医生面临的挑战。合适的治疗方法应根据每位患者的具体情况制定,不仅要考虑伤口部位,还要考虑到相关损伤、患者的年龄和社会经济状况,以恢复功能和提高患者的生活质量。本报告旨在介绍一例严重的脱套性多平面下肢损伤病例,通过负压治疗和皮肤替代物对伤口进行保守治疗,避免了截肢并恢复了肢体功能。